What to Expect Before, During and After a HIFU Treatment

I’ve always had chubby cheeks. My round face is the result of Italian genetics, so says my mother. When I was younger I felt my face gave the impression that the rest of me was chubby too. And it might be said that my cheeks mirror what’s to come when you see me from behind! So I was always keen to do what I could to minimise them. I was shading and shaping long before the Kardashians came along and not half as well.

These days, my cheeks seem to have slid down my face somewhat and taken up residence under my chin and around my jawline. Or so it appears to me. Needless to say they are as unwelcome there as they were under my eyes. And this is where my foray into HIFU begins. 

 

An acronym that stands for High Intensity Frequency Ultrasound, I first heard about HIFU at a school auction fundraiser. Going through the list of prizes to bid on I came across a session that could deliver a V-shaped face. Having spied one or two K-pop videos in my time cruising the electronic aisles in Giant, I had an idea what this meant. Naturally, I tended my bid. Unfortunately, my auction skills are amateur and I lost out, but the knowledge that there was a treatment in existence that could potentially sculpt my jawline stuck with me. 

Since then, when I’ve stood in front of the bathroom mirror and sucked in my cheeks, it’s got me thinking – would I actually undergo a cosmetic procedure that essentially makes the wind change? More than a few times I’ve Googled Ultherapy and Ultraformer, the terms that the procedure and technology is interchangeably known as. Not one for facials or therapies with no residual effect, I’d never done anything like this before. But since you’re on this page, and this is the website for a leading Singapore Aesthetic Clinic, I guess you know what I did. So let me tell you all about it. Maybe I can give you some insight to decide if it’s the right thing for you. 

First of all, I’ll cut to the chase and say that I’m happy with the results. They are not jaw-dropping (thankfully, really), but my jawline indeed looks and feels tighter. I still have a fold under my chin but it’s smaller than it was before and not as noticeable. And the contouring along my jawline is smoother where I had been noticing looser skin. All in all, I’m pleased with the outcome and, perhaps somewhat more importantly, the process that I underwent with Dr Lee at The Aesthetic Studio. 

Because, it’s important to realise, results are only one aspect of the HIFU procedure to consider. There are obviously a lot of aesthetic clinics in Singapore offering Ultherapy, so how do you select the right one? With the benefit of hindsight I’d say, in addition to seeking a clinic that delivers positive outcomes, it’s worth weighing the pre-procedure process and understanding how the HIFU treatment is administered.

The Consultation

Obviously I came across Dr Lee because I was invited to try out treatments and write about my findings. So I wasn’t sure if my concerns would be front and centre of our discussions or if a signature treatment might be the hero. But as we chatted I discovered that Dr Lee wasn’t interested in directing me to a particular treatment. He wanted to know how I felt about my appearance and how he could use his toolbox to help. 

As a mother who wants to empower her two daughters, I try not to get hung up on appearance. But I confessed to Dr Lee that my sagging face was getting me down. I understand that wrinkles and the like are a feature of my age but I hadn’t expected my face to disappear into my neck just yet. I was keen to give the two of them a time-out. I did go through a bit of a mind wrestle though about what kind of woman it makes me. Am I vain or a bad role model if I want to do things to my face? In the end, my desire for more confidence won out. 

Dr Lee offered a range of options that might fit the bill between skin condition, budget, longevity, risk, time, and my crisis of conscience. With much sensitivity, honesty and skill, he examined the proportions of my face and gave me a few options before I settled on progressing with the Ultraformer HIFU treatment. I liked that it wasn’t invasive yet could achieve noticeable results with improvements to be expected over time. However, he prepared me for the fact that it was not a pain-free treatment. And this is an important thing to note. In my research after our appointment, I couldn’t find a lot of information about how much discomfort to expect with this procedure, so I appreciated his candour. 

The Treatment

On the day of the HIFU procedure I rocked up to the clinic with quite a bit of excitement and an equal measure of anxiety. The nursing staff took some photos, then we waited for the numbing cream to take effect. A lifted face was only a few shocks away. Yes, shocks. 

An Ultherapy treatment consists of a series of rapid bullet like pulses of HIFU energy that penetrate the skin at multiple depths. The shocks are administered via a transducer that is moved across the skin in a pattern that follows the contours of the face from the neck up to the eye area. The process can then be repeated to target different depths. All the while, the layers of the skin being treated can be monitored accurately through the Ultraformer MPT to determine exactly where the ultrasound waves are focused, making the procedure very safe and precise. 

These shocks stimulate collagen and tighten the skin by targeting the SMAS (Superficial Musculo Aponeurotic System) layer of the face. This is the layer that surgeons pull and tighten to achieve a facelift. Which is why Ultherapy has gained such popularity – it can achieve some of what a facelift can without having to go under the knife. Hello, non-invasive beauty hack! But it did make me feel a little old to think I was about to undergo a workaround of what Jane Fonda has done (but I’m old enough to remember her work out videos so here we are). 

Dr Lee got me comfortable and talked me through the procedure as he had done at my previous consultation. Once we began the procedure I duly noted that the numbing cream didn’t do a lot to diminish the discomfort and Dr Lee was right to remind me about what I might feel. In other words, if you have a low threshold for pain, this is probably not the right procedure for you. You can certainly achieve some pleasing results, but it will take some tolerance to get there. 

If you are focused on taking action and don’t want to do anything more invasive, then prepare yourself with a coping strategy for this procedure. Mine consisted of laying on my arms and hands, wiggling my toes and counting, as the feeling oscillated between stinging, when it came to soft tissue (cheeks), and aching when it came closer to the bone (jawline). Luckily, Dr Lee’s nurses are experienced and they knew to help ease my discomfort by tapping parts of my body to distract me – a surprisingly effective technique. 

The treatment took about 45 minutes and once it was over there was no residual pain. I could feel the numbing cream again and noticed I was a bit red and mildly swollen, but nothing that would make me feel too self conscious about walking out of the clinic and bumping into people. Dr Lee talked me through how the procedure went and told me I should start to see results in a few weeks, and then continue to see them improve up to about 3 months post-procedure. That’s when results tend to hit their peak, lasting for 6 to 12 months thereafter. 

The Results

At my follow up appointment with Dr Lee we compared my before and after photos. Spoiler alert: I do not look 10 years younger. But nor do I look quite so jowl-y anymore either. I was pleased to see that the HIFU treatment had gently firmed up and tightened my lower face. We’re not talking an Angelina Jolie jawline or Keira Knightly cheekbones. Just a slightly enhanced version of me. And I’m pretty happy with that. 

If you’re interested in tightening up skin on the lower third of your face I recommend booking a consultation with Dr Lee to discuss if HIFU is the right treatment for you.

Obviously I came across Dr Lee because I was invited to try out treatments and write about my findings. So I wasn’t sure if my concerns would be front and centre of our discussions or if a signature treatment might be the hero. But as we chatted I discovered that Dr Lee wasn’t interested in directing me to a particular treatment. He wanted to know how I felt about my appearance and how he could use his toolbox to help. 

As a mother who wants to empower her two daughters, I try not to get hung up on appearance. But I confessed to Dr Lee that my sagging face was getting me down. I understand that wrinkles and the like are a feature of my age but I hadn’t expected my face to disappear into my neck just yet. I was keen to give the two of them a time-out. I did go through a bit of a mind wrestle though about what kind of woman it makes me. Am I vain or a bad role model if I want to do things to my face? In the end, my desire for more confidence won out. 

Dr Lee offered a range of options that might fit the bill between skin condition, budget, longevity, risk, time, and my crisis of conscience. With much sensitivity, honesty and skill, he examined the proportions of my face and gave me a few options before I settled on progressing with the Ultraformer HIFU treatment. I liked that it wasn’t invasive yet could achieve noticeable results with improvements to be expected over time. However, he prepared me for the fact that it was not a pain-free treatment. And this is an important thing to note. In my research after our appointment, I couldn’t find a lot of information about how much discomfort to expect with this procedure, so I appreciated his candour. 

The Treatment

On the day of the HIFU procedure I rocked up to the clinic with quite a bit of excitement and an equal measure of anxiety. The nursing staff took some photos, then we waited for the numbing cream to take effect. A lifted face was only a few shocks away. Yes, shocks. 

An Ultherapy treatment consists of a series of rapid bullet like pulses of HIFU energy that penetrate the skin at multiple depths. The shocks are administered via a transducer that is moved across the skin in a pattern that follows the contours of the face from the neck up to the eye area. The process can then be repeated to target different depths. All the while, the layers of the skin being treated can be monitored accurately through the Ultraformer MPT to determine exactly where the ultrasound waves are focused, making the procedure very safe and precise. 

Photo courtesy of The Aesthetic Studio. This is not the photo of the writer.

These shocks stimulate collagen and tighten the skin by targeting the SMAS (Superficial Musculo Aponeurotic System) layer of the face. This is the layer that surgeons pull and tighten to achieve a facelift. Which is why Ultherapy has gained such popularity – it can achieve some of what a facelift can without having to go under the knife. Hello, non-invasive beauty hack! But it did make me feel a little old to think I was about to undergo a workaround of what Jane Fonda has done (but I’m old enough to remember her work out videos so here we are). 

Dr Lee got me comfortable and talked me through the procedure as he had done at my previous consultation. Once we began the procedure I duly noted that the numbing cream didn’t do a lot to diminish the discomfort and Dr Lee was right to remind me about what I might feel. In other words, if you have a low threshold for pain, this is probably not the right procedure for you. You can certainly achieve some pleasing results, but it will take some tolerance to get there. 

If you are focused on taking action and don’t want to do anything more invasive, then prepare yourself with a coping strategy for this procedure. Mine consisted of laying on my arms and hands, wiggling my toes and counting, as the feeling oscillated between stinging, when it came to soft tissue (cheeks), and aching when it came closer to the bone (jawline). Luckily, Dr Lee’s nurses are experienced and they knew to help ease my discomfort by tapping parts of my body to distract me – a surprisingly effective technique. 

The treatment took about 45 minutes and once it was over there was no residual pain. I could feel the numbing cream again and noticed I was a bit red and mildly swollen, but nothing that would make me feel too self conscious about walking out of the clinic and bumping into people. Dr Lee talked me through how the procedure went and told me I should start to see results in a few weeks, and then continue to see them improve up to about 3 months post-procedure. That’s when results tend to hit their peak, lasting for 6 to 12 months thereafter. 

The Results

At my follow up appointment with Dr Lee we compared my before and after photos. Spoiler alert: I do not look 10 years younger. But nor do I look quite so jowl-y anymore either. I was pleased to see that the HIFU treatment had gently firmed up and tightened my lower face. We’re not talking an Angelina Jolie jawline or Keira Knightly cheekbones. Just a slightly enhanced version of me. And I’m pretty happy with that. 

If you’re interested in tightening up skin on the lower third of your face I recommend booking a consultation with Dr Lee to discuss if HIFU is the right treatment for you.

Acne

A commonly overlooked yet physically and psychologically scarring problem, acne is a long-drawn problem that commences at puberty and can drag on well into one’s 20s to 30s. Adult-onset acne is also common, commencing in one’s 20s to 30s and dragging on well beyond that. Caused mainly by accumulation of dead skin, bacterial infection and uncontrolled inflammation, acne is a rather well understood medical condition. Hormonal influences, genetic factors, and even proposed dietary influences are known to be the underlying drivers of acne in some too. Early intervention is the best solution – less acne translates to less scarring, saving you precious time and finances required in attempting to resurface those pesky scars later on.

Acne Treatments

Chemical Peels

Chemical peels consist of mild acids that, when applied to skin, promote controlled exfoliation of skin as well as inactivation of the sebaceous units responsible for breakouts.

Used as a complimentary form of treatment to existing topical therapy, chemical peels can quickly and effectively control most forms of acne.

3-5 sessions are typically required at 2 weekly intervals to bring acne under control, with subsequent sessions done every 4-6 weeks for maintenance.

Find out more about Chemical Peels

Carbon Peel

Using a specialised laser and a black carbon-based ink on the face, sebaceous glands can be targeted, bacteria killed, and mild exfoliation performed.

Sessions done at 2-4 weekly intervals can help keep acne bay while also helping to lighten any post-inflammatory pigmentation left by the acne and even reduce pore size.

 Find out more about Chemical Peels

AGNES

For the larger, stubborn and recurrent acne, the use of a highly selective probe to deliver high radio-frequency energy into the sebaceous unit effectively and permanently inactivates the gland.

This more permanent solution to acne allows for effective management of recurrent acne without having to resort to oral medication such as oral isotretinoin.

Read more about AGNES acne treatment

Medical Facials for Acne Treatment

Gentle Medical Facial 

Perfect for unclogging pores and reducing P. acne presence in the skin, our gentle medical facial includes a session of microdermabrasion, a light chemical peel and a session with the Omnilux blue LED light  – a perfect combination for comedonal acne. 

Read more about Omnilux blue LED light

Sciton Blue BBL

Harnessing the power of intense blue light, the Sciton Blue BBL therapy eliminates one of the contributing factors of acne – the bacteria, P. Acne.

Stronger than LED light, BBL effectively reduces acne while calming the state of the skin as a whole. 

Read more about Sciton Blue BBL

Optimised Acne Treatment Programmes

Acne elimination programme

Combining the benefits of lasers and acids, this customised programmes aims at eliminating existing acne, preventing further acne formation and erasing the post-inflammatory hyperpigmentation formed by acne.  Skin is also renewed, texture improved and a fresh glow attained. With minimal downtime and side effects, this combination therapy is built to reign in those outbreaks.

Treatments for Freckles and Pigmentation

At The Aesthetic Studio Clinic & Surgery, we offer a variety of options for treating pigmentary problems, eliminating brown spots and uneven pigmentation. These treatments also provide additional benefits of rejuvenating the skin, improving texture and appearance, softening wrinkles, tightening the skin, removing redness and broken blood vessels.

Treatment for Freckles and Pigmentation with Topical Treatments and Creams
Topical treatments are critical to help fade brown discolouration and prevent new areas from appearing. We use established and well studied ingredients in our skincare products, such as retinoids (prescription strength vitamin A) and retinol, hydroquinones (prescription bleach at varying strengths), kojic acid, licorice, various alpha, beta, and poly hydroxy acids, exfoliants, and melanocyte stabilising products. The Aesthetic Studio carries distinguished dermatologic product lines such as Obagi, SkinCeuticals, PCA Skin, La Roche Posay, and other products only available to clinics.

Treatment for Freckles and Pigmentation with Chemical peels
We provide superficial, medium depth and deeper peels – tailored to our patients needs, pigmentation type and recovery time requirements. Even gentle light peels help fade freckles, sun spots, age spots, and other excess pigmentation to reveal clearer, younger-looking skin.

Treatment for Freckles and Pigmentation with Cosmelan® Depigmentation masque
Cosmelan® Depigmentation masque is a painless, single session, clinic applied treatment that particularly suitable for stubborn and dense pigmentation. Cosmelan®’s synergistic ingredients effect quick, effective blending and elimination of undesirable pigment. Cosmelan® is “sun-friendly”, and works well even on darker toned Asian and Latin skin. Cosmelan® will also produce a slight initial “peel” which helps refinish the skin surface while dramatically diminishing hyperpigmentation. This is followed by a specialised home skin care program to enhance, maintain and protect the new skin.

Treatment for Freckles and Pigmentation with Spectra Laser Toning
Spectra Laser Toning is an advanced treatment protocol that provides a gentle, safe, and effective treatment for stubborn blotchy hormonal pigmentation known as melasma. Spectra treatments also help with generalised pigmentation issues, redness, pore size, unwanted hair, acne, rosacea, and gently tightens and refreshes the skin. It is a favourite as there is no downtime or healing time.

Treatment for Freckles and Pigmentation with Intense Pulsed Light (IPL) – Sciton BBL
BBL/IPL treatments are the treatment of choice for reversing the signs of sun-damaged skin. It will gently reduce excess pigmentation on sun exposed areas of the body including the face, neck, chest, hands, and arms. In addition to treating brown spots, this light source treats redness, broken blood vessels, shrinks pore size, tightens skin, and can help with acne and rosacea. Maximum benefits are achieved with a series of 2 to 3 treatments.

Treatment for Freckles and Pigmentation with Fractional CO2 Laser Skin Resurfacing
Fractional Carbon Dioxide (CO2) laser skin resurfacing treatments even out skin colouring by removing the dull, damaged, outer layer of skin; while minimising downtime. In addition to treating pigmentation, these laser treatments will also improve skin texture, redness, pore size, and wrinkles, repairing sun damaged or acne-scarred skin, and treat pre-cancerous skin lesions.

At The Aesthetic Studio Clinic & Surgery, we are dedicated to enhancing the health and appearance of your skin through innovation and clinical excellence. For a comprehensive facial assessment, call +65 6737 1100 or click here for an appointment.