Ultrasound RF: The Ultimate Combination of Ultherapy Prime and XERF Treatment

Patient’s Main Concerns

• ✔ Sagging Lower Face & Jowls — loosening of the jawline, double chin, and neck matrix
• ✔ Deepening Wrinkles — pronounced nasolabial folds (smile lines) and marionette lines
• ✔ Sun Damage & Pigmentation — accumulation of UV-induced spots and fine lines under the eyes from neglecting sunscreen during outdoor activities
• ✔ Desire for Full-Layer Tightening — needing a fundamental lifting solution that targets all skin layers simultaneously

① Area of Concern (3D Skin Analysis)

Using the MetaVue filter, Dr. Yongbae identified significant sun damage, deep pigmentation, and fine wrinkles under the eyes caused by UV exposure. Structurally, the patient exhibited a breakdown of the jawline, sagging under the chin, and prominent nasolabial/marionette folds.

② Limitation of Single-Energy Devices

While high-frequency (RF) devices like Thermage or standard ultrasound (HIFU) devices are excellent individually, a single technology cannot address all layers of aging. Men typically have thicker skin tissues and heavier fat layers, meaning that addressing only the surface or only the deep tissue leaves the overall lifting result incomplete.

③ Doctor’s Recommendation

To achieve comprehensive, all-layer skin tightening, Dr. Yongbae recommended an Ultrasound RF combination treatment using Ultherapy Prime and XERF. This advanced protocol combines high-intensity focused ultrasound (HIFU) with dual-frequency radiofrequency (RF) to target every layer of the skin—from the deep SMAS layer to the superficial dermis. By utilizing complementary Ultrasound RF technologies, the treatment delivers enhanced lifting, firmer skin, and long-lasting collagen regeneration for natural-looking rejuvenation.

[Skin Surface] ──> XERF Dual RF (Dermal Tightening & Sebum/Fat Control)
[Deep Tissue]   ──> Ultherapy Prime (SMAS Lifting)

Step 1 — Ultherapy Prime: Deep SMAS Layer Lifting

The treatment initiated with Ultherapy Prime using three customized transducers: 4.5mm, 3.0mm, and 1.5mm. For male patients with thicker skin profiles, the 4.5mm tip is essential to precisely target the deep SMAS layer. Every single shot was delivered counter-gravitationally to ensure an optimal structural lift.

Step 2 — XERF Treatment: Multi-Frequency Dermal Tightening

Following the ultrasound, the XERF treatment was applied to the double chin, jawline, and nasolabial folds. As the world’s first device to emit two distinct RF wavelengths simultaneously, XERF excels at tightening loose fat matrices and reshaping the lower face, outperforming traditional RF devices like Thermage in targeted lower-face contouring.

Step 3 — Key Protocol: Generous Gel Application

Unlike standard lifting procedures, the XERF system requires a heavily generous application of conductive gel. This ensures that the high-frequency RF energy passes into the deeper dermal layers without any thermal loss, maximizing safety and collagen contraction.

Key Treatment Principle

• ✔ Immediate Jawline Definition: Visible shrinkage of the double chin and a sharper, more defined lower face contour.
• ✔ Softening of Deep Folds: The depth of both the nasolabial folds and marionette lines decreased drastically.
• ✔ Instant Texture Refinement: The skin tone appeared brighter and more vibrant immediately post-procedure.
• ✔ Predictable Recovery: XERF has virtually zero downtime. While Ultherapy Prime can cause minor swelling in about 30% of patients for 3 to 7 days, it leaves a firm, deep lifting sensation that peaks beautifully within 3 to 5 days. The structural longevity of this combo reliably spans 6 to 9 months.

Data-Driven Customization

We do not guess. Utilizing state-of-the-art MetaVue 3D modeling, we evaluate your exact facial structure before and after to guide our energy distribution.

Unrivaled Device Expertise

Dr.Newcell is clinically recognized for its volume of treatments, ranking No.1 nationwide (South Korea) in XERF usage metrics for the early quarters of 2026.

Synergy Over Monotherapy

Combining premium high-frequency RF (XERF/Thermage) with deep-focused ultrasound (Ultherapy Prime) provides a multi-dimensional lift that a single device simply cannot replicate.