Lifting Ultherapy PRIME®

SHURINK UNIVERSE and Ultherapy PRIME®, what's the difference?

Both are HIFU Lifting, but Ultherapy PRIME® uses real-time imaging to visualize the SMAS layer during treatment, typically lasting around 1 year, while SHURINK UNIVERSE builds effects through repeated sessions at 3-6 month intervals.

SHURINK UNIVERSE vs. Ultherapy PRIME®: What’s the Difference Between These Ultrasound Treatments?

Both procedures use high-intensity focused ultrasound (HIFU) to create thermal coagulation points in the skin to induce lifting, but the key difference is whether the treatment is performed 'while visualizing.' Ultherapy PRIME® uses real-time ultrasound imaging (DeepSee) to view the skin cross-section and deliver energy at the required depth among 1.5, 3.0, and 4.5 mm, whereas SHURINK UNIVERSE delivers energy at a fixed depth without imaging.

Skin thickness and the depth of the SMAS layer vary from person to person and even by area within the same face. When the procedure is performed while visualizing the tissue structure with imaging, you can see with your own eyes whether the energy reaches the target layer accurately and whether areas with nerves or blood vessels are avoided, resulting in differences in precision and safety.

In addition, there are differences in energy output characteristics and the intensity of heat delivered per shot. Generally, Ultherapy PRIME® delivers strong energy to precise locations with fewer shots, while SHURINK UNIVERSE delivers relatively gentle energy divided into multiple shots.


Do SHURINK UNIVERSE and Ultherapy PRIME® Differ in Depth of Reach (SMAS Layer) and Precision?

The reach depth itself is not significantly different—both devices use 1.5 mm, 3.0 mm, and 4.5 mm cartridges covering from the upper dermis to the SMAS layer—but the ability to verify whether the energy 'actually reaches the exact depth' differs. Ultherapy PRIME® uses real-time imaging on the treatment screen to check the skin layer structure, transducer contact, and target layer before delivering energy, which can reduce energy being dispersed into empty space (gaps between the skin and the transducer) or into unintended layers.

In particular, the Ultherapy PRIME® generation has a deeper imaging observation range than before, allowing visualization of tissue up to about 8 mm, making it easier to perform customized treatment by layer even on thin skin or areas with little fat. Consequently, even for the same SMAS layer treatment, the ability to 'aim while visualizing' is the core of the precision difference.


Which Is Less Painful and More Affordable?

Generally, SHURINK UNIVERSE involves less pain and lower cost, while Ultherapy PRIME® involves relatively more pain and higher cost, but each session tends to be more intensive. Ultherapy PRIME® delivers strong energy per shot, which may cause a dull ache in deeper layers, and due to its genuine consumables and equipment characteristics, the treatment cost tends to be higher.

CategorySHURINK UNIVERSEUltherapy PRIME®
PainRelatively mildDull ache in deep layers, relatively strong
Cost rangeRelatively lowRelatively high
Recommended scheduleMultiple sessionsIntensive treatment approximately once a year

Since the price is determined by the treatment area, number of shots, cartridge type, and whether it is genuine certified, it is more reasonable to consider "energy per shot and effect per session" together rather than simply comparing total cost. Pain can be largely managed with topical anesthesia and energy adjustment, and results vary by individual.


How Do the Results and Duration Compare?

Generally, Ultherapy PRIME® has a relatively longer perceived lifting effect and duration from a single session, while SHURINK UNIVERSE follows a pattern of building effects through multiple repeated sessions. Ultherapy creates coagulation points in the SMAS layer with strong energy, and collagen regenerates over 2 to 3 months, with the effect gradually increasing, and it is generally known to last around one year.

SHURINK UNIVERSE, since the energy is relatively gentle, is often maintained with repeated sessions at 3 to 6 month intervals. In either case, the degree and duration of effect vary greatly by individual depending on age, degree of sagging, and lifestyle habits, so it is important to design a schedule tailored to your skin condition rather than guaranteeing a specific duration.


Which concerns does each device suit?

If sagging is pronounced and you want to establish a clear lifting axis in one session, Ultherapy PRIME® is suitable. If sagging is mild and the goal is regular maintenance and prevention, a repetitive HIFU like SHURINK UNIVERSE is appropriate. Mild loss of elasticity in the early 20s to 30s can be managed with gentle repeated treatments, but if jawline or deep midface sagging has progressed, high-energy treatments that allow precise targeting are considered first.

Heal House has Ultherapy PRIME® with real-time ultrasound imaging guidance, and depending on skin thickness and sagging pattern, it is also possible to design a combination with lifting devices of different principles such as Thermage® FLX, Alltite, and Soprano Titanium. Since the appropriate method and number of shots for your skin depend on a diagnosis, it is recommended to proceed through a consultation with a specialist.


References

Kang Hyunjin

Board-Certified Dermatologist · Konkuk University Branch

Through meticulous consultation and continuous research, I will find the most suitable treatment for each patient.