Ultherapy® (Ulthera System) SMAS Lifting Procedure

The Ultherapy® (Ulthera System) is a device that uses microfocused ultrasound technology combined with real-time visualization for SMAS-lifting and rejuvenating the skin of the face, neck, and décolleté, as well as for wrinkle correction.

Unlike traditional surgical lifting, the procedure with the Ulthera System requires no extensive preparation and does not involve surgery. It restores skin elasticity and eliminates wrinkles through the effect of ultrasound waves.

Ultrasound waves are focused on specific tissue areas, ensuring high precision. No rehabilitation is required after the procedure. Visible changes can be noticed after just one session, and the results can last up to six months.

How does SMAS-lifting work with the Ulthera® System?

Ultherapy targets the Superficial Muscular Aponeurotic System (SMAS). The SMAS lies directly beneath the skin and consists of several layers.

The superficial layer is made up of collagen and elastin fibers, while the deeper layer is formed by facial muscles and their associated aponeurosis (a broad sheet of tendons).

Together, these structures form the framework responsible for skin elasticity and firmness. As we age, collagen and elastin stores deplete, fibers stretch and elongate, causing the skin to sag — resulting in the so-called gravitational ptosis. Wrinkles, double chin, under-eye bags, drooping eyebrows, and loss of jawline definition are common symptoms.

To eliminate these age-related gravitational changes, SMAS needs to be restored. This is the purpose of Ultherapy. When problematic areas are exposed to focused ultrasound radiation, the SMAS layers are heated precisely, causing soft tissue contraction. Ultrasound waves stimulate the production of collagen and elastin. After the procedure, the formation of new fibers continues for 3-4 months. The procedure can be repeated when signs of gravitational ptosis reappear. There are no contraindications for multiple treatments.

The Ulthera® System uses a unique DeepSEE® visualization technology. The doctor can see the treated layers on a screen and adjust the depth of the radiation. Additionally, ultrasound scanning helps calculate the skin’s thickness.

Benefits of SMAS-Lifting with Ulthera® System

• No rehabilitation required.
• Treatment session lasts no more than 40-50 minutes.
• Long-lasting rejuvenating effect.
• Effective removal of gravitational ptosis signs.
• The microfocused ultrasound of Ulthera® System penetrates various skin layers at depths of 1.5, 3.0, and 4.5 mm, influencing collagen synthesis in the dermis and facilitating lifting at the SMAS level.
• Ulthera DeepSEE® technology provides high-quality tissue visualization at depths of up to 8 mm.
• Results can last up to 18 months or longer, depending on individual characteristics.
• Effectiveness and high safety levels have been demonstrated in most clinical studies.
• The effect can last up to three years.

How the Ultrasound SMAS-Lifting Procedure Works

• Before starting the treatment, the doctor performs makeup removal and face marking. Then, a specialized gel is applied to the skin to facilitate the smooth movement of the device’s handpiece.
• Ultrasound treatment: The doctor moves the handpiece along the marked areas. A pinpoint network is created in the layers beneath the skin, activating regenerative processes.
• After the session, skin tightness is observed. Some lifting effects appear immediately. The results continue to strengthen over the next 3-4 months. A follow-up treatment can be performed no sooner than 1 year after the previous one.

Contraindications for SMAS Lifting with Ulthera® System

• Pregnancy
• Skin lesions in areas to be treated
• Lactation
• Metal implants in the facial area
• Diabetes
• Malignant tumors

Treatment Areas:

• Eyelids
• Eyebrows
• Cheeks
• Corners of the mouth
• Chin