service / Ulthera
Taking into account the thin, sensitive nature of neck skin,
we manage neck lines and loss of firmness conservatively.
Why Lisoom
Ultherapy for Neck Lines is an ultrasound lifting treatment that uses the same MFU-V (Micro-Focused Ultrasound with Visualization) device as for the face, but with depth, energy and line allocation planned conservatively to suit the neck, where the dermis is thin and structures such as the thyroid, carotid arteries and trachea lie close by.
The 1.5, 3.0 and 4.5 mm transducers address everything from superficial horizontal neck lines to the level of the platysma, while direct application is avoided in the midline over the thyroid and a lateral approach is used.
The treatment is performed while checking the location of the thyroid and blood vessels with DeepSEE real-time ultrasound imaging, which helps secure a safety margin; results vary from person to person.
DESIGN PRINCIPLE
The safety margin of neck treatment relies heavily on DeepSEE real-time ultrasound imaging. Because lines are placed after the locations of structures such as the thyroid, carotid arteries and trachea have been checked on screen, this differs greatly from methods performed without visualization. We adhere to the principle of avoiding direct application of 4.5 mm in the midline area over the thyroid and treating only the platysma through a lateral approach.
The 1.5 mm transducer acts on the superficial dermis of the neck, refining shallow horizontal lines and texture. Because the dermis of the neck is thin, it tends to respond well even to superficial stimulation, but excessive intensity increases irritation, so conservative settings are used. This is the depth given greater weight for those whose horizontal lines are prominent.
The 3.0 mm transducer acts on the deep dermis of the neck, creating an environment that stimulates collagen and contributing to overall firmness. When horizontal lines have progressed together with thinning of the dermis, increasing the proportion of 3.0 mm rather than using 1.5 mm alone is more favorable for a stable result. It is often used for those whose sagging has begun at the dermal level above the platysma.
The 4.5 mm transducer acts at the level of the platysma, the SMAS-equivalent layer of the neck, to tighten sagging contours. The principle of avoiding direct application in the midline area over the thyroid and approaching laterally to treat only the platysma is the key to safety. It contributes to refining the contour under the chin and along the sides of the neck, but at this depth the number of lines is set more conservatively than for the face.
OUR PRINCIPLE
The skin of the neck is thinner than that of the face, and the anatomical structures beneath it lie close to the surface. Applying facial settings unchanged narrows the safety margin and makes results less consistent. At RESUM, Dr. Jin-Young Kim, Director, assesses the thickness of the neck skin, the location of the thyroid and the distribution of horizontal lines in a 1:1 consultation and then plans the treatment according to neck-specific principles.
Thyroid Avoidance Principle
Direct application of 4.5 mm is avoided in the midline area over the thyroid, and only the platysma is treated through a lateral approach. Line placement is decided while checking the location of the thyroid and blood vessels on screen with DeepSEE real-time imaging. Adhering to academically established avoidance principles is the starting point for the safety margin in neck treatment.
Intensity Adjusted for Thin Skin
The neck has a thin dermis and little subcutaneous fat, so applying the same intensity as for the face can easily cause excessive irritation. The energy for each transducer is adjusted conservatively, and the line spacing is set wider than for the face. The intensity is lowered, while the extent of the result is supported through the planning of line allocation.
Honest About Limitations
When horizontal neck lines are very deep or platysmal separation (platysmal bands) is prominent, full correction is difficult with Ultherapy alone. We explain honestly in the consultation when other options such as Botox, a thread lift or neck lift surgery are more suitable, and we do not tell patients that a single treatment resolves all horizontal lines.
Ultherapy gathers focused ultrasound (MFU-V) into points at depths of 1.5, 3.0 and 4.5 mm within the skin, creating thermal coagulation points (TCPs) of about 60°C or higher. It selectively delivers thermal stimulation to the dermis and the platysma level, inducing immediate tissue contraction and the regeneration of new collagen and elastin, while surrounding tissue such as the epidermis is protected. Because the skin of the neck is thin, the intensity is adjusted conservatively. Acts on the dermis and the platysma level · Forms TCPs of about 60°C or higher · Induces collagen and elastin regeneration · Conservative intensity suited to thin neck skin
What sets Ultherapy apart is DeepSEE real-time ultrasound imaging. Because energy is delivered while directly viewing the skin layers and tissue structure during the treatment, in the neck the lines can be placed after the locations of the thyroid, carotid arteries and trachea have been checked on screen. Unlike methods performed without visualization, this helps secure a safety margin. Real-time confirmation of thyroid and vessel locations · Midline over the thyroid avoided, lateral approach · Accurate energy delivery to the layer that needs it · Contributes to securing a safety margin
Compared with the face, the neck has a thinner dermis and less subcutaneous fat, and the thyroid, blood vessels and trachea lie close by. Applying facial settings unchanged can narrow the safety margin, so the plan is made conservatively with neck-specific depth, intensity and line spacing.
We adhere to the principle of avoiding direct application of 4.5 mm in the midline area over the thyroid and treating only the platysma through a lateral approach. Lines are placed while checking the location of the thyroid and blood vessels with DeepSEE real-time imaging, which helps secure a safety margin.
When horizontal lines are very deep or platysmal bands are prominent, there are limits to what Ultherapy alone can achieve. We also explain in the consultation when other options such as Botox, a thread lift or a neck lift are more suitable; results vary from person to person.
NOTICE
PROCEDURE DATA
Treatment Overview
FOR WHOM
Consider a Consultation If
05 Recommended Cases
Doctor's Note
With Neck Ultherapy, safety comes before results. Avoiding direct application of 4.5 mm in the midline over the thyroid and approaching from the sides is a principle I never compromise on. While adhering to academically established avoidance principles, I personally assess the location of the patient's thyroid, skin thickness and the distribution of horizontal lines in the 1:1 consultation before allocating the lines. When full correction is difficult with Ultherapy alone, I also explain Botox or other options honestly.
PROCEDURE FLOW
01
PHASE I
Dr. Jin-Young Kim, Director, examines the thickness of the neck skin and the state of horizontal lines and platysmal bands, and reviews your medical history, including any thyroid disease, to determine the treatment scope.
02
PHASE II
Based on the locations of the thyroid, carotid arteries and trachea, the midline avoidance boundary and the lateral approach lines are planned in advance to secure a safety margin.
03
PHASE III
While checking the thyroid and blood vessels with DeepSEE real-time imaging, lines are placed mainly on the sides at a conservative intensity suited to the thin skin of the neck.
04
PHASE IV
After soothing the neck, we explain how to manage tightness and redness, how to avoid pressure that constricts the neck, and when changes build up.
FREQUENTLY ASKED
We have compiled the questions patients ask most often before a consultation.
6F #601, 599-4 Sinsa-dong, Gangnam-gu, Seoul
(No lunch break on weekends and public holidays) *Dr. Won-Suk Kook is not available on the 1st and 3rd Saturdays of each month.
Parking Information Parking is available in the building. 1 hour of free parking
Subway 5-minute walk from Exit 3 of Apgujeong Station on Line 3 (right next to the 14-story CGV building at Exit 3)
