HIFU (High Intensity Focused Ultrasound) Facelift Singapore
What is a HIFU Treatment?
High-Intensity Focused Ultrasound (HIFU) is a non-surgical approach that utilises focused ultrasonic energy to penetrate deep within the skin’s structure. This HIFU treatment is commonly sought for skin firming and lifting effects.
It targets the Superficial Muscular Aponeurotic System (SMAS) layer, promoting collagen formation beneath the skin’s surface. By addressing the deeper layers without damaging the surface, HIFU may help minimise the appearance of wrinkles and sagging skin.
This HIFU facial treatment may be recommended for use on the face and neck to help address concerns such as
This guide is medically reviewed by Dr. Chin Kok Ping.
How Does HIFU Work?
HIFU utilises medical-grade ultrasound energy, which penetrates deep into the skin at precise depths for effective skin tightening. The ultrasound energy heats up the tissue below the skin’s surface, typically reaching 60-70 degrees Celsius. This controlled thermal activity helps trigger the body’s healing response, potentially leading to new collagen growth and promoting tissue repair.
The heat generated may also help reduce localised fat under the skin, contributing to potential effects like double chin reduction. This process ensures the surrounding skin is not harmed, as it targets only the tissue below the surface.
Which Skin Layer Does HIFU Treatment Target?
The HIFU treatment targets three key layers responsible for skin architecture: Epidermis, Deep Dermis, and the Superficial Muscular Aponeurotic System (SMAS), the layer typically manipulated by cosmetic surgeons during a traditional surgical facelift.
1.5mm depth
It reaches the superficial dermis to help reduce melanin, which may aid in lightening pigmentation and brightening the skin.
3mm depth
The energy reaches the deep dermis for a skin-tightening effect through controlled heating of skin tissue and stimulation of collagen production.
4.5mm depth
It reaches the Superficial Muscular Aponeurotic System (SMAS) for a skin-lifting effect, which is the mechanism that offers a non-surgical alternative to a surgical facelift.
Compare Types of HIFU Treatment
Different HIFU devices employ variations in technology and target depths to achieve specific outcomes. At our aesthetic clinic in Singapore, the clinical team may utilise ULTRAcel Q+ for HIFU procedures.
Device Name | Technology | Primary Target | Main Effects |
ULTRAcel Q+ | Linear Focused Ultrasound | SMAS, Dermis, Fat | Potential lifting and contouring; fat reduction capability. |
Sygmalift | Fractionated Beam Ultrasound | Dermis, Subdermis | Stimulates collagen gently; may be used for maintenance or mild laxity. |
Ultraformer 3 | Micro- and Macro-Focused Ultrasound | SMAS, Dermis, Fat | Versatile platform for face and body skin tightening. |
Ulthera | Micro-Focused Ultrasound | SMAS, Dermis | Known for deep penetration and real-time visualisation technology. |
Areas That Can Be Treated With HIFU
The HIFU treatment may be helpful in addressing common signs of ageing across the face and neck, offering a non-surgical approach to lifting and contouring. It may be helpful for refining the lower face and tackling laxity in delicate zones. Key areas that can be addressed include:
- Forehead
- Frown lines
- Crow’s feet
- Cheek
- Jawline
- Saggy jowls
- Double chin
- Neckline
- Sagging skin
To help achieve a V-shaped face, HIFU may also assist with double chin removal.
Key Benefits of HIFU Treatment
Ageing may lead to a loss of collagen and elastin, potentially resulting in skin laxity and wrinkles. HIFU may help address this by activating the production of these essential proteins, which may help keep skin firm and tight. This treatment offers a non-surgical approach to facial contouring.
Non-invasive and Manageable Sensation
This HIFU facelift offers a non-invasive alternative to surgical facelifts, requiring no incisions. Clinical data suggests sensation during the procedure may be mild, with an average Numerical Rating Scale (NRS) score of 3, and no pain is reported after the session1.
Reduction of Fine Lines and Wrinkles
As skin elasticity declines, fine lines and wrinkles may appear. A HIFU facelift may help stimulate collagen production, potentially leading to smoother skin texture and a reduction in wrinkle depth.
Tightening of Sagging Skin
HIFU can help tighten sagging skin by targeting deeper layers. Scientific evidence supports visible improvements in skin laxity, particularly in the cheek, abdomen, and thighs2.
Enhances Jawline Definition
HIFU may assist in enhancing jawline definition by targeting deep skin layers and stimulating collagen production. Studies have scientifically demonstrated improvement in the jawline contour following treatment3.
Natural Lifting Results
Unlike surgical facelifts, HIFU may help stimulate the body’s natural healing response, promoting new collagen for a natural, progressive lifting and firming effect.
Shrinking of Pores
This HIFU facelift can help reduce the size of enlarged pores, potentially contributing to a smoother and more even skin texture.
FDA-approved Technology
The technology underpinning HIFU is FDA-approved, providing assurance of its safety and efficacy for various aesthetic concerns in Singapore.
Treatment by Doctors
At Become Aesthetics Clinic, all HIFU treatment is performed by MOH-certified doctors, ensuring professional administration and care.
Results May Last Up to 9 Months
The sustained collagen production from HIFU can lead to results that may last up to 9 months or longer, providing sustained skin rejuvenation.
What To Expect for Your HIFU Treatment?
Pre-treatment Preparation
- Arrive with a clean face, free of makeup, lotions, or creams.
- Request topical numbing cream if desired, as most individuals may find the HIFU procedure tolerable.
- Avoid excessive sun exposure for several days before your session.
Duration of HIFU Treatment
The procedure may take between 30 and 60 minutes, depending on the size and number of areas being treated (e.g., face and neck).
Post-treatment Care
- Apply sunscreen regularly to protect your skin.
- Avoid hot baths, saunas, and strenuous exercise for 24 hours.
- Gently cleanse and moisturise the treated area.
- Avoid harsh exfoliants or retinoids for a few days.
Recovery Timeline of HIFU Treatment
The effects of HIFU treatment may unfold over time, moving from immediate changes to long-term structural enhancement.
After Treatment: Immediate Tightening
Some may notice immediate, subtle improvements in skin tightness due to initial collagen contraction. Mild swelling or redness may also occur, but typically subsides over a few hours.
2-3 Months: Best Results
The full effects typically take 2–3 months to fully develop as the skin continues to produce collagen, leading to progressively tighter and firmer skin. Patience is essential during this gradual process.
6 Months: Long-term Collagen Synthesis
The long-term effects can last up to 9 months to a year as the stimulation from HIFU helps maintain the tightened and lifted appearance of the skin. Periodic touch-up treatments may be necessary every 6–12 months to sustain these results.
Complications and Side Effects of HIFU Facelift
While HIFU is generally associated with minimal downtime, it is important to be aware that side effects are possible. The mild and temporary side effects will generally disappear without further intervention. Some of the potential side effects include:
- Mild discomfort (prickling, tingling, or warm sensation during the procedure)
- Redness (similar to a mild sunburn)
- Bruising (rare, small area)
- Temporary numbness or tingling (rare, resolves quickly)
It is important to note that the risks of severe complications may be rare and can be minimised by choosing a reputable and experienced practitioner. Always consult with a trained professional before undergoing any medical treatment.
Recommended Frequency and Session Count for HIFU Treatment
The frequency and number of sessions are highly individualised and may depend on the severity of skin laxity and the areas being treated.
- Recommended frequency: Typically, one session every 9 months to 12 months may be sufficient for maintenance.
- Session count: This depends on the area and concern treated. Individuals with more significant skin laxity may be advised to undergo two initial sessions spaced approximately six months apart to achieve optimal results.
How is HIFU Different From Other Skin Tightening Treatments?
HIFU distinguishes itself as a procedure that allows for the deepest penetration of ultrasound energy, addressing skin laxity and stimulating collagen. Unlike treatments such as laser, IPL, or RF (Radiofrequency), which primarily target the surface or upper dermis, HIFU can penetrate deep into the Superficial Muscular Aponeurotic System (SMAS). This is the same deep layer where cosmetic surgeons work during a surgical facelift, distinguishing HIFU as a non-surgical option for deeper tissue tightening.
Who May Not Be Suitable for HIFU
While HIFU is considered safe when performed by qualified medical doctors, certain medical conditions may preclude an individual from undergoing the procedure. For instance:
- Pregnant or breastfeeding
- Have active skin infections in the treatment area
- Have open wounds in the treatment area
- Have cystic acne
- Possess active implants like a pacemaker or metallic implants in the treatment zone
Individuals with these conditions may not be suitable for a HIFU session. A thorough consultation is recommended to confirm suitability.
Frequently Asked Questions About HIFU Facelift in Singapore
References
1, 2 – Ko, E. J., Hong, J. Y., Kwon, T., Choi, E. J., Jang, Y., Choi, S. Y., Yoo, K. H., Kim, S. Y., & Kim, B. J. (2017). Efficacy and safety of non-invasive body tightening with high-intensity focused ultrasound (HIFU). Skin Research and Technology, 23(4), 558–562. https://doi.org/10.1111/srt.12371
3 – Serdar, Z. A., Karabay, E. A., Tatlıparmak, A., & Aksoy, B. (2019b). Efficacy of high‐intensity focused ultrasound in facial and neck rejuvenation. Journal of Cosmetic Dermatology, 19(2), 353–358. https://doi.org/10.1111/jocd.13008
