What is HIFU?
HIFU is a popular skin-tightening treatment that lifts and firms the face without the need for needles or surgery. It uses highly safe ultrasound energy and delivers visible results immediately after the first session, with no harm to the skin.
HIFU treatment is an effective solution for lifting areas like the face, double chin, neck, upper arms, and thighs. It’s especially suitable for individuals who want a needle-free approach with minimal aftercare.
This article covers everything you need to know about HIFU: what it treats, when results appear, who it’s suitable for, how long it lasts, how to choose a HIFU clinic in Bangkok, and which machines offer the best value.
Table of Content : Hifu
How Does HIFU Treatment Work?
HIFU is an advanced aesthetic treatment that helps reduce wrinkles, improve skin laxity, and tighten the face and body.
The most effective and cost-efficient technology is HIFU Macrofocus (High-Intensity Focused Ultrasound Macrofocus). It uses ultrasound energy—originally adapted from medical ultrasound used during pregnancy—to target various layers of the skin, creating thermal contraction. This process stimulates collagen production and lifts the skin from within, similar to tightening it from below the surface.
HIFU Macrofocus is very safe and does not harm the outer skin, as it is not a laser or light-based treatment. This ultrasound energy is also safe for the eyes, making it suitable for tightening under the eyes and around the eye area directly.
What Can HIFU Treatment Help With?
The key benefit of HIFU is its ability to lift sagging skin and restore firmness, making it especially suitable for individuals with mild to moderate skin laxity.
As the skin ages, collagen and elastin fibers begin to weaken and stretch, leading to visible sagging and loss of elasticity.
HIFU Macrofocus is designed to stimulate collagen in every layer of the skin and promote new tissue growth, especially fibroblasts. This newly formed tissue is denser and tighter, which lifts the skin, improves pores, smooths the texture, and results in a naturally youthful glow.
Another benefit of HIFU treatment is reducing submental fat and neck wrinkles, with noticeable results after just one session. It can also help prevent future skin sagging.
Who is HIFU suitable for?
HIFU treatment is suitable for:
- Those with sagging or loose skin
- Those with mild wrinkles, under-eye hollows, or shallow smile lines
- Those who want to lift and tighten without surgery or injections
- Those with an undefined jawline looking to contour their face
- Those who want no downtime and need to use their face right after the procedure
Is There Any Harm in Getting HIFU Before Age 25?
Many people begin to experience early signs of skin sagging after age 20, as elastin starts to weaken, leading to under-eye hollows and smile lines. If left untreated, these signs can worsen over time. Just as early support helps prevent breast sagging, maintaining facial firmness from a young age can slow down visible aging.
Starting HIFU Macrofocus in the early 20s or by age 25 is completely safe and poses no harm. Early HIFU treatment can help prevent or delay the development of under-eye hollows, smile lines, and marionette lines, which often make the face appear tired or aged.
HIFU is also suitable for those wanting to contour their face without surgery, lift the eyebrows, reduce fine lines, brighten dull skin, shrink pores, reduce a double chin, and firm sagging skin under the chin.
Which Areas Can HIFU Treat?
HIFU treatment can be applied to any area where skin tightening is desired, such as around the eyes, under-eye area, nasolabial folds, mouth corners, jawline, eyebrows, outer eye corners, chin, neck, upper arms, thighs, waist, and abdomen. This is possible because the device comes with various cartridges designed to target different skin depths in each area.
At V Square Clinic, we use HIFU Ultraformer III and Ultraformer MPT—two of the best HIFU devices on the Bangkok market, second only to Ulthera SPT and Ulthera Prime. These devices offer multiple cartridges to suit different skin layers, including:
Additionally, there’s a special cartridge called Cherry Pink, exclusive to the top-tier Ultraformer III model. This cartridge targets the 2.0 mm depth and can deliver thermal energy up to 8 times more efficiently. With its narrow, slim shape, it allows precise treatment in delicate areas, offering stronger energy with fewer side effects.
How Many Types of Bangkok HIFU Are There and How Are They Different?
The two most popular HIFU machines in Bangkok, Thailand, are the Ultraformer III and Ultraformer MPT. Both use the same focused ultrasound technology. However, the Ultraformer MPT is a more advanced version, offering more cartridge options to treat a wider range of skin layers.
Bangkok HIFU Under-Eye Treatment Review
HIFU under the eyes can effectively reduce fine lines and wrinkles around this delicate area. The smaller cartridges allow precise targeting of tiny lines, tightening and smoothing the skin around the eyes.
Bangkok HIFU Treatment: Real Reviews from V Square Clinic
*Results may vary depending on individual response to treatment
In some cases, HIFU is combined with other treatments for enhanced results. For example, it may be used after tear trough filler to refine the result, or alongside Botox or mesofat injections to refresh the overall facial appearance.
Photos taken before, immediately after, 2 weeks after, and 1 month after treatment
Results following chin filler 2 CC + midface filler 1 CC + jaw Botox 100 U + mesofat 60 CC + Ultraformer III 600 lines
Photos taken before, immediately after, 2 weeks after, and 1 month after treatment
Results following chin filler 2 CC + smile line filler 1 CC + jaw Botox 100 U + mesofat 40 CC + 6 PCL threads + Ultraformer III 600 lines
*Results may vary depending on individual response to treatment
If filler is injected properly at the periosteum level and the doctor is experienced with HIFU, it won’t cause the filler to dissolve. Combining them can lead to better, more natural-looking results.
Bangkok HIFU Cheek Reduction Treatment Review
HIFU treatment can help lift the cheeks, reduce buccal fat, correct sagging, and define the jawline into a more V-shaped contour. It also stimulates collagen production for firmer, more youthful skin.
Bangkok HIFU Treatment: Real Reviews from V Square Clinic
In cases where there is significant cheek sagging, thread lifting may be recommended. At V Square Clinic, every case is evaluated individually—considering facial structure, sagging severity, and skin condition—before deciding on a customized treatment plan to ensure the most effective and natural outcome.
Bangkok HIFU Double Chin Reduction Treatment Review
For those with a double chin caused by excess fat under the chin or excessive facial fat, HIFU works particularly well for tightening sagging skin in the submental area. It firms up the double chin and stimulates collagen production in the skin.
Bangkok HIFU Treatment: Real Reviews from V Square Clinic
Does Full-Body HIFU Treatment Really Work?
HIFU can be applied to nearly any area of the face or body where skin tightening is desired. Different cartridges are used depending on the depth of the skin layer being treated, allowing for customized results in each region.
- Face: double chin, neck, marionette lines, nasolabial folds, cheeks, under the eyes, forehead, upper eyelids, and jawline
- Body: upper arms, thighs, waist, abdomen, and hips
Benefits of HIFU Treatment
HIFU Macrofocus is ideal for those with mild wrinkles, shallow under-eye hollows, and fine smile lines. Compared to the results and cost, it’s a highly worthwhile treatment.
Key Benefits of HIFU:
- Non-invasive procedure – no needles or surgery required
- Minimal side effects – no bruising or visible redness
- No downtime – allows immediate return to daily activities
- Skin safety – does not damage the outer skin layer
- Facial lifting, wrinkle reduction, and localized fat reduction
- Under-eye and eye contour safety – suitable for delicate areas
- Treatment flexibility – can be repeated regularly and combined with other aesthetic procedures
What to Expect After HIFU
After a HIFU Macrofocus session, mild redness may occur but typically subsides within 1 to 2 hours. Most patients can return to their normal daily activities immediately following the treatment.
Where to Get HIFU Bangkok: Be Cautious of Overpromised Claims
Some Bangkok HIFU clinics may overpromise results. Sales consultants might claim that HIFU or Ulthera can effectively correct deep under-eye hollows or smile lines just to promote higher-priced treatments, which offer better commissions than fillers. However, in reality, deep folds are better treated with filler for immediate and cost-effective results.
While textbooks may suggest performing HIFU treatment before filler, in practice, spending ฿20,000–30,000 on HIFU and achieving only 10–20% improvement can be disappointing. Most patients prefer to get the tear trough or nasolabial fold filler first, as this typically provides 80–90% improvement with the same budget. Then, if budget allows, HIFU can be used to fine-tune the results.
HIFU treatment can safely be used after filler—if the filler is injected correctly at the periosteum (bone covering layer) and the doctor is skilled, it won’t cause the filler to dissolve.
For patients who are afraid of injections, starting with HIFU Macrofocus or Ulthera is an option. With consistent sessions, results can approach what fillers deliver, though it may require more sessions and a higher investment.
How to Choose the Right Bangkok HIFU Clinic
Choosing the right Bangkok HIFU clinic plays a major role in achieving safe, effective, and long-lasting results. Here are the key factors to consider:
1. Quality of the HIFU Device
The most important factor is the machine itself. Results depend heavily on the quality and consistency of the device being used.
Disadvantages of low-quality HIFU machines:
- Inconsistent energy output: some lines may be too strong (risk of burns or nerve damage), while others are too weak, reducing results
- Poor focus: energy points may not be centered, leading to uneven heating and less noticeable results
- Slow firing rate: longer treatment time, more discomfort, same result
- Declining energy: energy output weakens toward the end of a cartridge’s capacity, reducing overall effectiveness
2. Reasonable pricing
HIFU pricing varies across clinics. Always ask which machine is being used. For “unlimited line” packages, ask detailed questions. High-quality machines cost more per cartridge and need regular replacement. Common limitations in “buffet-style” HIFU include:
- Line counts being decided solely by the doctor, patients cannot choose
- Warnings like “more lines might cause swelling or burns”
- Some Bangkok HIFU clinics may deliver only partial results to encourage additional sessions
- Misleading line counts — some clinics count 1 dot = 1 line, while real HIFU treatment typically delivers 15–25 dots per line
3. Doctor’s Experience and Technique
HIFU treatment requires proper technique, especially in areas like under-eye bags, droopy eyelids, or lip corners. While it’s less complex than Botox, fillers, or thread lifts, it still requires solid anatomical knowledge.
4. Honest Consultation and Aftercare Support
Patient dissatisfaction often arises from unrealistic expectations, usually caused by misleading sales talk or edited before-and-after photos.
It’s best to consult directly with the treating doctor beforehand. Ask what realistic results to expect, possible side effects, and detailed aftercare instructions. Doctors who are ethical and responsible will give honest answers.
Disappointment in HIFU treatment outcomes can happen. In such cases, a responsible Bangkok HIFU clinic will be willing to resolve the issue and work toward a result that satisfies the patient. Look for clinics with genuine, unbiased reviews from real patients across multiple platforms.
How Many HIFU Lines Are Needed for Visible Results?
The number of HIFU lines required depends on each individual’s condition. Factors like fat volume, skin laxity, and skin condition all affect the outcome. That’s why it’s important to consult a doctor for a personalized assessment before treatment to ensure the most effective results.
For general reference, the following line counts are commonly used:
- Cheek or double chin – about 100 lines
- Cheek and double chin – about 300 lines
- Under-eye and smile lines – about 300 lines
- Full face or upper arms – about 600 lines
- Full face with neck or thighs – about 1,000 lines
Does HIFU Hurt?
Many patients ask whether HIFU is painful, especially since some advertisements claim that treatments like HIFU or Ulthera SPT are painless and provide instant results. However, this is not entirely accurate.
In reality, HIFU does cause some discomfort. For the treatment to be effective, patients typically feel a mild aching or pulling sensation beneath the skin. This is a sign that the ultrasound energy is reaching the SMAS layer, which is essential for proper lifting. A burning sensation, however, should not occur.
After HIFU, some mild swelling may occur and will gradually subside. Results from HIFU Macrofocus typically last around 6 months, and in some cases up to a year, but this often comes with more discomfort during the procedure. That’s why it’s often said, “The more it hurts, the more beautiful the results.”
Bangkok HIFU clinics that advertise “no pain” are likely using low-powered or substandard machines. These deliver less effective results and won’t last as long.
How Long Until HIFU Results Are Visible?
Approximately 20% of the results can be seen immediately after the treatment, as the skin begins to contract from the focused thermal energy—typically between 60°C and 70°C—without harming the outer skin layer. Full results from HIFU Macrofocus appear within 2–3 months, once new collagen is fully formed.
How Long Do HIFU Results Last?
HIFU results usually last 5–6 months and can extend up to 1 year. This depends on the patient’s pain tolerance and post-treatment care.
Ulthera vs. HIFU Macrofocus
What’s the difference between Ulthera and HIFU Macrofocus?
Ulthera SPT and Ulthera Prime are original devices that deliver twice the energy of HIFU Macrofocus, so results last twice as long. However, the procedure is also twice as painful. If there is no pain during an Ulthera session, it often indicates one of two possibilities:
- The doctor used low energy
- Local anesthesia was injected, which may interfere with the ultrasound’s accuracy due to density differences between anesthetic fluid and skin tissue
What Is Buffet Promotion in Bangkok HIFU Clinic?
Promotions such as “Unlimited HIFU – Only 3,999 THB” are commonly seen online. In reality, however, HIFU cartridges have a usage limit based on line count (e.g. 20,000 lines per cartridge) after which the cartridge must be replaced.
Because of this cost structure, genuine high-quality HIFU cannot be delivered at extremely low prices. Clinics offering “HIFU buffet” deals often use low-grade machines that produce inconsistent energy output.
As a result, patients may experience minimal improvement, shorter-lasting results, or side effects.
How Many Types of HIFU Machines Are There?
There are many grades of HIFU machines. Ulthera SPT is considered the highest standard in HIFU technology. Next is Ultraformer III, widely regarded as the best alternative to Ulthera. It delivers macro-focused ultrasound, maintains consistent energy output, and has the fastest pulse repetition rate—making the treatment less painful while still allowing high energy levels for effective results. Other machines include Exilis, Smazlift, and several lower-grade HIFU devices, which may differ in energy stability and overall efficacy.
Because machine quality directly affects results, patients should always research the brand used in any promotion. This ensures the treatment is truly worth the price and helps avoid disappointment.
Is HIFU treatment Worth It?
HIFU Macrofocus is ideal for individuals with mild facial lines who prefer not to use fillers. It is relatively affordable, can be performed regularly, and works well in combination with other aesthetic treatments.
For patients concerned about pain, a numbing cream is applied before the procedure to help minimize discomfort. There is no downtime or visible bruising, allowing most patients to resume normal activities immediately.
Side effects are minimal. Mild redness may occur but typically fades within 1 to 2 hours.
For those experiencing skin laxity, reduced firmness, or looking to enhance facial contours and jawline definition, HIFU offers an effective, non-invasive, and cost-efficient solution.
HIFU Promotions at V Square Clinic
At V Square Clinic, HIFU Bangkok Clinic, we offer both Ultraformer III and Ultraformer MPT machines. Pricing starts at around ฿10,000–15,000 for 400 lines. We also offer Ulthera SPT and Ulthera Prime for deeper lifting. You’re welcome to come in for a free consultation with a doctor before deciding.
Interested in HIFU at V Square Clinic?
Click to view our latest promotions.
Pre- & Post-HIFU Care Instructions
Before HIFU:
- Get enough sleep
- Avoid smoking and alcohol
- Eat a balanced diet (helps collagen production)
After HIFU, avoid:
- Direct sun exposure for 1–2 weeks
- Harsh facial rubbing or massage
- Smoking or alcohol (both interfere with collagen production)
You may:
- Use regular skincare, especially sunscreen with high SPF
- Take mild painkillers for tightness or soreness
HIFU Frequently Asked Questions
1. What treatments can be combined with HIFU?
You don’t need to choose just one method. HIFU can be combined with Botox, fillers, threads, and mesofat injections to maximize results.
2. Can I get HIFU after thread lifting?
Yes, but only under the supervision of a doctor to ensure proper treatment sequence and safety.
3. Can I massage my face after HIFU?
Avoid steam, sauna, and facial massage—especially with heat or pressure—for the first 2 weeks.
4. Can I drink alcohol after HIFU?
Avoid alcohol and smoking for at least 2 weeks, as both interfere with collagen production.
5. Can I exercise after HIFU treatment?
Light exercise is fine, but avoid intense workouts, sweating, or wiping the face too roughly in the first few days.
6. Will 100 HIFU lines give results?
It depends on the treatment area and severity. For minor issues, 100 lines can help with under-eye wrinkles.
7. Can pregnant women get HIFU?
No, HIFU isn’t recommended during pregnancy.
Summary – HIFU for Skin Lifting and Rejuvenation
HIFU treatment is a powerful non-surgical option for lifting the face and reducing wrinkles. It boosts collagen, smooths the skin, and delivers visible results from the first session, without downtime.
If you’re looking for a safe, trusted Bangkok HIFU clinic, V Square Clinic uses only certified HIFU technologies and offers one-on-one consultations to create the most suitable treatment plan for your needs. Feel free to reach out or send us a photo for a free assessment.
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