Why HIFU isn’t one-size-fits-all, and what that means for you
From the jawline to the delicate skin around the eyes, different concerns call for different treatment depths and settings, explains Dr Gerard Ee of The Clifford Clinic
High-intensity focused ultrasound (HIFU) is an alternative to invasive surgery for addressing skin concerns like fine lines, sagging skin and a less defined jawline. Dr Gerard Ee, medical director and co-founder of The Clifford Clinic, explains that HIFU works by using focused ultrasound energy directed beneath the skin, creating heat that contracts collagen fibers and triggers the body's natural repair mechanisms.
The treatment approach can be customized based on individual needs and desired outcomes, with adjustments made to the depth of ultrasound energy delivery, targeted areas and overall coverage. Factors such as skin thickness, facial volume, degree of sagging, areas requiring support and prior aesthetic procedures influence the selection of the appropriate treatment approach.
Tightan 2, one such HIFU technology, delivers energy at three different depths (1.5mm, 3mm and 4.5mm) to target varying tissue layers and address specific concerns. During the procedure, patients may experience tingling or a deeper aching sensation, which can be managed with numbing cream if needed. Treatment depth and the number of ultrasound shots play a crucial role in ensuring adequate coverage and optimal results.
While HIFU can improve skin firmness and contour, particularly for mild to moderate skin laxity, it may not deliver significant results for more severe sagging or deep tissue support. HIFU is not a weight-loss treatment and is suitable for areas such as the cheeks, jawline, under the chin and, in some cases, the abdomen, upper arms and inner thighs.
However, patients should be aware of potential temporary side effects like redness, swelling, tenderness, bruising or changes in sensation. HIFU improvements generally occur gradually over several months, and not all patients will notice substantial changes. During consultations, patients should be informed about the expected outcomes, limitations, risks and alternative treatments to make an informed decision.
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