Treatment comparison

Ultherapy vs Thermage FLX

Ultherapy uses focused ultrasound at set depths to target sagging, especially in the cheeks and under the chin. Thermage FLX uses radiofrequency to heat the dermis, which suits fine lines and general skin laxity. Sagging tissue tends to favour Ultherapy, loose or crepey skin tends to favour Thermage, and some patients combine both.

Is Ultherapy or Thermage FLX better for sagging skin?

Side by side

Ultherapy Prime Thermage FLX
Energy Focused ultrasound Monopolar radiofrequency
Main target Deeper support layers, at 1.5, 3.0 or 4.5 mm Dermis
Best for Cheek and under-chin sagging Fine lines, overall laxity
Guidance Real-time ultrasound imaging Surface cooling and vibration
Shots at our clinic 100, 300 or 600 300, 600 or 900
Results Weeks to months Over several months

Can I have both?

Yes, they work differently, so they are sometimes combined. It is not necessary for everyone, and timing is set at consultation.

Learn more

Ultherapy Prime · Thermage FLX

Frequently asked questions

Which hurts more, Ultherapy or Thermage?

Both can be uncomfortable. Ultherapy is often described as a deep ache and Thermage as heat. Pain control is planned for you.

Which lasts longer?

It varies by person and depends on your skin and the dose. Your doctor reviews results at follow-up.

How we write comparisons

Both options are described on the same terms, using published device and product information and our doctors' clinical experience. Neither is right for everyone, and many patients combine them. Your doctor will tell you which fits your skin, budget and schedule.

Medically reviewed by the MS Longevity Clinic medical team.

General information only. Treatment choice, sessions and costs are decided at consultation, and results vary from person to person. See our medical disclaimer.