Lifting

Patients often arrive having decided on a device before deciding what they want to change. It is worth going the other way round.

Ultherapy Prime reaches the SMAS at 4.5mm with real-time imaging, so it suits descent — a softening jawline, a heavy lower face. Thermage FLX heats a broad dermal volume rather than focal points, which suits overall laxity and texture. Thread lifting repositions tissue mechanically along a chosen vector where energy alone cannot pull far enough.

Onda occupies a different position again: microwave energy absorbed selectively by fat, useful where laxity comes with a jowl. Shurink Universe and InMode are lower-intensity options generally used for maintenance between fuller treatments.

In practice most patients over 35 need a sequence rather than one device. The consultation establishes which, in what order, and at what interval.