SMAS lifting on the Ulthera System

СМАС лифтинг фопрос

What is Ulthera SMAS lifting? Is it true that this is a miraculous way to restore youth and restore the shape of the face oval? How safe is the procedure and how many times should it be repeated?

Patients of the clinic of aesthetic medicine and dermatology Esteva Clinic ask a lot  about the ultrasonic SMAS lifting procedure. We will try to answer most of them in this article; and if the information is not enough, you can always get detailed advice from our experts.

Let’s start with the definition of concepts. The abbreviation SMAS means the superficial system of facial muscles and aponeuroses (a special type of tendons). It is not necessary to memorize these complex terms; it is much more important to understand that the smartness and youthfulness of the face depends on their condition.

СМАС лифтинг кожа

With age, this system weakens, collagen production is reduced in it, facial features begin to sag, nasolabial folds appear, blew on the cheeks, a double chin and other signs of aging.

The evidence that exposure to the SMAS layer can restore facial tone appeared in 1975 thanks to the French researchers Mitsu and Peyronie. Initially, facelift was performed only by surgery. With the advent of ultrasonic SMAS-lifting Ulthera, the situation has changed radically. Now there is no need for surgical intervention, anesthesia and a long rehabilitation period. The face and body can gain a second wind due to the penetrating effect of a high-frequency signal deep into the skin, without violating its integrity.

СМАС лифтинг

Ulthera’s SMAS facelift is a highly effective, non-invasive method of rejuvenation widely used throughout the world. The number of patients using this technique has exceeded one million. Among them are world celebrities:

  • Gwen Stefani;
  • Jennifer Aniston;
  • Courteney Cox;
  • Christie Brinkley.

смас FDAThe developer of the device – the American company Ulthera System – has certified its technology in the FDA, the US State Department of Food and Drug Administration. This fact in itself indicates the safety of the method. The technology has been working flawlessly since 2009, which once again confirms its effectiveness and relevance.


How is the Ulthera SMAS lifting is perfomed?

Let us dwell in more detail on the features of the technology. Ulthera’s SMAS lifting is performed using a device that generates narrowly focused pulses in the ultrasonic range. This radiation penetrates under the skin to a predetermined depth in such a way as to act only on the aponeurotic layer. We emphasize that only certified original equipment and highly qualified specialists are required to perform the Ulthera procedure.

The device is equipped with special nozzles, with the help of which the depth of exposure is regulated. The power is selected individually for each patient, depending on the type of skin and its condition, the area of ​​correction.

Carrying out SMAS-lifting of Ulthera takes place in the following order:

  1. Examination and cleansing of the skin, applying special marks.
  2. Treatment of the skin in the affected area with an anesthetic (optional).
  3. The work of the emitter along the massage lines to the depth of the aponeurotic layer.
  4. Visual evaluation of the result.

The duration of the session is individual, usually about an hour. On more mature skin, the procedure will take longer, up to 90-120 minutes.

Preliminary results can be seen in the before and after photos taken directly in the clinic. However, it should be remembered that the tangible result of Ulthera’s ultrasonic lifting increases within 2-3 months, and remains stable for at least one and a half years after the procedure.

At the moment the emitter is passed in the subcutaneous layer, a point heating of the tissues occurs. As a result, the production of collagen and elastin is stimulated. In fact, the process receives a powerful impetus, internal reserves are launched, cells are updated. That is why the procedure has a long-term effect.

After SMAS-lifting Ulthera, rehabilitation is not needed. In some cases, there is short-term swelling and redness, which disappear on their own within a few hours.

What zones does the Ulthera device work with?

The need for a tightening occurs when the first signs of a decrease in skin tone and age-related changes appear.

The skin of each person loses its natural elasticity with age. This is not only due to a busy work schedule or improper nutrition. The condition of the skin is affected by hormonal balance in the body and other factors.

As a result of a decrease in the production of collagen and elastin, the skin begins to sag or become wrinkled, the face loses its clear outline, the neck and décolleté become flabby.

Ulthera SMAS lifting is used:

  • with the formation of deep folds in the nasolabial region;
  • the appearance of fleas on the cheeks;
  • drooping of the eyelids, the appearance of wrinkles on the bridge of the nose.

The same procedure is effective for eliminating the “second” chin, as well as reducing fat deposits in other areas; for tightening the forehead area; smoothing wrinkles on the neck and décolleté.

смас лифтинг зимой

Note that the procedure can be carried out both for the entire face and for a separate part of it. According to the volume of intervention, the prices for the service also change.

The effectiveness of exposure to ultrasound is very dependent on the initial state of the skin. On the dermis with mild signs of wilting, the effect will be much higher. Improves elasticity and volume, smoothes the relief, reduces wrinkles.

With severe flabbiness, and especially on thin skin with many fine wrinkles, it makes sense to consider the use of combined techniques from the rich arsenal of our clinic.

What are the advantages of the Ulthera method

Lifting on the Ulthera apparatus has been used for many years with proven effectiveness. One of the main properties of the method is safety for the patient, provided that certified equipment is used.

The obvious benefits include:

  1. There is no need for anesthesia, therefore, there is no excessive drug load on the body.
  2. The equipment provides visualization. The doctor sees the zone of influence, and its reaction to impulses.
  3. Predictable result. Your appearance remains the same as it was, only without signs of aging. In the case of a surgical facelift, facial features may change somewhat.
  4. After SMAS-lifting on the Ulthera apparatus, long-term rehabilitation is not required. A maximum of a few hours for the puffiness to subside.

It should be noted that the Ultherapy procedure is designed to eliminate the visible effects of skin aging in persons over 35 years of age. This is not a limitation, it is a statement of the fact that at such a young age the skin does not yet need such powerful effects.

Indications and contraindications for the procedure

SMAS-lifting with the Ulthera System apparatus is performed instead of operative circular facelift. It is not necessary to go under the scalpel of a plastic surgeon. The non-invasive technique is much more gentle, while giving excellent results. Only surgery is more effective, but the risks there are much higher.

The best results are achieved mainly at the age of 40-45 years, when the skin becomes more flabby, bags appear under the eyes, eyelids droop, the oval of the face begins to sag. At this stage after the procedure, the signs of rejuvenation will be obvious.

There are no contraindications for older people, however, the reaction of the body will not be so pronounced. You need to understand that the hardware technique affects the production of natural collagen. In adulthood, this process slows down significantly, and after 65 neocollagenesis does not occur at all, so the effectiveness of the procedure may differ from what is expected.

Direct contraindications are pregnancy and lactation. In addition, if there are dermatological problems in the intended area of ​​the procedure, such as:

  • rash,
  • acne,
  • irritation,
  • unhealed wounds

Ulthera SMAS facelift should be postponed until complete recovery.

The procedure is not recommended for blood clotting disorders, autoimmune diseases, the presence of electronic implants.

In any case, this or that cosmetic action must be pre-agreed and approved by the doctor.

Possible effects after the procedure

After ultrasonic lifting, some patients may experience redness, slight swelling in the affected area. This is due to the heating of the deep subcutaneous layers, the compaction of collagen. In rare cases, some soreness is possible.

All unpleasant manifestations disappear without a trace within a few hours, a maximum of a couple of days.

But the effect of lifting is revealed day by day, reaching its maximum after 3 months. According to patients, visible improvements in tone were noticeable immediately after the procedure, and persisted for at least a year, or even two years.


Despite the fact that Ulthera is well-established as a reliable and proven method of non-surgical lifting, we at Esteva Clinic use a different device – namely the Ultraformer.

Why did we choose Ultraformer?


There are a number of reasons for this.

Perhaps the main reason is the high speed of work

This significantly reduces the procedure time. Ultraformer is called the “fastest” SMAS lifting device. But the speed of work is important not only in itself, but it determines a number of the following positive characteristics of this particular method, namely, less pain and fewer adverse reactions.

In addition, Ultraformer allows you to work not only on the face. We have the opportunity to carry out non-surgical lifting not only of the face, but also of other parts of the body. In addition, in addition to tightening the skin, this allows you to achieve lipolysis in the areas of “fat traps” (second chin, areas on the inner surface of the arms and thighs, in the armpits, sides on the abdomen and back, as well as above the knees).

Our procedure video

In combination with a good evidence base of the methodology (studies were conducted in Italy, Korea, India, Poland, Germany and Australia) and the ability to perform the procedure at a more attractive cost compared to Ulthera, Esteva Clinic specialists made a choice in favor of Ultraformer.


ультраформер илиYou can read more about the advantages of this particular technique. 👉 in this article   



👉 Ultraformer ` s web page in Esteva Clinic (we have described the methodology in great detail)

The cost of the procedure

Ультразвуковой СМАС лифтинг (Ultraformer III) лица

Название процедурыЦена, грн
Лифтинг периорбитальной зоны (зона вокруг глаз)


Лифтинг бровей


Малярные мешки под глазами


Зона второго подбородка


Лифтинг щек


Лифтинг нижней трети лица (без подбородка)


Лифтинг нижней трети лица (включая подбородок)


Лифтинг лица


Лифтинг лица + шея


Лифтинг лица + шея + декольте


Лифтинг лба


Лифтинг шеи


Лифтинг декольте