Ulthera, Thermage, and Titanium: The Right Treatment Order

#UltheraThermage #TitaniumLifting #TitaniumLiftingHotspot #CheongdamAnzDermatology #UltheraThermageTitaniumOrder

Hello, I'm Dr. Cho Young-min, the clinic director.

I've been so busy with treatments that by the time I get home and put the kids to bed,

I'm completely wiped out, so I haven't been able to write much lately :(

Since I have afternoon treatments lined up again today,

I'm taking a quick moment to share a few insider tips.

Since our core treatments at Anz Dermatology are

Ulthera, Thermage, and titanium,

so many patients receive all three together.

Patients who have tried Ulthera, titanium, or Thermage on their own are so impressed with the results

that they come back asking to try all of them together.

By far, the most popular treatment

is our in-house signature procedure,

T-Thermage.

To sum up T-Thermage in one sentence:

it's the ideal choice for anyone who wants the very best treatment their skin can get,

and you can think of it as the most high-end treatment available today.

Beyond T-Thermage,

the Ulthera + titanium combination is also very popular.

Ulthera makes up for the inherent limitations of titanium,

while titanium addresses the lines that Ulthera can't reach,

so the combination delivers on both results and longevity.

It's truly an excellent treatment.

So,

what's the right order if you get Ulthera, Thermage, and titanium on the same day?

Treatment room at Cheongdam ANZ Dermatology Clinic with Ulthera and Soprano Titanium devices and a treatment chair.

First up is Titanium Stack mode.

The reason is that Titanium Stack immediately tightens the tissue.

This helps reduce the chance that the 4.5 mm tip of the Ulthera treatment that follows

will fail to reach the fascia.

The deepest Ulthera tip is 4.5 mm, so if the fascia sits deeper than that,

Ulthera can't reach it and only delivers energy to the fat layer.

This is exactly that situation. The green line marks the fascia sitting deeper below,

and you can see that it isn't reached.

First, use titanium to firmly tighten the tissue,

then press the Ulthera tip firmly into the skin and fire,

the results will be far better, right? :)

That's why Ulthera comes second.

Slide from Cho Young-min's Soprano Titanium lecture on combining with HIFU: 'more immediate, more satisfying results + duration.'

As for Ulthera,

it's something Anz excels at,

so I'll let the link below explain it in detail.

Cheongdam ANZ Dermatology Clinic × Ulthera wall sign above an Ulthera device.

Third is Titanium SHR mode.

With the contours set, this step raises the dermal temperature across the entire treatment area

to ensure that every Thermage shot, from the 1st through the 600th, is effective.

This serves as a warm-up.

Finally, Thermage.

Right after the skin layer has been fully preheated and reached the collagen denaturation temperature,

we apply precious Thermage shots right away for the best possible results. (No Thermage shots wasted.)

Slide from Cho Young-min's lecture on combining with monopolar RF (collagen denaturation temperature): fewer shots used for preheating.

In practice, performing treatments in this sequence

is quite a hassle for the practitioner.

You switch from titanium to Ulthera midway through,

then go back to titanium once the Ulthera is finished,

wipe off the ultrasound gel quickly before the heat dissipates,

then apply Thermage oil and begin Thermage...

So what if it's a bit of a hassle? :)

We at Anz take pride in offering the best treatments in the world,

and patients who are happy with these results keep coming back.

My goal is to give every patient the best possible results.

Doing all three treatments makes for a very expensive session,

and at assembly-line clinics that simply use whichever device is free at the moment,

(e.g., 'The titanium is in use in the next room, so let's do Thermage first here~')

(e.g., 'Ulthera is in use in the next room, so let's get the titanium done first~')

Please don't settle for treatments that compromise results.

Instead, choose a clinic that focuses only on the best possible results for you,

where you'll receive the utmost care. We hope you experience that at Anz :)

That wraps up the treatment order for Ulthera, Thermage, and titanium.

I hope this was helpful!

A one-of-a-kind dermatology clinic

Cheongdam Anz Dermatology.

Summary

When getting Ulthera, titanium, and Thermage, the best order is:

Titanium Stack - Ulthera - Titanium SHR - Thermage

This is the best order.

Frequently Asked Questions

What's the order for Ulthera, Thermage, and titanium if I get them on the same day?

According to the article, the recommended order is Titanium Stack, Ulthera, Titanium SHR, and then Thermage. The flow is to first tighten the tissue with titanium, then proceed with Ulthera, warm up the dermis with Titanium SHR, and finish with Thermage.

Why is Titanium Stack done before Ulthera?

Doing Titanium Stack first causes the tissue to tighten immediately, which can reduce the chance that the 4.5 mm Ulthera tip will fail to reach the fascia. The article explains the background: if the fascia is deeper than 4.5 mm, Ulthera ends up acting only on the fat layer.

What are the benefits of combining Ulthera and titanium?

The author explains that the Ulthera and titanium combination covers each other's limitations, delivering both results and longevity. Ulthera compensates for titanium's limitations, while titanium addresses the lines that Ulthera can't reach.

Why is Thermage done last?

The article explains that warming up with Titanium SHR ensures that every Thermage shot, from the 1st through the 600th, is effective. Applying Thermage immediately after the skin layer has been preheated to the collagen denaturation temperature reduces wasted shots, according to the author.

Can the order be changed on the same day depending on equipment availability?

No. The author does not recommend it. Changing the order based on which device happens to be free can reduce effectiveness, so the author's position is that the order should be based on achieving the best results, even if it's more of a hassle.