Ultherapy vs Thermage vs Shurink which face lifting treatment works...

When deciding between Ultherapy, Thermage, and Shurink, the "best" treatment depends entirely on your specific aging concerns: Ultherapy is superior for structural lifting of sagging skin (jowls/brows), Thermage is the gold standard for tightening loose skin and improving texture, and Shurink is a cost-effective Korean alternative best suited for maintenance or younger patients preventing early aging.

The short answer: Choose Ultherapy if you need deep lifting of the jawline and brow; choose Thermage FLX if you have crepey skin or need collagen tightening; and choose Shurink Universe if you are on a budget (under $300) and want a quick "V-line" refresh.

Understanding the "Big Three" of Non-Surgical Lifting

South Korea, specifically the Gangnam district in Seoul, is the global epicenter of non-invasive aesthetic treatments. In 2026, the market is dominated by three energy-based devices. While they are often grouped together as "lifting lasers," they function very differently.

To make an informed decision, you must understand the underlying technology. Ultherapy and Shurink utilize HIFU (High-Intensity Focused Ultrasound), while Thermage utilizes Monopolar Radiofrequency (RF).

The Mechanism of Action

1. HIFU (Ultherapy & Shurink): Imagine a magnifying glass focusing sunlight to burn a hole in a leaf. HIFU works similarly by focusing ultrasound energy deep into the skin to create thermal coagulation points. This stimulates the SMAS layer (the layer surgeons pull during a facelift) to contract and lift.
2. Radiofrequency (Thermage): This is a "bulk heating" method. It sends heat volumetrically through the dermis. It doesn't focus on a single point but heats a column of tissue to stimulate collagen remodeling. It acts like "shrink wrapping" your skin.

If you are traveling to Seoul for these treatments, you are likely looking at significant savings. A 600-shot Ultherapy session in New York or London can cost upwards of $4,500 USD. In Seoul, the same genuine treatment averages $1,200 to $1,800 USD, depending on the clinic's luxury tier.

Ultherapy: The Heavy Lifter

Ultherapy remains the only FDA-cleared non-invasive procedure specifically for lifting the skin on the neck, chin, and brow. It is the gold standard for a reason.

How It Works

Ultherapy uses ultrasound imaging (DeepSEE technology) which allows the doctor to see the layers of tissue they are treating. This visualization is crucial because it ensures the energy is delivered exactly to the SMAS layer, which sits approximately 4.5mm beneath the surface.

Who Is It For?

Ultherapy is best for individuals with:

• Undefined jawlines or jowls.
• Heavy or drooping eyelids (brow lift).
• "Turkey neck" or double chin issues.
• More fat in the lower face (HIFU can help melt small amounts of fat).

The Pain Factor

Ultherapy is notorious for being painful. It feels like a deep, electrical ache or a "zinging" sensation near the bone. In Korea, most premium clinics offer sleeping anesthesia (sedation) for an additional fee, usually between ₩100,000 ($75) and ₩200,000 ($150). If you opt for topical numbing cream only, expect a pain level of 7/10.

Cost Analysis in Korea

• 300 Shots: ₩800,000 - ₩1,200,000 ($600 - $900)
• 400 Shots: ₩1,100,000 - ₩1,500,000 ($825 - $1,125)
• 600 Shots (Full Face & Neck): ₩1,600,000 - ₩2,200,000 ($1,200 - $1,650)

For a detailed look at where to go, read our guide on best Korean skin clinics in Gangnam 2026.

Thermage FLX: The Skin Tightener

While Ultherapy lifts the structure, Thermage works on the texture and tightness of the skin itself. The latest generation, Thermage FLX, is faster and more comfortable than previous versions (CPT).

How It Works

Thermage FLX uses radiofrequency energy to heat the deeper, collagen-rich layers of the skin while the tip vibrates and cools the surface to protect it. This heating causes immediate collagen contraction (instant tightening) and stimulates new collagen production over the next 2 to 6 months.

Who Is It For?

Thermage is ideal for:

• "Crepey" or thin skin.
• Fine lines and enlarged pores.
• Faces that look "deflated" rather than heavy.
• Individuals with less facial fat (Thermage does not melt fat like Ultherapy might).

The Pain Factor

Thermage is generally considered "hot" rather than painful. The FLX system has a multi-directional vibration that distracts the brain from the heat signals. Most patients rate it a 5/10 with numbing cream. Sedation is less common for Thermage than for Ultherapy but is available at major medical tourism hubs in Sinsa-dong and Apgujeong.

Cost Analysis in Korea

Thermage tips are expensive consumables, so prices are higher than Ultherapy.

• 600 Shots (Standard Face): ₩1,800,000 - ₩2,500,000 ($1,350 - $1,875)
• 900 Shots (Face & Neck): ₩2,600,000 - ₩3,500,000 ($1,950 - $2,600)
• Eye Thermage (separate tip): ₩1,200,000 ($900)

Shurink Universe: The Budget-Friendly Challenger

Shurink (specifically the 2nd generation, Shurink Universe) is a domestic Korean device often called "Korean Ultherapy." It utilizes the same HIFU technology but is manufactured locally by Classys, making the consumables significantly cheaper.

How It Works

Like Ultherapy, Shurink delivers ultrasound energy to the SMAS layer. However, Shurink Universe offers two modes: "Ultra" (dots, like standard HIFU) and "Booster" (circular lines). This allows for faster treatment times and better coverage of curved areas like the jawline.

Who Is It For?

Shurink is perfect for:

• Younger patients (20s and 30s) looking for preventative anti-aging.
• Maintenance between Ultherapy sessions.
• Those on a budget who want facial contouring (V-line).
• Travelers with limited time (procedures take 20 minutes).

The Pros and Cons vs. Ultherapy

The main drawback of Shurink is longevity. While Ultherapy results last 12-18 months after a single session, Shurink usually requires a protocol of 3 sessions spaced 4 weeks apart to achieve a similar result, and the peak effect lasts about 4-6 months.

Cost Analysis in Korea

Prices for Shurink are incredibly competitive due to the volume of clinics in Seoul.

• 300 Shots: ₩100,000 - ₩200,000 ($75 - $150)
• 400 Shots (Universe Mode): ₩250,000 - ₩350,000 ($185 - $260)

If you are exploring budget-friendly beauty, you might also be interested in other quick aesthetic fixes. Check out our guide on anti-aging treatments in Korea.

Comparative Analysis: Side-by-Side

To help you visualize the differences, here is a direct comparison of the three treatments based on typical experiences in Seoul clinics as of early 2026.

Pain Management and Recovery

One major advantage of getting these treatments in Korea is the pain management culture.

• Numbing Cream: Applied for 30-45 minutes (standard included).
• Dental Block: Some doctors inject lidocaine into the gums to numb the jawline nerves (highly recommended for Ultherapy).
• IV Sedation: Known as "sleep anesthesia" (Propofol or Midazolam). You wake up when it's over. Requires fasting for 4-6 hours prior.

Recovery is generally minimal. You might look slightly swollen (like you ate a salty meal) for 2-3 days after Ultherapy. Thermage usually leaves you "date ready" immediately. Shurink may cause minor soreness in the jaw but no visible downtime.

The "Ulthermage" Combination: The Ultimate K-Beauty Secret

In Korea, the concept of "Dualism" applies to beauty as well. Why choose one when you can have both? The most popular premium package for international travelers is "Ulthermage"—a combination of Ultherapy and Thermage performed in the same session.

Why Combine Them?

By combining them, you target all layers of the skin. Ultherapy lifts the deep foundation (SMAS), while Thermage tightens the collagen matrix on top. This creates a synergistic effect that is far superior to doing either alone.

Savings Data: A combined treatment like this in Los Angeles or Sydney would typically cost between $5,500 and $7,000. In Seoul, the price ranges from $1,800 to $2,800 depending on the clinic. That is a savings of over 50%, which more than covers your round-trip flight.

For more on luxury beauty experiences, read about best in-clinic facial treatments for busy travelers.

Step-by-Step Guide: What to Expect at a Korean Clinic

Navigating a Korean dermatology clinic can be intimidating if you don't speak the language. However, most clinics in Gangnam, Sinsa, and Apgujeong have dedicated English coordinators. Here is the typical flow.

Booking Tips

• Reservations: Essential. Popular clinics are booked 2-3 weeks out.
• Communication: Most use WhatsApp or KakaoTalk for bookings.
• Tax Refund: Bring your passport! You are eligible for a VAT refund (approx. 7-8% back) at the airport for cosmetic procedures.
• Factory vs. Private: "Factory" clinics (like Muse, Toxnfill, PPEUM) are cheaper and efficient but less personalized. Private clinics (like Larangue, Rejuvar) cost 30-40% more but offer doctor consultations and private rooms.

Location Guide: Where to Go

The highest concentration of clinics is in the Gangnam-gu district. Specifically:

1. Gangnam Station (Exit 10 & 11): High volume, "factory" style clinics. Lowest prices. Best for Shurink and Botox.
2. Sinsa-dong (Garosu-gil): Mid-range to high-end. Trendy aesthetics. Good mix of price and service.
3. Cheongdam-dong & Apgujeong: Ultra-luxury. Celebrity dermatologists. Highest prices but best privacy and customized design.

Safety and Medical Disclaimer

While non-invasive, these are medical procedures.

• Side Effects: Temporary welts, redness, numbness, and rare cases of nerve injury (temporary facial asymmetry) if the doctor hits a nerve during Ultherapy.
• Fat Loss: There is a myth that Ultherapy causes fat loss. While rare, it can happen if the technician treats too shallowly or treats areas with little fat (like hollow cheeks). An experienced doctor knows to avoid these "danger zones."

If you have a medical emergency in Korea, dial 119 for ambulance services. For medical consultation in English, dial 1339.

Making the Final Decision

Your choice should ultimately come down to your age, skin condition, and budget.

• Scenario A: You are 45+, have noticeable jowls, and want a non-surgical facelift.
  • Winner: Ultherapy (400-600 shots).
• Scenario B: You are 35+, feel your skin is getting loose/thin, and want to "pre-juvenate."
  • Winner: Thermage FLX (600 shots).
• Scenario C: You are 28, want a sharper V-line for photos, and have a budget of $300.
  • Winner: Shurink Universe (300-400 shots).

If you are recovering from these treatments and want to enjoy Seoul without strenuous activity, consider visiting some relaxing spots. Our guide on best cafes in Seoul offers great places to sit and heal. Or, if you want to understand the cost of living context, read our cost of living comparison.

Frequently Asked Questions

Choosing the right face lifting treatment in Korea can be the highlight of your medical tourism trip. Whether you opt for the heavy lifting of Ultherapy, the tightening of Thermage, or the quick fix of Shurink, you are accessing world-class technology at a fraction of the global cost. Just remember to verify your clinic, check the authenticity of the tips, and allow yourself a day of rest to recover. Safe travels and happy lifting!