First published 2024-05-27 / 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).
When skin elasticity decreases, the cheeks, jawline, and eye area may sag, making the face appear larger than before. We compared how Ultherapy and Tenssarma, which are often mentioned together for these changes, differ.
Background of a Larger-Looking Face
When collagen and elastin decrease, the skin sags, and as the muscles in the lower face weaken, the jawline becomes less defined. If fat accumulates under the jaw or around the cheeks, the contours may also appear swollen.
Differences Between the Two Methods
| Category | Ultherapy | Tenssarma |
|---|---|---|
| Energy | Ultrasound | Radiofrequency |
| Depth of Reach | Multi-layered, such as 1.5mm, 3.0mm, 4.5mm | Up to the subcutaneous fat layer |
| Features | Confirms layers with ultrasound imaging | Various types of applicator tips |
How Ultherapy Works
Ultherapy is an ultrasound lifting treatment that targets desired depths from shallow to deep layers. Since it is performed while directly viewing the skin layers through ultrasound imaging, it targets the desired areas, reducing wasted shots.
A distinctive feature is that the layers are confirmed with ultrasound during both diagnosis and treatment.
How Tenssarma Adds to the Treatment
Tenssarma uses radiofrequency energy to induce collagen production, addressing elasticity and fine wrinkles. It delivers heat to the skin to coagulate tissue, approaching from the subcutaneous fat layer.
- Cooling mechanism that reduces discomfort with a temperature sensor
- Cooling pulse that operates with each shot
- Hygienic management with disposable tips
If you're curious about managing sagging facial lines, ask us via chat
Duration and Individual Differences
The duration of effects may vary depending on skin condition, fat thickness, and facial structure. Both methods induce a collagen response, but since the energy and depth of action differ, choosing the appropriate method for your condition is important.
Factors Influencing Choice
Even with the same sagging, a different method may be more suitable depending on the skin condition. The key is to undergo a thorough diagnosis to determine which method is right for you.
Ultherapy and Tenssarma are based on different principles: ultrasound and radiofrequency. If you're starting to be concerned about facial sagging, we recommend getting a diagnosis first to find the method that's right for you.
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Here is some related information that may be helpful.
Authored by: Dr. Choi Byeong-geun (Head 원장 of SHINE U Clinic Konkuk / Member of Korean Academy of Laser Dermatology and Hair, Korean Academy of Aesthetic Plastic Surgery and 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. The suitability and results of procedures may vary by individual.