Which Facial Lifting Treatment is Best?
Wrinkles and sagging skin are common concerns for many individuals, particularly as they age. These issues stem from various factors, not just the natural aging process. Today, there are numerous treatments available to help lift the face and address these concerns, such as Thermage and Ulthera. These popular non-surgical facial lifting methods utilize advanced technology, eliminating the need for incisions, which means no scarring and minimal discomfort. So, which treatment should you choose? Let’s explore the differences between these two methods and find out which one is most suitable for you.
Causes of Wrinkles and Sagging Skin
The causes of wrinkles and sagging skin include Internal factors and External factors As follows
Internal factors
- Age: As we age, the body produces less collagen and elastin, causing the skin to lose its elasticity, leading to wrinkles and sagging.
- Genetics: Genetics affect our skin structure. Individuals with thin or sensitive skin are more prone to premature aging and wrinkles.
- Hormones: Female hormones like estrogen play a crucial role in maintaining skin elasticity. When estrogen levels drop, the skin loses its elasticity, resulting in wrinkles and sagging.

External Factors
- Sun Exposure: UV rays from the sun are the primary cause of premature aging. Sun exposure damages collagen and elastin in the skin.
- Pollution: Air pollution can damage skin cells and trigger free radicals, which are the causes of wrinkles and sagging skin.
- Smoking: Chemicals in cigarettes destroy collagen and elastin in the skin, causing it to lose elasticity, develop wrinkles, and sag.
- Lack of sleep: Inadequate sleep reduces the body’s collagen production, leading to dull skin, wrinkles, and sagging.
- Stress: Chronic stress triggers the release of cortisol, which contributes to the formation of wrinkles and sagging skin.
- Habits: Certain habits, such as frequent frowning or smiling, can lead to the formation of facial wrinkles.
As you can see, wrinkles and sagging skin can be caused by various factors, both internal and external. Fortunately, there are also many ways to care for and address these issues.
What are the different types of face lifting?
Today, there are numerous technologies and methods to help lift and tighten the face. These range from natural approaches, such as facial massages and skincare products, to medical procedures like thread lifting, fillers, Botox, Hifu, Ulthera, Thermage, and surgery.
Which face lifting method is best?
Here, we will highlight two methods: Thermage and Ulthera.
1. Thermage
Thermage (Thermage) is a skin tightening technology utilizing high-frequency Monopolar Radiofrequency (Monopolar RF). It penetrates deep into three skin layers (epidermis, dermis, and subcutaneous fat). The heat energy from the radio waves is delivered to the deep skin layers, causing existing collagen to contract while stimulating the production of new collagen. This helps reduce the appearance of wrinkles, tightens the facial contours, and promotes a smoother, firmer complexion. It is suitable for individuals with mild to moderate skin laxity. Additionally, this method can be applied to other areas of the body, such as the upper arms, thighs, and abdomen.
Thermage Certified for safety and standards by the FDA.
View details about the Thermage CPT service at Nititham Clinic, Phitsanulok.

2. Ulthera
Ulthera (Ulthera) is a skin lifting and wrinkle reduction technology that uses High Intensity Focused Ultrasound delivered deep into the skin layers. With real-time visualization on a monitor, doctors can clearly see the skin layers and precisely target the ultrasound energy. This stimulates the production of new collagen and elastin, helping to reduce the appearance of wrinkles, lift the skin, and promote a firmer complexion. It is suitable for individuals with all levels of skin sagging.
Ulthera Certified by FDA the United States as safe and effective.
Facial lifting: How long does it take to see results? How long do the results last?
Lifting with Thermage and Ulthera will gradually show clear results 1 – 2 months after the treatment, and the results can last for 1 – 2 years from just a single session.
In summary, both Thermage and Ulthera are facial lifting methods that provide very similar results. The difference lies in their working principles and suitability. Therefore, we cannot say which method is the absolute best. If you have to choose, consider what is most suitable for you. If you have mild wrinkles and slight skin sagging, choose Thermage. However, if you have more severe sagging issues, Ulthera is recommended. Regardless of the method you choose, you should always consult a doctor before the treatment.













