When do I use Ultherapy or HIFU over RF devices?
Generally, I prefer RF over HIFU (High Intensity Focused Ultrasound – Ultherapy- Ultraformer). This is why-
RF energy provides long-tail heating of collagen & the fibroseptal network (fat fibers). For patients with less facial fat, slow heating is safer. In contrast, HIFU is useful for patients with a ‘higher content’ of facial & neck fat. In this scenario, HIFU can provide slimming through collateral inflammation of fat & contraction of the fat network.
HIFU also known as Ultherapy & Ultraformer is useful for lower face laxity.
For patients with a lot of sun damage, Ultherapy & RF treatments will not work. This is because collagen & elastin is broken, a term we call elastolysis. Lasers & deep peels can repair broken collagen – solar elastosis. From there, the usual