SMAS Lifting
(HiFu) of Face
SMAS Lifting (HiFu) is a non‑surgical face treatment that tightens and lifts by sending focused ultrasound energy into the SMAS layer, the same layer surgeons target in a facelift. We use the Ultraformer device to treat the face and neck with precise “lines” of energy for even coverage. It suits mild to moderate skin laxity, soft jowls, and a less defined jawline, with little to no downtime. Most people need just one session, and results build over 2–3 months as new collagen forms. At Evolution Aesthetics, we offer Ultraformer Face 800 lines, Face 500 lines, Half Face 300 lines, and Neck options so your plan matches your needs.
Tighter skin, clearer jawline, and long-lasting lift without needles
Precise energy at lifting depth
Focused ultrasound reaches 3.0–4.5 mm to contract the SMAS layer for a true lifting effect.
Fewer sessions for visible change
Many people get results from one session, with an optional top‑up after 6–12 months.
No incisions or injections
Energy passes through the skin surface, so there are no cuts and no wound care.
Collagen that holds
New collagen forms over 8–12 weeks and can maintain lift for 12–18 months.
Fits busy schedules
A typical face session takes about 45–75 minutes and you can return to normal routine right after.
All seasons, all skin tones
Ultrasound is not light‑based, so it’s suitable year‑round and for every skin tone.
Before and after
1 session
1 session
1 session
1 session
Focused ultrasound reaches the SMAS layer for lift without cuts
High‑Intensity Focused Ultrasound (HIFU) concentrates sound energy into tiny focal points under the skin. Each spot briefly heats tissue to about 60–70°C, creating micro‑coagulation points that trigger immediate tissue contraction and long‑term collagen remodeling (neocollagenesis). By using cartridges set to specific depths—typically 1.5 mm (upper dermis), 3.0 mm (deep dermis), and 4.5 mm (SMAS)—the Ultraformer treats the fascia layer that surgeons tighten in a facelift, plus the collagen‑rich layers above it. Because ultrasound energy is focused beneath the surface, the epidermis remains intact while deeper structures tighten and strengthen over time. Energy is delivered in planned “lines” to map the face and neck evenly for consistent coverage and predictable lifting.Contraindications
Some conditions mean you should delay or avoid HIFU. We will assess your medical history and treatment area during consultation.
- Pregnancy or breastfeeding.
- Active skin infection, inflammation, or open wounds in the treatment area.
- Severe or cystic acne flare in the area.
- Recent dermal fillers, threads, or fat grafting in the same area (typically wait 4–8 weeks; timing depends on product and placement).
- Bleeding disorders or current use of anticoagulants (needs medical review).
- Implanted metal plates, screws, or electronic devices in the treatment zone.
- Neurological conditions that reduce heat or pain sensitivity.
- Uncontrolled thyroid disease or autoimmune connective‑tissue disease affecting face/neck.
- Active herpes simplex (cold sores) in the treatment area.
One well‑planned session with results building for 2–3 months
Most people start with a single HIFU session for the face; moderate laxity may benefit from a second session after 3–6 months. Early tightening can be felt right away, while visible lifting and contouring build gradually over 8–12 weeks as new collagen forms. Results commonly last 12–18 months, depending on age, skin quality, and lifestyle. Session time is usually 45–75 minutes for the face, 30–45 minutes for the neck, and 30–45 minutes for half‑face. At Evolution Aesthetics, we offer Ultraformer Face 800 lines (full face and jawline coverage for more laxity), Face 500 lines (balanced coverage for mild to moderate laxity or maintenance), Half Face 300 lines (mid/lower face focus), and Neck on Ultraformer (neck laxity and jaw‑neck transition). The number of “lines” refers to mapped lines of ultrasound shots that determine coverage and intensity in each zone. Before treatment: stay well‑hydrated, arrive with clean skin, and avoid strong exfoliants or retinoids for 24–48 hours. After treatment: mild redness or tenderness can occur; use gentle skincare, protect the skin with SPF, and avoid intense heat (sauna, hot yoga), vigorous facial massage, or strong treatments (peels, microneedling, laser) for 7–10 days. You can return to daily activities right away; any soreness typically settles within a few days.What goes well with SMAS Lifting (HiFu) of Face?
- RF Microneedling of FaceHiFu lifts by contracting the SMAS; RF microneedling remodels the dermis to refine pores, scars, and crepey texture. Combining them treats multiple layers for firmer, smoother skin. Schedule RF microneedling 2–4 weeks after HiFu for comfort and steady collagen gains.
- Hydrating Face Skin BoosterAfter tissue tightening, many people still want better skin quality. A hydrating booster replenishes hyaluronic acid, improves elasticity and glow, and softens fine lines that HiFu does not target. Plan 1–3 sessions starting 2 weeks post-HiFu to lock in a fresh, healthy look.
- Botulinum TherapyHiFu addresses laxity; botulinum relaxes overactive muscles that cause frown lines and crow’s feet. The combo gives lifted contours with smoother expressions. Do injections 1–2 weeks after HiFu (or 1 week before) to keep energy treatments away from fresh toxin.
- Hyaluronic Dermal Face Contouring FillersHiFu cannot restore lost volume in cheeks, midface, or temples. Strategic hyaluronic fillers replace volume and sharpen chin or jawline to match the new lift. Place fillers 2–4 weeks after HiFu so heat does not interact with recent filler; aim for subtle, balanced changes.
- LED TherapyRed and near infrared LED supports circulation and cellular activity after energy procedures. It helps calm temporary redness, reduces downtime, and may boost collagen signaling between HiFu sessions. Add quick LED visits weekly for 3–4 weeks to maintain momentum.
Our Doctors
Dr. Yulia Krasnaya
Specialist Dermatologist
Medical Director of Evolution Clinic, Specialist Dermatologist from Russia, M.D., Official Trainer for Laser Technologies. DHA License 03624607-001
Dr. Anna Protasova
Specialist Dermatologist
Specialist Dermatologist
DHA License 87435552-001
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