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“Is Ultherapy or Thermage better for me, doctor?”

If you have asked this question before, congratulations! You have come a long way in exploring non-surgical anti-ageing treatment. This is one of the most asked questions in my practice, so I think it’s time to answer this question once and for all. If you are still unsure of which treatment you should go for, read on.

While there are many good reasons why these 2 treatments are often compared, they are actually based on completely different technologies.

The good news is that they are both FDA (US) approved devices for medical usage. Both treatments also have a reliable history and track record. The fact that these 2 technologies survive and continue to do better each year for the last 10 over years speaks volumes, with over 1 million treatments performed worldwide by each device. They are established treatments, and can cost thousands of dollars per treatment.

Key comparison between Ultherapy and Thermage

Both Ultherapy and Thermage aim to stimulate collagen production and delay overall skin ageing. But they do this in different ways.


Ultherapy uses microfocused ultrasound energy with real time visualisation.

Thermage uses monopolar radiofrequency.

Simply put, both generate sufficient and optimal energy for the skin to stimulate collagen production and ultimately produce skin tightening and lifting effects.

Depth of energy delivery

Ultherapy delivers ultrasound energy up to 4.5mm, which is the SMAS layer of the skin.

Thermage delivers RF energy up to 3.0mm, which is the dermis layer of the skin.

In other words, Ultherapy goes deeper and treats your skin from inside out. Thermage treats the more superficial layer of the skin.

Duration of treatment

Duration of treatment is similar – about 45 to 90 minutes depending on the area of treatment.

Pain level

Both Ultherapy and Thermage were extremely painful treatments when they were first launched more than a decade ago. Technology and technique have improved significantly since then, and treatments are way more comfortable today.

In my experience, Ultherapy is generally a more comfortable treatment due to its precision in energy delivery with real time visualisation. Having said that, the latest generation of Thermage FLX has in-built cooling and vibrating function that minimises discomfort with each shot.


Results from Ultherapy and Thermage are often subtle and progressive. They are never dramatic. In fact, most people will not notice any visible changes. This is because these changes occur over a period of time, and are unnoticeable as we look at ourselves in the mirror every day.

However, people you who don’t see you often may notice these changes. If you are looking for dramatic changes, do not do Ultherapy or Thermage. Go for face lift surgery instead.

Theoretically, Thermage produces results earlier (from 6 weeks) compared to Ultherapy (from 2 months). In real life, this is not important because the purpose of doing both treatment is long term anti-ageing effect.


Ultherapy and Thermage can be repeated once every 6 to 12 months depending on age and severity of skin ageing.

Ideal candidate for each treatment

Thermage and Ultherapy are suitable for men and women with mild to moderate skin ageing. Thermage targets more superficial skin layers therefore is ideal for improvement of mild wrinkles and loose skin. Ultherapy goes deeper therefore is ideal for improvement of mild sagging and folds.

Having said that, this is all theoretical. Every person responds to these treatments differently. It is also operator dependent – meaning the treatment must be done correctly, tailored to each individual’s unique face. There is no default blueprint that works for everyone.

Thermage and Ultherapy combo?

Another question that I often get asked is : Can I do both?

The answer is a resounding yes. All the comparisons mentioned above become irrelevant when we increasingly understand the skin ageing process. There is no single treatment that promises everything. However, if combined correctly, technology can help address different skin ageing concerns. Thermage and Ultherapy target different layers of the skin with different types of energy, and can address various skin ageing concerns.

How do I combine them?

There is no hard and fast rule. At the end of the day, the ultimate goal is to delay skin ageing.

They can be done 6 months apart. Some choose to alternate the treatment every year.

If you are feeling adventurous, you can even do the two on the same day.

What is the downtime like?

Ultherapy and Thermage produce minimal downtime. You may have mild redness, swelling and soreness for up to a week. Some people do not even feel anything the very next day. If you are concerned about downtime, it will be wise to do the 2 treatments on different days. Doing them on the same day may be very uncomfortable with longer downtime.


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Show signs of improvement; regain youthful radiant skin with Ultherapy

In a glance, the benefits of Ultherapy:

  • Allows you to get tighter looking skin
  • Non-intrusive, safe, and compelling
  • Negligible interference to daily routine
  • Conducted by experienced aesthetic doctors in approved aesthetic clinics

Ultherapy, a non-obtrusive skincare treatment that repairs and lifts your skin, is a popular treatment among both men and women in Singapore. As one age, what happens is that the collagen filaments under your skin gradually depletes and result in loss of versatility. This, along with other natural variables that cause your skin to age, may make your facial skin droop. You may also notice a loss in youthful radiance of the skin after some time. One may see their cheeks losing their prior elasticity, the neck area losing firmness, and wrinkles between your eyes, cheek, nose and forehead developing.

Ultherapy, when done by an experienced professional, can reestablish your skin’s brightness and highlights.

Feel free to contact us today to discover how Ultherapy can help you achieve your desired looks and results.

How Ultherapy Works?

Dissimilar to radiofrequency or other technologies such as laser that deal with the surface of the skin; ultherapy focuses on the collagen layer beneath the skin. This collagen-rich skin layer is the one that supports the facial muscles, otherwise called the Subcutaneous Musculo-Aponeurotic System (SMAS).

Ultrasound vitality will be conveyed to the site targeted for treatment, to invigorate collagen creation and reinforce frail collagen. Ultherapy additionally utilizes ultrasound imaging in order to picture the layers of tissue amid treatment. This empowers ultrasound vitality to be coordinated definitely and securely to problem territories, boosting its advantages.

Ultherapy is best used for:

  • Lifting sagging cheeks and free skin under the jawline and neck
  • Lessening the presence of facial lines and fine lines
  • Lifting hanging eyebrows
  • Repairing the skin

As ultherapy is a non-intrusive treatment, no cuts or cuts are required, and the skin surface won’t be damaged. You will encounter negligible or no downtime and can continue every day exercises following treatment.

Who is Suitable for Ultherapy?

The viability of ultherapy changes among people. All patients will be surveyed by our aesthetic doctors amid their initials visits to our clinic. A thorough consultation and examination will be done before a customized treatment plan is proposed. By and large, the impacts of ultherapy is most perceptible in those with visible drooping or free skin, particularly in zones, for example, the eyelids, temples, neck, cheeks, and under the jaw. For certain patients, ultherapy may work better when done together with other aesthetic treatments.

Send us an enquiry to see whether you should be going for this treatment.

What’s in store during Ultherapy

Every session normally takes around a hour and a half. The duration is also dependent upon the zone(s) treated. As you may encounter slight soreness amid the treatment, desensitizing cream is applied to your face in advance to decrease any uneasiness. While some may see obvious visible results following treatment, most will begin getting results following one to three months, when the newly formed collagen has produced results on your skin.

A great many people will require just one solitary treatment session. Still, while that may be the case, in certain individuals, a touch-up treatment session or a blend of various treatment technologies might be essential.

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