When considering non-surgical approaches for skin tightening, Thermage and Ultherapy are two procedures frequently discussed. Both are non-invasive treatments available in Singapore that use different technologies to stimulate collagen and improve skin firmness.
With their distinct methods and treatment depths, how do you decide which is more appropriate for your goals? This guide outlines how each works, what they target, and the factors that may influence your choice.
What Is Thermage?
Thermage is a non-invasive cosmetic procedure that tightens and rejuvenates the skin. It works by using controlled radiofrequency (RF) energy to stimulate collagen production in the skin's deeper layers. The treatment addresses sagging skin, wrinkles, fine lines and skin laxity, providing gradual, long-lasting tightening and contouring effects without surgery or injections.
Thermage can help rejuvenate the skin in various areas, including:
- Face and Neck: Tightening sagging facial skin, loose jaws, smoothing facial lines, and improving jowls. It can also address under-eye bags, hooding, wrinkles and tired-looking eyes for a youthful appearance.
- Eyes: Reduces hooding, fine lines and wrinkles around the eyes for a refreshed look.
- Body Areas: Abdomen (stomach), arms, thighs, legs, buttocks and knees to improve skin laxity, smooth bulging skin, and temporarily improve cellulite appearance.
How Does Thermage Work?
Thermage works by delivering controlled radiofrequency (RF) energy deep into the skin and underlying tissue. The heat causes existing collagen fibres to contract and stimulates new collagen growth over time.
During the treatment, the device's applicator tip makes contact with your skin, sending pulses of RF energy while simultaneously cooling the surface to protect it and minimise discomfort. This process gradually smooths wrinkles, tones skin, and improves texture. Results typically develop over two to six months and can last for one to two years, depending on individual factors.
What Is Ultherapy?
Ultherapy is a non-invasive cosmetic procedure that uses focused ultrasound energy to lift, tighten and rejuvenate the skin by stimulating collagen and elastin production in targeted areas. It is primarily used to address skin laxity, sagging, fine lines and wrinkles without surgery, providing gradual, natural-looking and long-lasting lifting and tightening effects.
Commonly treated areas with Ultherapy include:
- Face: Common treatment zones are the brow (brow lift), under the chin, jawline (jowl lift), cheeks, neck and full face for a nonsurgical facelift effect.
- Neck: Tightens the skin under the chin and on the neck.
- Chest (Décolletage): Improves loose or crepey skin and reduces wrinkles on the upper chest.
- Eyes: Addresses hooding and fine lines around the eyes.
- Body areas: Ultherapy is also used on larger and more challenging areas like the abdomen (stomach), upper arms, thighs, knees, buttocks, and sometimes hands to contour and tighten sagging skin caused by ageing, weight loss or childbirth.
How Does Ultherapy Work?
Ultherapy delivers micro-focused ultrasound energy deep into the skin at precise depths (commonly 1.5 mm, 3.0 mm and 4.5 mm) to bypass the surface layer. This focused energy heats targeted tissue underneath, stimulating the body's natural collagen and elastin production.
The procedure tightens and lifts the skin gradually over time as the new collagen remodels the skin's supportive network. Results typically appear over two to three months and can continue to improve for up to six months, lasting about a year or more.
A key feature of Ultherapy is its real-time imaging system. This enables the practitioner to see the layers of tissue being treated, ensuring that the energy is delivered accurately and tailored to the person’s facial structure.
What Are the Benefits of Thermage and Ultherapy for Skin Rejuvenation?
Both treatments stimulate collagen production, improving skin elasticity and reducing the signs of ageing. This makes them popular choices in Singapore's aesthetic clinics for non-surgical skin rejuvenation.
Thermage Benefits
- Tightens loose skin and reduces fine lines across multiple body areas
- Quick initial results, visible within weeks, with improvements continuing for up to 6 months
- Minimal downtime, ideal for busy lifestyles
- Effective for delicate areas like the eyelids, enhancing overall skin tone
Ultherapy Benefits
- Provides deep lifting for moderate to severe sagging, particularly on the face and neck
- Gradual, natural-looking results peaking at 6-12 months, lasting 12-18 months
- Minimal downtime with high precision, suitable for facial contouring
- Complements treatments for acne scars and other skin concerns.
Which Treatment Is Best for You?
When it comes to non-surgical skin tightening and lifting, Thermage and Ultherapy are two of the most popular treatments in Singapore. While both improve skin firmness and reduce visible signs of ageing, they work in different ways and target different layers of the skin. Understanding their unique benefits can help you decide which option is right for your needs.
Thermage might suit you if you:
- Want to treat larger or multiple areas (face, neck, eyes, abdomen, arms, thighs, buttocks)
- Are mainly targeting mild to moderate laxity, fine lines, crepey skin or cellulite with overall tightening
- Prefer a well-tolerated treatment with minimal downtime, as Thermage uses radiofrequency with built-in cooling for comfort
- Are happy with gradual results that build over 3–6 months and last 1–2 years
- Want a broad refresh rather than a focused “lift”
Ultherapy might suit you if you:
- Want a noticeable non-surgical lift of smaller, targeted areas such as the brow, jawline, neck, or chest
- Need deeper tissue treatment (SMAS level), similar to what is addressed in a facelift
- Can tolerate a more intense treatment sensation compared to radiofrequency
- Want visible lifting by 2–3 months, with ongoing improvement up to 6 months and results lasting 1–2 years
Not sure which treatment aligns with your goals? A personalised consultation with Dr Vanessa Phua can help you determine whether Thermage, Ultherapy or a combination of both is best for your skin. Call us at 6735 8833 to book an appointment.
Frequently Asked Questions
How much do Thermage and Ultherapy cost in Singapore?
The cost of Thermage and Ultherapy in Singapore varies depending on the clinic, the size of the treatment area and the specific technology used. Typically, Thermage sessions can range from SGD 2,000 to SGD 4,000, while Ultherapy sessions generally range from SGD 2,500 to SGD 4,500. For precise pricing, it is always best to consult with local clinics directly.
Can I undergo both Thermage and Ultherapy treatments together?
Yes. Since they act on different layers of the skin, combining them may be appropriate in some cases. Ultherapy targets deeper structures, while Thermage focuses on more superficial to mid-level layers.
Is there an age limit for Ultherapy and Thermage treatments?
There is no strict age limit. Both treatments are generally suitable for adults with mild-to-moderate skin laxity, often from their late 30s or early 40s onward. Younger adults may also use them as preventive measures, while older patients with significant sagging might consider surgical options. The best approach is always to consult a professional to assess your suitability based on your skin condition, not just your age.
Are Thermage and Ultherapy results permanent?
Results from both Thermage and Ultherapy are not permanent, as collagen naturally breaks down over time. The effects generally last around one to two years. Because these treatments stimulate gradual collagen remodelling, improvements develop over several weeks to months. Eventually, however, the results will fade as part of the natural ageing process. Periodic maintenance sessions may be suggested to help preserve the outcome.
