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Dr Felix Li

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Energy-Based

Ultherapy Prime

Overview

In 2009, Ultherapy® was the first and only ultrasound energy based device US FDA approved for non-surgical skin tightening and lifting of neck, chin and brows. More than a decade on, the second generation Ultherapy® Prime has been introduced and continues to set the bar as the only US FDA approved device in the market for these clinical indications.

As the next generation of Ultherapy, Prime provides more consistent outcomes, better imaging for accuracy, and potentially improved comfort during treatment.

With the 4.5mm handpiece, Ultherapy® Prime lifts and tightens the SMAS – a continuous “sheath” under the skin encompassing the entire face and neck, that acts as a carrier for facial fat lying on it. As we age, our facial fat compartments move downwards and outwards, leading to broadening or “rectangularisation” of the face, loss of jawline definition, heavy jowls and deepening nasolabial folds. Lifting the SMAS pulls the overlying facial fat compartments inwards and upwards, improving the negative messages above and restoring the “triangle of youth”, leading to a slimmer, more V-shaped, and well defined facial contour.

With the 3.0mm handpiece, Ultherapy® Prime utilises microfocused ultrasound energy to generate a thermal effect under the skin, which jump starts the body’s natural process to produce new collagen. As a natural protein, collagen works to give skin its youthfulness by keeping it firm and toned. As we age, collagen breaks down, and the result is a loss of skin strength and elasticity. That’s where Ultherapy steps in.

Through real time visualisation and the SPT protocol, doctors can see the layers of tissue they are treating, which enables them to create thermal coagulation points at specific depths such as the SMAS where it delivers the most benefit, while bypassing the surface of the skin to minimise risks. Treatment designs are highly customisable for each unique patient in both 2D (vectors) and 3D (depth), delivering results reliably and safely – for you.

This non-invasive treatment uses focused ultrasound energy to target the deep layers of the skin and underlying tissues. The energy stimulates the body’s natural collagen production, helping to lift, tighten, and improve skin texture without surgery.

Common Concerns Addressed

How It Works

Treatment Process

Consultation

To assess suitability and customise treatment areas

Duration

Typically 60–90 minutes depending on area treated

Comfort

Most patients experience mild discomfort or a warming sensation during treatment; topical numbing or pain relief may be offered

Downtime

Slight redness or swelling possible

Sessions

Usually a single session can produce results; some may opt for additional sessions for enhanced effect

When to Expect Results

Initial improvements may be seen within 2–4 weeks, with continued collagen remodeling and skin tightening occurring up to 3–6 months post-treatment.

Individual results vary. This treatment may not be suitable for everyone.
A medical consultation is necessary to assess suitability and discuss potential risks.

Frequently Asked Questions

Is this treatment painful?

Most patients tolerate the procedure well, though some may feel mild warmth or tingling. Discomfort levels vary; options for pain management are available.

Sessions typically last between 30 and 90 minutes depending on the size and number of areas treated.

Some redness or slight swelling may occur but generally resolves quickly.

Results develop gradually, with improvements visible from 2 to 4 weeks and continuing up to 6 months.

Often one treatment is sufficient, but your doctor may recommend additional sessions based on your skin condition and goals.