Key Takeaways
As skin ages, collagen and elastin, the structural proteins that keep skin firm, naturally decline. Combined with the effects of gravity over time and, in Malaysia’s case, consistent sun exposure throughout the year, this leads to the gradual loosening of skin most commonly noticed along the jawline, cheeks and neck. This is a completely normal part of ageing, not a sign of anything being wrong, though many patients simply want options to address how it makes them feel.
Traditionally, addressing significant sagging meant surgery, but non-surgical options like Ultherapy have become a genuine alternative for patients with milder to moderate concerns who are not ready for, or do not want, a surgical procedure.
| DOCTOR INSIGHT
Dr. Nigel Ong (Premier Clinic Bangsar & KL City) “Being honest with patients about what degree of sagging Ultherapy can realistically address, versus when surgery might genuinely be the better option, is one of the most important parts of the consultation. Setting that expectation properly upfront avoids disappointment later.” |

Ultherapy can be used to address mild to moderate skin laxity in areas such as the cheeks, jawline, chin and neck. The treatment area depends on where laxity is present and the degree of lifting required.
It is generally more suitable for improving skin firmness and mild to moderate laxity than significant excess skin. During a consultation, your doctor can assess the areas you are concerned about and determine whether Ultherapy can provide a meaningful improvement or whether another treatment may be more appropriate.

Unlike a surgical facelift, which involves incisions, removing excess skin and a longer recovery period, Ultherapy uses focused ultrasound energy delivered through the skin’s surface to stimulate collagen at depth, without any cutting. This means significantly less downtime, generally no need for general anaesthesia, and a lower risk profile overall, though it is also a gentler effect than what surgery can achieve for more advanced sagging.
For the right candidate, someone with mild to moderate laxity rather than significant excess skin, Ultherapy can offer a meaningfully more youthful, lifted appearance without the commitment surgery requires.
| WHAT OUR PATIENT SAID (CHERYL, 41)
“I work in a client-facing role and simply could not take two weeks off for a surgical procedure, that was never realistic for me. My sagging wasn’t severe, mostly around my jawline, so Ultherapy made sense once the doctor explained it was a good match for what I actually had going on rather than something more advanced I’d need surgery for.” |

During treatment, the doctor uses an ultrasound device to visualise the layers beneath the skin before delivering the energy, allowing precise targeting of the treatment area. Most patients describe brief moments of warmth or a tingling sensation during the session, and the full treatment typically takes around 60 to 90 minutes depending on the area covered.
Afterwards, mild redness or slight swelling is normal and usually settles within a day, allowing most patients to return to work or social activities immediately, which is often the deciding factor for people who cannot accommodate visible downtime.
| DOCTOR INSIGHT
Dr. Siti Mastura (Premier Clinic TTDI, Bangsar & Puchong) “I have patients booking their treatment over a lunch break and going straight back to the office afterwards. That’s genuinely one of the most common reasons patients choose Ultherapy over more invasive options, it fits into a normal working week.” |
Ultherapy results develop gradually rather than appearing immediately after treatment. As the skin produces new collagen, improvements in firmness and lifting may become more noticeable over the following weeks and months.
The timing and degree of improvement vary between individuals depending on factors such as skin laxity, age, treatment area and individual collagen response. Your doctor can explain what results may be realistic based on your skin during the consultation.
Ultherapy is not a universal solution for every degree of sagging. Patients with more significant excess skin, particularly around the neck, may find a surgical consultation gives a more accurate picture of what is realistically achievable for their specific concern. A proper consultation, including an honest assessment of your degree of laxity, is the only reliable way to determine which option actually suits you.
| DOCTOR INSIGHT
Dr. Kee Yong Seng (Premier Clinic TTDI, Bangsar & Puchong) “I’d rather tell a patient honestly that surgery might serve them better than oversell a non-surgical treatment that won’t meet their expectations. That honesty is what keeps patients trusting the advice they get here, even when it’s not the answer they initially came in expecting.” |
| OUR PATIENT’S EXPERIENCE (AARON, 39)
“I’d actually looked into a surgical facelift first, but I knew my parents would have a lot to say about me going under the knife at my age, they’re quite traditional that way. Finding out my sagging was mild enough for a non-surgical option like this made that whole conversation at home much easier, since I could honestly tell them it wasn’t surgery.” |
No, Ultherapy is a non-surgical treatment that uses ultrasound energy to stimulate collagen production, while a facelift is a surgical procedure involving incisions and removal of excess skin.
Ultherapy generally suits mild to moderate skin laxity. A proper consultation is needed to assess whether it, or another option, is the best fit for your specific degree of sagging.
Most patients describe brief warmth or tingling during treatment, which is generally well tolerated, though sensitivity can vary between individuals.
Most patients experience little to no downtime, with any mild redness or swelling typically settling within a day, allowing a quick return to normal activities.
For patients with more significant sagging, surgery may achieve results Ultherapy cannot. Your doctor can advise honestly on which option suits your specific situation.