Mind Dermatology at Hongik University Station: Ulthera, Thermage — sedation is not always the right choice

Tightening/Lifting
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July 20, 2026
AI Translated

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Mind Dermatology, changing the essence of skin with care

〈Personalized care from a dermatologist with 17 years' experience〉

After accurately diagnosing the skin condition,

from skin diseases to anti-aging, pigmentary issues, and acne,

we propose treatments tailored to each patient's concerns.

〈Proven premium devices and a variety of procedures〉

Ulthera Premium, Thermage FLX,

Onda, Soprano Titanium, Sofwave, Potenza, and others

based on a range of premium devices,

we perform procedures suited to the skin condition and treatment goals.

〈Care that considers the patient experience〉

From thorough consultation to careful procedures and post-care,

we provide a comfortable clinical environment,

and for foreign patients,

we also offer Chinese interpretation services.

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Hello.

Improving the essence of skin with care,

Medical Director of Mind Dermatology,

I am Hongseon Lee, a dermatologist with 17 years' experience.

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When conducting lifting consultations, there is one question I hear very often.

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"I've heard Ulthera and Thermage are so painful...

Can't I just have sedation?"

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The effects of lifting procedures are well known,

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and because there are many reports about pain, I fully understand the concern.

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Many people hesitate to undergo procedures because they are afraid of pain.

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However, from the perspective of a board-certified dermatologist,general anesthesia that simply puts the patient to sleep is often not the best choice.

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Today I'll explain in detail why the pain from Ulthera and Thermage differs,

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and why receiving treatment while awake can be safer and more effective.

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1. The type of pain differs by procedure:

Ulthera vs Thermage

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Ulthera and Thermage deliver energy to the skin in completely different ways and target different layers.

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Therefore the sensations and types of pain felt are distinctly different.

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  • Ulthera (high-intensity focused ultrasound - HIFU)

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Ulthera passes through the skin surface and delivers energy to the deep layer of the skin located beneath,the 'SMAS' layer,and targets that area.

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So rather than a burning sensation on the skin surface,

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you may feel a heavy, resonant pressure around the inner face near the bone or near the gums.

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Especially when passing near the cheekbones or jawbone, you may experience a dull, aching, or cold sensitivity.

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  • Thermage (radiofrequency - RF)

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By contrast, Thermage targets the skin surface and the dermis rather than deep structures, delivering radiofrequency thermal energy.

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You won't have the bone-resonant feeling like with Ulthera, but concentrated hot thermal sensations are delivered to the skin.

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As shots accumulate, heat builds across the skin and you may feel increasing warmth or burning.

Mangwon-dong Dermatology Clinic

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2. Why you should receive treatment while awake and communicating

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Many patients request sedation for comfort, but

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real-time communication between doctor and patient during the procedure is one of the most important safety mechanisms.​

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Patient-reported sensations such as heat or pain are key indicators that allow immediate assessment of the skin condition during treatment.

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Mangwon-dong Dermatology Clinic

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  • During Thermage treatment:If the patient feels the area is too hot, the practitioner can immediately adjust the energy to prevent burns caused by overheating.

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  • During Ulthera treatment:If excessive discomfort is felt in a specific area, it serves as a reference to fine-tune the probe position, angle, or direction.

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Under sedation, patients cannot respond to pain,

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so it becomes relatively more difficult to detect the risk of potential burns or other adverse effects.

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3. How to reduce pain and receive treatment comfortably without anesthesia

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So how can you manage pain and undergo treatment safely without sedation?

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At Mind Dermatology, we control pain through the capabilities of the devices and the practitioner's skill.

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  • Ulthera: use of real-time ultrasound monitoring

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The Ulthera device has a monitor that shows structures beneath the skin in real time.

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When the practitioner watches this screen and accurately delivers energy to the target fascial layer,

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it can significantly reduce unnecessary pain caused by missing the target.

Mangwon-dong Dermatology Clinic

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  • Perfect contact of the Thermage tip

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The key to Thermage pain reduction is the tip's built-in cooling system.

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At the moment the shot is delivered, it cools the skin to neutralize heat-related pain,

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and for this function to work properly the tip must be fully in contact with the face's curved surfaces.

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In addition to using genuine tips,

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the practitioner's skilled technique in carefully adjusting pressure so the tip does not lift plays an important role in pain reduction and burn prevention.

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When choosing a clinic,I hope you won't rely solely onthe promotional phrase 'painless sedation'.

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Carefully observing the patient's subtle reactions during the procedure and

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Because the process of delivering energy safely at the appropriate depth and angle every moment is far more important.

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Comfort is good, but in lifting procedures the top priority should always be"safety".

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I will treat you with sincerity.

Chief Physician, Mind Dermatology

Dr. Hongseon Lee.

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Mangwon-dong Dermatology


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<Mind Dermatology Treatment Philosophy>

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Mind Dermatology treatment philosophy: Changing the essence of skin with care

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< Recommended readings >

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Thermage at the dermatology clinic near Mapo-gu Office Station: What is more important than pain?

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📢 Notice

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AlwaysMind DermatologyThank you sincerely to

all who trust and visit us.

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Mind Dermatology does not simply

improve the skin,

but accurately assesses the current skin condition

and discusses treatment directions suitable for the patient.

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Due to a recent increase in consultations and appointment inquiries,

schedules are filling up quickly.

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If you make an appointment before visiting,

we can provide a smoother consultation.

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P.S.

Thank you for reading this post to the end.

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If you say, "I saw your blog!",

we will take note during consultation.

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마인드피부과의원

Mind Dermatology Clinic

3rd Floor, KT Plaza Building, 3 Yanghwa-ro 18-gil, Mapo-gu, Seoul

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This post was prepared in compliance with Article 56, Paragraph 1 of the Medical Service Act.

All medical procedures may yield different results depending on the individual's condition. Please consult with medical staff before making any decisions.

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