Ulthera lifting effects and duration: the basics first
Ulthera lifting focuses ultrasound energy on the fascia (SMAS) layer beneath the skin to stimulate collagen regeneration. Because it delivers thermal stimulation directly to the fascia without touching the epidermis, it is classified as a representative non-invasive lifting procedure that addresses facial contours and sagging without incisions. The effect generally appears gradually over 4 to 12 weeks after the procedure, and how long it lasts varies from person to person depending on skin condition and lifestyle.
The Ulthera device used at Repic Clinic in Gangnam is equipped with DeepSee™ real-time imaging, so the depth of energy delivery is checked directly during the procedure. Because this technology shows skin thickness and fascia position in real time, it is used to apply different energy depths to different areas, even on the same face.
Scenario 1: Mid-to-late 30s, considering lifting for the first time
In the mid-to-late 30s, sagging of the SMAS layer starts to become noticeable. Many people consider Ulthera for the first time at the stage when cheek volume begins to settle or the jawline starts to look less defined. Ulthera started at this point acts more as a preventive measure that slows ongoing sagging than as a way to reverse tissue that has already dropped.
Because skin firmness is still relatively intact, the response tends to be quicker even at the same energy dose. However, good firmness does not generally mean lifting should be the first priority. At Repic Clinic in Gangnam, current skin thickness and sagging areas are measured with Meta View and Mark-Vu skin diagnostics before deciding whether to proceed, and depending on the results, tone and texture care may be recommended before Ulthera.
Scenario 2: In your 40s, when sagging has become clear
From the 40s onward, SMAS sagging has often actually progressed. At this point, Ulthera lifting aims at improving the sagging itself, and the treatment area and energy level are designed differently from the 30s. The "Design Ulthera" protocol at Repic Clinic in Gangnam measures the patient's skin thickness, sagging areas, facial proportions and bone structure through pre-procedure diagnostics, and then designs the treatment positions and energy levels like a blueprint. Even with the same number of shots, the placement and intensity differ for each patient.
If firmness is well maintained in the 40s, tone and texture care may be combined with or come before Ulthera alone, and if sagging is pronounced, applying Ulthera and InMode lifting in sequence may also be discussed at the consultation. Either way, the principle is not to decide on a procedure by age alone.
Scenario 3: When another type of lifting may be worth considering first
Ulthera lifting is not suitable for every situation. Use the criteria below to see which one your situation is closer to.
| Situation | Ulthera lifting | InMode lifting | ONDA lifting |
|---|---|---|---|
| Main target layer | Fascia (SMAS) layer | Fascia (SMAS) layer + fat layer | Dermis + subcutaneous fat layer |
| Main action | Focused ultrasound → collagen regeneration | RF energy → fat reduction + collagen production | Microwave Coolwaves™ → fat breakdown + collagen regeneration |
| Main areas addressed | Sagging of the jawline, cheeks and cheekbones | Double chin, jawline, cheeks | Dermal firmness + subcutaneous fat volume |
| FDA clearance | Device-specific confirmation needed | FDA-cleared | Device-specific confirmation needed |
| Information at consultation | Provided at consultation | Provided at consultation | Provided at consultation |
| Who it may suit | Lifting focused on SMAS sagging | Double chin or fat volume plus tightening | Minimizing epidermal damage while addressing fat and firmness together |
InMode lifting is based on an FDA-cleared device and delivers RF energy down to the SMAS layer, inducing fat reduction and collagen production at the same time. If a double chin or cheek volume is also a concern, the purpose differs from Ulthera, so the priority of the two procedures needs to be sorted out at the consultation. ONDA lifting uses Coolwaves™ microwave technology to target the dermis and subcutaneous fat layer together while minimizing epidermal damage.
Precautions before and after Ulthera lifting
- One week before: Avoiding alcohol and excessive exercise is generally recommended.
- If you are taking photosensitizing medication: Prior notice is generally needed before the procedure.
- If you are pregnant or breastfeeding, or have a pacemaker: Separate consultation on suitability is needed.
- Right after the procedure: Temporary redness, swelling and tingling have been reported, and they usually resolve on their own within hours to days.
- On the day of the procedure: Avoiding saunas, hot compresses and strenuous exercise is recommended.
- Recovery period, 1 to 2 weeks: Using sunscreen is recommended.
- Onset of effect: Generally reported to appear gradually over 4 to 12 weeks after the procedure.
If your situation matches Scenario 1, the priority is to judge the timing of starting from your diagnosis results, from a preventive viewpoint. If it is closer to Scenario 2, the position and degree of sagging are diagnosed first, and Ulthera alone or a combination is then considered. If, as in Scenario 3, a double chin or fat volume is the main concern, consulting about InMode or ONDA first can save time. At Repic Clinic in Gangnam, Meta View and Mark-Vu skin diagnostics are applied before the procedure to guide each patient toward an approach that fits their condition. For a detailed consultation, please check the official page.
Related official information
You can find more details on the official website.
Repic Clinic official website →
※ This content is for general information only and does not replace a medical diagnosis or treatment. Please consult a medical professional before any procedure. Results, downtime and side effects vary from person to person.