First published: 2020-09-22 / 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).
Aging doesn't just involve the sagging of the outer skin; it progresses as the elasticity of the underlying fat and fascial layers also declines. We've summarized why the entire face can appear to sag downwards, and what lifting options are available.
How Does an Aged Appearance Develop?
As aging begins, not only the outermost skin but also the elasticity of the underlying fat and fascial layers decreases, causing the center of gravity to shift downwards.
- Double chin and sagging cheeks
- Formation of marionette lines
- An impression of a broken V-line balance
Loss of elasticity usually begins in the early 40s, but depending on skin thickness and type, it can start in the 30s.
Why Fascial Strengthening is Key
Addressing an aged appearance requires restoring lost elasticity and strengthening fascial tissue. Therefore, lifting treatments that reach not only the surface of the skin but also deeper layers are considered.
Characteristics of Line-Type Ultrasound
Ultrasound methods that use line-type cartridges deliver energy more uniformly and thoroughly than dot-type methods.
- Delivers uniformly by virtually eliminating dot gaps
- Covers a wide area in a short time
- Less painful, making it favorable for those sensitive to pain
Ultrasound reaches from the upper dermis to the deep SMAS layer, aiming to refine sagging jowls and a double chin.
Ask which lifting treatment is right for my sagging stage
InMode, a Radiofrequency-Based Treatment
InMode Forma is a radiofrequency-based, staged approach that targets stubborn localized fat while inducing collagen production.
- Stage 1: Increases deep temperature to induce fat cell apoptosis
- Stage 2: Promotes collagen and elastin production in the dermal layer
- Stage 3: Acts on pigmentation and blood vessels to refine skin tone
This approach is relatively favorable for those with more facial fat.
Another Radiofrequency Method
Radiofrequency methods, typified by Thermage FLX, radiate energy in a uniform grid pattern to deliver heat to the deep dermal layer. While protecting the skin surface, they aim to stimulate aged collagen to improve elasticity and wrinkles.
Conclusion
Lifting methods are divided into ultrasound and radiofrequency, and each reaches different layers and is suitable for different situations. Rather than choosing based solely on popularity, it's important to consider skin thickness, degree of sagging, fat volume, and wrinkle depth. Since results can vary individually, please decide after an in-person 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 and Plastic Laser Medicine, Korean Academy of Filler, etc.) Last reviewed: 2026-05-28
This article provides general information about procedures and does not replace diagnosis or treatment. Suitability and results of procedures may vary by individual.