Doctor’s Advice: What is Focused Ultrasound? Dr. Saetawut Lertlukpreecha explains how to lift and tighten your skin — no surgery required.
- Dr. Saetawut Lertlukpreecha
- May 26
- 2 min read

Let’s fully understand Focused Ultrasound together.
Hello, I’m Dr. Saetawut Lertlukpreecha.
Many of you may have heard the term “HIFU” or High Intensity Focused Ultrasound,
but still wonder what it really is, who it’s suitable for, and why it’s so popular today.
What is High Intensity Focused Ultrasound?
High Intensity Focused Ultrasound is a technology that uses focused ultrasound energy to deliver heat deep beneath the skin —
non-invasively and without downtime.
The goal is to tighten the skin, stimulate collagen production, and reshape the face, working directly at the SMAS layer (Superficial Musculoaponeurotic System), which is the same layer targeted during surgical facelifts.
There are various HIFU machines on the market, such as Ulthera, Liftera, Ultraformer, and more. Each brand differs in precision and energy stability, which is a crucial factor in delivering effective results and minimizing risks,
such as fibrosis under the skin or surface burns from excessive heat.
How It Works
Ultrasound waves are delivered deep into the skin without damaging the surface layer
The focal point is very small (similar to a grain of rice), creating tiny thermal spots in the SMAS layer
These points stimulate natural collagen production, tightening the skin gradually within 2–4 weeks
No wounds, no downtime — you can resume normal activities immediately
Who Is It Suitable For?
Individuals experiencing mild sagging, jowls, or poor jawline definition
Those looking to lift and tighten without surgery
People wanting to stimulate collagen and firm their skin
Especially beneficial for those over 30, or younger individuals starting to notice changes in facial contours
ตำแหน่งที่สามารถทำได้
Area | Results |
Cheeks | Lifts sagging, creates a slimmer face |
Jawline | Defines jawline, reduces jowls |
Under the chin | Reduces double chin |
Eye area | Lifts outer corners, reduces drooping |
Forehead | Lifts brows naturally without Botox |
Neck | Firms loose skin |
Hands & feet | Reduces wrinkles on hands and feet |
Results and Treatment Frequency
Initial results (5–10%) visible immediately
Full results develop over 2–4 weeks
Lasts 6–12 months, depending on skin condition and age
Recommended 1–2 times per year for continuous collagen stimulation
Things to Know Before Treatment
A physician’s evaluation is essential to determine the right energy level
Avoid cheap or uncertified machines, which may deliver uneven or shallow energy
Choose a clinic with authentic equipment, and ensure the procedure is performed by a licensed physician
What Does It Feel Like?
You may feel a warm sensation or a slight sharp pinch beneath the skin (depending on energy level)
Some redness or minor swelling may appear but should subside within 1–2 days
No wounds or downtime required
Doctor’s Recommendation
“Focused Ultrasound doesn’t add anything into your skin — it uses energy to stimulate your skin to heal itself from within. If done at the right points with the right technique, it can lift your skin without ever needing a scalpel.”
Summary
Focused Ultrasound is a safe, non-invasive facial lifting option with no downtime.
It’s ideal for those who want skin tightening without pain or surgery.
However, results depend heavily on the doctor’s technique and the quality of the device used.
Choose carefully — and you’ll enjoy beautiful, natural-looking results safely.