TL;DR
Ultherapy and HIFU are both non-surgical skin tightening treatments that use ultrasound energy to stimulate collagen and improve mild to moderate skin laxity.
Ultherapy is a specific FDA-cleared technology with real-time imaging, allowing practitioners to target deeper skin layers more precisely, while HIFU refers to a broader category of devices with varying technologies.
Ultherapy typically requires fewer sessions but costs more, whereas HIFU is generally more affordable but may require more maintenance treatments.
- Regardless of the treatment you choose, ensure it is performed at a licensed medical clinic using authentic devices and experienced practitioners to achieve safe and effective results.
In Singapore, two non-surgical aesthetic treatments are particularly in demand as solutions for face rejuvenation, lifting, and skin tightening: Ultherapy and HIFU.
While both treatments use ultrasound technology to produce collagen naturally in the skin, they differ in function, cost, and the types of cosmetic concerns they are best suited to address.
If you are weighing these two options, this article will serve as your guide in understanding each procedure: how their technology works, key differences, current pricing in Singapore and other essential factors you should consider before choosing a treatment.
Is Ultherapy HIFU?
Not exactly. Ultherapy is a type of HIFU treatment, but not all HIFU treatments are Ultherapy.
Ultherapy is a specific brand of ultrasound-based treatment that uses Microfocused Ultrasound with Visualisation (MFU-V) to deliver energy precisely to targeted layers of the skin. A key feature of Ultherapy is its real-time imaging technology, which allows practitioners to see the tissue layers during treatment and ensure the ultrasound energy is delivered to the intended depth.
Ultherapy is also FDA-cleared for non-invasive skin lifting and tightening, and is commonly used to treat areas such as the brows, chin, neck, and décolletage.
In contrast, HIFU (High-Intensity Focused Ultrasound) is a broader category of ultrasound-based aesthetic treatments. Many different devices fall under this category e.g. Ultraformer MPT, Shurink (also known as Ultraformer III in Singapore). We’ll go into specifics in a bit.
In Singapore, most aesthetic HIFU devices are HSA-approved and CE-marked; however, they may not have the same level of clinical studies or FDA lifting clearances that Ultherapy holds.
How Do The Technologies Differ?
Imaging capabilities
One of the key differences between Ultherapy and many HIFU devices lies in the use of real-time visualisation.
With Ultherapy, practitioners can view the layers of the skin during treatment through built-in imaging. This allows them to deliver ultrasound energy more accurately to specific depths –including up to 4.5mm beneath the skin– where collagen stimulation and lifting effects occur. The ability to visualise the treatment layers also helps practitioners tailor the procedure more suitably to each patient’s anatomy.
Many HIFU devices deliver focused ultrasound energy without real-time imaging. In these cases, practitioners rely on their anatomical knowledge, treatment protocols, and experience to determine the appropriate treatment depth and placement.
Experienced practitioners can still achieve good outcomes with HIFU technologies – but make sure you get treatment performed at a registered medical clinic by a licensed doctor.
Energy delivery and depth control
With Ultherapy, ultrasound energy can be customised and delivered at specific depths according to the treatment area and the patient’s tissue characteristics. This level of control helps practitioners target the layers where collagen stimulation occurs, supporting gradual skin tightening and lifting.
HIFU treatments also use focused ultrasound energy to stimulate collagen production beneath the skin, but outcomes can vary depending on the specific device used, treatment settings, and the practitioner’s technique. When the energy is delivered too superficially or too deeply, it may affect surrounding tissue layers, sometimes causing unintended effects such as changes in facial fat volume.
Results
Both treatments are effective in stimulating the production of collagen, which is vital for lifting and tightening skin sagging.
Ultherapy: You can expect to see improvements in the treatment area within a few weeks. With collagen continuously replenishing, the full results of your treatment will show around two to three months after the treatment, with results peaking about 6 months in. Results can last between 12 to 18 months depending on your age and skin condition.
HIFU (e.g. Ultraformer, Shurink): The results timeline is similar to Ultherapy; with peak results close to 3-6 months in, lasting for up to a year. More maintenance sessions are required.
Skin suitability
If your skin sagging is more pronounced, Ultherapy may be the preferred option due to its ability to deliver energy to deeper layers of the skin. For mild to moderate skin laxity, or if you are trying ultrasound-based skin tightening for the first time, HIFU can also provide effective results when performed with the right device and technique.
Pain and comfort levels
HIFU is generally reported to cause milder discomfort since it typically delivers energy at shallower depths compared to Ultherapy. However, any discomfort can usually be managed with pain management options, such as topical numbing creams or other strategies recommended.
Cost Differences Between Ultherapy and HIFU in Singapore
Cost of Ultherapy
- Full face treatment: Can range between S$2,400 and $4,560
- Full face + neck treatment: Can range between S$4,320 and $5,760
- Small areas (eyebrow, undereye): Can range between S$720 and $1,920
Note that these prices vary by clinic and the number of energy shots required for a personalised treatment.
Cost of HIFU
- Full face: Can range between S$1,800 and $3,000
- Full face + neck: Can range between S$2,500 and $4,000
- Jawline + neck: Can range between S$1,200 and $2,000
- Small areas (eyebrow, undereye): Can range between S$500 and $900
Is Ultherapy or HIFU Better For Me?
Make your goals clear
If you want fewer sessions that provide noticeable and long-lasting results, then Ultherapy may be a good choice for you. If you are on a budget, but would still like to try a skin tightening treatment, then HIFU may be more appropriate.
Consider clinic and equipment quality
Regardless of which treatment you’re leaning towards, confirm that the treatment is performed with authentic, approved devices by experienced practitioners. There have been cases –such as K-pop idol Kwon Min Ah, who reportedly experienced burns from a Shurink treatment– where complications were likely linked to inauthentic devices or improper technique.
Longevity and maintenance
Ultherapy typically requires one full treatment per year to maintain results. The procedure may take longer because each small area is carefully treated at different depths for optimal collagen stimulation.
HIFU treatments are generally quicker per session, but may require multiple sessions throughout the year to achieve and maintain similar lifting and tightening effects, depending on the device used and the patient’s skin condition.
In a nutshell
Consider Ultherapy if:
- You prefer a treatment that is FDA-cleared and supported by clinical studies.
- You have moderate to more pronounced skin sagging.
- You would like fewer sessions per year and are comfortable with the associated costs.
- You value the added precision and reassurance provided by real-time visualisation of the skin layers.
Consider HIFU if:
- You are looking for a more cost-conscious option.
- You are in your late 20s to early 30s with mild skin laxity and want to maintain skin elasticity.
Final thoughts
Both Ultherapy and medical-grade HIFU are procedures that must be performed by a licensed aesthetic doctor in Singapore. Whichever you choose between the two, it is imperative that you consult with a qualified practitioner and put a premium on choosing treatment that’s right for you.
Our clinic can help you choose a plan that aligns with your aesthetic goals and provide long-term skincare treatments with highly effective results.