First published: 2025-11-22 / Last reviewed: 2026-05-28
This is a guide to Ultherapy PRIME compiled by Dr. Choi Byeong-geun of SHINE U Clinic Konkuk (3 minutes walk from Konkuk Univ. Station Exit 1). You can also refer to the SMAS layer targeting principle, which is the standard for HIFU lifting.
Shurink is the most searched device by those who are looking into lifting for the first time. It is often mentioned as an introductory lifting treatment due to its relatively short procedure time and fast recovery. If it's your first time, you probably have many questions, so we'll organize them in the order of frequently asked questions in the consultation room.

How does Shurink lift the skin?
Shurink uses HIFU technology, which concentrates ultrasound energy at a single point deep within the skin, much like a magnifying glass focuses sunlight. The energy reaches the dermis, fat layer, and the SMAS layer (fascia layer), which is the core support layer for sagging, without damaging the epidermis, creating thermal coagulation points of about 60-70 degrees Celsius. The basic principle is that these coagulation points instantly contract and lift the tissue.

When do the effects appear?
The effects appear in two stages: immediate lifting and long-term elasticity improvement.
- Immediately after the procedure: A feeling of tightening as the thermal coagulation points contract the tissue.
- Over 2-3 months: Fibroblasts are activated, and new collagen and elastin are generated, gradually improving elasticity and density.

What changes depending on the depth?
Shurink uses various cartridges with different depths.
| Cartridge | Target Depth | Main Treatment Area |
|---|---|---|
| 1.5mm | Shallow dermis | Fine lines, skin texture |
| 3.0mm | Deep dermis | Collagen regeneration, elasticity enhancement |
| 4.5mm | SMAS layer | Fundamental lifting of sagging tissue |
The combination of depths depends on the degree of facial sagging.
Is it very painful, and is there any downtime?

A stinging or tingling heat sensation may be felt at the moment the energy is concentrated, but it is reported to be relatively mild compared to other high-intensity devices. The perception of pain may vary from person to person. Since it passes through the surface and acts only at the target depth, almost no separate recovery period is needed, allowing for a quick return to daily life.
"If it's my first time, isn't it better to get a lot of shots?" This is a frequently asked question. Designing where to place the energy by diagnosing the direction of sagging, fat distribution, and areas to avoid is more related to satisfaction than the number of shots. Results may vary from person to person.
Is it helpful for a double chin?

When energy is applied to the sagging jawline and double chin area with a 4.5mm tip, the loosened fascia and some fat layers contract, helping to refine the contour. Whether your jawline condition is suitable for Shurink is determined during a consultation with Dr. Choi Byeong-geun. If you have any questions, please leave a chat consultation about the area.
Can it be combined with other procedures?

Shurink is strong in deep SMAS layer lifting, so combining it with high-frequency procedures like Thermage FLX, which is strong in improving dermal elasticity, or skin booster injections can treat all layers of the skin separately. If you are curious about which combination is right for you, please feel free to contact us via chat consultation.
Authored by: Dr. Choi Byeong-geun (Chief Director of SHINE U Clinic Konkuk / Member of the Korean Academy of Laser Dermatology and Hair, Korean Academy of Aesthetic Plastic Surgery and Laser Medicine, Korean Filler Society, etc.) Last reviewed: 2026-05-28
This article is for general information about procedures and does not replace diagnosis or treatment. The suitability and results of the procedure may vary depending on the individual.
