Rebeauty

2026-10-19

Ulthera: If the Machine Is the Same, Will the Results Be the Same?

Same device, different results: Ulthera outcomes depend on the doctor's choices of depth, energy, shot placement, and areas to avoid. Learn what to ask at your consultation.

Ulthera: If the Machine Is the Same, Will the Results Be the Same?

No. Even with the same device, Ulthera outcomes and safety vary depending on the depth, energy level, and number and placement of shots chosen by the treating doctor.

On a navy background, the title 'Ulthera: If the Machine Is the Same, Will the Results Be the Same?' appears on the left with five chips: 'Face analysis · Depth selection · Energy control · Shot placement · Areas to avoid.' On the right is a waist-up photo of Dr. Lee Dong-yoon in a white coat.
Dr. Lee Dong-yoon (board-certified plastic surgeon) — This is the profile photo taken in the same session as the one on the clinic's doctor introduction page.

If It's the Same Device, Will the Results Be the Same?

When you start researching Ulthera, you may find yourself thinking this:

[A common thought] It's the same machine anyway, so shouldn't the results be the same?

That's a natural thought. But Ulthera isn't a machine you can simply press a button on and be done. Facial structure varies from person to person, and designing a treatment to fit each face is the doctor's job, not the device's.

On an ivory background, an illustration of three women of similar age standing side by side with different face shapes. On the left is a round face with a bob haircut and a grayish-green outfit; in the center is a long face with hair in a low bun and an ivory outfit; on the right is a square face with shoulder-length hair and a pale sky-blue outfit. Each face has a face-shape label beneath it, and the title 'Face structure differs from person to person' appears at the top.
Sagging areas, fat volume, skin thickness, and bone structure differ from person to person. This is a conceptual illustration placing different face shapes side by side; it does not depict real people or before-and-after results.

This article explains why the doctor matters and what to check during your consultation.

What Is Ulthera?

Ulthera is a non-surgical treatment that uses microfocused ultrasound (MFU) energy to concentrate heat into small points at specific depths beneath the skin. This heat stimulates collagen regeneration, helping to improve firmness and reduce wrinkles.

A cross-section illustration of skin with layers stacked from top to bottom: epidermis, dermis, subcutaneous fat, SMAS (superficial musculoaponeurotic system), and muscle. A legend on the right labels each layer at its height. Small glowing dots labeled 1.5mm sit in a horizontal row in the upper dermis, 3.0mm in the deeper dermis, and 4.5mm at the SMAS layer, with the title 'Layers Targeted by Ulthera.'
Treatment is delivered at multiple depths, one depth at a time. The 1.5, 3.0, and 4.5mm depth classifications come from 1mm Plastic Surgery's Ulthera guide. This is a conceptual illustration, so layer thicknesses are not drawn to actual proportions.
  • Target layers — Energy is delivered at several depths, from the dermis down to the SMAS layer. The SMAS (superficial musculoaponeurotic system) is the membrane that covers the facial muscles.
  • Depth-specific tips (transducers) — Different tips are swapped in depending on the depth, and the doctor decides which depth to treat and how much energy to deliver there.
  • Real-time imaging — A distinguishing feature of Ulthera is that the doctor can view the skin layers and depth directly on an ultrasound screen during treatment before delivering energy. However, reading that screen and making the judgment is ultimately a human task.
  • Authenticity check — Genuine tips have their usage counts recorded and managed. You can ask to verify that the tip is genuine before treatment.

Why Do Results Differ with the Same Ulthera?

Along with individual factors such as skin condition, Ulthera results are also shaped by the treating doctor's judgment. There are five key decisions the doctor makes:

On an ivory background, a side-profile illustration of a seated woman is on the right, with faint pencil guidelines drawn across the cheekbone, cheek, and jawline. On the left, under the title 'Five things the doctor decides, even with the same Ulthera,' is a numbered list: 1 Face analysis and treatment planning, 2 Depth selection, 3 Energy level control, 4 Shot placement, 5 Areas to avoid.
Five things the doctor decides. The guidelines on the face indicate where the doctor is looking; this is a conceptual illustration and not a real person or an actual treatment plan.
  1. Face analysis and treatment planning — Sagging areas, fat volume, skin thickness, and bone structure all vary from person to person. A treatment plan begins with diagnosing where to treat and where to avoid.
  2. Depth selection — Even for the same cheek area, the tips and sequence differ depending on whether the target is the SMAS layer or dermal firmness.
  3. Energy level control — Energy that's too low may fall short of the desired effect, while energy that's too high for the area increases the risk of pain and side effects. The level needs to be adjusted to skin thickness and the treatment area.
  4. Shot placement — "How many shots" matters less than "how many shots, and where." Even with the same total number, the experience differs depending on whether shots are concentrated on the areas that need them.
  5. Knowing which areas to avoid — The face contains high-risk areas where nerves run. Knowing the anatomy and avoiding those areas is central to safety.

In short

With Ulthera, you should weigh "who assesses your face and plans the treatment" just as much as "which device is used."

What Should You Check During Your Ulthera Consultation?

Even with the same Ulthera, who performs the treatment and where and how the shots are placed are planned differently for each person. Asking the questions below during your consultation will help you understand your treatment plan.

An interior image of a white wall with two rows of dark wood shelves, a white desk with a monitor, a white rolling office chair, and two round white chairs.
An interior image of 1mm Plastic Surgery published in the 'Tour the Clinic' section of the website. It may differ from the actual space.
  1. Do you tell me which medical professional will perform the treatment?
  2. Do you explain the facial analysis and the treatment plan for each area before treatment?
  3. Do you use genuine tips, and can I verify them before treatment?
  4. Do you explain not just the total number of shots, but how they are distributed by area and depth?
  5. Do you explain pain management options (such as numbing cream) and aftercare?
  6. Do you explain possible side effects and how they are managed in advance?

How 1mm Plastic Surgery Approaches Ulthera

On the left, a waist-up photo of Dr. Lee Dong-yoon in a white coat and gray necktie. On the right, an introduction image reading 'Dr. Lee Dong-yoon · Board-Certified Plastic Surgeon,' with three lines of credentials: Doctor of Medicine (Dongguk University, Plastic Surgery), Regular Member of the Korean Society of Plastic Surgeons, and Regular Member of the Korean Lifting Society.
Dr. Lee Dong-yoon — Credentials are based on the medical staff introduction on the 1mm Plastic Surgery website.

At 1mm Plastic Surgery, we focus on the doctor's treatment design rather than the device name when it comes to Ulthera. During your consultation, our medical team analyzes your face, determines the depth and shot distribution for each area, explains the plan to you, and then proceeds with treatment.

An interior image showing a white marble reception desk, a wall behind it with '1MM PLASTIC SURGERY' lettering, and a long oval wooden table with partitions and white chairs at the front right.
An interior image of 1mm Plastic Surgery published in the 'Tour the Clinic' section of the website. It may differ from the actual space.

Does Ulthera Have Side Effects?

Although Ulthera is non-surgical, it is not a treatment without side effects. Most are temporary, and the doctor's treatment design and avoidance of high-risk areas are key to reducing side effects.

  • Common reactions — Pain during treatment; redness, swelling, and a tightening sensation afterward. These usually subside within a few hours to a few days, though swelling or tightness can sometimes last for several weeks.
  • Rare reactions — Bruising, temporary numbness or tingling, linear marks on the skin surface, burns, or blisters.
  • Over-treatment — Treating an area too aggressively can make the cheeks look hollow or make the bone contours appear more prominent.
  • Reactions that need attention — In rare cases, temporary muscle weakness (such as uneven facial expressions) caused by nerve stimulation has been reported. If you notice any unusual symptoms, contact your treatment clinic right away.
  • What to disclose before treatment — Medications you're taking, skin conditions, recent procedures, and whether you have facial implants or fillers.

Individual variation

Results and recovery time vary depending on each person's skin condition and age.

Frequently Asked Questions About Ulthera

Is more shots always better with Ulthera?

No. How shots are distributed by area and depth matters more than the total number. The appropriate amount is determined by the doctor based on your facial condition.

When do Ulthera results appear, and how long do they last?

Some people feel a tightening sensation right after treatment, and changes may appear over several months as collagen regenerates. How long results last varies widely from person to person depending on skin condition and age.

Does Ulthera hurt a lot?

Pain may occur when treating areas close to bone or deeper layers. Pain is managed with numbing cream and other methods, and the level of discomfort varies from person to person.

Can I return to daily activities right after treatment?

In most cases, yes. Redness or swelling may occur, so it's best to avoid scheduling treatment right before important events.

What we do during consultation

Before the Device Name,
We Design Around Your Face

  • Checking facial structure and skin condition
  • Explaining facial analysis and the treatment plan for each area
  • Explaining depth and shot distribution by area
  • Providing post-treatment care instructions

We assess each person's facial structure and skin condition and discuss the most suitable treatment direction. Results and recovery may vary from person to person.

An interior image of a space with a tall window draped in white curtains, a long wooden table, white chairs, and a potted plant.
An interior image of 1mm Plastic Surgery published in the 'Tour the Clinic' section of the website. It may differ from the actual space.

Consultation & Booking Information

Phone02-552-1171
KakaoTalk@일미리성형외과의원
Hours Weekdays: 10:00 AM – 7:00 PM
Saturday: 10:00 AM – 4:00 PM
Closed on Sundays and public holidays. Please check the monthly schedule announcements for holiday hours.
Directions7th–10th Floors, Yeongsin Building, 449 Gangnam-daero, Seocho-gu, Seoul
In front of Sinnonhyeon Station, Exit 7 — 2-minute walk
Websitewww.1mmps.com

#Ulthera #UlTheraClinic #UlTheraShots #UlTheraSideEffects #MicrofocusedUltrasound #SMAS #AntiAging #DrLeeDongYoon #GangnamStationPlasticSurgery #1mmPlasticSurgery #IlmiPlasticSurgery

This post was written by the clinic operator for the purpose of providing medical information. The illustrations in this article are conceptual drawings created to aid understanding and do not depict real people or treatment plans. The director's photo is the 1mm Plastic Surgery profile photo. Interior images are published in the 'Tour the Clinic' section of the website and may differ from the actual space. Whether any treatment is suitable, along with its results and recovery, varies depending on each person's skin condition and circumstances, and side effects may occur. For details, please consult with us in person.

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