Apgujeong Skin Clinic) Why Ulthermage Isn’t Effective for You ; Feat. Holistic Lifting, Revinas Fascia Lifting

Hi,✋

Be pretty without surgery! 

This is Dr.Filler with 13 years of career

in non-surgical contouring. (I tried to make it long, how is it?)

Ulthermage is a popular treatment therapy

 and almost everyone knows it.

Ulthermage is the combination of classic lifting

 therapies called Ulthera and Thermage.

Ulthera sends ultrasound to subcutaneous fat layer and 

SMAS layer while Thermage sends high frequency 

down to dermis to enhance skin elasticity and lift the skin. 

Ulthermage combines Ulthera and Ulthera together and 

delivers heats to wide areas extensively from dermis to 

epidermal fascia to provide lifting effect.  

Ulthermage may be more expensive than monthly wages, 

and do you think this therapy would be satisfactory to anyone? 

The answer is NO!

I met a lot of patients who received Ulthermage from

 other clinics and didn’t feel any improvement

 after expensive therapy.Let’s analyze the reasons.

First, Ulthermage effect often appears immediately

 but its effect may appear gradually 

over two to three months in some cases.  

For people who are not sensitive enough, 

they might not realize the gradual changes on their face.

That’s why before and after photographs are important. 

They will help you realize Ulthermage was worth the money.

Second, if you received Ulthermage and 

square jaw botox around same time, 

Botox might be the reason.

Although square jaw botox makes your jawline sharper, 

the overall face gets saggy slightly.

 As a result, Ulthermage’s lifting effect can be

 offset by the square jaw botox. 

When square jaw botox affects wide and extensive 

areas and skin is insensitive to skin,

 the sagging effect wins over lifting effect.

As a result, Ulthera may not seem that effective

But it doesn’t mean that you should avoid square jaw botox.

You can get square jaw botox and 

other therapiestogether to take the strengths of 

botox and make up for its weakness

I love combination of square jaw botox and Ulthera

By getting weak square jaw botox and strong Ulthera, 

you can enjoy lifting effect and get smaller and 

sharper face without sagging skin

Third reason is the lack of discussion with

 practitioner on the lifting area. 

You need to discuss whether you need lifting

 on mid-cheek grooves, nasolabial folds,

 jawline, and double chin. 

In order to get satisfactory results for 

both patient and practitioner, 

it is important to decide the area in advance

The therapy results vary depending on design, 

treatment area, number of shots, and treatment depth

Personally, it’s hard to explain everything 

about therapy within a few-minute

 talk with the patients.Still, I already have ideal

 design in my head, and I design the patient’s face

 based on that design. 

 Some of my subscribers actually

 visited my skin clinics.

 Even though I couldn’t explain in details,

they left everything to me because 

they watched my previous videos. 

So, I feel so thankful to them for trusting my skills.

Fourth, even though Ulthermage was

 designed and performed well, skin tightening

 and collagen formation are not effective in some cases. 

(In these cases, you may try shock 

wave-based lifting therapies, 

such as Revinas or fascia lifting, 

instead of heat-based lifting therapy. 

I’ve been cases where skin less responsive to

 heat reacts better to shock wave therapies.)

Fifth, I earlier mentioned that some skins

 are less responsive to heat.

 There is also an opposite case where the skin 

is sensitive to heat energy.

 This results in less volume and saggy skin

 rather than skin tightening effect.

These are actually visible while doing the therapy.

When using Ulthera, some skins are

 so responsive to Ulthera tip.

Since Ulthera is really effective for
such types of skins, I make sure to avoid

 excessive Ulthera therapy for such cases.

So, although I decide number of Ulthermage shots

 and energy level before starting the therapy

I adjust them slightly depending on

 the patient’s skin condition.

Sixth, Ulthermage may not show enough lifting

 effect because skin’s fat layer is too thick 

and ultrasound cannot reach deep down to

 the target depth of SMAS layer.

In such cases, Revinas can reach deeper 

down to the skin by using shock wave. 

Seventh, frequent therapy or surgery

 may cause skin adhesion and tissues

 adhering to each other. 

This eventually reduces lifting effect. 

Some people are born with

 a hard and stiff skin too.

In such cases, I recommend on getting 

Ulthermage with Revinas or fascia lifting

 to get rid of adhesions.

Eight, Ulthermage may not be effective

when muscle and retaining ligament are too weak

In these cases, try Ulthermage, 

Revinas, or fascia lifting together to 

strengthen muscle and retaining ligament.

So,if Ulthermage wasn’t effective enough for you

and if you want to further improve the effects of Ulthermage,  

I recommend on getting Ulthermage with Revinas in 

order to deliver energy down to 

muscular layer and deep fascia more widely, 

strongly, and healthily.  

That’s called a holistic lifting

and it means a lifting therapy that covers all skin layers.

Characteristics of Holistic Lifting

It applies three different mechanisms of shock 

wave, high frequency, and ultrasound in order to 

deliver effective lifting energy to all skin layers from 

dermis to deep fascia to maximize the

 tightening and lifting effects.

It barely affects the daily routine but it 

may involve slight swelling or pain for one or two weeks

Some people think that the last step of lifting therapy

 is thread lifting followed by facial lifting

 but that’s not always the case.

The equipment-based lifting is

 different from face lifting or thread lifting

Actually, the non-invasive and 

equipment-based lifting may be more effective 

than facial lifting or thread lifting therapies in some cases. 

The facial and thread lifting therapies

 have limited effect for a chubby face.

 So, keep in mind that the ultimate lifting therapy

 is not always the facial lifting therapy.

Furthermore, additional equipment-based lifting

 therapies play their own roles by enhancing skin elasticity

 and strengthening muscle and 

fascia even after getting facial lifting and thread lifting.

Thank you. ✌

This was a dermatologist and 

director Jieun Kim of Apgujeong Ever Skin Clinic.