First published: 2023-04-25 / 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 feel their skin changes faster as inner dryness worsens during seasonal changes. Aging is a natural process that comes to everyone, but facing fine lines and sagging contours in the mirror every day can be stressful. In this article, we will explain the principles of how Ultherapy, an ultrasound lifting treatment, works on which layers of the skin.
Skin Layers Targeted by Ultherapy
Ultherapy is a laser lifting device that uses high-intensity focused ultrasound. It is characterized by delivering concentrated energy to deep layers without affecting the surface.
- Ultrasound energy penetrates to the deepest fascial layer (SMAS).
- It induces collagen cell regeneration and remodeling of sagging tissues.
- Since it works from within rather than on the surface, there is less concern about visible marks on the skin.
It is reported that the fascial layer where sagging begins and the superficial layer where fine lines are located require different depths of approach.
Why Precise Diagnosis Comes First
Even with the same device, the depth and number of shots vary depending on skin type and stage of aging. Adjusting the position of each shot after examining an individual's face shape and features makes a difference in the results. It is safer to plan after sufficient consultation rather than making self-judgments.
If you are curious about lifting treatments suitable for your skin condition, consult us
What Concerns Can Be Addressed
- When you are concerned about thin and stretched fine lines around the eyes
- Deepening frown lines and nasolabial folds, and sagging jowls
- A thick double chin and an uneven face line
- When you desire natural elasticity recovery without implants or threads
When Changes Appear
The changes from Ultherapy are gradual rather than immediate. While there are individual differences, changes in elasticity begin to appear after about 4 weeks and are reported to be maintained for a certain period thereafter.
| Category | Features |
|---|---|
| Energy | High-intensity focused ultrasound |
| Depth of action | Up to the fascial layer (SMAS) |
| Time of change | Gradual, starting after about 4 weeks |
| Management method | Real-time ultrasound imaging to confirm layers |
Recovery and Daily Life
Since the procedure is performed while checking the skin layers with real-time ultrasound imaging technology, it can be treated more systematically. Bruising or swelling is not severe, so returning to daily life is relatively quick, but recovery patterns may vary by individual.
If you feel your impression has changed due to loss of elasticity, it may be helpful to have your skin condition diagnosed first rather than repeatedly trying excessive self-care. In addition to Ultherapy, radiofrequency methods such as Tuneface or Potenza may also be considered.
Inquire via chat to see if Ultherapy is right for you
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 provides general information about procedures and does not replace diagnosis or treatment. The suitability and results of procedures may vary by individual.