HomeLifting / FirmnessUltherapy Prime
Lifting / Firmness

Ultherapy Prime

Focused ultrasound to the SMAS, planned on the image before it is fired

Ultherapy sends high-intensity focused ultrasound past the skin to the SMAS — the fascia layer a surgeon works on in a facelift. Tissue coagulates and contracts at those points, and collagen rebuilds around them over the following months. At Symphony the layer is checked on live ultrasound imaging first, so the depth is confirmed rather than assumed.

Treatment time30–40 min
AnaesthesiaTopical cream, or conscious sedation
DowntimeSame-day return
IntervalEvery 6–12 months

※ The final plan and cost are confirmed by your physician after an in-person examination at the clinic. Results and recovery vary by individual.

Ultherapy Prime

What the device actually does

High-intensity focused ultrasound is concentrated on a single point deep in the skin. At the SMAS layer that energy coagulates and contracts the tissue, which is what produces the lift. Nothing is cut and nothing is inserted.

The coagulation points are then treated by the body as something to repair. Collagen is regenerated and newly produced around them, tissue remodels, and firmness keeps improving after the session rather than only on the day. Energy is delivered in the 60–70°C range, the working temperature for collagen production and regeneration.

See, plan, treat

Ultherapy is one of the few lifting devices that lets the operator look at the layer being treated. We use that in a fixed order.

  1. 01SEEReal-time ultrasound imaging shows the tissue layers under the skin, so depth and target are confirmed on screen before any energy is delivered.
  2. 02PLANLine length, energy level and shot count are designed for the face in front of us — not taken from a standard package.
  3. 03TREATEnergy is delivered to the intended tissue, line by line, following the plan that was set.

Around the eyes

Eyelid heaviness, brow angle and brow lifting come from the fascia layer, so those are treated at fascia depth where the skin can take it.

Under-eye fullness and the brow fat pad sit in the subcutaneous fat layer, and are approached there — breaking down fat while collagen regenerates. For the thin skin around the eye we use the dedicated 1.5 mm eye tip, which works in the dermis rather than the deep layers.

Standard tip and eye tip

The tip decides the depth. Using the face tip on eye-area skin is not the same treatment done gently — it is a different layer.

Standard tipEye tip
Delivery depth3.0 mm / 4.5 mm1.5 mm
Target layerDeep layer of the skin (fascia / SMAS)Superficial layer (dermis)
Where it is usedCheeks and areas where skin is thickerEye area and areas where skin is thin
Under-eye fatNot addressed at this depthWorks on the under-eye fat layer
Risk if misappliedHollowing under the eye is possible when used on thin eye-area skinChosen for thin skin to avoid treating at the wrong depth

The numbers we work to

Target layerSMAS (fascia), delivered at 3.0 mm / 4.5 mm
Dermal tip1.5 mm, for the eye area and thin skin
Working temperature60–70°C at the coagulation point
ImagingReal-time ultrasound view of the layer being treated
How long the result holdsGenerally 6 months to 1 year
Interval6–12 months

Where we treat differently

The device is the same one you can find elsewhere. What differs is who plans it, who fires it, and what you are shown.

One doctor, from plan to follow-up
The doctor who assesses your skin at consultation designs the session and performs it. After you fly home, follow-up questions go back to the same doctor rather than to a general desk.
Genuine device and genuine tips
Symphony works to a genuine-cartridge rule. You can check the Amplify II authentication mark on our machine, and a genuine-product certificate is issued after your session.
Open chart, shown to you
Line length, energy level and shot count are recorded on your own chart. You are told what was planned before we start and what was actually used afterwards.
Why the cartridge matters
A non-genuine tip may not deliver the intended energy to the intended layer, or may not sit flush against the skin. That means a weaker result, and a burn risk.

Comfort during the session

Focused ultrasound is felt. We offer three levels and decide with you which is appropriate.

Anaesthetic cream
A compounded topical cream applied before the session. Enough for most patients.
Inhaled sedation
A nitrous oxide and oxygen mix. You stay awake and able to respond throughout.
IV sedation
Carried out by our medical team with monitoring, where requested and appropriate.
Private recovery room
A separate room to settle in after sedation before you leave.

Questions we are asked most

How is this different from Thermage?

Different energy and different depth. Ultherapy uses focused ultrasound delivered directly to the SMAS layer for lift; Thermage uses radiofrequency through the epidermis into the lower dermis for tightening. They are often planned together rather than chosen between.

Can I fly home the same day?

There is no wound and no dressing, and normal activity resumes the same day. Some tenderness or mild swelling can occur, so we go through your travel dates at consultation.

How many shots will I need?

It depends on face size, where support has been lost and which areas you want prioritised. The planned count is set at consultation and the actual count is confirmed to you afterwards.

Is the eye area safe to treat?

The eye area is treated with the 1.5 mm eye tip, which works in the dermis. Using the standard 3.0 / 4.5 mm face tip on thin eye-area skin can lead to hollowing under the eye, which is why the tip is changed rather than the setting lowered.

How long does it last, and when can I repeat it?

The lifting effect generally holds for 6 months to a year. Because collagen keeps forming after the session, repeating earlier than that does not usually add to the result.

What we look at before anything is switched on

01
Skin analysis first
Skin type, thickness and condition are assessed before settings are chosen, so energy levels and tips match the skin in front of us rather than a default protocol.
02
Planned and performed by a physician
The doctor who consults you draws up the plan and carries it out. Nothing is delegated after the consultation.
03
Layered, not single-device
Treatments are combined by depth and symptom, with intervals planned around your recovery.
04
Care that continues
Conditioning before, calming immediately after, and home-care guidance through recovery — then the next session is adjusted to how your skin responded.

You have read this far. Start with one photo.

Free, one-on-one, and nothing is decided until you see the plan in person.

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