Emana Medical

Skin Tightening And Resurfacing



If you’re bothered by lax skin caused by the natural process of aging, High Intensity Focused Ultrasound (HIFU) may help. HIFU concentrates beams of ultrasound onto the skin to tighten it.

Not only does this treatment strengthen the underlying tissues in your skin, it also promotes your body’s natural collagen production. This is why you’ll notice your skin will continue to improve weeks after your treatment as your skin cells repair and regenerate.

At Emana Medical, we often use HIFU to target problem areas such as forehead lines, crow’s feet, nasolabial folds, jowls, double chin, and wrinkles as well as loose skin on the neck and chest. After a single treatment, you can expect a refreshed appearance and tighter, firmer skin.

HIFU is short for High Intensity Focused Ultrasound. HIFU is a non-invasive procedure performed to lift and tighten skin on the face, neck and décolleté. The ultrasound procedure stimulates the production of new collagen and elastin deep within the skin. HIFU non-surgically lifts and tightens skin tissue with no downtime. It does so by delivering high intensity focused ultrasound (HIFU) on the lower dermal layers and fascia layers (the space between the skin and muscles). As we age, these tissue layers lose strength and elasticity, causing the skin to sag and droop.

High-Intensity focused ultrasound energy targets the lower art of the dermis layer and the fascia layer. It then heats up to 60-70 degrees Celsius and induces thermal coagulation created by thermal energy. Collagen regeneration occurs immediately over time, creating a lifting effect.

This treatment is great for:

  • Those who want to improve skin elasticity and minimize fine wrinkles.
  • Those who do not want injections to improve wrinkles and folds.
  • Those with heavy eyebrows due to a sagging forehead.
  • Those who do not want to undergo incisions or other invasive methods to achieve lifting.
  • Those who want to improve elasticity while reducing the size of pores.
  • Those who do not want to feel pain.
  • Those with deep nasolabial folds and sagging cheeks, and double chins.
  • Those who want to improve their jawline and minimize jowls.

As we age, the collagen in our skin weakens and elastin starts to break down, causing the skin to become more lax. HIFU uses focused ultrasound energy that is delivered non-invasively and heats deep tissue without affecting the surface of the skin. This causes a natural, regeneration response. Unlike other types of ultrasound, there will be a sensation of heat.

Unfortunately, no. Patients with severe or cystic acne should not have HIFU. Patients with mechanical implants, implanted electrical devices or metal stents in the face or neck are not recommended for treatment.

Lasers typically involve improving superficial layers of the skin (fine lines, wrinkles, pigment changes) working from the outside-in. HIFU works from the inside-out to lift and tighten skin non-invasively, addressing the deep skin layer and the foundational layer addressed in plastic surgery that lend support to the skin. With ultrasound, we bypass the upper layers of the skin and deliver the right amount of energy at the right depths to contract and then ultimately lift the soft tissue.

Focused ultrasound energy is delivered to the dermal layer and to the deep foundation of the skin. The heat this creates triggers the body’s natural response mechanism, which is to rejuvenate tired collagen and supplement it with fresh, new collagen.

Comfort thresholds vary from person to person. There may be a slight discomfort while the energy is being delivered, but it is brief, temporary and a signal that the collagen building process has been initiated. There are many comfort measures available to help make your experience as pleasant as possible.

You may actually return to normal activities immediately. Any flushing or redness should resolve within a few hours.

The effect may start showing as soon as the same day as the procedure, and for the next two weeks you may experience a pulling and tightening sensation, which means that collagen is regenerating and you will see a lifting effect after 1-3 months.

Temporarily, there may be a feeling of throbbing or stiffness in the deeper layer of the skin, but some people do not need anesthesia because the pain is not strong.

Each patient is different and individualized. Typically only one treatment is needed but depending on skin laxity, volume, skin quality, age, health and lifestyle, some patients may benefit from more than one treatment.

Because it is applied to the deep layer of the skin without damaging the surface of the skin, daily life such as make-up and washing after the procedure is possible.

Ultrasonic energy output speed is fast and the operation time is 15 – 20 minutes.

Since it takes 3 – 6 months for the transplanted fat to engraft, it is recommended to wait before the treatment.

It is recommended that you let the skin heal after such treatments for at least 3 months.

We recommend waiting at least one month after filler injections.

Skin may become a little red on the day of the procedure, but because it is applied to deep layers of the skin, the discomfort is tolerable if you take it at the appropriate settings.

Depending on the intensity of the procedure and the condition of your skin after 6 months after the first treatment, it may help to maintain good skin if you are treated periodically once every 6 months to once a year.

Skin Tightening And Resurfacing Services




Morpheus8 Radiofrequency Microneedling

Forma Radiofrequency Tightening

DioLite Vascular Laser Treatment

ICON IPL Photofacial

Fibroblast Plasma-Lift

ICON Fractional Laser Resurfacing


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