HIFU Plus
HIFU Plus is a non-invasive aesthetic procedure that uses High-Intensity Focused Ultrasound (HIFU) to deliver targeted ultrasound energy to the deeper structural layers of the skin. The treatment is designed to stimulate the body’s natural collagen production and dermal remodelling process over time, addressing concerns related to skin laxity, facial contour, and skin firmness in the face, neck, and related areas.
At EHA Clinic, HIFU Plus is performed by our medical doctors and is customised based on the individual’s skin condition, treatment areas, and goals. The specific transducer depths used — including 2.0mm, 3.0mm, 4.5mm, and 6.0mm settings — allow the treatment to target different tissue layers, from the deep dermis to the SMAS (Superficial Musculoaponeurotic System), depending on each patient’s needs. Suitability is assessed at consultation.
- Pigmentation and birthmarks
- Fine lines
- Skin rejuvenation
- Tattoo removal
Non-Surgical Face Lift Singapore with HIFU
What Is a Non-Surgical Facelift?
HIFU Plus is a non-invasive aesthetic procedure that uses High-Intensity Focused Ultrasound (HIFU) to deliver targeted ultrasound energy to the deeper structural layers of the skin. The treatment is designed to stimulate the body’s natural collagen production and dermal remodelling process over time, addressing concerns related to skin laxity, facial contour, and skin firmness in the face, neck, and related areas.
At EHA Clinic, HIFU Plus is performed by our medical doctors and is customised based on the individual’s skin condition, treatment areas, and goals. The specific transducer depths used — including 2.0mm, 3.0mm, 4.5mm, and 6.0mm settings — allow the treatment to target different tissue layers, from the deep dermis to the SMAS (Superficial Musculoaponeurotic System), depending on each patient’s needs. Suitability is assessed at consultation.
- Non-invasive skin tightening
- SMAS-layer lifting
- Jawline definition
- Minimal downtime
Treatment at a Glance
Procedure Type
Non-invasive focused ultrasound treatment delivered to targeted tissue depths beneath the skin surface. Multiple transducer depth settings (2.0mm, 3.0mm, 4.5mm, 6.0mm) allow targeting of different skin and structural layers.
Expected Results
Gradual improvement in skin firmness and contour; reduction in the appearance of skin laxity; progressive improvement in jawline definition; improvement in skin texture and quality over time. Results vary with individuals.Skin rejuvenation; tightening and reduction in the appearance of pores; smoothened appearance of scars (acne, atrophic, hypertrophic, stretch marks); management of pigmentation (melasma) and vascular conditions (rosacea, diffuse redness). Results vary with individuals.
Downtime
Treatment Areas
Face (cheeks, midface, lower face), jawline, brow area, periorbital region, double chin (submental area), neck, décolletage.
Procedure Time
Approximately 30–90 minutes depending on the number and extent of treatment areas (including numbing cream application time).
What is HIFU Plus?
HIFU Plus is a non-invasive procedure that uses focused ultrasound energy to target precise tissue depths beneath the skin’s surface. Unlike surface-level skin treatments, HIFU Plus delivers energy to the deeper dermal and subdermal structures — including the SMAS (Superficial Musculoaponeurotic System), the structural foundation of the face that also forms the surgical target layer in conventional facelift procedures.
Key features of the HIFU Plus system used at EHA Clinic:
Multiple transducer depths
The device operates at 2.0mm, 3.0mm, 4.5mm, and 6.0mm depths, allowing targeted delivery to the epidermis-dermal junction, deep dermis, SMAS layer, and subcutaneous tissue depending on the treatment area and patient’s skin condition.
Precision focal zones
The ultrasound energy is focused into discrete thermal coagulation points (TCPs) at the target depth, leaving the overlying skin surface undisturbed.
Area-specific customisation
the treating doctor selects the appropriate transducer, depth, and energy settings for each zone of the face and body, based on the individual patient’s anatomy and concerns.
Suitable for all Fitzpatrick skin types
Because HIFU energy acts thermally on the tissue at depth rather than relying on chromophore targeting, it is not limited by skin pigmentation type.
How Does HIFU Plus Work?
Thermal Coagulation in the Dermal and SMAS Layer
When focused ultrasound energy is delivered to the target tissue depth, it creates discrete zones of controlled thermal injury at approximately 60–70°C. The body identifies these focal zones as areas requiring repair and initiates its natural wound-healing and collagen-remodelling response. Fibroblasts are stimulated to produce new collagen fibres, which mature progressively over the months following treatment.
This collagen remodelling process is gradual, not instantaneous. Visible changes in skin quality and firmness, where they occur, develop over 3–6 months as the new collagen matures.
Depth-Specific Treatment
| Transducer Depth | Tissue Layer Targeted | Typical Application |
|---|---|---|
|
2.0mm |
Superficial dermis |
Surface skin texture, fine lines |
|
3.0mm |
Deep dermis |
Collagen-dense layer; skin firmness and pore quality |
|
4.5mm |
SMAS layer |
Structural support of the face; jawline and midface |
|
6.0mm |
Subcutaneous tissue |
Submental (double chin) area |
The Surface Remains Undisturbed
Because the ultrasound energy is focused beneath the skin’s surface, the epidermis is not disrupted during treatment. The skin surface is bypassed entirely as the energy travels to the target depth, which accounts for the minimal downtime associated with the procedure.
Step-by-step Treatment Process
1. Consultation
The doctor assesses the patient’s skin condition, discusses concerns and goals, reviews medical history, and determines the appropriate treatment plan — including which transducer depths will be used, which areas will be treated, and the number of passes or sessions recommended.
2. Preparation
The treatment area is cleansed and an ultrasound gel is applied to help transmit the ultrasound energy into the tissue. A topical numbing cream is then applied and left on for approximately 20–30 minutes to reduce discomfort during the procedure.
3. Treatment
The doctor positions the HIFU handpiece firmly against the skin and delivers focused ultrasound pulses in systematic passes across the mapped treatment areas. On each application, the device delivers energy to the selected target depth. Patients may feel a mild tingling or transient warmth during delivery. The doctor adjusts transducer depth settings across different areas of the face and neck according to the treatment plan.
4. Post-treatment
After the procedure, a soothing gel or calming topical may be applied. The treated area may appear mildly red or slightly swollen, which typically subsides within a few hours. Post-treatment skincare and sunscreen guidance will be provided.
Step-by-step Treatment Process
1. Consultation
The doctor assesses the patient’s skin condition, discusses concerns and goals, reviews medical history, and determines the appropriate treatment plan — including which transducer depths will be used, which areas will be treated, and the number of passes or sessions recommended.
2. Preparation
The treatment area is cleansed and an ultrasound gel is applied to help transmit the ultrasound energy into the tissue. A topical numbing cream is then applied and left on for approximately 20–30 minutes to reduce discomfort during the procedure.
3. Treatment
The doctor positions the HIFU handpiece firmly against the skin and delivers focused ultrasound pulses in systematic passes across the mapped treatment areas. On each application, the device delivers energy to the selected target depth. Patients may feel a mild tingling or transient warmth during delivery. The doctor adjusts transducer depth settings across different areas of the face and neck according to the treatment plan.
4. Post-treatment
After the procedure, a soothing gel or calming topical may be applied. The treated area may appear mildly red or slightly swollen, which typically subsides within a few hours. Post-treatment skincare and sunscreen guidance will be provided.
What Can HIFU Plus Address?
HIFU Plus is suitable for application on the face, neck, and décolletage. At EHA Clinic, the treatment plan is customised based on the patient’s skin condition, concerns, and goals.
SKIN LAXITY
(FACE AND NECK)
Focused ultrasound energy at the 4.5mm SMAS depth stimulates collagen remodelling in the structural layer of the face, which may support improvements in skin firmness and definition over time.
JAWLINE AND LOWER FACE
The jawline and lower face area can be addressed using both 4.5mm (SMAS) and 3.0mm (deep dermis) transducers, targeting laxity in the jowling area and improving the definition of the lower face contour.
DOUBLE CHIN
(SUBMENTAL AREA)
The 6.0mm transducer depth allows targeting of the subcutaneous tissue in the submental region, which may address both submental laxity and volume in this area.
BROW AND
PERIORBITAL AREA
Shallower transducer settings (1.5mm or 2.0mm) are used around the delicate periorbital and brow area, where surface texture and upper lid heaviness may be addressed.
NECK LAXITY
The neck is treated using a combination of 3.0mm and 4.5mm depths depending on the area, supporting skin quality and firmness improvements in a region that tends to show early signs of laxity.
DÉCOLLETAGE
HIFU Plus may also be applied to the chest area for patients with décolletage skin quality concerns, subject to assessment at consultation.
HIFU Plus vs. Other Non-Surgical Lifting Approaches
HIFU Plus
TECHNOLOGY
Focused ultrasound energy to SMAS and deep dermis
Depth of treatment
2.0mm to 6.0mm (dermis to SMAS and subcutaneous)
Primary mechanism
Thermal coagulation → collagen remodelling
Onset of results
Gradual over 3–6 months
Downtime
Minimal (hours)
Invasiveness
Non-invasive
Sessions typically needed
1–2 sessions (varies by individual)
Suitability
Mild to moderate laxity; all skin types
Radiofrequency (RF) Skin Tightening
TECHNOLOGY
Radiofrequency energy to dermal layer
Depth of treatment
Primarily dermis
Primary mechanism
Thermal stimulation → collagen production
Onset of results
Gradual over weeks to months
Downtime
Minimal
Invasiveness
Non-invasive
Sessions typically needed
Multiple sessions
Suitability
Mild laxity; all skin types
Thread Lift
TECHNOLOGY
Absorbable sutures mechanically reposition tissue
Depth of treatment
Subcutaneous/SMAS repositioning
Primary mechanism
Mechanical lifting + collagen stimulation around sutures
Onset of results
Immediate mechanical lift + gradual improvement
Downtime
Mild swelling and bruising; 3–7 days typical
Invasiveness
Minimally invasive (needles/cannulas)
Sessions typically needed
Single session (with maintenance as needed)
Suitability
Mild to moderate laxity; assessed individually
Note: Individual results vary. The comparison above is based on the general characteristics of each treatment method and is for educational purposes. Suitability for any treatment is determined at consultation.
What Results Can You Expect
Immediately after treatment
Mild redness or temporary swelling may be present. Some patients notice their skin appearing slightly different immediately after treatment, though this may be partly related to temporary post-procedural changes.
Within 4 weeks
Initial improvements in skin quality and texture may begin to become noticeable as the skin’s healing and remodelling response progresses.
3-6 months
Continued improvement as new collagen is produced and dermal remodelling continues. Changes in skin firmness, contour, and laxity tend to develop gradually over this period.
number of sessions
Most patients are recommended to undergo 1–2 sessions initially, spaced approximately 6–12 months apart. The doctor will assess the appropriate number of sessions based on the individual’s skin condition, treatment areas, and response to the initial session.
maintenance
Periodic maintenance sessions may be recommended to sustain a, as the natural ageing process continues. Your doctor will advise on timing based on your individual response.
Results vary between individuals. The number of sessions and outcomes cannot be guaranteed and depend on factors including skin condition, age, lifestyle, and adherence to post-treatment care.
Side Effects and Risks
Common, temporary side effects
- Mild redness at the treatment site (typically resolves within a few hours)
- Temporary swelling (typically resolves within 24–48 hours)
- Mild discomfort, warmth, or tingling sensation during treatment
- Temporary sensitivity in treated areas
Less common side effects
- Temporary numbness or altered sensation in the treated area (typically transient)
- Bruising (uncommon; usually resolves within a week)
- Temporary post-inflammatory changes in skin tone
Rare but serious side effects (reported with HIFU generally)
- Burns or unintended tissue damage if device settings are not appropriate for the patient
- Prolonged numbness
- Fat atrophy if energy is inadvertently delivered to subcutaneous fat in unintended areas
- Nerve-related effects
At EHA Clinic, HIFU Plus treatments are performed by registered medical practitioners trained in the use of the specific device. Full details of potential risks and side effects will be discussed during the consultation, and informed consent will be obtained before treatment.
Who May Be Suitable for HIFU Plus?
Suitable candidates:
- Adults with mild to moderate skin laxity in the face, neck, or related areas
- Individuals seeking a non-invasive, non-injectable approach to maintaining skin firmness and contour
- Those with concerns about jawline definition, double chin laxity, or neck skin quality
- Individuals of all skin types, as focused ultrasound is not limited by Fitzpatrick skin type classification
- Patients with realistic expectations regarding the gradual and individual nature of results
HIFU Plus may NOT be suitable for individuals with:
- Pregnancy or breastfeeding
- Active skin infections, open wounds, or inflamed skin conditions in the treatment area
- Implanted electronic devices such as pacemakers or defibrillators in or near the treatment area
- Implanted metallic hardware or fillers in or near the treatment zone
- Blood-clotting disorders or current use of anticoagulant medication (without medical clearance)
- Severe or advanced skin laxity where other approaches may be more appropriate
- Active or suspected skin malignancy or undiagnosed skin lesions in the treatment area
- History of keloid or hypertrophic scarring (assessed individually)
A consultation with the doctor at EHA Clinic is required to determine if HIFU Plus is appropriate for each individual patient. The doctor will review the patient’s full medical history, current medications, and skin condition before recommending a treatment plan.
Frequently Asked Questions (FAQs)
What is HIFU Plus and how is it different from standard HIFU?
HIFU Plus is the High-Intensity Focused Ultrasound treatment protocol offered at EHA Clinic. HIFU (High-Intensity Focused Ultrasound) delivers focused ultrasound energy to precise tissue depths beneath the skin, stimulating the body’s natural collagen production and remodelling response. The specific device, transducer settings, and treatment plan used at EHA Clinic will be discussed during your consultation.
Who performs HIFU Plus treatments at EHA Clinic?
HIFU Plus treatments are performed only by registered medical practitioners who are trained in the safe use of the device, in accordance with Singapore’s SMC Guidelines on Aesthetic Practices for Doctors and the Healthcare Services Act (HCSA) regulatory framework.
Is the device used approved by the relevant regulatory authorities?
The HIFU device used at EHA Clinic meets the safety, performance, and quality standards required in Singapore. HIFU devices are regulated as medical devices. The clinic uses devices that are registered or authorised for use in Singapore under HSA’s medical device regulatory framework.
How many sessions will I need, and what results can I expect?
The number of sessions depends on the individual’s skin condition, the severity of concerns, and treatment response. Most patients are recommended to undergo 1–2 sessions initially, spaced approximately 6–12 months apart. During the consultation, the doctor will assess the skin and provide a realistic estimate of how many treatments may be appropriate and what improvements may be expected. Specific outcomes cannot be guaranteed, as results vary between individuals.
How long before I see results?
Some patients observe initial changes within a few weeks, with continued improvement over 3–6 months as new collagen is produced and dermal remodelling progresses. The degree and timeline of improvement depend on the areas treated, the individual’s skin condition, and lifestyle factors.
What are the risks, side effects, or downtime?
Common side effects include mild redness, temporary swelling, and a warm or tingling sensation during treatment, which typically resolve within hours to a day. Less common effects include temporary numbness and bruising. Rare but serious complications, including tissue damage and nerve-related effects, have been reported with HIFU devices and will be discussed in detail during consultation. Informed consent is obtained before treatment.
Is HIFU Plus painful?
A topical numbing cream is applied approximately 20–30 minutes before the procedure. During treatment, patients may feel a mild tingling or brief warmth when the ultrasound energy is delivered. Most patients describe this as tolerable. Sensation varies by individual and treatment area. The doctor can adjust settings as needed.
Is HIFU Plus suitable for all skin types?
Focused ultrasound energy is not limited by Fitzpatrick skin type classification, which means HIFU Plus can be used across all skin tones. Suitability is assessed individually at consultation, taking into account the patient’s skin condition, medical history, and treatment goals.
Can HIFU Plus be combined with other treatments?
Whether HIFU Plus may be used alongside other treatments — such as dermal fillers, Botulinum Toxin injections, or radiofrequency treatments — depends on the individual assessment and treatment plan. This will be discussed with your doctor at consultation. In some cases, combination approaches may be considered to address different aspects of the patient’s concerns.
Can you show "before & after" photos or guarantee results?
In accordance with Singapore’s MOH/HCSA advertising regulations, before-and-after photos are not displayed in public advertising materials to avoid creating misleading impressions of expected outcomes. Example images may be shared in-clinic during consultation for educational purposes only, with full clinical context. Results cannot be guaranteed, and individual outcomes will vary.
What regulatory protections do patients have?
All treatments at EHA Clinic are conducted under Singapore’s Healthcare Services Act (HCSA), HSA medical device regulation, and the SMC Guidelines on Aesthetic Practices for Doctors. These require standards for device safety, practitioner competence, non-misleading advertising, and patient informed consent. Patients have the right to receive full information before agreeing to any procedure.
How is the cost determined?
Cost depends on several factors — the treatment areas, the number of transducer passes, the sessions needed, and any concurrent treatments. A personalised cost estimate will be provided during the consultation after the doctor has assessed your skin condition and treatment goals.
Are there any contraindications?
Conditions that may make a patient unsuitable or require extra caution include: pregnancy or breastfeeding, active skin infections or open wounds in the treatment area, implanted electronic devices (e.g. pacemakers), implanted metallic hardware near the treatment zone, blood-clotting disorders or anticoagulant use, severe skin laxity requiring a different approach, and active or undiagnosed skin lesions. The doctor will review the full medical history at consultation.
What should I do before and after treatment?
Pre-treatment: Avoid excessive sun exposure in the days before treatment; discontinue certain topical agents such as retinoids or exfoliating acids as advised by the doctor; inform the clinic of your full medical history, medications, and any previous treatments.
Post-treatment: Apply sunscreen (SPF 30 or higher) daily; avoid direct sun exposure; use gentle skincare products; avoid strenuous exercise and heat exposure (e.g. saunas) for 24–48 hours; follow the doctor’s aftercare instructions closely.
Book a Consultation
HIFU Plus is suitable for a range of age groups, all genders, and all skin types. It can be customised through the selection of different transducer depths and energy settings to address concerns from skin laxity and jawline definition to double chin and neck skin quality. A consultation with the doctor at EHA Clinic is required to determine if you are a suitable candidate.
Alternatively, reach out to us for a non-obligatory consultation.
Alternatively, reach out to us for a non-obligatory consultation
Meet your EHA Clinic Doctor
Dr. Elias Tam, the Doctor Trainer
Dr. Elias Tam, with over 30 years in medicine, leads EHA Clinic, focusing on advancing technical standards in aesthetic medicine. He holds the position of Clinical Lecturer at University College London. Throughout his many years as an aesthetic doctor, Dr. Tam has held multiple hands-on training sessions and seminars, sharing his vast knowledge and expertise with aspiring doctors in the field.
Under his guidance, EHA Clinic offers a safe and comprehensive range of aesthetic treatments for the face, body, and hair; including clinically established treatments such as hair transplants, non-surgical face-lifting, body sculpting, fillers and other injectable treatments.