What Is Ulthera? From Principle and Effects to Post-Treatment Care

Ulthera is a non-surgical lifting procedure that delivers focused ultrasound (HIFU) energy to the deep layers of the skin to stimulate collagen production. Without incisions, it aims to improve the elasticity of sagging skin and refine the jawline, with effects appearing gradually from right after the procedure to about 2 to 3 months later (individual results may vary). Right after the procedure, soothing and barrier care for skin sensitized by heat stimulation can help with a comfortable recovery.

What Is Ulthera?

Ulthera is a non-surgical lifting procedure that applies heat stimulation by focusing high-intensity focused ultrasound (HIFU) not on the skin's surface, but deep within the dermis and SMAS (muscle fascia) layer. By minimizing damage to the epidermis while stimulating collagen production in the deeper layers, it aims to improve the elasticity of sagging skin and refine the jawline without incisions. A notable feature is the ability to check the treatment area in real time via imaging and adjust the depth of energy delivery.

How Does Ulthera Work?

Focused ultrasound creates tiny thermal coagulation points at a specific depth, stimulating collagen in that area. This stimulation induces collagen production during the healing process, which may contribute to gradual lifting and improved elasticity. The ability to deliver energy down to the SMAS (muscle fascia) layer is considered one of its key strengths.

Effects and Progression

Ulthera aims for the following changes, though the degree felt varies by individual.

• Improved elasticity of sagging skin
• Refined jawline and reduced double chin appearance
• Lifting through stimulation of the SMAS (muscle fascia) layer

In addition to some changes noticeable right after the procedure, effects often appear gradually over about 2 to 3 months, lasting approximately 6 to 12 months (individual variation), with a recommended frequency of 1 to 2 times per year commonly cited.

Procedure Summary

• Procedure time: approximately 20 to 40 minutes (varies depending on area and number of shots)
• Anesthesia: topical numbing cream
• Recovery time: minimal to none; many people can return to daily activities the same day
• Pain: mild to moderate, varies by individual

Ulthera vs. Thermage: What's the Difference?

Both procedures aim to improve skin elasticity by delivering energy beneath the skin without incisions, but the type of energy used differs. Ulthera uses ultrasound (HIFU) focused at a specific depth, concentrating on lifting the deeper layers, while Thermage uses radiofrequency (RF) to heat a broader area, focusing on surface-level elasticity and tightening. This isn't a matter of one being superior, but rather a difference in purpose—those aiming to address sagging tend to consider Ulthera, while those seeking smoother, firmer skin texture tend to consider Thermage. Since this depends on individual conditions, consultation is recommended.

After the Procedure, Skin Care Determines the Results

Right after a heat-based lifting procedure like Ulthera, skin can temporarily feel warm, red, and tight. During this period, avoiding irritation and maintaining skin condition through soothing, barrier care, and adequate hydration can help with a comfortable recovery.

ABJU Ultra Cera-Rich Cream (STEP1) is a post-procedure care cream formulated with a complex of 5 types of ceramides, designed to help soothe and support the skin barrier of skin sensitized right after a procedure. Detailed clinical trial evidence and usage instructions can be found on the product page.

Medically reviewed by 아비쥬의원 의료진. (September 10, 2026)