for online reservations Ulthera
Thermage FLX
reservations Ulthera / Thermage FLX
reservations
Ulthera (HIFU)
Considered the pinnacle of
medical HIFU, The only
device approved by
the FDA in the United States
for its ‘lifting effect on sagging skin.’
It strongly lifts sagging skin,
offering a non-surgical facelift.
Recommended for those who
- Are concerned about sagging around the mouth, such as nasolabial lines
- Are concerned about a distorted face line or sagging cheeks
- Are concerned about sagging under the chin or double chin
- Feel their skin have lost its firmness
- Don’t want to have surgery, but want to improve the sagging skin
Features of Ulthera|
Differences from Other HIFU Devices
Ulthera is a medical HIFU (High-Intensity Focused Ultrasound) device that improves skin sagging and provides a lifting effect. It is particularly known for its technique that targets the fat layer and the fascia layer (SMAS layer), which is specifically designed for lifting purposes.
At our clinic, we focus on personalized treatments tailored to each patient’s condition, ensuring the best possible results. Below, we will introduce the features of Ulthera while highlighting its differences from other HIFU devices.
1HIFU Technology Specialized for Sagging Treatment
Ulthera delivers ultrasound to specific depths, directly targeting the fat layer and SMAS layer, which are the deeper layers of the skin. This technology allows for a lifting effect that can replace traditional thread lifts or surgical facelifts.

Differences from Other HIFU Devices
By using ultrasound imaging, Ulthera can target the appropriate layers, ensuring it precisely addresses areas where sagging has occurred. Additionally, the energy level used during the treatment can be adjusted, allowing for the delivery of optimal treatment based on the degree of sagging.
2Safety and Risk Management
Ulthera is the only medical device approved by the FDA (U.S. Food and Drug Administration) for its lifting effect on sagging skin, and its effectiveness and safety are globally recognized.
At our clinic, we minimize risks to patients during treatment, ensuring you can undergo the procedure without concern.

Difference from Other HIFU Devices
Some devices may disperse heat energy, increasing the risk of skin damage. However, Ulthera concentrates energy on specific areas, minimizing damage while maximizing effectiveness.
3Immediate and Lasting Results
Ulthera not only provides an immediate lifting effect right after the treatment, but it also promotes collagen production, which continues to enhance the lifting effect, firmness, and elasticity for six months to a year.
Difference from Other HIFU Devices
Conventional HIFU devices may provide only short-term lifting effects, but Ulthera stands out with its high-output energy, offering a stronger lifting effect for sagging skin and longer-lasting results.
4Customized Treatment for Different Areas
Ulthera can be applied not only to the entire face but also to delicate areas such as the eyes and neck. Depending on the skin condition and degree of sagging, the depth of the ultrasound and the energy levels are adjusted, allowing the doctor to provide personalized and optimal treatment.

Difference from Other HIFU Devices
Because the doctor can use ultrasound imaging to view the internal layers of the skin, customized treatments are possible, such as avoiding treatment on areas like the cheeks where fat loss is a concern, or targeting the fat layer in areas with excess orbital fat.
5Downtime
Ulthera is a non-invasive treatment with minimal post-treatment damage, resulting in almost no downtime. However, temporary redness, swelling, puffiness, or muscle soreness may occur (varying by individual). You can return to your daily activities on the same day, making it ideal for busy individuals or for use before events. Redness typically lasts from a few hours to 3 days, while swelling usually subsides within a few days to a week.
Difference from Other HIFU Devices
Due to its higher output compared to other HIFU devices, temporary muscle soreness or similar discomfort may occur.
Mechanism and effect
-
HIFU irradiation
Collagen inside the skin shrinks due to heat
-
cell repair
The body works to repair shrunken collagen and new collagen is produced.
-
Cell reconstruction
Increased collagen gives the skin firmness and elasticity
The cause of sagging is the weakening of the SMAS fascia located further below the subcutaneous fat. Ulthera’s high-intensity focused ultrasound can reach deep layers that normal lasers and radio waves (high frequency) cannot reach, so it can specifically stimulate the weakened SMAS fascia. When ultrasonic waves cause small points of thermal damage, a force that tries to heal the wound is activated, promoting collagen to repair and improve sagging skin.
Our Clinic’s Commitment
Treatment by Doctors with Specialized Training

At our clinic, the treatments are performed by doctors who have received specialized training in Ulthera. Through direct lectures from the manufacturer, they stay updated on the latest information and safe, effective treatment methods, ensuring the provision of high-quality techniques.
The Ultimate Private Care in a Fully Private Room with Our Dedicated Nurse

At our clinic, we prioritize patient privacy and comfort above all else. Our dedicated nurse will be with you every step of the way, from your arrival to your departure, in a fully private room. Each room is equipped with the latest facilities, including spacious vanity stations, modern hairdryers, and high-quality doctor’s cosmetics. From before the treatment to your departure, you can relax and feel at ease without encountering other patients.
Selectable Number of Shots Based on the Degree of Sagging

At our clinic, we offer two types of shot numbers: moderate and intensive. In addition to the doctor’s skill, the number of shots is also important, so we ensure that an adequate number of shots are delivered. During the consultation and doctor’s examination, you can choose the appropriate number of shots based on your needs.
moderate | Full face(including under the chin) | 464 Shots |
---|---|---|
Full face(including under the chin)+Neck | 764 Shots | |
intensive | Full face(including under the chin) | 760 Shots |
Full face(including under the chin)+Neck | 1,060 Shots |
Ulthera case photos

- Treatment Details
- Ulthera, Moderate, Full face (including under the chin), 464 shots
- Cost/Number of Sessions
- 287,000 yen per session(tax included)/one session
- Risks and Side Effects
- Rarely redness, swelling, tenderness similar to bruising, temporary sensory changes (such as transient paralysis), and mild bruising may occur.
Ulthera Treatment Process
-
1Consultation and Skin Condition Assessment
The treatment begins with a consultation where we listen carefully to the patient’s concerns and desires. The doctor will assess the degree of sagging and the condition of the skin, then propose the most suitable treatment plan. This is an important step that forms the basis for adjusting the treatment area and the depth of the ultrasound.
-
2Removing Makeup and Preparing the Treatment Area
Before starting the treatment, thoroughly remove all makeup and dirt from the face. Keeping the treatment area clean ensures that the ultrasound can accurately penetrate the deeper layers of the skin, maximizing its effectiveness. Apply a special gel to prepare the area for the procedure.
-
3Treatment with the Ulthera Device
The 4.5mm cartridge targets the fascial layer (SMAS layer), while the 3.0mm cartridge works on the fat layer. The 3.0mm cartridge can be applied not only to the cheeks and jawline but also around the eyes and forehead.
*To alleviate pain, we use a massage gun to provide effective vibration stimulation during the treatment. -
4Aftercare and Precautions of Treatment
You can return to your normal routine on the day of the treatment; however, activities that increase metabolism may exacerbate redness or swelling, so it’s recommended to avoid them for 2–3 days.
Additionally, due to the heat from the ultrasound, the skin will be more prone to dryness and sunburn after the treatment. It is important to focus on moisturizing and taking proper sun protection measures.
Ulthera treatment range
Fee
Ulthera (Doctor treatment *Certified Doctor Available)
Doctor treatment (3.0mm / 4.5mm) *Certified Doctor Available |
Full face (including under the chin) – 464 Shots |
287,000yen(tax included) |
Full face (including under the chin) – 760 Shots |
428,000yen(tax included) | |
Full face (including under the chin) + Neck – 764 Shots |
428,000yen(tax included) | |
Full face (including under the chin) + Neck – 1060 Shots |
498,000yen(tax included) | |
Ulthera Additional 90 Shots | 66,000yen(tax included) |
*There is no initial examination fee or re-examination fee.
*This is not covered by insurance.
*Receive a 22,000 yen discount and a complementary CICA face mask when combined with Thermage FLX treatment on the same day.
For more details, please contact us.
About downtime and precautions
- Treatment time
- Approximately 30 minutes to 1 hour
- Side effects/ downtime
- There is almost no swelling after irradiation (*There are individual differences), but in very rare cases, symptoms such as redness, swelling, tenderness like bruising, temporary sensory changes (transient paralysis, etc.), and slight internal bleeding may occur. Rest assured that the redness will subside naturally within a few hours to a few days, and other symptoms will subside naturally within a few days to a few weeks.
- Face wash/bathing/ make-up
- All can be done immediately after the treatment.
- Aftercare
- There’s nothing special about it, but be sure to take active UV care and moisturize your skin to prevent wrinkles and sagging.
- Notes
- You can wash your face from the same day, but please avoid rubbing it too hard with cotton towels, etc. If you wish to receive phototherapy or laser treatment, please wait 2 weeks after the treatment.
Differences Between Ulthera and Thermage FLX
“Ulthera” and “Thermage FLX” are popular treatments for those considering lift and sagging skin treatments. Both are non-invasive procedures that offer high effectiveness with minimal downtime, which is appealing to many. However, each has distinct features, target areas, and mechanisms of action.

Differences in Treatment Mechanisms
Ulthera
Ulthera uses High-Intensity Focused Ultrasound (HIFU), which targets the fat layer to the SMAS layer (fascial layer). By focusing the ultrasound, it works deep into the skin, achieving a powerful lifting effect. It is particularly effective for improving sagging on the entire face, jawline, cheeks, and neck area.

Thermage FLX
Thermage FLX uses Radio Frequency (RF) to target the fat layer. The heat causes the fibrous septa to contract, providing immediate tightening of the face and contour improvement, resulting in a more sculpted look. Additionally, it heats the dermis layer, stimulating collagen production. Thermage FLX targets the superficial layers of the skin and is especially effective for improving skin firmness and reducing fine lines.

Indications and Differences in Effects
Ulthera | Thermage FLX |
---|---|
Main Effects Improvement of sagging and lift-up (Effect from the fat layer to the SMAS layer) |
Main Effects Tightening, smaller face, reduction of fine lines (Effect from the dermis layer to the fat layer) |
Applicable areas Entire face (especially cheeks and jawline), eye area, neck |
Applicable areas Entire face (especially cheeks and jawline), eyes |
Treatment Features Uses high-intensity focused ultrasound (HIFU) to directly target the deep SMAS layer of the skin. |
Treatment Features Uses radiofrequency (RF) energy to promote collagen regeneration. Provides immediate effects. |
Areas Where Ulthera Excels
Ulthera is ideal for treating sagging in the entire face, jawline, cheeks, under the chin, and neck.
It is perfect for those who want a lifting effect but prefer to avoid thread lifts or surgical facelifts.
By targeting the SMAS layer, it aims to achieve results similar to a surgical facelift.
Areas Where Thermage FLX Excels
Effective for the entire face, eye area, neck, and even sagging around the corners of the mouth.
By heating the fat layer, it provides a three-dimensional tightening and slimming effect, while heating the dermis enhances skin firmness and elasticity, improving overall texture.
Immediate and Long-lasting Effects
Ulthera
Results can be felt immediately after the procedure, but the lifting effect peaks 1 to 2 months later as collagen production progresses.
The effects last for about 6 months to 1 year, providing long-term lifting benefits.
Thermage FLX
Offers immediate effects, allowing you to feel skin tightening, facial slimming, and improved firmness right after the treatment.
However, the peak effect occurs 1 to 2 months later, with results lasting for approximately 6 months to 1 year.
Downtime and Risks
Ulthera
Non-invasive with minimal downtime.
Some redness, swelling, or muscle soreness may occur after the procedure, but it does not interfere with daily activities.
Redness typically subsides within a few hours to three days, while swelling may take a few days to a week to resolve.
*Results may vary from person to person.
Thermage FLX
Also non-invasive with minimal downtime.
Mild redness, swelling, or, in rare cases, slight discomfort due to heat may occur.
*Results may vary from person to person.
Achieve the Ultimate Lifting and Facial Slimming Treatment with the Combination of Ulthera and Thermage FLX

For those seeking lifting, tightening, and facial slimming effects, the combined treatment of Ulthera and Thermage FLX is highly recommended.
Since each works through a different approach, combining them enhances the overall lifting and tightening effects, achieving a more defined and youthful appearance.
Benefits of Combination Treatment
-
1Lifting & Tightening
Ulthera lifts sagging skin from deep layers, while Thermage FLX tightens the superficial layers. This combined approach effectively improves sagging and enhances facial contouring in a single treatment.
-
2Immediate & Long-Lasting Results
Both Ulthera and Thermage FLX provide visible results immediately after the procedure, peaking at 1–2 months, with effects lasting approximately 6 months to 1 year.
-
3Skin Quality Improvement & Rejuvenation
The tightening and contouring effects of Thermage FLX further enhance the lifting effects of Ulthera, leading to improved skin texture and a more youthful appearance.
Treatment Flow
When combining Ulthera and Thermage FLX, the procedure follows these steps:
First, Ulthera targets the fat layer and SMAS layer (fascia layer) to improve sagging. Then, Thermage FLX works from the dermis to the fat layer to tighten and firm the skin.
This combination maximizes the synergistic effects of lifting and tightening while also improving skin texture, firmness, and overall quality.

Same-Day Treatment at Our Clinic
At our clinic, we offer a unique treatment plan that combines Ulthera and Thermage FLX. During the consultation, we assess your skin condition and preferences to provide the most suitable treatment.
Patients who undergo same-day Ulthera and Thermage FLX treatments will receive a ¥22,000 discount.
To reduce downtime, hydrate, and soothe the skin, we also include a complimentary CICA mask (worth ¥3,300) exclusively for same-day treatments.
Frequently asked questions about Ulthera
- Can I feel the effect after just one treatment?
-
yes. You can feel the effects immediately after the treatment.
Collagen regeneration occurs over a period of 2 to 3 months, and you will see even more effects. (*There are individual differences)
- Should I have the treatment several times?
- You can feel the effect even once, but if you want to maintain the lifted feeling, we recommend to use it continuously once every six months. (*There are individual differences)
- Is there anyone who cannot receive Ulthera?
- Basically, people of any age, gender, and skin color/type can receive it.
- I am worried about the pain during the procedure.
- Depending on the area, there may be slight pain during irradiation, but the treatment does not cause severe pain. (*There are individual differences)
Indication of whether the product is an approved or unapproved drug or equivalent,
and disclosure of the source of acquisition.
Acquisition route: Purchased through an official domestic distributor (JMEC Co., Ltd.)
This treatment utilizes pharmaceuticals and medical devices that have not been approved under Japan’s Pharmaceuticals and Medical Devices Act.
Under the supervision of our clinic’s physician, these products are imported through proper procedures via domestic distributors.
For more details on precautions regarding imported pharmaceuticals, please visit the Japanese Ministry of Health, Labour and Welfare website.
•FDA-approved in the United States