TL;DR: Ulthera uses micro-focused ultrasound (HIFU) to target the deep SMAS layer for structural lifting. Thermage uses monopolar radiofrequency for surface skin tightening. Oligio uses monopolar RF with a newer delivery system for efficient tightening. Ultraformer uses macro and micro-focused ultrasound (HIFU) as a more affordable alternative to Ulthera.
Written by Dr. Waleerat Thaweebanchongsin, board-certified aesthetic medicine specialist with over 10 years of specialized experience. VERZO CLINIC near BTS Ekkamai. Free consultations via LINE @verzo.
Last updated: April 2026
Ulthera uses micro-focused ultrasound (HIFU) to target the deep SMAS layer for structural lifting. Thermage uses monopolar radiofrequency for surface skin tightening. Oligio uses monopolar RF with a newer delivery system for efficient tightening. Ultraformer uses macro and micro-focused ultrasound (HIFU) as a more affordable alternative to Ulthera.
For deep structural lifting, Ulthera is the gold standard — it is the only non-surgical device FDA-cleared to reach the SMAS layer. For surface tightening, Thermage and Oligio excel. Ultraformer provides moderate lifting at a more accessible price point. Many patients combine Ulthera (deep lift) with Thermage (surface tightening) for comprehensive results.
Ulthera at 4.5mm depth is generally the most uncomfortable (5-7/10 pain). Thermage FLX is moderate (3-4/10) with built-in cooling. Oligio is similar to Thermage (3-4/10). Ultraformer pain varies by depth but is generally moderate (4-5/10). All devices use numbing cream and cooling for comfort.
Ulthera: 12-18 months. Thermage: 12-24 months. Oligio: 12-18 months. Ultraformer: 6-12 months. Results depend on individual aging rate, skincare, and lifestyle. Annual maintenance sessions extend results for all devices.
Ultraformer starts from approximately 19,500 THB (most accessible). Thermage ranges from 35,000-55,000 THB. Oligio ranges from 35,000-55,000 THB. Ulthera ranges from 37,000-120,000 THB depending on protocol. All prices at VERZO CLINIC are 40-60% less than Japan or Singapore.
Yes, combination protocols are common and often recommended. Popular combinations include: Ulthera + Thermage (deep lift + surface tightening), Oligio + thread lift (RF tightening + mechanical lift), and Ultraformer + Sculptra (HIFU + collagen biostimulation). Dr. Waleerat designs combination plans based on your specific concerns.
Ultraformer is an excellent entry point — it is the most affordable, has moderate discomfort, and provides a good introduction to device-based lifting. If you know you want premium results, Ulthera at lower shot counts (300 shots) lets you test the experience. Thermage is the most comfortable option.
Consider: deep sagging needs Ulthera. Surface laxity and skin texture needs Thermage or Oligio. Budget-conscious with mild concerns needs Ultraformer. Eye area specifically needs Thermage Eye. Dr. Waleerat provides a device recommendation based on your face assessment during a free consultation.