Is Sofwave better? Or is Ulthera better?

Hello. I'm Dr. Cho Young-min.

Acquaintances quite often ask me about lifting by phone or KakaoTalk, and

there is probably one question that all dermatologists hear.

“Doctor, is Sofwave better? Or is Ulthera better?”

Honestly, every time I hear this question, I always think the same thing to myself.

“I’d have to see your skin to know...”

Shall we take a somewhat similar example?

At an orthopedic clinic,

“My knee hurts. Should we skip the MRI and just go straight to surgery?”

hardly anyone says that.

Strangely, though, many people try to choose the device first when it comes to lifting.

Actually, the order is the reverse.

Not choosing a device first, but looking at the skin and then choosing a device.

I think that is what matters most.


Both use ultrasound, so why are they different?

As I mentioned in the previous post,

Both Sofwave and Ulthera use ultrasound.

But the way they use ultrasound is different.

Sofwave uses several parallel ultrasound beams to

form a Thermal Column in the dermis.

Ulthera, on the other hand, uses focused ultrasound (MFU-V) to create tiny thermal coagulation points (TCP) at the desired depth.

In the end, both are devices that deliver heat to the skin, but

the way they create heat is different, and the results differ slightly too.


So what is the difference?

Let me summarize it a little more simply.

SofwaveUlthera
Energy usedParallel ultrasoundFocused ultrasound (MFU-V)
Main treatment layerMid-dermisSMAS (1.5TD treats the dermis)
Heat delivery methodThermal ColumnTiny thermal coagulation points (TCP)
StrengthsSkin elasticity, skin texture, fine linesLifting, contour improvement
In one lineFirming the skinFirming the face

Of course, real skin is far more complicated than this.

But if you are understanding this for the first time, remembering just this much is enough.


“So is Ulthera 1.5TD the same as Sofwave?”

That’s a good question.

If you have followed this far, you have studied quite a lot.

In fact, Ulthera also has a 1.5TD tip.

So,

“Both treat the dermis, so aren’t they the same?”

you might think.

But there are differences here too.

Ulthera 1.5TD is a method of creating small thermal coagulation points one by one with focused ultrasound, while

Sofwave is a method in which parallel ultrasound overlaps at a set depth to form a thermal column.

In other words,

they look at the same dermis, but they talk to the tissue in different ways.

That is why even those who have actually had the treatment

say it feels different,

and they often describe the point at which they feel the effect a little differently, too.


So how do I choose?

Patients may find this a little surprising.

In the exam room,

“I should sell Ulthera today.”

I have never thought that way.

Conversely,

“I should do a lot of Sofwave today.”

I don’t think like that, either.

First, I look at the skin.

whether sagging is the bigger concern,

whether loss of firmness is the bigger concern,

whether the skin is thin,

whether there is a lot of fat,

I check at which layer the aging began.

Then the skin tells you the answer.

That is when I choose the device.

I think this is the right order.


Not choosing one of the two,

Why we use them together

In fact, I often use both devices together.

That is because I think of them not as competing devices,

but as devices that make up for each other’s shortcomings.

supplementing the elasticity of the dermis,

and also improve sagging in the deeper layers,

the result is more natural,

and satisfaction often rises as well.

So what matters is

not which device is the best,

but which combination suits my skin best.


New devices keep coming out.

But skin does not follow trends.

So, rather than the name of the device,

I think understanding the skin first is far more important.

Good lifting

is not something an expensive device creates.

It begins the moment you choose the device that suits your skin.

Cheongdam ANZ Dermatology ClinicCheongdam ANZ Dermatology Clinic, always caring with sincerity♥pf.kakao.com

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