Ultherapy in Bangkok

What Is Ulthera?

Ulthera, commonly known as Ultherapy, is a widely recognized non-invasive cosmetic procedure that has revolutionized skin rejuvenation by offering a non-surgical alternative to traditional facelifts. 

The technology is formally called Microfocused Ultrasound with Visualization (MFU-V), and it’s designed to improve skin elasticity, firmness, and lift without requiring any incisions, injections, or surgical intervention—making it an ideal option for patients seeking facial rejuvenation with minimal downtime and no recovery period. 

Unlike topical treatments or superficial procedures, Ultherapy works at the foundational level beneath your skin, specifically targeting the SMAS layer (Superficial Musculo-Aponeurotic System) located approximately 4.5mm deep—this is the exact same underlying structural layer that plastic surgeons physically lift and tighten during traditional surgical facelifts, which is what makes Ultherapy uniquely effective among all non-invasive aesthetic treatments available today. 

The procedure is FDA-cleared for multiple specific applications: lifting the brow, lifting skin on the neck and under the chin, and improving lines and wrinkles on the décolletage (upper chest)—it’s also commonly used to enhance the jawline definition and address double chin concerns. 

What sets Ultherapy apart from other energy-based devices is its proprietary DeepSEE visualization technology (also called SPT: See-Plan-Treat), which uses real-time ultrasound imaging that allows your practitioner to literally see beneath your skin surface on a screen during treatment, accurately visualize the deeper tissue layers including the critical SMAS, precisely map the treatment area according to your unique facial anatomy, and deliver focused ultrasound energy at exact predetermined depths—ensuring customized, safe, and highly precise treatment rather than blind energy delivery. 

How Does Ultherapy Work?

Ultherapy works by stimulating your body’s natural collagen production using focused ultrasound energy in a sophisticated multi-step process.

• Energy delivery: the device delivers high-intensity focused ultrasound (HIFU) waves that penetrate to specific depths beneath your skin surface—typically between 1.5mm and 4.5mm—without damaging the surface. 
• Thermal Coagulation Points (TCPs): these ultrasound waves generate precise heat through molecular friction, reaching optimal temperatures of approximately 60-70°C at targeted points called Thermal Coagulation Points—during a full face and neck treatment, approximately 16,000 discrete coagulation points are strategically placed throughout the treatment area. 
• Immediate collagen contraction: the intense heat causes immediate thermal-induced collagen coagulation, denaturation (loss of organized structure), and contraction of existing collagen fibrils—this contraction creates the initial immediate lift you can see right after treatment. 
• Targeting the SMAS layer: Ultherapy’s key advantage is its unique ability to reach the SMAS layer (Superficial Musculo-Aponeurotic System) at 4.5mm deep—this is the same underlying foundational structure that surgeons physically lift and tighten during traditional surgical facelifts, making Ultherapy the only non-invasive treatment that can target this critical depth. 
• Neocollagenesis (new collagen production): your body recognizes the creation of TCPs as controlled “injury,” which triggers a powerful wound healing response involving inflammation, proliferation, maturation, and remodeling phases. Over the following weeks and months, fibroblasts (collagen-producing cells) synthesize fresh new collagen that gradually replaces the thermal injury zones—this neocollagenesis process leads to progressive, longer-lasting improvements in skin firmness, tightness, and smoothness that continue developing for 3-6 months post-treatment. 

• Visualization precision (DeepSEE/SPT technology): unlike blind treatments, Ultherapy uses real-time ultrasound imaging that allows your practitioner to literally see the deeper tissue layers on screen, accurately identify and target the SMAS layer, precisely map treatment zones, and deliver energy at exact depths—ensuring customized, safe, and effective treatment tailored to your specific facial anatomy. 

This comprehensive mechanism combines immediate mechanical tightening with your body’s natural regenerative healing process for both instant and progressive lifting results that develop over months and last 1-2 years.

Benefits of Ultherapy

Ultherapy offers numerous compelling benefits that make it one of the most sought-after non-surgical aesthetic treatments for facial rejuvenation and skin tightening. 

The procedure provides dual benefits: immediate visible lift from collagen contraction during treatment, plus long-term progressive tightening as new collagen gradually replaces treated areas over the following months. 

• Non-invasive with no downtime: the most significant advantage is that Ultherapy achieves dramatic lifting and tightening results without any incisions, injections, or surgical intervention—there’s virtually no recovery period or downtime required, allowing you to return to your normal activities immediately after treatment, making it perfect for busy professionals and those who cannot afford extended recovery time associated with surgical facelifts. 
• Natural-looking, progressive results: Ultherapy works by stimulating your body’s own natural collagen production (neocollagenesis)—this means results develop gradually and naturally over 3-6 months as your body regenerates fresh collagen, creating improvements that look authentic and harmonious with your facial features rather than “overdone” or obviously treated; you’ll notice immediate initial lift from collagen contraction during treatment, followed by continuous progressive tightening as new collagen builds over the following months for dual-phase benefits. 
• Comprehensive facial rejuvenation: Ultherapy addresses multiple aging concerns simultaneously—lifts sagging brows that create tired or aged appearance, tightens loose neck skin and reduces “turkey neck,” defines jawline and reduces jowls, diminishes double chin, smooths lines and wrinkles on the décolletage, improves overall skin texture and firmness—providing full-face and neck rejuvenation in a single treatment rather than requiring multiple procedures for different areas. 
• Long-lasting results: while not permanent (as natural aging continues), Ultherapy results last 1-2 years—significantly longer than many other non-invasive treatments—with the option for maintenance touch-up treatments every 1-2 years to sustain your youthful appearance, making it a cost-effective long-term strategy compared to treatments requiring frequent retreatment every few months. 
• Minimal side effects: the treatment has a favorable safety profile with only temporary, mild to moderate side effects—redness, swelling, tingling, and tenderness that typically resolve within hours to days—there’s no risk of scarring, no anesthesia complications, no infection risks associated with incisions, and no prolonged bruising or swelling that requires hiding from social or professional obligations. 
• Suitable for various skin types and ages: Ultherapy works effectively across different skin types, tones, and textures, and can benefit patients from their 30s (preventative early intervention) through 60s and beyond (corrective treatment)—it’s particularly ideal for those experiencing early to moderate signs of aging who want to delay or avoid surgical intervention, as well as post-surgical facelift patients seeking maintenance and prolonging their surgical results. 
• Complementary to other treatments: Ultherapy can be safely combined with other aesthetic procedures like dermal fillers (for volume restoration), Botox (for dynamic wrinkles), laser treatments (for skin texture and pigmentation), or skincare regimens—allowing for comprehensive, multi-modal anti-aging strategies that address all aspects of facial rejuvenation for optimal overall results. 

At Rattinan Clinic, we leverage Ultherapy’s proven benefits to help our patients achieve beautiful, natural-looking facial rejuvenation that enhances their appearance while respecting their busy lifestyles and desire for safe, effective, non-surgical solutions!

Ultherapy Treatment Areas

Ultherapy is a non-invasive skin tightening and lifting procedure specifically designed to address laxity, sagging, and wrinkles across various facial, neck, and upper chest areas.

FDA-Cleared Treatment Areas:

Area	Purpose
Brow (Eyebrow)	Lift drooping brows for more youthful, open eye appearance
Neck	Lift loose neck skin, reduce “turkey neck”
Under Chin (Submental)	Lift sagging skin, address double chin from skin laxity
Décolletage (Upper Chest)	Improve lines, wrinkles, and crepey skin texture

Other Common Treatment Areas:

Jawline & Lower Face:

• Sharpen jawline definition
• Reduce jowls (sagging cheeks gathering at jawline)
• Lift lower face and midface tissues

Cheeks:

• Lift sagging cheek tissues for more contoured appearance

Forehead:

• Lift and smooth fine wrinkles (often combined with brow lifting)

Perioral Lines (Around Mouth):

• Reduce nasolabial folds (laugh lines)
• Diminish marionette lines (lines from mouth corners to chin)

Body Treatment Areas (Beyond Face/Neck):

While FDA-clearance focuses on face, neck, and décolletage, Ultherapy has been studied and applied to:

• Arms (upper arm laxity)
• Lower abdomen
• Buttocks
• Above knees
• Elbows (loose elbow skin)

Who Is Suitable for Ultherapy?

Ultherapy is best suited for individuals with mild to moderate skin laxity who want non-surgical lifting and tightening without incisions, injections, or downtime—consultation with a board-certified dermatologist or plastic surgeon is recommended to assess suitability for your specific skin type and goals.

Ideal Candidates:

Characteristic	Suitability Details
Age Range	Typically 30-65 years old—younger patients may experience longer-lasting results due to naturally higher collagen production
Skin Condition	Mild to moderate sagging—well-hydrated, elastic skin responds best to collagen-stimulating effects
Aesthetic Goals	Want to lift/tighten under chin, neck, brow, or improve décolletage wrinkles
Procedure Preference	Prefer non-surgical solution with minimal to no downtime instead of surgery
Result Expectation	Seek natural-looking, gradual results that peak around 2-3 months post-treatment

Specific Signs You’re a Good Candidate:

• Some degree of skin laxity under neck or chin
• Early jowl formation (sagging cheeks at jawline)
• Loss of jawline definition
• Drooping or sagging brows creating tired appearance
• Wrinkles on chest (décolletage)
• Feel you look older than your age but don’t want surgery

When Ultherapy May NOT Be Suitable:

Severe Skin Laxity:

• Ultrasound energy cannot adequately address advanced sagging
• Invasive options like facelift or neck lift surgery may be more appropriate for longer-lasting results

Consult Doctor Before Treatment If:

• Skin infections, severe acne, open wounds, or inflammatory conditions (severe rosacea) in treatment area
• Recent Botox or dermal fillers—must wait 2-4 weeks before Ultherapy to avoid interference
• Permanent or semi-permanent fillers—heat may affect them, discuss with doctor
• History of abnormal scarring (keloids)
• Systemic autoimmune diseases (Lupus, Scleroderma)

At Rattinan Clinic, we conduct thorough consultations to assess your candidacy—evaluating your skin condition, medical history, aesthetic goals, and expectations to determine if Ultherapy is the right non-surgical solution for achieving your desired youthful, lifted appearance safely and effectively!

Ultherapy Procedure

Ultherapy is a non-invasive, non-surgical facelift alternative using Microfocused Ultrasound with Visualization (MFU-V) technology with minimal to no downtime—performed in a medical office setting, typically taking 30-90 minutes depending on treatment areas.

Pre-Treatment

Before your Ultherapy procedure, we ensure you’re comfortable, well-prepared, and confident about your treatment. 

• First, we’ll have a thorough consultation where our experienced practitioner evaluates your skin condition, discusses your specific aesthetic goals (whether lifting sagging brows, tightening neck skin, or defining your jawline), and confirms you’re an ideal candidate for Ultherapy—this is your opportunity to ask questions and understand exactly what to expect. 
• About 30-45 minutes before treatment begins, we’ll thoroughly cleanse your skin to remove all makeup, oils, and impurities, then apply a topical anesthetic (numbing cream) to your treatment areas—this numbing cream sits on your skin for 30-45 minutes to significantly minimize any discomfort during the procedure, ensuring you’re as comfortable as possible.
• Most importantly, your doctor will use our advanced DeepSEE/SPT visualization technology to literally see beneath your skin in real-time on a screen—this allows us to map your unique facial anatomy, identify the exact depths of your SMAS layer and other tissue structures, and plan the precise locations and energy levels customized specifically for YOUR face. This preparation ensures we deliver energy exactly where it’s needed for optimal, safe results tailored to your individual needs. 

You can feel confident knowing that every aspect of your treatment is carefully planned and customized before we even begin—your safety, comfort, and beautiful results are our top priorities!

During Treatment

Your Ultherapy treatment takes 30-90 minutes depending on the areas being treated (full face and neck takes longer, while single areas like the brow are quicker)—and we’re with you every step of the way to ensure your comfort. 

Here’s what happens: 

• We apply a special gel to your treatment areas to help the ultrasound energy work effectively, and your doctor may draw light guidelines on your face to map where the treatment will go. 
• Using the Ultherapy device, we precisely deliver focused ultrasound energy in short, controlled bursts at three different depths beneath your skin—shallow for smoothing fine wrinkles, medium for firming the mid-face, and deep for lifting the foundational layer (the same layer surgeons target in facelifts). Throughout your entire treatment, we use our real-time imaging screen to literally see beneath your skin—watching the deeper layers as we work, ensuring every burst of energy goes exactly where it needs to for your unique facial structure. 
• During a full face and neck treatment, we create approximately 16,000 tiny precise points strategically placed to trigger your body’s natural collagen production for lifting and tightening. 
• What you’ll feel: You’ll experience brief sensations of warmth and tingling each time we deliver energy—most patients describe it as moderate and very tolerable, with slightly more sensation in areas where skin is thinner like the jawline or forehead. But don’t worry—the numbing cream and pain medication we applied beforehand significantly reduce discomfort, and the sensations are brief and intermittent, not constant.

You’re in expert hands: Our experienced practitioners work efficiently and carefully, checking in with you regularly to ensure you’re comfortable, adjusting if needed, and explaining what we’re doing at each step. Before you know it, your treatment is complete—you can relax knowing that precise, proven technology is working deep beneath your skin to stimulate your body’s natural collagen production for beautiful lifting and tightening results that develop over the coming months!

Post-Treatment

As soon as your Ultherapy treatment is complete, we remove the gel, apply soothing moisturizer and sunscreen to protect your treated skin, and you’re free to go—that’s it! 

The best part? There’s virtually no downtime, so you can return to work, run errands, or go about your day immediately without anyone knowing you had a treatment. You might notice some mild temporary effects like slight redness, minor puffiness, tingling sensations, or tenderness in the treated areas, but these are completely normal signs that the treatment is working and typically disappear within a few hours to a few days—most patients find they’re barely noticeable. Rarely, you might see minor bruising that fades within several days. 

Simple aftercare: Just avoid direct sun exposure for a few days, wear SPF 30+ sunscreen daily (which you should always do anyway!), keep your skin hydrated with gentle moisturizers, and avoid harsh skincare products or aggressive treatments for a few days while your skin settles. 

You can feel confident knowing your body is now working naturally to lift and tighten your skin from within—no surgery, no injections, just your own collagen doing the beautiful work. We’ll provide detailed post-treatment instructions and are always available if you have any questions during your recovery. 

At Rattinan Clinic, we’re here to support you throughout your entire Ultherapy journey, ensuring you achieve the gorgeous, natural-looking results you desire!

Ultherapy Results

Your results will develop naturally and gradually: You may notice a subtle tightening effect immediately from collagen contraction, but the real magic happens as your body produces fresh new collagen over the next 3-6 months—most patients see their best results around 2-3 months when the lifting and firming effects peak beautifully. 

Your results typically last 1-2 years, and we recommend maintenance treatments every 1-2 years to keep your youthful appearance. 

Side Effects of Ultherapy

Ultherapy is very safe with a favorable safety profile—most side effects are temporary and mild, resolving quickly on their own. 

What you’ll likely experience: mild redness (fades within hours), minor swelling especially around eyes or cheeks (subsides in 1-3 days), brief heat and tingling sensations during treatment, and some tenderness or tightness in treated areas (disappears within 3-5 days). You may also feel temporary numbness that resolves within 1-2 weeks. 

During treatment, most patients experience moderate, tolerable discomfort (average 4.85 out of 10)—short, sharp warming sensations, slightly more noticeable in thin-skinned areas near bone like the jawline or forehead. 

But don’t worry: At Rattinan Clinic, we use advanced Iontophoresis anesthetic technology plus oral pain medication to significantly minimize discomfort. Rare side effects include bruising (disappears within 7-10 days if it occurs) or temporary nerve effects (resolve within 2-4 weeks). 

Why you can feel confident: Rattinan Clinic uses authentic Ultherapy equipment with real-time visualization technology, and our licensed physicians precisely target energy delivery while avoiding sensitive structures, ensuring your safety. 

Ultherapy at Rattinan Clinic

1. Comfort First, with Advanced Anesthetic Care

At Rattinan Clinic, we use Iontophoresis (lonto) technique—a gentle electrical current that pushes numbing medication deeper into your skin for superior pain relief during Ultherapy. Experience deeper, longer-lasting numbing compared to regular topical anesthetics, ensuring your treatment is as comfortable as possible!

• Uses Iontophoresis technology to push anesthetic deeper into skin
• Provides superior numbing compared to standard topical application
• Reduces pain and anxiety during treatment
• Makes Ulthera more comfortable and tolerable

2. Performed by Licensed Doctors

• Physicians perform every step of treatment (not just nurses or technicians)
• Ensures professional assessment, safe energy delivery, and expert technique
• Provides comprehensive understanding of facial anatomy and individual needs

3. Authentic Ulthera, Trusted Global Standards

• Uses genuine, authentic Ulthera equipment (not imitation devices)
• Machine meets international certification standards
• Verified quality and proven safety track record globally

4. Personalized Ulthera Plans

• Treatment customized to your unique facial structure and skin condition
• Uses DeepSEE visualization technology to map individual anatomy
• Plans tailored to your specific goals and concerns

Frequently Asked Questions 

Is Ultherapy Safe?

Yes, Ultherapy is very safe with a favorable safety profile backed by extensive clinical data and FDA clearance. Studies consistently show no long-term complications—no permanent nerve damage, scarring, skin damage, or pigmentation changes. 

At Rattinan Clinic, safety is further enhanced because we use authentic, certified Ultherapy equipment with real-time visualization technology (DeepSEE/SPT) that allows our licensed physicians to see beneath your skin during treatment, precisely targeting energy delivery while avoiding sensitive structures like nerves and blood vessels. 

Does Ultherapy Hurt?

Most patients experience only mild, temporary side effects like slight redness, minor swelling, and tenderness that resolve within a few hours to days. 

How Long does Ultherapy Last?

Ultherapy results typically last 1 to 2 years, making it one of the longer-lasting non-invasive skin tightening treatments available. Your results develop gradually as your body produces new collagen over 3-6 months, with optimal lifting and firming peaking around 2-3 months post-treatment. 

Since natural aging continues, we recommend maintenance or touch-up treatments every 1-2 years to sustain your youthful, lifted appearance. The longevity of results can vary based on factors like your age, skin condition, lifestyle, and how quickly your body naturally ages—younger patients with better collagen production may experience longer-lasting effects. 

At Rattinan Clinic, we’ll create a personalized treatment plan and follow-up schedule to help you maintain beautiful, natural-looking results for years to come!