First published: 2023-06-30 / 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).
Many people say that their skin concerns have changed as they enter their 30s. While blemishes and acne were the biggest concerns in their 20s, after that, decreased elasticity and sagging facial contours begin to bother them more. In this article, we will explain the principles and target areas of the so-called Tunethera complex treatment, which combines Ultherapy, an ultrasound device, and Tuneface, a high-frequency device.
Why use two devices together?
Lifting devices differ in the skin layers they act on and the type of energy they use. Rather than one device treating all layers, the approach is to combine devices with different targets to expect synergy.
- Ultherapy: Uses ultrasound to create thermal coagulation points at specific depths in the SMAS layer of the skin, inducing collagen production.
- Tuneface: Delivers high-frequency waves to the dermis to promote elasticity and tightening.
It is reported that different approaches are needed for the deep layers where sagging begins and the superficial layers where fine wrinkles and pores are located.
Deep layers treated by Ultherapy
Ultherapy focuses on the SMAS layer, where sagging begins, applying thermal energy of about 60-70 degrees Celsius. It is used to refine facial contours, especially in areas where sagging is prominent, such as the jawline and cheeks. As ultrasound induces protein denaturation in the SMAS layer and promotes collagen production, it also acts on loosened fat cells, reportedly resulting in a reduction in facial contour size.
Dermal layers treated by Tuneface
Tuneface targets the dermal layer of the entire face, delivering high-frequency energy. It is designed to emit energy in multiple directions to act evenly throughout the face. Since it promotes elasticity and tightening of the dermal layer, it is used to firm up the skin itself and improve fine wrinkles and pores.
Pain and treatment method
Since it treats the entire face, many people are concerned about pain. Tuneface is known to have relatively less pain, but the perceived sensation may vary from person to person.
Even with the same output, the perceived sensation and results can vary depending on skin thickness and fat volume, so diagnosis during the consultation stage is important.
Consult to find out which combination is right for your skin condition
How is the combination designed?
The device combination is determined by considering the degree of sagging, skin thickness, and fat volume. If sagging is prominent, Ultherapy, which refines facial contour size, is prioritized, and if there is also a decrease in superficial elasticity, Tuneface is added for a complex approach.
- If facial contour refinement is the priority, an ultrasound-focused design.
- If skin elasticity, pores, and fine wrinkles are also present, a complex design with added high-frequency.
Conclusion
The Tunethera complex treatment is a method that approaches deep and superficial layers separately to expect both contour refinement and skin elasticity. However, the appropriate combination and intensity vary depending on the skin condition, so a design based on diagnosis comes first.
Inquire if you are curious about complex lifting design
You can find more related information in the Tuneface and Ultherapy PRIME guides.
Authored by: Dr. Choi Byeong-geun (Chief Director of SHINE U Clinic Konkuk / Member of the Korean Society for Laser Dermatology and Hair, the Korean Academy of Aesthetic Plastic Surgery and Laser Medicine, the 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 from person to person.