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Thermage Vs Ultherapy Prime, Which Non-surgical Lifting is Right for Your Skin?

Thermage Vs Ultherapy Prime, Which Non-surgical Lifting is Right for Your Skin?

AB Medical Editorial Team · 2025.06.17 2,601

Thermage and Ultherapy Prime are both non-invasive procedures designed to improve skin elasticity and provide lifting effects by stimulating collagen production in the dermis. While they share this common goal, there are distinct differences in the type of energy used, the target layers of the skin, and the resulting effects. This article will explore the key differences between the two treatments, as well as the synergistic benefits that can be expected when both procedures are combined strategically.

Main difference between Thermage and Ultherapy Prime

1. Differences in Energy Used

Thermage: Uses Radio Frequency (RF) energy to deliver heat to the skin’s deeper layers, stimulating collagen production and skin tightening.

Ultherapy: Uses HIFU (High-Intensity Focused Ultrasound) to deliver focused ultrasound energy deep into the skin, stimulating collagen regeneration.

2. Area of Action and How it works

Thermage: Delivers heat evenly from the skin surface to the dermis (approx. 1-3mm deep), stimulating the layers rich in collagen and elastin. It provides an immediate tightening effect through collagen fiber contraction and promotes long-term collagen regeneration.

Ultherapy: Acts from the deep dermis (1.5mm, 3mm) to the SMAS layer (up to 8mm deep), providing powerful lifting effects along with collagen contraction and regeneration in the fascia layer.

3. Potential Effects

Thermage: Effective for improving fine lines, pores, and overall skin texture and elasticity. It is suitable for those with thin skin, fine wrinkles, or sagging concerns, but its effect on facial contour improvement is limited.

Ultherapy: Excellent for improving sagging jowls and double chin, and effective in improving deep wrinkles and skin sagging. It can also adjust volume by reducing the fat layer, making it more suitable for individuals with more facial fat than less.

4. Visible Results

Thermage: A subtle tightening effect can be felt immediately after the procedure, and gradual skin improvement occurs 1-3 months later due to collagen regeneration. The duration lasts for 6 months to 1 year.

Ultherpy: Immediate lifting effects appear right after the procedure, reaching maximum effect after 1-3 months. The duration is about 6 months to 1 year.

5. Anesthesia Method According to Pain Level

Thermage: A cooling system is applied, making it a non-painful procedure, and it can be sufficiently managed with numbing cream.

Ultherapy: Due to SMAS layer stimulation, pain is relatively strong, and the jawline area can be particularly sensitive. For those sensitive to pain, AirNox (a medical low-temperature laser device effective for pain relief and skin soothing) or sleep anesthesia can be considered.

6. Side Effects of the Procedure

Thermage: Rarely, redness, swelling, or burns may occur, but there are no unnecessary side effects.

Ultherapy: Swelling, bruising, temporary nerve irritation, and hollowness due to fat loss can occur, but these are not common.

7. Suitable Candidates for Each Procedure

Thermage: Suitable for thin skin types that need improved elasticity, fine wrinkles, and pore refinement.

Ultherapy: Recommended for thick skin that desires noticeable lifting and contour improvement for issues like sagging jawlines, deep wrinkles, and double chins.

Comparison of Patient Satisfaction on Skin Elasticity and Lifting Effects

A high percentage of patients report improved elasticity and clearer skin contours and complexion after Thermage treatment. In particular, there are many cases where patients experienced clear improvement in shallow wrinkles, and the low pain and quick return to daily life after the procedure are also big advantages. However, there are opinions that the effect might be somewhat subtle for those with thick skin, and some patients expecting immediate changes relative to the cost may be disappointed. Additionally, some patients experience discomfort due to embossing in the treated area.


On the other hand, many patients who undergo Ultherapy treatment experience refined jawlines and a smaller-looking face, indicating high satisfaction with the lifting effect. Noticeable lifting effects are observed even in patients aged 60 and above, and satisfaction tends to further increase 1-2 months after the procedure. However, the relatively strong pain can be burdensome for sensitive patients, and there are considerable concerns about volume loss (hollowing). Furthermore, some negative feedback is observed, indicating that the effects may not meet expectations if the number of treatment shots is insufficient or if genuine tips are not used.

Comprehensive Anti-Aging Care with Ultherapy

When combining both procedures, you can experience the surface tightening of Thermage and the deep lifting effect of Ultherapy simultaneously, effectively improving overall skin elasticity and contour. It is an ideal combination for comprehensive anti-aging care, including enhanced elasticity, lifting, and improved skin texture.

Lifting Solution Tailored to Skin Types and Concerns

If your skin is thin and your goal is to improve fine wrinkles and elasticity, Thermage is suitable. If you need sagging skin and contour refinement, Ultherapy is recommended. When both concerns are present, combining Thermage and Ultherapy can also be an effective choice.


As the suitable procedure varies by area, it is important to clearly discuss your skin thickness, degree of sagging, and desired improvement goals. To maximize the treatment effect, it is also essential to verify whether genuine tips are used.


The expertise of the medical staff is a crucial factor in determining the safety and satisfaction of the procedure. AB Clinic's dermatology team provides safe and effective treatments by performing customized diagnoses and consultations tailored to each patient's skin condition, establishing an optimal treatment plan, using genuine tips, and ensuring thorough management. For those who wish to easily improve skin elasticity without surgery, Ultherapy can be an effective non-surgical lifting solution. Based on this expertise, AB Clinic is committed to helping patients achieve the best possible results.

Written by
AB Medical Editorial Team
Medically reviewed by
Bo-Hyun Kwon (DERMATOLOGIST)
Updated on
2026.11.13
Bo-Hyun Kwon

This article is for informational purposes only and does not replace a personal medical consultation.

For more details, we recommend visiting AB Clinic and consulting with our dedicated dermatology specialists. For inquiries about treatment costs and other procedures, please check the link below and leave a consultation request. We'll get back to you as soon as possible.

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