Cheongdam Dermatology | Ultherapy and Thermage Pain: How Much Will It Hurt? Pain Management Methods
2026-11-13
Contents
Why Do Ultherapy and Thermage Feel Different in Terms of Pain?
Ultherapy is a procedure that combines Ultherapy and Thermage, where the two devices deliver energy in different ways. Therefore, there may be differences in the sensations or discomfort experienced during the procedure.
First, Ultherapy delivers focused ultrasound energy to the target area deep within the skin. As the energy concentrates on a specific area, thermal coagulation points are formed. During this process, stimulation is transmitted deep into the skin, which may be experienced as a heavy pulling sensation or a tingling feeling depending on the individual.
In contrast, Thermage uses radiofrequency energy to deliver heat to the skin tissue. As the energy is delivered, a warm or hot sensation may occur, and it can be felt as a momentary sting during the procedure.

Thus, Ultherapy may produce sensations due to the concentration of ultrasound energy at specific depths, while Thermage may produce different sensations due to the delivery of heat through radiofrequency energy.
However, these sensations do not manifest the same way for everyone. The actual level of pain can vary based on individual sensitivity, the treatment area, energy settings, and other factors.
What Factors Affect Pain During Ultherapy?
Even when using the same equipment, the degree of pain experienced can vary from person to person.
First, the degree of stimulation received can differ depending on the treatment area. The face has varying tissue thickness and structure in different areas, so even when applying the same energy, the sensations felt can differ.
Additionally, individual pain sensitivity, skin condition, treatment scope, and applied intensity should also be considered. Those who are generally sensitive to pain may feel more discomfort during the same procedure, and anxiety or tension about the treatment can also affect pain perception.
Thus, the pain experienced during Ultherapy can vary due to a combination of factors including the treatment area, application conditions, and individual sensitivity.
What Methods Can Reduce Pain During Ultherapy?
To manage the burden of pain felt during the procedure, several methods can be considered.
One common method is to use numbing cream or local anesthesia injections.

Using physical stimulation methods such as vibrators, pain relief medications, sedation, and ice can also be included in pain management methods.
Each method has different purposes and approaches, and not all methods are applicable to every procedure. It is essential to identify the appropriate method considering the type of procedure, individual condition, and sensitivity to pain.
Especially for sedation, it is important to consult with medical professionals to consider individual health conditions and safety before making a decision.
Why Has AMRED Developed a Diverse Pain Care System?
In procedures like Ultherapy that use different energy delivery methods, it is difficult to explain the pain experience with a single description. The sensations that may arise during the delivery of ultrasound and radiofrequency differ, and there are various methods available for pain management.
AMRED has established a system that includes various pain care methods to consider the different discomforts that may arise during procedures. This is intended to provide multiple options for pain management rather than relying on a single method, allowing for responses to discomfort that may occur during the procedure.

When deciding on a procedure, it is necessary to consider not only the principles of the equipment and expected effects but also the anticipated discomfort and pain management methods during the procedure. Since concerns about pain can influence the choice of procedure, it is also important to verify related information in advance.
AMRED's pain care system is significant in that it allows for a broad examination of these pain management methods. However, the applicability of each method may vary depending on individual health conditions and treatment plans.
Why Is Individual Pain Management Important for Ultherapy?
If you are concerned about pain during Ultherapy, it is better to confirm your expected level of pain based on your actual treatment plan rather than relying solely on others' experiences.
During the pre-treatment consultation, it is advisable to check the scope and application plan for Ultherapy and Thermage, and if you have concerns about pain or past experiences of discomfort during treatments, it is good to communicate this to the medical staff in advance. You should also verify any medications you are taking and health conditions that should be considered when deciding on pain management methods.
This consultation process helps you understand the expected discomfort and precautions, and review the pain management methods that can be applied to you.
Since Ultherapy involves considering two devices, it is important to understand the procedure itself as well as the pain management plan. Rather than expecting that there will be no pain at all, understand that there are individual differences, and consult thoroughly with the medical staff to determine the appropriate management direction for you.