Ultherapy device
One of the most common consultation questions is: “Should I choose Ulthera or Thermage?” Both are nonsurgical lifting and tightening treatments, but they act at different depths and address different concerns. Understanding whether your concern is drooping tissue or loose skin makes the choice clearer.
Different treatment depths
Ulthera uses focused ultrasound (HIFU). Energy reaches approximately 4.5mm deep into the SMAS layer, the same layer addressed in a surgical facelift, as well as the deeper dermis. It addresses sagging caused by weakened support structures.
Thermage FLX uses fourth-generation monopolar radiofrequency to heat the dermis and superficial subcutaneous layers, encouraging collagen contraction and gradual renewal. It is better suited to skin laxity, fine lines and texture.
Concerns each treatment addresses
- A less defined jawline, double chin or drooping cheeks → consider Ulthera first
- Drooping brows or heavier upper eyelids → consider Ulthera first
- Loose skin, reduced firmness or deeper smile lines → consider Thermage first
- Enlarged pores, uneven texture or overall skin laxity → consider Thermage first
- Both sagging and laxity → a combination, with the sequence planned by your doctor
A side-by-side comparison
| Ulthera | Thermage FLX | |
|---|---|---|
| How it works | Focused ultrasound delivered point by point | Monopolar radiofrequency for overall heating |
| Treatment depth | Deep dermis to the SMAS layer (approximately 4.5mm) | Dermis to superficial subcutaneous tissue |
| Main purpose | Lifting, sagging reduction and contour definition | Tightening, laxity reduction and texture improvement |
| What it feels like | Brief aching sensations with each pulse; topical anesthesia may be used | Ongoing warmth, eased by cooling and vibration |
| Recovery | Normal activities the same day; mild redness or aching may occur | Normal activities the same day; mild redness may occur |
| When changes appear | Gradually over 2–3 months | A feeling of tightness after treatment, with further improvement over subsequent months |
These are general descriptions. Results and sensations vary between individuals.
Both treatments use disposable tips or treatment heads, which account for a substantial part of the cost. NELL uses genuine consumables supplied directly by the importer. Certification labels are available to check before treatment. The full number of pulses in your consultation plan is delivered; doses are not reduced to lower the price.
Can they be combined?
Yes, and this is common. As they act at different depths, Ulthera lifting and Thermage tightening are often combined when sagging and laxity occur together. Your skin condition and treatment plan determine whether they are performed on the same day or separately, and in which order. The clinic director decides after consultation. Juvelook or Rejuran may also be added when volume or skin quality needs attention.
Before your consultation
- Tell your doctor about treatments in the past six months, especially fillers and thread lifting
- Arrive without makeup or be ready to remove it for a skin assessment
- Let us know in advance about pregnancy, breastfeeding or metal implants
- Bring photos of the concerns that matter most to you; they can be clearer than a verbal description
This article provides general information, not individual medical advice or a promise of results. Outcomes vary between individuals. Your treatment plan will be determined at consultation.
