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Ultherapy Real Time Imaging And Precise Shot Placement

We have summarized the Ultherapy procedure, which involves checking the skin layers with real-time ultrasound imaging and adjusting the shot position and energy.

Ultherapy Real Time Imaging And Precise Shot Placement
Table of Contents

First published: 2022-12-13 / 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).

As people take off their masks more often, many are becoming concerned about sagging and sunken volume that was previously hidden. While preventive care is important for aging, if it has already progressed, lifting can be an alternative. Among these, we will explain how to check the layers and administer shots when performing Ultherapy.

Method of proceeding while observing the layers

Ultherapy uses ultrasound energy, allowing real-time video confirmation of the skin layer's condition.

  • The screen confirms which area needs energy delivery.
  • The position of each shot is monitored to increase precision.

It is reported that the number of shots per area is adjusted by considering not only the location of sagging but also fat distribution, bone structure, and elasticity.

Principle of energy action

When strong ultrasound energy is concentrated and delivered to one spot, high heat reaches the SMAS layer, and the tissue is stimulated to contract, initiating a regeneration process. During this process, collagen, which is involved in elasticity, is stimulated. When thermal energy is delivered in a short time and maintained for several seconds, proteins coagulate and tissues are remodeled.

If you are curious about the condition of your skin layers, consult us

Reasons for choosing different tips

Ultherapy has tips of various sizes. Since each person has a different facial structure, skin condition, and treatment area, the appropriate tip is chosen accordingly.

Adjustment FactorWhat is observed
Tip selectionFacial structure, treatment area
Number of shotsDegree of sagging, elasticity
Energy intensitySkin thickness

Who is it considered for?

  • Those concerned about sensitive and deep areas like nasolabial folds or around the eyes.
  • Those who want to address elasticity in deep layers without surface marks.
  • Those looking for a method with a long-lasting effect because it is difficult to repeat frequently.

As Ultherapy is a sensitive treatment, various experiences can affect the results. It is safer to proceed after a thorough diagnosis. Results and suitability may vary depending on the individual.

Ask us via chat if Ultherapy is right for you

If you are curious about radiofrequency methods, you can also see information on Tuneface or Potenza.


Authored by: Dr. Choi Byeong-geun (Chief Director of SHINE U Clinic Konkuk / Member of Korean Academy of Laser Dermatology and Hair, Korean Academy of Aesthetic and Plastic Surgery Laser Medicine, Korean Academy of Filler, etc.) Last reviewed: 2026-05-28

This article is for general procedure information and does not replace diagnosis or treatment. Suitability and results of the procedure may vary depending on the individual.

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