GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Lifting / Laxity · Decollete laxity

HIFU lifting evidence for Decollete laxity

C 43.7 / 100 Supported 1 RCT/meta · 5 clinical/observational · 1 case · 22 total
Early-stage evidence

This is an early evidence stage based mainly on observational studies and case reports. Use it as supplementary reference, and follow your doctor's judgment for treatment decisions.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Median year 2017 Last 5 years 23% Positive results 46% Korea/Asia 1

Known in Korea as

울핏슈링크울쎄라리프테라리프테라2바디 울쎄라울쎄라 프라임초음파 리프팅슈링크 유니버스울쎄라피 프라임

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 Combination of Calcium Hydroxylapatite Diluted With Normal Saline and Microfocused Ultrasound With Visualization for Skin Tightening. Journal of drugs in dermatology : JDD · 2020 · PMID 32272518

Abstract summary (English) Background/Objectives: Treatment options for the correction of age-related changes in skin include the use of energy-based devices and dermal fillers. In this study, we evaluate the clinical efficacy and tolerability of microfocused ultrasound with visualization (MFU-V) and injectable calcium hydroxylapatite (CaHA) filler diluted with normal saline, for the correction of age-related changes and to assess patients'...

Journal Article, Randomized Controlled Trial

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tier2 Pain, Erythema, and Edema After Facial Lifting With Ultherapy Prime or Ultherapy Legacy-A Survey Study. Journal of cosmetic dermatology · 2025 · PMID 40965929

Abstract summary (English) BACKGROUND: Micro-focused ultrasound (MFU) can be used to achieve lifting of the brow, lifting of lax submental and neck areas, improving lines and wrinkles on the décolleté, through delivery of ultrasound on tiny points at different levels of the skin. This induces a wound repair reaction, which can achieve the tension and pulling effect of deep dermis and fascia. AIMS: The objective of this study was to compare...

Journal Article, Comparative Study

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tier2 Clinical Trial Evaluating the Long-Term Efficacy of Microfocused Ultrasound With Visualization for Décolleté Rejuvenation. Journal of drugs in dermatology : JDD · 2020 · PMID 33196752

Abstract summary (English) Previous studies have demonstrated the beneficial effects of microfocused ultrasound with visualization (MFU-V) for treating chest wrinkles; however, those studies followed subjects for only 180 days. The objective of the following study was to assess the long-term effects of MFU-V for the treating chest wrinkles. Each subject was treated with 4-4.5 mm, 7-3.0 mm, and 10-1.5 mm transducers.

Clinical Trial, Journal Article

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tier2 Synergistic effect of high-intensity focused ultrasound and low-fluence Q-switched Nd:YAG laser in the treatment of the aging neck and décolletage. Lasers in medical science · 2016 · PMID 27766442

Abstract summary (English) High-intensity focused ultrasound (HIFU) is regarded as an effective skin-lifting device; however, literature regarding treatment of the aging neck and décolletage with HIFU is scarce. Our study aimed to evaluate the efficacy of combination with HIFU and low-fluence Q-switched Nd:YAG (LQSNY) laser on the aging neck and décolletage. Nineteen women were assessed.

Clinical Trial, Journal Article

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tier2 A prospective multicenter pilot study of the safety and efficacy of microfocused ultrasound with visualization for improving lines and wrinkles of the décolleté. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2015 · PMID 25705947

Abstract summary (English) BACKGROUND: A previous pilot study demonstrated microfocused ultrasound with visualization (MFU-V) to lift and tighten the décolleté produced significant and durable aesthetic improvements. OBJECTIVE: To further evaluate the safety and effectiveness of MFU-V for improving lines and wrinkles of the décolleté in a larger patient population. MATERIALS AND METHODS: Healthy women with moderate-to-severe décolleté skin...

Clinical Trial, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't

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tier2 Evaluation of microfocused ultrasound with visualization for lifting, tightening, and wrinkle reduction of the décolletage. Journal of the American Academy of Dermatology · 2013 · PMID 24054759

Abstract summary (English) BACKGROUND: Laxity and rhytides are manifestations of photodamage on the chest. OBJECTIVE: We sought to evaluate efficacy and safety of microfocused ultrasound with visualization treatment of décolletage laxity and rhytides. METHODS: In all, 24 subjects with moderate to severe rhytides, as measured by a validated 5-point photonumeric scale (Fabi/Bolton Chest Wrinkle Scale), received microfocused ultrasound with...

Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't

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tier0_review Microfocused Ultrasound With Visualization for Body Indications: A Global Expert Consensus on Best Practices for Treatment of the Abdomen and Arms. Journal of cosmetic dermatology · 2025 · PMID 40995829

Abstract summary (English) BACKGROUND: Microfocused ultrasound with visualization (MFU-V) is well established for noninvasive lifting of the face, neck, and décolleté. U.S. FDA clearance was recently granted for treatment of the abdomen and upper arms, supported by favorable safety data and emerging evidence of efficacy of its use to address skin and soft tissue laxity in body regions.

Journal Article, Consensus Statement, Review

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tier0_review Microfocused Ultrasound for Facial Photorejuvenation: A Review. Facial plastic surgery : FPS · 2016 · PMID 27248024

Abstract summary (English) Microfocused ultrasound is a unique technology to treat skin laxity of the brow, lower face, and the rhytides of the décolletage. Over the past several years, the efficacy and safety of this device has been well documented and its adoption widespread. By delivering focused acoustic energy, which is converted to heat, this device creates predictable and reproducible microcoagulative zones that initiate a concentrated...

Journal Article, Review

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tier0_review Three-Dimensional Rejuvenation of the Décolletage. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2016 · PMID 27128235

Abstract summary (English) BACKGROUND: Photodamaged skin of the chest is characterized by skin laxity, lines/wrinkles, hyperpigmentation, erythema, tactile roughness, atrophy, and telangiectasias. METHODS: A MEDLINE search was performed on combination treatments in chest rejuvenation, and the results are summarized. Practical applications for these combinations of procedures are discussed.

Journal Article, Review

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tier0_review Décolletage: Regional Approaches with Injectable Fillers. Plastic and reconstructive surgery · 2015 · PMID 26441106

Abstract summary (English) BACKGROUND: Patients increasingly request rejuvenation of the aging and photodamaged décolletage. Rhytides in this area can be addressed with injectables such as poly-L-lactic acid and hyaluronic acid products and energy-based devices, such as fractionated ablative and nonablative lasers and microfocused ultrasound with visualization. METHODS: This article will review the anatomy of the chest wall as it pertains to...

Journal Article, Review

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