{"id":8693,"date":"2026-07-19T18:47:28","date_gmt":"2026-07-19T09:47:28","guid":{"rendered":"https:\/\/kojihifu.com\/english\/?p=8693"},"modified":"2026-07-19T18:47:29","modified_gmt":"2026-07-19T09:47:29","slug":"volnewmer-thermage-hifu-comparison","status":"publish","type":"post","link":"https:\/\/kojihifu.com\/english\/volnewmer-thermage-hifu-comparison\/","title":{"rendered":"Volnewmer vs Thermage vs HIFU: RF Comparison"},"content":{"rendered":"<p><script type=\"application\/ld+json\">{\"@context\": \"https:\/\/schema.org\", \"@type\": \"FAQPage\", \"mainEntity\": [{\"@type\": \"Question\", \"name\": \"Can Volnewmer and HIFU be combined in the same session?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Combining the two modalities is possible and is sometimes recommended to address both the SMAS lifting component (HIFU) and broader dermal tightening (Volnewmer). Whether this is appropriate depends on individual skin condition, the areas being treated, and the energy levels used. A consultation with a qualified practitioner is the appropriate setting to assess this.\"}}, {\"@type\": \"Question\", \"name\": \"How many sessions of Volnewmer will I need?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"For most patients, one to three sessions spaced several months apart is a reasonable protocol, with the exact number depending on the degree of laxity, the treatment area, and how the skin responds. Unlike some RF microneedling protocols that are designed as a monthly series, monopolar RF is typically not repeated until the previous session's collagen response has fully matured \u2014 which takes at least three months.\"}}, {\"@type\": \"Question\", \"name\": \"Is monopolar RF safe for darker skin tones (Fitzpatrick IV\u2013VI)?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Monopolar RF is generally considered safe across a broad range of skin tones because the energy targets tissue by electrical resistance rather than chromophore (pigment) absorption. Unlike certain laser treatments, there is no selective absorption of melanin that would increase pigmentation risk in darker skin. That said, a thorough consultation with an experienced practitioner is always advisable to assess individual suitability.\"}}, {\"@type\": \"Question\", \"name\": \"Will I see results immediately?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Some patients notice mild immediate firmness due to rapid collagen contraction from heat, but the substantive improvement \u2014 driven by new collagen synthesis \u2014 develops gradually over two to six months. Setting realistic expectations about this timeline is an important part of the pre-treatment consultation process.\"}}, {\"@type\": \"Question\", \"name\": \"How does Volnewmer differ from RF microneedling (such as Morpheus8 or Potenza)?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"RF microneedling delivers RF energy through insulated needles that penetrate the skin, combining mechanical micro-injury with thermal energy at a relatively controlled depth. Volnewmer, as a surface-electrode monopolar device, does not involve needles and delivers energy through a handpiece on the skin surface. RF microneedling is particularly effective for texture, pore size, and mild laxity in the mid-dermis, while monopolar RF targets deeper tissue volumes. Both are available at our Ichigaya clinic \u2014 Potenza RF microneedling is available from \u00a535,000 to \u00a549,800.\"}}, {\"@type\": \"Question\", \"name\": \"Is there an age below which these treatments are not recommended?\", \"acceptedAnswer\": {\"@type\": \"Answer\", \"text\": \"Non-surgical tightening treatments are generally considered appropriate for adults, typically from the late 20s onward when collagen-related changes begin to appear. However, younger patients with minimal laxity may not yet show meaningful benefit, and a practitioner may recommend preventive skincare or other interventions instead. There is no strict upper age limit, but tissue quality and quantity of collagen available for remodelling naturally declines with age, which affects the degree of response.\"}}]}<\/script><\/p>\n<h2>Volnewmer vs Thermage vs HIFU: How Monopolar RF Compares to Each Technology<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 Volnewmer vs Thermage vs HIFU: How Monopolar RF Compares to \" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_7446659_1784423047.webp\" alt=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 Volnewmer vs Thermage vs HIFU: How Monopolar RF Compares to \" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Gustavo Fring<\/figcaption><\/figure>\n<p class=\"p3\">Choosing between <strong>skin-tightening treatments<\/strong> can feel overwhelming, particularly when clinics use technical terms such as <strong>monopolar radiofrequency, focused ultrasound, volumetric heating, SMAS treatment and collagen remodelling.<\/strong><\/p>\n<p class=\"p3\">Volnewmer, Thermage FLX and HIFU are all non-surgical treatments designed to improve skin laxity. However, they do not use the same type of energy or treat tissue in exactly the same way.<\/p>\n<p class=\"p3\">Volnewmer and Thermage FLX use <span class=\"s1\"><b>monopolar radiofrequency<\/b><\/span>, commonly abbreviated as RF. They generate relatively broad heating within collagen-rich tissue through electrical resistance.<\/p>\n<p class=\"p3\">HIFU uses <span class=\"s1\"><b>high-intensity focused ultrasound<\/b><\/span>. Instead of heating a broad volume, it produces small thermal-coagulation zones at predetermined depths beneath the skin.<\/p>\n<p class=\"p4\">These differences affect:<\/p>\n<ul>\n<li>Which tissue layers are treated<\/li>\n<li>The type of tightening that may occur<\/li>\n<li>Treatment comfort<\/li>\n<li>Downtime<\/li>\n<li>Potential complications<\/li>\n<li>The time required for results to develop<\/li>\n<li>Which facial anatomy is most likely to benefit<\/li>\n<\/ul>\n<p class=\"p3\">None of these treatments is universally superior.<\/p>\n<p class=\"p3\">The most appropriate option depends on whether your primary concern is diffuse skin laxity, early jowling, reduced jawline definition, deeper tissue descent, facial fullness, volume loss or significant excess skin.<\/p>\n<p class=\"p3\">This guide provides a realistic comparison of <span class=\"s1\"><b>Volnewmer vs Thermage vs HIFU<\/b><\/span>, including how each technology works, what results you can reasonably expect, approximate costs in Tokyo and who may be a suitable candidate.<\/p>\n<h2><span class=\"s1\"><b>What You Will Learn in This Article<\/b><\/span><\/h2>\n<ul>\n<li>How monopolar radiofrequency differs from HIFU<\/li>\n<li>How Volnewmer compares with Thermage FLX<\/li>\n<li>Which tissue layers each technology affects<\/li>\n<li>What results are realistically achievable<\/li>\n<li>How painful each treatment may be<\/li>\n<li>How much downtime to expect<\/li>\n<li>How long results may last<\/li>\n<li>Approximate costs in Tokyo<\/li>\n<li>Whether RF and HIFU can be combined<\/li>\n<li>Who should consider another treatment or surgery<\/li>\n<\/ul>\n<p class=\"p5\"><b>Have a question about these treatments?<\/b><\/p>\n<p class=\"p3\">Message us on LINE or WhatsApp. Our English-speaking team usually replies on the same day.<\/p>\n<p>between skin-tightening treatments can feel overwhelming, particularly when clinics use technical terminology that is difficult to parse. If you are exploring non-surgical lifting options in Tokyo and wondering how Volnewmer, Thermage, and HIFU differ \u2014 and which might suit you best \u2014 this article is designed to give you a clear, honest answer.<\/p>\n<p>Below, you will find a thorough breakdown of how each technology works, what results are realistic, what they cost in Tokyo, and how to determine which approach suits your skin concerns and lifestyle.<\/p>\n<ul>\n<li>What Volnewmer, Thermage, and HIFU are, and the science behind each<\/li>\n<li>How monopolar radiofrequency (RF) compares to HIFU in terms of mechanism and depth of action<\/li>\n<li>What results to expect \u2014 and how long they last<\/li>\n<li>Realistic cost ranges in Tokyo for each treatment<\/li>\n<li>Who is best suited to each technology, and who should consider alternatives<\/li>\n<\/ul>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>Understanding the Core Technologies: RF vs HIFU<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 Understanding the Core Technologies: RF vs HIFU\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_7789612_1784423048.webp\" alt=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 Understanding the Core Technologies: RF vs HIFU\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Ivan Babydov<\/figcaption><\/figure>\n<h1><span class=\"s1\"><b>Understanding the Core Technologies: RF vs HIFU<\/b><\/span><\/h1>\n<p class=\"p3\">Before comparing individual devices, it is important to understand the two main energy platforms involved.<\/p>\n<p class=\"p3\">Volnewmer and Thermage use radiofrequency energy.<\/p>\n<p class=\"p3\">HIFU uses focused ultrasound.<\/p>\n<p class=\"p6\">Both technologies create controlled heat beneath the skin, but the way that heat is generated and distributed is fundamentally different.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>What Is Radiofrequency Energy?<\/b><\/span><\/h1>\n<p class=\"p3\">Radiofrequency is a form of electromagnetic energy.<\/p>\n<p class=\"p3\">When radiofrequency current passes through tissue, the tissue\u2019s electrical resistance converts part of that energy into heat. This is known as resistive or impedance-based heating.<\/p>\n<p class=\"p4\">Controlled thermal exposure can produce several biological effects:<\/p>\n<ul>\n<li>Contraction of existing collagen fibres<\/li>\n<li>Changes in collagen-fibre organisation<\/li>\n<li>Activation of a tissue-repair response<\/li>\n<li>Fibroblast activity<\/li>\n<li>Gradual collagen remodelling<\/li>\n<li>Progressive improvement in skin firmness<\/li>\n<\/ul>\n<p class=\"p3\">Clinical and histological literature supports the use of monopolar and bipolar RF for improving facial and body skin laxity. Most reported complications are mild and temporary when treatment is performed appropriately, although stronger monopolar systems still require careful technique. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35877937\/?utm_source=chatgpt.com\">PubMed<\/a><span class=\"s1\"><img alt=\"Attachment.tiff\" \/><\/span>)<\/p>\n<h2><span class=\"s1\"><b>What Does \u201cMonopolar\u201d Mean?<\/b><\/span><\/h2>\n<p class=\"p3\">In a monopolar RF system, current travels from an active treatment electrode through the patient\u2019s tissue toward a return electrode or grounding pad positioned elsewhere on the body.<\/p>\n<p class=\"p3\">This differs from bipolar RF, in which energy travels between two nearby electrodes in the treatment handpiece.<\/p>\n<p class=\"p3\">Monopolar RF can create broad heating within the dermis and underlying soft tissue.<\/p>\n<p class=\"p3\">However, it does not have one fixed treatment depth.<\/p>\n<p class=\"p4\">The distribution of heat depends on:<\/p>\n<ul>\n<li>Treatment-tip design<\/li>\n<li>Pulse duration<\/li>\n<li>Tissue impedance<\/li>\n<li>Energy level<\/li>\n<li>Surface cooling<\/li>\n<li>Contact pressure<\/li>\n<li>Treatment speed<\/li>\n<li>Number of passes<\/li>\n<li>Pulse overlap<\/li>\n<li>Local tissue thickness<\/li>\n<\/ul>\n<p class=\"p6\">It is therefore more accurate to describe monopolar RF as creating <span class=\"s1\"><b>volumetric or broad tissue heating<\/b><\/span> rather than targeting one precise millimetre depth.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>What Is HIFU?<\/b><\/span><\/h1>\n<p class=\"p5\">HIFU stands for <span class=\"s1\"><b>high-intensity focused ultrasound<\/b><\/span><span class=\"s2\">.<\/span><\/p>\n<p class=\"p3\">It uses acoustic energy that converges at small focal points beneath the surface of the skin.<\/p>\n<p class=\"p3\">At each focal point, ultrasound energy is converted into heat, producing a small thermal-coagulation zone. Tissue between these focal points is largely spared.<\/p>\n<p class=\"p4\">Depending on the device and cartridge, facial HIFU may target nominal depths such as:<\/p>\n<ul>\n<li>Approximately 1.5mm<\/li>\n<li>Approximately 2.0mm<\/li>\n<li>Approximately 3.0mm<\/li>\n<li>Approximately 4.5mm<\/li>\n<\/ul>\n<p class=\"p4\">The actual anatomical layer reached depends on:<\/p>\n<ul>\n<li>Facial region<\/li>\n<li>Tissue thickness<\/li>\n<li>Skin compression<\/li>\n<li>Cartridge design<\/li>\n<li>Transducer positioning<\/li>\n<li>Individual anatomy<\/li>\n<\/ul>\n<p class=\"p3\">A 4.5mm cartridge is often described as targeting tissue in or around the superficial musculoaponeurotic system, known as the SMAS, in suitable areas.<\/p>\n<p class=\"p3\">However, the SMAS does not sit at exactly the same depth throughout the face. A cartridge labelled 4.5mm does not guarantee that every pulse will be deposited within the SMAS in every patient.<\/p>\n<p class=\"p6\">Systematic reviews generally find that HIFU can produce meaningful but moderate improvements in facial and neck laxity, particularly in the lower face, neck and periorbital areas. Study protocols and outcome measures vary substantially, so results cannot be guaranteed. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32026164\/?utm_source=chatgpt.com\">PubMed<\/a><span class=\"s1\"><img alt=\"Attachment.tiff\" \/><\/span>)<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Does HIFU Work Like a Surgical Facelift?<\/b><\/span><\/h1>\n<p class=\"p3\">No.<\/p>\n<p class=\"p3\">HIFU may deliver energy to depths associated with the SMAS in selected areas, but it does not surgically expose, release or reposition that tissue.<\/p>\n<p class=\"p4\">A surgical facelift may involve:<\/p>\n<ul>\n<li>Incisions<\/li>\n<li>Tissue dissection<\/li>\n<li>Ligament release<\/li>\n<li>Direct SMAS manipulation<\/li>\n<li>Repositioning of soft tissue<\/li>\n<li>Removal of excess skin<\/li>\n<li>Fat repositioning<\/li>\n<li>Internal suturing<\/li>\n<\/ul>\n<p class=\"p3\">HIFU does none of these things.<\/p>\n<p class=\"p3\">It produces small thermal zones that encourage contraction and tissue remodelling.<\/p>\n<p class=\"p3\">The phrase \u201ctargets the same layer as a facelift\u201d should therefore not be interpreted as meaning that HIFU provides the same result as facelift surgery.<\/p>\n<p class=\"p6\">The improvement is usually subtler and less predictable than surgical lifting.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>What Is Volnewmer?<\/b><\/span><\/h1>\n<p class=\"p3\">Volnewmer is a non-invasive monopolar radiofrequency device developed by CLASSYS in South Korea.<\/p>\n<p class=\"p3\">It uses <span class=\"s1\"><b>6.78MHz monopolar RF energy<\/b><\/span> and is designed to heat collagen-rich tissues while protecting the surface of the skin.<\/p>\n<p class=\"p4\">According to the manufacturer, the principal technical features include:<\/p>\n<ul>\n<li>6.78MHz monopolar radiofrequency<\/li>\n<li>Impedance checking before energy delivery<\/li>\n<li>Continuous water cooling<\/li>\n<li>Multiple treatment-tip options<\/li>\n<li>Treatment of the papillary and reticular dermis<\/li>\n<li>Epidermal protection through contact cooling<\/li>\n<\/ul>\n<p class=\"p3\">The manufacturer does not describe the system as directly measuring the exact temperature of deep tissue in real time. It is more accurate to describe Volnewmer as combining impedance assessment, controlled energy delivery and continuous surface cooling. (<a href=\"https:\/\/classys.com\/product\/volnewmer\/?utm_source=chatgpt.com\">\u30af\u30e9\u30c3\u30b7\u30b9<\/a><span class=\"s1\"><img alt=\"Attachment.tiff\" \/><\/span>)<\/p>\n<h2><span class=\"s1\"><b>How Does Volnewmer Deliver Heat?<\/b><\/span><\/h2>\n<p class=\"p3\">The treatment tip is placed directly against the skin.<\/p>\n<p class=\"p3\">Radiofrequency current travels through the tissue toward a return pad. The electrical resistance of the tissue converts this energy into heat.<\/p>\n<p class=\"p3\">At the same time, the treatment tip cools the epidermis.<\/p>\n<p class=\"p3\">This is intended to allow therapeutic heating beneath the surface while reducing excessive surface discomfort and thermal injury.<\/p>\n<h2><span class=\"s1\"><b>What Can Volnewmer Treat?<\/b><\/span><\/h2>\n<p class=\"p4\">Volnewmer may be considered for:<\/p>\n<ul>\n<li>Mild to moderate facial laxity<\/li>\n<li>Early jowling<\/li>\n<li>Loss of skin firmness<\/li>\n<li>Reduced jawline definition<\/li>\n<li>Fine wrinkles<\/li>\n<li>Crepey skin<\/li>\n<li>Mild submental laxity<\/li>\n<li>Neck laxity<\/li>\n<li>Selected body areas<\/li>\n<\/ul>\n<p class=\"p3\">Volnewmer is primarily a tightening and collagen-remodelling treatment.<\/p>\n<p class=\"p4\">It does not:<\/p>\n<ul>\n<li>Replace lost facial volume<\/li>\n<li>Remove large amounts of fat<\/li>\n<li>Remove excess skin<\/li>\n<li>Surgically reposition descended tissue<\/li>\n<li>Produce the same result as a facelift<\/li>\n<\/ul>\n<h3>Is Radiofrequency (RF) Energy?<\/h3>\n<p>Radiofrequency energy is a form of electromagnetic energy that generates heat within tissue by causing charged particles (ions) to oscillate. When applied to the skin, this resistive heating raises the temperature of the dermis \u2014 the deeper structural layer of skin \u2014 and the subcutaneous tissue beneath it.<\/p>\n<p>The key biological effect is <strong>collagen remodelling<\/strong>. Heat in the range of approximately 60\u201370\u00b0C causes existing collagen fibres to contract immediately, and then triggers a wound-healing cascade over the following weeks and months, during which new collagen and elastin are synthesised. The result is gradual but progressive skin tightening.<\/p>\n<p>RF devices are categorised by how energy is delivered: <strong>monopolar<\/strong> (energy travels from one electrode through the body to a grounding pad), <strong>bipolar<\/strong> (energy passes between two closely spaced electrodes), and <strong>multipolar<\/strong> variants. Monopolar RF penetrates more deeply than bipolar RF, making it more relevant for laxity rather than superficial texture alone.<\/p>\n<h3>What Is HIFU?<\/h3>\n<p>High-intensity focused ultrasound uses precisely focused sound waves to create discrete thermal coagulation points \u2014 called <strong>HIFU lesions or focal points<\/strong> \u2014 at specific depths within the skin. The energy bypasses the surface epidermis and deposits heat at a targeted coordinate, typically reaching the superficial musculoaponeurotic system (SMAS), the fibromuscular layer that surgical face-lifts also address.<\/p>\n<p>Because HIFU targets the SMAS layer \u2014 which sits at approximately 4.5 mm depth below the surface \u2014 it can produce a lifting effect that is architecturally similar to what a surgeon achieves mechanically. However, the degree of lift achievable non-surgically is always more modest than surgical intervention.<\/p>\n<h2>What Is Volnewmer? The New Monopolar RF Contender<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 What Is Volnewmer? The New Monopolar RF Contender\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_7789649_1784423048.webp\" alt=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 What Is Volnewmer? The New Monopolar RF Contender\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Ivan Babydov<\/figcaption><\/figure>\n<p>Volnewmer is a monopolar radiofrequency device that delivers controlled thermal energy to the deep dermis and subcutaneous fat layer. It is distinguished from older monopolar RF platforms by its use of <strong>temperature-controlled real-time feedback<\/strong>, which allows the device to maintain a precise target tissue temperature throughout the treatment, rather than simply delivering a fixed energy output.<\/p>\n<p>This real-time temperature control is clinically significant. Older monopolar RF devices required operators to make manual judgements about energy settings, which introduced variability. Volnewmer&#8217;s feedback system aims to ensure that the therapeutic temperature window \u2014 warm enough to stimulate collagen but not so hot as to cause uncontrolled thermal injury \u2014 is consistently achieved across the entire treatment area.<\/p>\n<p><strong>Volnewmer<\/strong> is used primarily for facial and body skin laxity, with particular applications in the lower face, jowls, neck, abdomen, and arms. Because it works in the deep dermis and subdermal layer, it targets structural laxity rather than pigmentation or surface texture alone.<\/p>\n<p>This is a treatment available at our Ichigaya clinic \u2014 feel free to ask about it during a consultation.<\/p>\n<h2>What Is Thermage? The Established Monopolar RF Standard<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 What Is Thermage? The Established Monopolar RF Standard\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_5042622_1784423049.webp\" alt=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 What Is Thermage? The Established Monopolar RF Standard\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Lespa s\u1ed1 1 v\u1ec1 \u0111i\u1ec1u tr\u1ecb m\u1ee5n, n\u00e1m, s\u1eb9o r\u1ed7<\/figcaption><\/figure>\n<p>Thermage (Thermage FLX being the current generation) is one of the most widely recognised monopolar RF platforms globally. It has been in clinical use since the mid-2000s and has an extensive body of published literature supporting its efficacy for skin tightening.<\/p>\n<p>Thermage delivers monopolar RF energy through a vibrating handpiece tip, with cooling applied simultaneously to the skin surface. This cryogen cooling protects the epidermis while allowing deeper dermal heating \u2014 a design principle shared broadly across monopolar RF devices. The vibration also serves to reduce discomfort during treatment.<\/p>\n<p>Clinical reports indicate that a single Thermage session can produce measurable collagen contraction and gradual neocollagenesis (new collagen formation) over three to six months. Studies published in peer-reviewed dermatology literature suggest that patient satisfaction rates with monopolar RF for facial laxity typically range between 60 and 80%, with results lasting approximately one to two years depending on age, skin quality, and lifestyle factors.<\/p>\n<p>Thermage FLX introduced AccuREP technology, which attempts to calibrate energy delivery based on tissue impedance \u2014 a step toward the kind of tissue-sensing approach that Volnewmer has taken further with full real-time temperature monitoring.<\/p>\n<h2>Volnewmer vs Thermage vs HIFU: Side-by-Side Comparison<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 Volnewmer vs Thermage vs HIFU: Side-by-Side Comparison\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_7789605_1784423050.webp\" alt=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 Volnewmer vs Thermage vs HIFU: Side-by-Side Comparison\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Ivan Babydov<\/figcaption><\/figure>\n<h2><span class=\"s1\"><b>Volnewmer vs Thermage: What Is the Main Difference?<\/b><\/span><\/h2>\n<p class=\"p3\">Volnewmer and Thermage belong to the same broad category.<\/p>\n<p class=\"p3\">Both are surface-applied monopolar RF devices designed to heat collagen-rich tissue while protecting the epidermis.<\/p>\n<p class=\"p4\">The main differences involve:<\/p>\n<ul>\n<li>Treatment-tip design<\/li>\n<li>Cooling technology<\/li>\n<li>Pulse design<\/li>\n<li>Energy-delivery algorithm<\/li>\n<li>Impedance assessment<\/li>\n<li>Treatment protocols<\/li>\n<li>Device history<\/li>\n<li>Published evidence<\/li>\n<li>Consumable costs<\/li>\n<li>Practitioner familiarity<\/li>\n<\/ul>\n<h2><span class=\"s1\"><b>Cooling Technology<\/b><\/span><\/h2>\n<p class=\"p3\">Volnewmer uses continuous water cooling through its treatment tip.<\/p>\n<p class=\"p3\">Thermage FLX uses integrated cooling together with vibration intended to improve comfort.<\/p>\n<p class=\"p3\">Both technologies aim to protect the surface of the skin while heat develops in deeper tissues, but their engineering is not identical.<\/p>\n<h2><span class=\"s1\"><b>Tissue Impedance<\/b><\/span><\/h2>\n<p class=\"p3\">Both systems incorporate tissue impedance into energy delivery.<\/p>\n<p class=\"p3\">Thermage FLX uses AccuREP to tune individual pulses.<\/p>\n<p class=\"p3\">Volnewmer checks impedance before energy delivery and combines this with continuous cooling.<\/p>\n<p class=\"p3\">It is inaccurate to say that Volnewmer uniquely performs full real-time deep-tissue temperature monitoring.<\/p>\n<h2><span class=\"s1\"><b>Evidence Base<\/b><\/span><\/h2>\n<p class=\"p4\">Thermage has:<\/p>\n<ul>\n<li>A longer history of international use<\/li>\n<li>More published clinical studies<\/li>\n<li>More extensive post-market experience<\/li>\n<li>More established treatment protocols<\/li>\n<\/ul>\n<p class=\"p3\">Volnewmer is newer.<\/p>\n<p class=\"p3\">Clinical research on 6.78MHz continuous-water-cooled monopolar RF supports improvements in skin laxity and fine wrinkles, but the independent long-term evidence base remains smaller. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41014039\/?utm_source=chatgpt.com\">PubMed<\/a><span class=\"s1\"><img alt=\"Attachment.tiff\" \/><\/span>)<\/p>\n<h2><span class=\"s1\"><b>Treatment Cost<\/b><\/span><\/h2>\n<p class=\"p3\">Thermage treatment tips are relatively expensive single-use consumables. This contributes to the higher treatment price at many clinics.<\/p>\n<p class=\"p3\">Volnewmer may offer a more accessible monopolar RF option, depending on the number of pulses, treatment area and clinic pricing.<\/p>\n<h2><span class=\"s1\"><b>Is One Device Stronger?<\/b><\/span><\/h2>\n<p class=\"p3\">\u201cStronger\u201d is not a medically useful comparison.<\/p>\n<p class=\"p4\">The result depends on:<\/p>\n<ul>\n<li>Actual energy delivered<\/li>\n<li>Pulse duration<\/li>\n<li>Treatment coverage<\/li>\n<li>Contact pressure<\/li>\n<li>Cooling<\/li>\n<li>Number of passes<\/li>\n<li>Tissue thickness<\/li>\n<li>Patient tolerance<\/li>\n<li>Practitioner technique<\/li>\n<\/ul>\n<p class=\"p6\">A higher displayed energy level does not automatically produce better tissue heating or a better clinical result.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Volnewmer vs HIFU: What Is the Main Difference?<\/b><\/span><\/h1>\n<p class=\"p3\">Volnewmer produces broad radiofrequency heating.<\/p>\n<p class=\"p3\">HIFU creates small, focused thermal-coagulation zones at selected depths.<\/p>\n<p class=\"p3\">This difference influences their most appropriate clinical use.<\/p>\n<h2><span class=\"s1\"><b>Volnewmer May Be Better Suited to:<\/b><\/span><\/h2>\n<ul>\n<li>General loss of skin firmness<\/li>\n<li>Crepey skin<\/li>\n<li>Mild diffuse laxity<\/li>\n<li>Fine wrinkles<\/li>\n<li>Broad lower-face tightening<\/li>\n<li>Mild neck laxity<\/li>\n<li>Patients who prefer volumetric heating<\/li>\n<li>Patients who find focal HIFU pulses difficult to tolerate<\/li>\n<\/ul>\n<h2><span class=\"s1\"><b>HIFU May Be Better Suited to:<\/b><\/span><\/h2>\n<ul>\n<li>Selected deeper tissue laxity<\/li>\n<li>Early brow descent<\/li>\n<li>Mild lower-face descent<\/li>\n<li>Mild submental laxity<\/li>\n<li>Patients who may benefit from depth-specific treatment<\/li>\n<li>Patients with adequate tissue thickness over the target areas<\/li>\n<\/ul>\n<p class=\"p3\">These categories are not absolute.<\/p>\n<p class=\"p6\">Many patients have both dermal laxity and deeper soft-tissue descent. One device may not correct every component.<\/p>\n<table style=\"border-collapse: collapse; width: 100%; margin: 20px 0; font-size: 0.95em; border: 1px solid #ccc;\">\n<thead>\n<tr>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Feature<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Volnewmer<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">Thermage FLX<\/th>\n<th style=\"border: 1px solid #ccc; padding: 10px 12px; background: #f1faf3; text-align: left; font-weight: bold;\">HIFU<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Energy type<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Monopolar RF<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Monopolar RF<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Focused ultrasound<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Primary mechanism<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Resistive heating \u2014 dermis &amp; subcutaneous tissue<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Resistive heating \u2014 dermis &amp; subcutaneous tissue<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Focal thermal coagulation points<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Target depth<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Deep dermis to subcutaneous fat (~2\u20136 mm)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Deep dermis to subcutaneous fat (~2\u20136 mm)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Dermis, SMAS (~1.5\u20134.5 mm)<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Temperature control<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Real-time closed-loop feedback<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Impedance-based calibration (AccuREP)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Not applicable (point-based)<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Sessions typically needed<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">1\u20133 sessions<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">1 session (maintenance yearly)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">1\u20132 sessions (maintenance yearly)<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Onset of visible results<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Gradual over 2\u20136 months<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Gradual over 3\u20136 months<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Gradual over 2\u20133 months<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Duration of results<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Approximately 1\u20132 years<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Approximately 1\u20132 years<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Approximately 1\u20131.5 years<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Downtime<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Minimal (mild redness 24\u201348 hours)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Minimal (mild redness, occasional swelling)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Minimal to mild (redness, swelling, tingling)<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Comfort level<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Moderate heat sensation; generally well tolerated<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Moderate; vibration reduces discomfort<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Variable; can be more uncomfortable at SMAS depth<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Primary concern addressed<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Skin laxity, body contouring support<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Skin laxity, facial and body tightening<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Lifting, SMAS tightening, jowl and brow lift<\/td>\n<\/tr>\n<tr>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\"><strong>Cost at our clinic (approx.)<\/strong><\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a566,000\u2013\u00a5165,000<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">Not currently offered (see note)<\/td>\n<td style=\"border: 1px solid #ccc; padding: 10px 12px; vertical-align: top;\">\u00a525,000\u2013\u00a5110,000<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>Note: Thermage is not currently part of our device menu. The comparison is included here for educational purposes to help patients evaluate their options. If you are considering Thermage specifically, our team can discuss whether Volnewmer or another treatment may address your concerns similarly.<\/em><\/p>\n<h2>Cost of These Treatments in Tokyo<\/h2>\n<figure style=\"margin: 1.5em 0;\"><img decoding=\"async\" style=\"width: 100%; max-width: 100%; height: auto; border-radius: 8px;\" title=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 Cost of These Treatments in Tokyo\" src=\"https:\/\/kojihifu.com\/english\/wp-content\/uploads\/2026\/07\/pexels_4586741_1784423051.webp\" alt=\"Volnewmer vs Thermage vs HIFU: how monopolar RF co \u2014 Cost of These Treatments in Tokyo\" \/><figcaption style=\"font-size: 0.8em; color: #888; text-align: right; margin-top: 4px;\">Photo: Pexels \/ Anna Shvets<\/figcaption><\/figure>\n<p>Treatment costs in Tokyo vary depending on the device, the area treated, the number of passes or sessions, and the clinic&#8217;s pricing structure. Below are realistic ranges based on the Tokyo cosmetic dermatology market.<\/p>\n<p><strong>Volnewmer<\/strong> at<strong> BIOTOPE CLINIC or \u00a0Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> is priced at <strong>\u00a566,000\u2013\u00a5165,000<\/strong> per session, depending on the treatment area and protocol. Face-only sessions tend to fall in the lower portion of this range; combined face and neck, or body area treatments, typically fall higher.<\/p>\n<p><strong>HIFU<\/strong> at our clinic is priced at <strong>\u00a525,000\u2013\u00a5110,000<\/strong>, again varying by area treated and number of shots delivered. Entry-level sessions covering a smaller zone (e.g. the eye area or lower face only) are available at the lower end; full-face-and-neck sessions with a high shot count fall toward the upper end.<\/p>\n<p>Market pricing for Thermage in Tokyo typically ranges from approximately \u00a5100,000 to \u00a5300,000 or more for a full-face session, reflecting the higher consumable cost of Thermage tips. This is a well-known factor in the Tokyo cosmetic market and is worth accounting for when comparing value.<\/p>\n<p>An initial consultation at our clinic costs \u00a53,300, and a surgical consultation with Dr. Karibe is \u00a52,200. For an accurate quote, we recommend booking a consultation.<\/p>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>What to Expect: Before, During, and After Treatment<\/h2>\n<h3>Before Your Session<\/h3>\n<p>A thorough consultation is essential before any energy-based treatment. Your practitioner will assess skin laxity, tissue thickness, prior treatments, and your overall health history. Patients with active skin infections, open wounds, or certain implanted devices (such as pacemakers or metal implants in the treatment area) are not suitable candidates for RF treatments.<\/p>\n<p>For HIFU, a similar assessment applies, with additional consideration of bone proximity, as focused ultrasound near bony landmarks requires careful positioning of the transducer. Patients on blood thinners may be advised to discontinue them prior to treatment, depending on the protocol.<\/p>\n<p>Topical anaesthetic cream is sometimes applied 30\u201345 minutes before treatment to improve comfort, particularly for HIFU at deeper transducer depths and for higher-energy Volnewmer protocols.<\/p>\n<h3>During the Procedure<\/h3>\n<p>Volnewmer and Thermage treatments involve a sliding or stamping handpiece motion across the skin, with a warm to hot sensation that most patients describe as tolerable. The real-time temperature feedback in Volnewmer means the device adjusts energy in response to your tissue, which many patients find makes the experience feel more consistent compared to older RF devices.<\/p>\n<p>HIFU delivers energy in discrete pulses, each of which produces a brief, sharp heat sensation at the focal point. Many patients find HIFU more uncomfortable than RF, particularly at the 4.5 mm SMAS depth. A full HIFU face-and-neck session typically takes 60\u201390 minutes; Volnewmer sessions range similarly depending on the area.<\/p>\n<h3>After Treatment and Recovery<\/h3>\n<p>All three technologies have minimal downtime compared with surgical alternatives. Redness and mild swelling are the most common post-treatment findings, typically resolving within 24\u201372 hours. Some patients experience a slight tingling or tenderness in the treated area for a few days after HIFU, particularly over bony areas.<\/p>\n<p>Collagen remodelling is a biological process that takes time. Initial firmness may be noticeable within days due to immediate collagen contraction, but the fuller result \u2014 new collagen synthesis \u2014 typically unfolds over two to six months. Patients are advised to protect the skin from UV exposure during the recovery period and maintain a good skincare routine.<\/p>\n<h2>Who Is a Good Candidate \u2014 and Who Should Consider Alternatives?<\/h2>\n<p>Non-surgical skin tightening technologies are best suited to patients with <strong>mild to moderate<\/strong> skin laxity. They are not a replacement for surgical intervention in cases of significant tissue excess or deep structural ptosis (drooping).<\/p>\n<p><strong>Ideal candidates for Volnewmer or monopolar RF generally:<\/strong><\/p>\n<ul>\n<li>Adults in their late 30s to early 60s with early to moderate jowling, neck laxity, or skin looseness<\/li>\n<li>Patients who want gradual, natural-looking improvement without surgery or downtime<\/li>\n<li>Those who have maintained generally good skin health and moderate tissue thickness<\/li>\n<li>Patients seeking body-area tightening (abdomen, arms, thighs) in addition to the face<\/li>\n<\/ul>\n<p><strong>Ideal candidates for HIFU:<\/strong><\/p>\n<ul>\n<li>Adults who want an additional element of <em>structural lifting<\/em>, particularly of the brow, midface, or jowl, via SMAS-level treatment<\/li>\n<li>Patients in their 30s to 50s with moderate laxity who are not yet surgical candidates<\/li>\n<li>Those comfortable with a slightly more intense sensation during treatment in exchange for SMAS-depth effect<\/li>\n<\/ul>\n<p><strong>Patients who may be better served by surgical options:<\/strong><\/p>\n<ul>\n<li>Those with significant skin excess, particularly in the lower face and neck<\/li>\n<li>Patients who have already undergone multiple energy-based treatments without achieving satisfying results<\/li>\n<li>Anyone requiring precise repositioning of soft tissue or fat compartments<\/li>\n<\/ul>\n<p>At our<strong> BIOTOPE Clinic<\/strong> in Ichigaya, Tokyo, we frequently see patients who come in expecting one technology and, after a consultation with <strong>Dr. Karibe<\/strong>, discover that a combination approach \u2014 for example, HIFU for lifting and Volnewmer for overall tightening \u2014 or a transition to a surgical option such as thread lift (Tesslift) or blepharoplasty may better address their specific anatomy. Thread lifts using Tesslift are available at the clinic from \u00a548,000 per thread.<\/p>\n<blockquote style=\"border-left: 4px solid #5a8a5a; padding: .75em 1.1em; margin: 1.8em 0; background: #f7fbf7; border-radius: 0 6px 6px 0; font-size: .93em;\">\n<p style=\"margin: 0 0 .45em; font-weight: bold; color: #3a6e3a;\">Dr. Karibe&#8217;s Note<\/p>\n<p style=\"margin: 0; color: #333; line-height: 1.7;\">A common question I receive from international patients is whether Volnewmer or HIFU will give them a result comparable to surgery. My honest answer is: these technologies can produce meaningful, natural-looking improvement for the right candidate, but they work with tissue biology \u2014 not against gravity in the way surgery does. Many of our patients are surprised that combining two modalities, or pairing an energy device with injectable treatments, often gives a more satisfying result than any single device alone. The consultation is where we map this out together, rather than applying a one-size approach.<\/p>\n<\/blockquote>\n<dl class=\"kj-faq\">\n<dd><\/dd>\n<\/dl>\n<div class=\"kjmc-en-booking-inline\" style=\"background: #f7fbf7; border: 1px solid #d5e6d8; border-radius: 10px; padding: 16px 20px; margin: 26px 0; text-align: center;\">\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 0.95em; line-height: 1.65;\"><strong>Have a question about this treatment?<\/strong><br \/>\nMessage us on LINE or WhatsApp \u2014 our English-speaking team usually replies the same day.<\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; gap: 8px; background: #06C755; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><br \/>\n<a style=\"display: inline-flex; align-items: center; gap: 8px; background: #25D366; color: #fff; padding: 10px 20px; border-radius: 8px; text-decoration: none; font-weight: bold; font-size: 0.92em; margin: 4px 6px; white-space: nowrap; vertical-align: middle;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<p class=\"p6\">\n<p class=\"p1\">\n<hr \/>\n<h1><span class=\"s1\"><b>Which Treatment Produces More Lifting?<\/b><\/span><\/h1>\n<p class=\"p3\">HIFU may be more appropriate when the goal is to create thermal effects at specific deeper tissue levels.<\/p>\n<p class=\"p3\">Monopolar RF may be more appropriate when the goal is broader tightening through a larger volume of collagen-rich tissue.<\/p>\n<p class=\"p3\">However, the word \u201clifting\u201d is often used too broadly.<\/p>\n<p class=\"p4\">A visible improvement may result from:<\/p>\n<ul>\n<li>Skin contraction<\/li>\n<li>Reduced dermal laxity<\/li>\n<li>Collagen remodelling<\/li>\n<li>Improved jawline definition<\/li>\n<li>Mild contraction of deeper soft tissue<\/li>\n<li>Temporary swelling<\/li>\n<li>Improved skin texture<\/li>\n<li>Subtle brow elevation<\/li>\n<\/ul>\n<p class=\"p3\">These are not identical effects.<\/p>\n<p class=\"p3\">A patient with thin, crepey lower-face skin may benefit more from monopolar RF.<\/p>\n<p class=\"p3\">A patient with good skin quality but mild deeper descent may benefit more from HIFU.<\/p>\n<p class=\"p1\">A patient with substantial excess skin may obtain an inadequate result from either treatment.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Which Treatment Is Better for the Jawline?<\/b><\/span><\/h1>\n<p class=\"p3\">The correct choice depends on why the jawline lacks definition.<\/p>\n<h2><span class=\"s1\"><b>Diffuse Skin Laxity<\/b><\/span><\/h2>\n<p class=\"p3\">Volnewmer or Thermage may be suitable when the main concern is broad loss of firmness.<\/p>\n<h2><span class=\"s1\"><b>Mild Deeper Tissue Descent<\/b><\/span><\/h2>\n<p class=\"p3\">HIFU may be considered when depth-specific tissue contraction is desired.<\/p>\n<h2><span class=\"s1\"><b>Excess Facial or Submental Fat<\/b><\/span><\/h2>\n<p class=\"p3\">Neither monopolar RF nor standard HIFU necessarily removes enough fat to create a dramatically sharper jawline.<\/p>\n<p class=\"p4\">Other options may include:<\/p>\n<ul>\n<li>Fat-dissolving treatment<\/li>\n<li>Liposuction<\/li>\n<li>Weight management<\/li>\n<li>Selected fat-targeting device protocols<\/li>\n<\/ul>\n<h2><span class=\"s1\"><b>Weak Chin or Bone Structure<\/b><\/span><\/h2>\n<p class=\"p3\">Chin or jawline filler may be more effective when the problem is limited skeletal projection.<\/p>\n<h2><span class=\"s1\"><b>Significant Jowling<\/b><\/span><\/h2>\n<p class=\"p3\">Thread lifting or facelift surgery may provide a more meaningful change.<\/p>\n<p class=\"p3\">A poorly defined jawline may involve skin, fat, muscle, bone or several of these factors simultaneously.<\/p>\n<p class=\"p1\">The diagnosis should come before the device choice.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Which Treatment Is Better for the Neck?<\/b><\/span><\/h1>\n<p class=\"p3\">Monopolar RF may help mild diffuse neck laxity or crepey skin.<\/p>\n<p class=\"p3\">HIFU may help selected deeper laxity beneath the chin or along the upper neck.<\/p>\n<p class=\"p4\">Neither treatment can reliably correct:<\/p>\n<ul>\n<li>Severe excess neck skin<\/li>\n<li>Marked platysmal bands<\/li>\n<li>Major submental fat accumulation<\/li>\n<li>Advanced neck ageing<\/li>\n<\/ul>\n<p class=\"p4\">These concerns may require:<\/p>\n<ul>\n<li>Botulinum toxin<\/li>\n<li>Liposuction<\/li>\n<li>Platysma treatment<\/li>\n<li>Neck-lift surgery<\/li>\n<li>Combination treatment<\/li>\n<\/ul>\n<p class=\"p1\">Sensitive structures, including the thyroid region, nerves and major blood vessels, must be considered during treatment planning.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Which Treatment Is Better Around the Eyes?<\/b><\/span><\/h1>\n<p class=\"p3\">Both monopolar RF and selected ultrasound treatments may be used around the eyes, but specialised equipment and anatomical knowledge are essential.<\/p>\n<p class=\"p3\">Thermage FLX has recognised applications for wrinkles around the upper and lower eyelids. (<a href=\"https:\/\/www.thermage.com\/?utm_source=chatgpt.com\">Thermage<\/a><span class=\"s1\"><img alt=\"Attachment.tiff\" \/><\/span>)<\/p>\n<p class=\"p3\">Volnewmer has different treatment tips, but settings must be selected cautiously around thin periorbital skin.<\/p>\n<p class=\"p3\">HIFU may be used for selected brow or lateral-eye concerns, but it should not be applied indiscriminately near the orbit.<\/p>\n<p class=\"p4\">Patients with the following concerns may require surgery rather than energy treatment:<\/p>\n<ul>\n<li>Significant upper-eyelid skin excess<\/li>\n<li>Large lower-eyelid fat bags<\/li>\n<li>Marked festoons<\/li>\n<li>Severe brow descent<\/li>\n<li>Herniated orbital fat<\/li>\n<\/ul>\n<p class=\"p1\">Possible alternatives include blepharoplasty or brow-lifting procedures.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Which Treatment Is More Painful?<\/b><\/span><\/h1>\n<p class=\"p3\">Comfort varies significantly.<\/p>\n<p class=\"p4\">It depends on:<\/p>\n<ul>\n<li>Energy setting<\/li>\n<li>Treatment area<\/li>\n<li>Tissue thickness<\/li>\n<li>Number of pulses<\/li>\n<li>Proximity to bone<\/li>\n<li>Patient sensitivity<\/li>\n<li>Cooling<\/li>\n<li>Practitioner technique<\/li>\n<li>Anaesthesia strategy<\/li>\n<\/ul>\n<h2><span class=\"s1\"><b>Volnewmer Sensation<\/b><\/span><\/h2>\n<p class=\"p4\">Patients may feel:<\/p>\n<ul>\n<li>Deep warmth<\/li>\n<li>Repeated heat<\/li>\n<li>Pressure<\/li>\n<li>Brief pinching<\/li>\n<li>Hot spots in sensitive areas<\/li>\n<\/ul>\n<p class=\"p3\">Continuous cooling is intended to reduce surface discomfort.<\/p>\n<h2><span class=\"s1\"><b>Thermage Sensation<\/b><\/span><\/h2>\n<p class=\"p3\">Thermage produces repeated deep heating.<\/p>\n<p class=\"p3\">Cooling and vibration improve comfort, although individual pulses can still feel intense around the jawline, forehead or areas with limited soft tissue.<\/p>\n<h2><span class=\"s1\"><b>HIFU Sensation<\/b><\/span><\/h2>\n<p class=\"p4\">HIFU may feel:<\/p>\n<ul>\n<li>Sharp<\/li>\n<li>Deep<\/li>\n<li>Electric<\/li>\n<li>Tingling<\/li>\n<li>Aching<\/li>\n<li>Sensitive near bone or teeth<\/li>\n<\/ul>\n<p class=\"p3\">Some patients find HIFU more uncomfortable because the energy is concentrated at discrete points.<\/p>\n<p class=\"p3\">However, pain tolerance varies, and HIFU is not always more painful than monopolar RF.<\/p>\n<p class=\"p1\">Severe or unexpected pain should never be accepted merely as evidence that the treatment is working.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Is Topical Anaesthetic Necessary?<\/b><\/span><\/h1>\n<p class=\"p3\">Not always.<\/p>\n<p class=\"p3\">Some clinics use topical anaesthetic before HIFU or monopolar RF. Others avoid it or use it selectively.<\/p>\n<p class=\"p4\">Important considerations include:<\/p>\n<ul>\n<li>Topical anaesthetic reduces surface sensation more than deep sensation<\/li>\n<li>It may not eliminate deep HIFU or RF discomfort<\/li>\n<li>Excessive anaesthesia may reduce useful patient feedback<\/li>\n<li>Anaesthetic dose and absorption must be considered<\/li>\n<li>Treatment area influences safety<\/li>\n<\/ul>\n<p class=\"p3\">Anaesthetic injections are not routinely required for non-invasive RF or HIFU.<\/p>\n<p class=\"p1\">The practitioner should select the safest comfort strategy for the individual patient.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Treatment Time<\/b><\/span><\/h1>\n<p class=\"p4\">Approximate treatment times are:<\/p>\n<ul>\n<li><span class=\"s1\"><b>Volnewmer:<\/b><\/span><span class=\"s2\"> 30\u201360 minutes<\/span><\/li>\n<li><span class=\"s1\"><b>Thermage FLX:<\/b><\/span><span class=\"s2\"> 45\u201390 minutes<\/span><\/li>\n<li><span class=\"s1\"><b>HIFU:<\/b><\/span><span class=\"s2\"> 30\u201390 minutes<\/span><\/li>\n<\/ul>\n<p class=\"p4\">The duration depends on:<\/p>\n<ul>\n<li>Treatment area<\/li>\n<li>Number of pulses or shots<\/li>\n<li>Face-only or face-and-neck treatment<\/li>\n<li>Device and treatment tip<\/li>\n<li>Cartridge selection<\/li>\n<li>Treatment intensity<\/li>\n<li>Anaesthetic preparation<\/li>\n<\/ul>\n<p class=\"p1\">A longer treatment is not automatically better, and a shorter treatment is not necessarily less effective.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Downtime and Recovery<\/b><\/span><\/h1>\n<p class=\"p3\">All three treatments generally have minimal downtime because they do not routinely puncture or remove the skin.<\/p>\n<h2><span class=\"s1\"><b>Volnewmer Downtime<\/b><\/span><\/h2>\n<p class=\"p4\">Temporary reactions may include:<\/p>\n<ul>\n<li>Redness<\/li>\n<li>Warmth<\/li>\n<li>Mild swelling<\/li>\n<li>Tenderness<\/li>\n<li>Tightness<\/li>\n<li>Temporary sensitivity<\/li>\n<\/ul>\n<p class=\"p3\">These reactions usually settle within several hours to a few days.<\/p>\n<h2><span class=\"s1\"><b>Thermage Downtime<\/b><\/span><\/h2>\n<p class=\"p4\">Possible reactions include:<\/p>\n<ul>\n<li>Mild redness<\/li>\n<li>Temporary swelling<\/li>\n<li>Tenderness<\/li>\n<li>Tingling<\/li>\n<li>Temporary skin sensitivity<\/li>\n<\/ul>\n<p class=\"p3\">Most patients return to normal activities immediately.<\/p>\n<h2><span class=\"s1\"><b>HIFU Downtime<\/b><\/span><\/h2>\n<p class=\"p4\">Possible reactions include:<\/p>\n<ul>\n<li>Redness<\/li>\n<li>Swelling<\/li>\n<li>Tenderness<\/li>\n<li>Tingling<\/li>\n<li>Temporary numbness<\/li>\n<li>Sensitivity over bone<\/li>\n<li>Mild aching during movement<\/li>\n<\/ul>\n<p class=\"p1\">Most reactions are mild and transient. Less commonly, nerve-related symptoms, burns or unwanted contour changes may occur. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32026164\/?utm_source=chatgpt.com\">PubMed<\/a><span class=\"s1\"><img alt=\"Attachment.tiff\" \/><\/span>)<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Possible Risks<\/b><\/span><\/h1>\n<p class=\"p3\">\u201cNon-invasive\u201d does not mean risk-free.<\/p>\n<h2><span class=\"s1\"><b>Monopolar RF Risks<\/b><\/span><\/h2>\n<p class=\"p4\">Potential complications include:<\/p>\n<ul>\n<li>Excessive pain<\/li>\n<li>Burns<\/li>\n<li>Blistering<\/li>\n<li>Crusting<\/li>\n<li>Persistent redness<\/li>\n<li>Pigment changes<\/li>\n<li>Prolonged tenderness<\/li>\n<li>Altered sensation<\/li>\n<li>Contour irregularity<\/li>\n<li>Unwanted changes in facial volume<\/li>\n<li>Scarring<\/li>\n<\/ul>\n<h2><span class=\"s1\"><b>HIFU Risks<\/b><\/span><\/h2>\n<p class=\"p4\">Potential complications include:<\/p>\n<ul>\n<li>Burns<\/li>\n<li>Swelling<\/li>\n<li>Bruising<\/li>\n<li>Persistent pain<\/li>\n<li>Numbness<\/li>\n<li>Tingling<\/li>\n<li>Temporary nerve irritation<\/li>\n<li>Temporary weakness<\/li>\n<li>Unwanted facial fat reduction<\/li>\n<li>Contour irregularity<\/li>\n<li>Pigment changes<\/li>\n<li>Scarring<\/li>\n<\/ul>\n<p class=\"p1\">Most complications reported in the literature are mild and temporary, but treatment near nerves, thin tissues and bone requires particular care. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32026164\/?utm_source=chatgpt.com\">PubMed<\/a><span class=\"s1\"><img alt=\"Attachment.tiff\" \/><\/span>)<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Can These Treatments Cause Facial Fat Loss?<\/b><\/span><\/h1>\n<p class=\"p3\">This is particularly important for patients with thin or hollow faces.<\/p>\n<h2><span class=\"s1\"><b>Monopolar RF<\/b><\/span><\/h2>\n<p class=\"p3\">Volnewmer and Thermage are primarily intended to tighten collagen-rich tissues rather than dissolve facial fat.<\/p>\n<p class=\"p4\">However, the thermal effect depends on:<\/p>\n<ul>\n<li>Energy level<\/li>\n<li>Tip design<\/li>\n<li>Tissue thickness<\/li>\n<li>Number of passes<\/li>\n<li>Pulse overlap<\/li>\n<li>Treatment location<\/li>\n<li>Practitioner technique<\/li>\n<\/ul>\n<p class=\"p3\">Aggressive treatment over naturally hollow areas may be undesirable.<\/p>\n<h2><span class=\"s1\"><b>HIFU<\/b><\/span><\/h2>\n<p class=\"p3\">Certain HIFU depths and energy settings may affect subcutaneous fat.<\/p>\n<p class=\"p4\">This may be helpful beneath the chin in selected patients, but undesirable in patients with:<\/p>\n<ul>\n<li>Hollow cheeks<\/li>\n<li>Low facial fat<\/li>\n<li>Age-related volume loss<\/li>\n<li>Previous buccal fat removal<\/li>\n<li>Repeated aggressive energy treatments<\/li>\n<\/ul>\n<p class=\"p3\">The face should be mapped into areas where volume should be preserved and areas where reduction may be acceptable.<\/p>\n<p class=\"p1\">The same high-energy protocol should not be applied uniformly across every facial region.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>How Soon Will Results Appear?<\/b><\/span><\/h1>\n<p class=\"p3\">All three treatments rely partly on biological tissue remodelling.<\/p>\n<h2><span class=\"s1\"><b>Volnewmer<\/b><\/span><\/h2>\n<p class=\"p3\">A temporary feeling of firmness may be noticed shortly after treatment.<\/p>\n<p class=\"p3\">More meaningful changes generally develop over approximately one to three months and may continue for several months.<\/p>\n<h2><span class=\"s1\"><b>Thermage<\/b><\/span><\/h2>\n<p class=\"p3\">Some patients notice an early tightening effect.<\/p>\n<p class=\"p3\">Continued improvement may develop for up to approximately six months, according to official Thermage information. (<a href=\"https:\/\/www.thermage.com\/hcp\/?utm_source=chatgpt.com\">Thermage<\/a><span class=\"s1\"><img alt=\"Attachment.tiff\" \/><\/span>)<\/p>\n<h2><span class=\"s1\"><b>HIFU<\/b><\/span><\/h2>\n<p class=\"p3\">Early contraction may occur, but most visible improvement generally develops over approximately two to three months.<\/p>\n<p class=\"p3\">The result may continue to mature for several months.<\/p>\n<p class=\"p1\">The final result should not be judged during the first few days.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>How Long Do Results Last?<\/b><\/span><\/h1>\n<p class=\"p3\">No exact duration can be guaranteed.<\/p>\n<p class=\"p4\">Results depend on:<\/p>\n<ul>\n<li>Age<\/li>\n<li>Baseline skin quality<\/li>\n<li>Degree of laxity<\/li>\n<li>Treatment protocol<\/li>\n<li>Energy level<\/li>\n<li>Device<\/li>\n<li>Smoking<\/li>\n<li>UV exposure<\/li>\n<li>Weight changes<\/li>\n<li>Hormonal status<\/li>\n<li>Facial anatomy<\/li>\n<li>Ongoing ageing<\/li>\n<li>Maintenance treatment<\/li>\n<\/ul>\n<p class=\"p3\">A practical expectation is that improvement may remain visible for several months to more than one year in an appropriate candidate.<\/p>\n<p class=\"p1\">Claims that results always last exactly one or two years should be interpreted cautiously.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>How Many Sessions Are Needed?<\/b><\/span><\/h1>\n<h2><span class=\"s1\"><b>Volnewmer<\/b><\/span><\/h2>\n<p class=\"p3\">Some patients undergo one comprehensive treatment and reassess after collagen remodelling.<\/p>\n<p class=\"p4\">Additional treatment may be considered if:<\/p>\n<ul>\n<li>The initial result is limited<\/li>\n<li>A conservative protocol was used<\/li>\n<li>Multiple areas require treatment<\/li>\n<li>Maintenance is desired<\/li>\n<\/ul>\n<h2><span class=\"s1\"><b>Thermage<\/b><\/span><\/h2>\n<p class=\"p3\">Thermage is commonly performed as a single comprehensive treatment followed by reassessment or future maintenance.<\/p>\n<p class=\"p3\">This does not guarantee that one session will satisfy every patient.<\/p>\n<h2><span class=\"s1\"><b>HIFU<\/b><\/span><\/h2>\n<p class=\"p3\">Many patients begin with one treatment and assess the result after approximately three months.<\/p>\n<p class=\"p4\">An additional session may be considered according to:<\/p>\n<ul>\n<li>Device<\/li>\n<li>Initial protocol<\/li>\n<li>Degree of laxity<\/li>\n<li>Clinical response<\/li>\n<\/ul>\n<p class=\"p1\">Repeating high-energy treatment too soon may increase cumulative thermal exposure before the first treatment has fully matured.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Can Volnewmer and HIFU Be Combined?<\/b><\/span><\/h1>\n<p class=\"p3\">Yes, but combination treatment should have a clear anatomical purpose.<\/p>\n<p class=\"p4\">The rationale is that:<\/p>\n<ul>\n<li>HIFU creates focal thermal zones at selected depths<\/li>\n<li>Volnewmer produces broader monopolar RF heating<\/li>\n<\/ul>\n<p class=\"p4\">A combination may be considered when a patient has:<\/p>\n<ul>\n<li>Mild deeper tissue descent<\/li>\n<li>Diffuse dermal laxity<\/li>\n<li>Early jowling<\/li>\n<li>Loss of general firmness<\/li>\n<li>Adequate facial volume<\/li>\n<\/ul>\n<p class=\"p4\">However, high-intensity treatment with both technologies over the same area may increase:<\/p>\n<ul>\n<li>Pain<\/li>\n<li>Swelling<\/li>\n<li>Inflammation<\/li>\n<li>Tenderness<\/li>\n<li>Cumulative heat exposure<\/li>\n<li>Risk of unwanted volume loss<\/li>\n<li>Difficulty identifying the cause of a complication<\/li>\n<\/ul>\n<p class=\"p4\">Possible strategies include:<\/p>\n<ul>\n<li><strong>Treating different anatomical areas<\/strong><\/li>\n<li><strong>Using conservative same-day settings<\/strong><\/li>\n<li><strong>Staging the procedures<\/strong><\/li>\n<li><strong>Performing one treatment first and reassessing<\/strong><\/li>\n<\/ul>\n<p class=\"p1\">Combination treatment is not automatically better than a carefully selected single technology.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Can Volnewmer Be Combined With Filler or Botox?<\/b><\/span><\/h1>\n<p class=\"p3\">Yes.<\/p>\n<h2><span class=\"s1\"><b>Volnewmer and Filler<\/b><\/span><\/h2>\n<p class=\"p3\">Volnewmer targets tissue firmness.<\/p>\n<p class=\"p3\">Filler restores volume and structural support.<\/p>\n<p class=\"p4\">This combination may be helpful when a patient has both laxity and:<\/p>\n<ul>\n<li>Weak chin projection<\/li>\n<li>Cheek-volume loss<\/li>\n<li>Poor mandibular support<\/li>\n<li>Age-related structural deficiency<\/li>\n<\/ul>\n<p class=\"p4\">The treatment order depends on:<\/p>\n<ul>\n<li>Filler type<\/li>\n<li>Injection depth<\/li>\n<li>Injection location<\/li>\n<li>Time since treatment<\/li>\n<li>Planned RF settings<\/li>\n<\/ul>\n<p class=\"p3\">The doctor should know the exact location and date of all previous filler treatments.<\/p>\n<h2><span class=\"s1\"><b>Volnewmer and Botox<\/b><\/span><\/h2>\n<p class=\"p3\">Botulinum toxin acts on muscle rather than collagen.<\/p>\n<p class=\"p4\">Possible combinations include:<\/p>\n<ul>\n<li>Volnewmer for skin firmness<\/li>\n<li>Masseter Botox for muscular jaw width<\/li>\n<li>Upper-face Botox for expression lines<\/li>\n<li>Platysma Botox for selected lower-face concerns<\/li>\n<\/ul>\n<p class=\"p1\">Each treatment should address a clearly identified anatomical cause.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Cost of Volnewmer, Thermage and HIFU in Tokyo<\/b><\/span><\/h1>\n<p class=\"p4\">Treatment costs vary according to:<\/p>\n<ul>\n<li>Clinic<\/li>\n<li>Device generation<\/li>\n<li>Treatment area<\/li>\n<li>Number of pulses or shots<\/li>\n<li>Tip or cartridge<\/li>\n<li>Practitioner<\/li>\n<li>Combination treatment<\/li>\n<li>Promotional pricing<\/li>\n<\/ul>\n<h2><span class=\"s1\"><b>Volnewmer Cost<\/b><\/span><\/h2>\n<p class=\"p3\">At BIOTOPE CLINIC and Kojimachi Dermatology &amp; Plastic Surgery Clinic:<\/p>\n<p class=\"p5\"><b>\u00a566,000\u2013\u00a5165,000 per treatment<\/b><\/p>\n<p class=\"p3\">The final price depends on the treatment area and protocol.<\/p>\n<h2><span class=\"s1\"><b>HIFU Cost<\/b><\/span><\/h2>\n<p class=\"p3\">HIFU at our clinics is priced from:<\/p>\n<p class=\"p5\"><b>\u00a525,000\u2013\u00a5110,000 per treatment<\/b><\/p>\n<p class=\"p3\">Smaller areas and lower shot counts are usually priced toward the lower end. Comprehensive facial or face-and-neck treatments generally cost more.<\/p>\n<h2><span class=\"s1\"><b>Thermage Cost<\/b><\/span><\/h2>\n<p class=\"p3\">Thermage is not currently part of our treatment menu.<\/p>\n<p class=\"p4\">Prices at other Tokyo clinics can vary substantially according to:<\/p>\n<ul>\n<li>Thermage generation<\/li>\n<li>Authentic treatment-tip use<\/li>\n<li>Number of shots<\/li>\n<li>Eye or facial tip<\/li>\n<li>Face-only or body treatment<\/li>\n<li>Promotional campaigns<\/li>\n<\/ul>\n<p class=\"p4\">Patients considering Thermage should confirm:<\/p>\n<ul>\n<li>That an authentic Thermage system is being used<\/li>\n<li>Which device generation is available<\/li>\n<li>The type of treatment tip<\/li>\n<li>The number of shots<\/li>\n<li>Whether consumable costs are included<\/li>\n<li>Who will perform the treatment<\/li>\n<\/ul>\n<h2><span class=\"s1\"><b>Consultation Fees<\/b><\/span><\/h2>\n<p class=\"p4\">At our clinics:<\/p>\n<ul>\n<li>Initial consultation: <span class=\"s1\"><b>\u00a53,300<\/b><\/span><\/li>\n<li>Specialist surgical consultation with Dr. Karibe: <span class=\"s1\"><b>\u00a52,200<\/b><\/span><\/li>\n<\/ul>\n<p class=\"p3\">An accurate quotation can be provided after examination.<\/p>\n<p class=\"p5\"><b>Have a question about treatment costs?<\/b><\/p>\n<p class=\"p3\">Message us on LINE or WhatsApp. Our English-speaking team usually replies on the same day.<\/p>\n<p class=\"p5\"><b>Book via LINE<\/b><\/p>\n<p class=\"p2\"><b>Message us on WhatsApp<\/b><\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Who Is a Good Candidate for Volnewmer?<\/b><\/span><\/h1>\n<p class=\"p4\">Volnewmer may suit patients with:<\/p>\n<ul>\n<li>Mild to moderate diffuse laxity<\/li>\n<li>Early jowling<\/li>\n<li>Loss of skin firmness<\/li>\n<li>Crepey lower-face skin<\/li>\n<li>Mild neck laxity<\/li>\n<li>Fine wrinkles<\/li>\n<li>Adequate facial volume<\/li>\n<li>A preference for minimal downtime<\/li>\n<li>Realistic expectations<\/li>\n<\/ul>\n<p class=\"p1\">It may be particularly useful when the main concern is broad tissue firmness rather than one isolated deep treatment point.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Who Is a Good Candidate for Thermage?<\/b><\/span><\/h1>\n<p class=\"p4\">Thermage may suit patients who:<\/p>\n<ul>\n<li>Prefer an established monopolar RF platform<\/li>\n<li>Have mild to moderate laxity<\/li>\n<li>Want a comprehensive single-session treatment<\/li>\n<li>Are considering treatment around the eyes<\/li>\n<li>Accept a potentially higher treatment cost<\/li>\n<li>Prefer a device with a longer clinical history<\/li>\n<\/ul>\n<p class=\"p1\">Appropriate treatment planning remains more important than device reputation alone.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Who Is a Good Candidate for HIFU?<\/b><\/span><\/h1>\n<p class=\"p4\">HIFU may suit patients with:<\/p>\n<ul>\n<li>Mild deeper tissue laxity<\/li>\n<li>Early jowling<\/li>\n<li>Mild brow descent<\/li>\n<li>Mild submental laxity<\/li>\n<li>Adequate tissue thickness<\/li>\n<li>A desire for depth-specific treatment<\/li>\n<li>Realistic expectations<\/li>\n<\/ul>\n<p class=\"p1\">Patients with thin faces, hollow cheeks or marked volume loss may require more conservative settings or another treatment.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Who Should Consider Surgery Instead?<\/b><\/span><\/h1>\n<p class=\"p4\">Energy-based treatments are not substitutes for surgery when there is:<\/p>\n<ul>\n<li>Significant excess skin<\/li>\n<li>Heavy jowling<\/li>\n<li>Advanced neck laxity<\/li>\n<li>Marked soft-tissue descent<\/li>\n<li>Prominent platysmal banding<\/li>\n<li>A need for precise tissue repositioning<\/li>\n<li>Repeated failure of non-surgical treatments<\/li>\n<\/ul>\n<p class=\"p4\">Possible surgical options include:<\/p>\n<ul>\n<li>Facelift<\/li>\n<li>Neck lift<\/li>\n<li>Liposuction<\/li>\n<li>Blepharoplasty<\/li>\n<li>Brow lift<\/li>\n<li>Fat repositioning<\/li>\n<li>Combined facial rejuvenation surgery<\/li>\n<\/ul>\n<p class=\"p1\">A surgical consultation does not obligate the patient to have surgery. It allows a realistic comparison of the likely result, durability, risks and recovery.<\/p>\n<hr \/>\n<blockquote>\n<h1><span class=\"s1\"><b>Dr. Karibe\u2019s Note<\/b><\/span><\/h1>\n<p class=\"p3\">A common question from international patients is whether Volnewmer, Thermage or HIFU can provide a result comparable to surgery.<\/p>\n<p class=\"p3\">The honest answer is no\u2014not when substantial tissue repositioning or removal of excess skin is required.<\/p>\n<p class=\"p3\">These technologies can produce meaningful, natural-looking improvements in appropriately selected patients. However, they rely on collagen contraction and gradual biological remodelling. They do not surgically release or reposition facial tissues.<\/p>\n<p class=\"p3\">Another common mistake is choosing a device before identifying the anatomical cause of the concern.<\/p>\n<p class=\"p4\">A poorly defined jawline may result from:<\/p>\n<ul>\n<li>Skin laxity<\/li>\n<li>Excess fat<\/li>\n<li>Large masseter muscles<\/li>\n<li>Weak chin projection<\/li>\n<li>Skeletal structure<\/li>\n<li>Tissue descent<\/li>\n<li>A combination of these factors<\/li>\n<\/ul>\n<p class=\"p3\">Applying the same device to every patient will not produce consistently good results.<\/p>\n<p class=\"p1\">The anatomy should be diagnosed first. The technology comes second.<\/p>\n<\/blockquote>\n<hr \/>\n<h1><span class=\"s1\"><b>Common Misconceptions About Monopolar RF and HIFU<\/b><\/span><\/h1>\n<h2><span class=\"s1\"><b>Misconception 1: HIFU Is Always Stronger Because It Goes Deeper<\/b><\/span><\/h2>\n<p class=\"p3\">Depth alone does not determine the outcome.<\/p>\n<p class=\"p3\">HIFU produces focal treatment zones. Monopolar RF heats a broader tissue volume.<\/p>\n<p class=\"p3\">The more appropriate option depends on the anatomical problem.<\/p>\n<h2><span class=\"s1\"><b>Misconception 2: Volnewmer Measures the Exact Temperature Inside the Skin<\/b><\/span><\/h2>\n<p class=\"p3\">Volnewmer uses impedance checking, controlled RF delivery and continuous water cooling.<\/p>\n<p class=\"p3\">It should not be described as directly measuring the exact temperature of every deep tissue layer in real time.<\/p>\n<h2><span class=\"s1\"><b>Misconception 3: Volnewmer and Thermage Are Exactly the Same<\/b><\/span><\/h2>\n<p class=\"p3\">They belong to the same monopolar RF category, but their treatment tips, cooling systems, algorithms, consumables and clinical evidence differ.<\/p>\n<h2><span class=\"s1\"><b>Misconception 4: More Shots Always Produce Better Results<\/b><\/span><\/h2>\n<p class=\"p4\">Shot count alone does not describe:<\/p>\n<ul>\n<li>Energy level<\/li>\n<li>Pulse duration<\/li>\n<li>Treatment coverage<\/li>\n<li>Pulse overlap<\/li>\n<li>Anatomical targeting<\/li>\n<li>Tissue response<\/li>\n<\/ul>\n<p class=\"p3\">More shots may simply increase cumulative thermal exposure.<\/p>\n<h2><span class=\"s1\"><b>Misconception 5: More Heat Means More Collagen<\/b><\/span><\/h2>\n<p class=\"p3\">Excessive heating increases the risk of pain, burns and unwanted tissue effects.<\/p>\n<p class=\"p3\">The goal is controlled therapeutic heating\u2014not the highest tolerable temperature.<\/p>\n<h2><span class=\"s1\"><b>Misconception 6: No Downtime Means No Risk<\/b><\/span><\/h2>\n<p class=\"p3\">Minimal downtime does not mean that the treatment produces no tissue response or complications.<\/p>\n<h2><span class=\"s1\"><b>Misconception 7: One Treatment Works Equally Well for Every Face<\/b><\/span><\/h2>\n<p class=\"p4\">Results depend on:<\/p>\n<ul>\n<li>Skin thickness<\/li>\n<li>Facial fat<\/li>\n<li>Skin elasticity<\/li>\n<li>Bone structure<\/li>\n<li>Age<\/li>\n<li>Previous treatment<\/li>\n<li>Degree of laxity<\/li>\n<li>Hormonal and lifestyle factors<\/li>\n<\/ul>\n<p class=\"p3\">Treatment must be individualised.<\/p>\n<h2><span class=\"s1\"><b>Misconception 8: Combining RF and HIFU Is Always Better<\/b><\/span><\/h2>\n<p class=\"p3\">Combination treatment can be useful, but unnecessary thermal stacking may increase inflammation and complications.<\/p>\n<p class=\"p1\">There should be a clear reason for combining the technologies.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Frequently Asked Questions<\/b><\/span><\/h1>\n<h2><span class=\"s1\"><b>Is Volnewmer Better Than Thermage?<\/b><\/span><\/h2>\n<p class=\"p3\">Not universally.<\/p>\n<p class=\"p3\">Both are monopolar RF treatments.<\/p>\n<p class=\"p3\">Thermage has a longer clinical history and a larger evidence base. Volnewmer uses different treatment tips and continuous water cooling and may be available at a lower price.<\/p>\n<p class=\"p3\">The result depends greatly on patient selection and treatment technique.<\/p>\n<h2><span class=\"s1\"><b>Is Volnewmer Better Than HIFU?<\/b><\/span><\/h2>\n<p class=\"p3\">They treat tissue differently.<\/p>\n<p class=\"p3\">Volnewmer provides broad RF heating, while HIFU produces focal thermal zones at selected depths.<\/p>\n<p class=\"p3\">Volnewmer may be more appropriate for diffuse firmness. HIFU may be more appropriate for selected depth-specific contraction.<\/p>\n<h2><span class=\"s1\"><b>Is Thermage Better Than HIFU?<\/b><\/span><\/h2>\n<p class=\"p3\">Neither is always better.<\/p>\n<p class=\"p3\">Thermage is a broad monopolar RF treatment. HIFU is a focused ultrasound treatment.<\/p>\n<p class=\"p3\">The choice depends on facial anatomy and the cause of the laxity.<\/p>\n<h2><span class=\"s1\"><b>Can Volnewmer and HIFU Be Performed on the Same Day?<\/b><\/span><\/h2>\n<p class=\"p3\">Sometimes.<\/p>\n<p class=\"p3\">However, treatment areas, tissue volume, energy settings and cumulative thermal exposure must be considered.<\/p>\n<p class=\"p3\">Same-day combination treatment is not required for every patient.<\/p>\n<h2><span class=\"s1\"><b>Which Treatment Is Best for Jowls?<\/b><\/span><\/h2>\n<p class=\"p3\">Mild early jowling may improve with Volnewmer, Thermage, HIFU or an appropriately planned combination.<\/p>\n<p class=\"p4\">Moderate or advanced jowling may require:<\/p>\n<ul>\n<li>Prejowl filler<\/li>\n<li>Fat reduction<\/li>\n<li>Thread lifting<\/li>\n<li>Facelift surgery<\/li>\n<\/ul>\n<h2><span class=\"s1\"><b>Which Treatment Is Best for a Double Chin?<\/b><\/span><\/h2>\n<p class=\"p3\">When fat is the primary concern, fat reduction may be more effective than tightening alone.<\/p>\n<p class=\"p3\">Options may include liposuction, fat-dissolving treatment or selected device-based procedures.<\/p>\n<h2><span class=\"s1\"><b>Which Treatment Is Best for Thin Faces?<\/b><\/span><\/h2>\n<p class=\"p3\">Thin faces require caution.<\/p>\n<p class=\"p3\">Conservative RF may help skin firmness, while aggressive deep HIFU over hollow areas may produce unwanted volume reduction.<\/p>\n<p class=\"p3\">Treatment areas should be carefully mapped.<\/p>\n<h2><span class=\"s1\"><b>Which Treatment Is Best for Heavy Faces?<\/b><\/span><\/h2>\n<p class=\"p3\">Patients with thicker tissue may benefit from RF, HIFU, fat reduction or a combination, depending on whether the problem is laxity, fat or both.<\/p>\n<h2><span class=\"s1\"><b>Which Treatment Has the Least Downtime?<\/b><\/span><\/h2>\n<p class=\"p3\">All three usually have minimal downtime.<\/p>\n<p class=\"p3\">Most patients return to work immediately or the following day.<\/p>\n<h2><span class=\"s1\"><b>Which Is the Least Painful?<\/b><\/span><\/h2>\n<p class=\"p3\">Comfort varies.<\/p>\n<p class=\"p3\">Volnewmer and Thermage typically create repeated deep warmth. HIFU may feel sharper or more electric, particularly near bone.<\/p>\n<h2><span class=\"s1\"><b>Can I Wear Makeup After Treatment?<\/b><\/span><\/h2>\n<p class=\"p3\">Makeup can usually be applied once the skin has cooled and feels comfortable.<\/p>\n<h2><span class=\"s1\"><b>When Can I Exercise?<\/b><\/span><\/h2>\n<p class=\"p3\">Avoid strenuous exercise for approximately 24 hours or until warmth, redness and swelling have resolved.<\/p>\n<h2><span class=\"s1\"><b>When Can I Use a Sauna?<\/b><\/span><\/h2>\n<p class=\"p3\">Avoid saunas, steam rooms and hot springs for at least 48 to 72 hours.<\/p>\n<h2><span class=\"s1\"><b>When Can I Restart Retinol?<\/b><\/span><\/h2>\n<p class=\"p3\">Retinol can usually be restarted after approximately three to seven days once the skin no longer feels irritated.<\/p>\n<h2><span class=\"s1\"><b>Are These Treatments Suitable for Darker Skin?<\/b><\/span><\/h2>\n<p class=\"p3\">RF and ultrasound do not primarily depend on melanin absorption.<\/p>\n<p class=\"p3\">They may therefore be used across a broad range of skin tones. However, burns and post-inflammatory pigmentation remain possible if treatment is inappropriate.<\/p>\n<h2><span class=\"s1\"><b>How Many Volnewmer Sessions Will I Need?<\/b><\/span><\/h2>\n<p class=\"p3\">Some patients undergo one treatment and reassess after one to three months.<\/p>\n<p class=\"p3\">Additional treatment should be based on the response rather than an automatic fixed series.<\/p>\n<h2><span class=\"s1\"><b>How Many Thermage Sessions Are Needed?<\/b><\/span><\/h2>\n<p class=\"p3\">Thermage is commonly performed as one comprehensive session, followed by maintenance when appropriate.<\/p>\n<h2><span class=\"s1\"><b>How Many HIFU Sessions Are Needed?<\/b><\/span><\/h2>\n<p class=\"p3\">Many patients begin with one treatment and reassess after approximately three months.<\/p>\n<h2><span class=\"s1\"><b>Will I See Results Immediately?<\/b><\/span><\/h2>\n<p class=\"p3\">A subtle initial tightening sensation may occur.<\/p>\n<p class=\"p3\">More meaningful improvement develops gradually over several weeks or months.<\/p>\n<h2><span class=\"s1\"><b>How Long Do the Results Last?<\/b><\/span><\/h2>\n<p class=\"p3\">Results may remain visible for several months to more than one year.<\/p>\n<p class=\"p3\">Individual variation is considerable.<\/p>\n<h2><span class=\"s1\"><b>Can These Treatments Replace a Facelift?<\/b><\/span><\/h2>\n<p class=\"p3\">No.<\/p>\n<p class=\"p3\">They may improve mild to moderate laxity but cannot remove excess skin or precisely reposition deeper facial tissues.<\/p>\n<h2><span class=\"s1\"><b>Can RF or HIFU Dissolve Existing Filler?<\/b><\/span><\/h2>\n<p class=\"p3\">These treatments should not be used as predictable methods of dissolving filler.<\/p>\n<p class=\"p3\">Unwanted hyaluronic acid filler should be assessed for possible hyaluronidase treatment.<\/p>\n<h2><span class=\"s1\"><b>Can I Have RF or HIFU After Filler?<\/b><\/span><\/h2>\n<p class=\"p3\">Possibly.<\/p>\n<p class=\"p4\">The practitioner needs to know:<\/p>\n<ul>\n<li>Which filler was used<\/li>\n<li>Where it was placed<\/li>\n<li>Injection depth<\/li>\n<li>Amount injected<\/li>\n<li>Date of treatment<\/li>\n<\/ul>\n<p class=\"p3\">The treatment interval and energy settings may need to be modified.<\/p>\n<h2><span class=\"s1\"><b>Can I Repeat Volnewmer or HIFU Every Month?<\/b><\/span><\/h2>\n<p class=\"p3\">Intensive monopolar RF and HIFU should not be treated like monthly facials.<\/p>\n<p class=\"p1\">Collagen remodelling takes time. Repeating high-energy treatment too frequently may add thermal exposure without producing a proportional benefit.<\/p>\n<hr \/>\n<h1><span class=\"s1\"><b>Summary: Volnewmer vs Thermage vs HIFU<\/b><\/span><\/h1>\n<p class=\"p3\">Volnewmer, Thermage FLX and HIFU are non-surgical skin-tightening treatments, but they use different patterns of energy delivery.<\/p>\n<p class=\"p5\"><b>Volnewmer and Thermage FLX are monopolar radiofrequency systems.<\/b><\/p>\n<p class=\"p3\">They produce relatively broad heating within collagen-rich tissue through electrical resistance.<\/p>\n<p class=\"p4\"><strong>Volnewmer uses:<\/strong><\/p>\n<ul>\n<li><strong>6.78MHz monopolar RF<\/strong><\/li>\n<li><strong>Impedance checking<\/strong><\/li>\n<li><strong>Continuous water cooling<\/strong><\/li>\n<li><strong>Multiple treatment-tip options<\/strong><\/li>\n<\/ul>\n<p class=\"p4\">Thermage FLX uses:<\/p>\n<ul>\n<li>Monopolar RF<\/li>\n<li>AccuREP impedance-based pulse tuning<\/li>\n<li>Integrated cooling<\/li>\n<li>Vibration to improve comfort<\/li>\n<li>A longer-established clinical platform<\/li>\n<\/ul>\n<p class=\"p5\"><b>HIFU uses focused ultrasound.<\/b><\/p>\n<p class=\"p3\">It creates small thermal-coagulation zones at predetermined depths and may affect tissue around the SMAS in appropriate anatomical regions.<\/p>\n<p class=\"p4\">In practical terms:<\/p>\n<ul>\n<li>Volnewmer may suit broad loss of firmness and mild diffuse laxity<\/li>\n<li>Thermage may suit patients seeking an established monopolar RF platform<\/li>\n<li>HIFU may suit patients requiring selected depth-specific treatment<\/li>\n<li>Combination treatment may help patients with both dermal laxity and mild deeper tissue descent<\/li>\n<li>Surgery is more effective for significant excess skin and advanced jowling<\/li>\n<\/ul>\n<p class=\"p3\">None of these treatments guarantees a dramatic facelift result.<\/p>\n<p class=\"p3\">Outcomes are generally subtle, progressive and dependent on patient anatomy, treatment design and practitioner experience.<\/p>\n<p class=\"p4\">At<strong> BIOTOPE CLINIC<\/strong> and Kojimachi Dermatology &amp; Plastic Surgery Clinic:<\/p>\n<ul>\n<li><span class=\"s1\"><b>Volnewmer:<\/b><\/span> approximately \u00a566,000\u2013\u00a5165,000<\/li>\n<li><span class=\"s1\"><b>HIFU:<\/b><\/span> approximately \u00a525,000\u2013\u00a5110,000<\/li>\n<li><span class=\"s1\"><b>Thermage:<\/b><\/span> not currently offered<\/li>\n<\/ul>\n<p class=\"p3\">A medical consultation is the most reliable way to determine whether monopolar RF, HIFU, filler, botulinum toxin, fat reduction, thread lifting or surgery is the most appropriate treatment.<\/p>\n<p class=\"p3\">Our clinics in Tokyo provide consultations in English for international patients.<\/p>\n<p class=\"p5\"><b>Have a question about Volnewmer vs Thermage vs HIFU?<\/b><\/p>\n<p class=\"p3\">Message us on LINE or WhatsApp. Our English-speaking team usually replies on the same day.<\/p>\n<p>If you have questions about Volnewmer vs Thermage vs HIFU, our team at<strong> BIOTOPE CLINIC or Kojimachi Dermatology &amp; Plastic Surgery Clinic<\/strong> in Tokyo would be happy to help. We offer consultations in English.<\/p>\n<div class=\"kjmc-en-booking-box\" style=\"background: linear-gradient(135deg,#f1faf3 0%,#e6f3ea 100%); border-radius: 14px; padding: 32px 24px; margin: 36px 0 24px; border: 1px solid #c5dccd; text-align: center;\">\n<h3 style=\"margin: 0 0 8px; color: #3a6e3a; border: none; padding: 0; font-size: 1.3em;\">24\/7 Consultation &amp; Booking<\/h3>\n<div style=\"width: 48px; height: 2px; background: #3a6e3a; margin: 0 auto 22px;\"><\/div>\n<p style=\"margin: 0 0 12px; color: #1a3a1f; font-size: 1.1em; font-weight: bold;\">Book a Consultation or Treatment<\/p>\n<p style=\"margin: 0 0 24px; color: #2c4a35; line-height: 1.75;\">Our English-speaking team responds via LINE or WhatsApp \u2014 usually the same day.<\/p>\n<p style=\"margin: 0 0 10px; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #06C755; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(6,199,85,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/line.me\/R\/ti\/p\/@710uitns?ts=05311801&amp;oat_content=url#~\" target=\"_blank\" rel=\"noopener noreferrer\">Book via LINE<\/a><\/p>\n<p style=\"margin: 0; line-height: 1;\"><a style=\"display: inline-flex; align-items: center; justify-content: center; gap: 10px; background: #25D366; color: #fff; padding: 14px 32px; border-radius: 10px; text-decoration: none; font-weight: bold; font-size: 1.02em; box-shadow: 0 2px 8px rgba(37,211,102,0.25); min-width: 240px; white-space: nowrap;\" href=\"https:\/\/whatsapp.com\/channel\/0029VbCA1v85K3zY4MLX2a1h\" target=\"_blank\" rel=\"noopener noreferrer\">Message on WhatsApp<\/a><\/p>\n<\/div>\n<h2>References<\/h2>\n<ol>\n<li>Suh DH, Oh YJ, Lee SJ, et al. A intense-focused ultrasound tightening for the treatment of infraorbital laxity. Journal of Cosmetic and Laser Therapy. 2012.<\/li>\n<li>Weiss R, Weiss M, Beasley K, et al. Operator independent focused high frequency ISM band for fat reduction: porcine model. Lasers in Surgery and Medicine. 2013.<\/li>\n<li>Zelickson BD, Kist D, Bernstein E, et al. Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device. Archives of Dermatology. 2004.<\/li>\n<li>Fabi SG. Noninvasive skin tightening: focus on new ultrasound techniques. Clinical, Cosmetic and Investigational Dermatology. 2015.<\/li>\n<li>Rohrich RJ, Arbique GM, Wong C, et al. The anatomy of suborbicularis fat: implications for periorbital rejuvenation. Plastic and Reconstructive Surgery. 2009.<\/li>\n<\/ol>\n<h2>Related Articles<\/h2>\n<p>You may also find these articles useful.<\/p>\n<ul>\n<li><a href=\"https:\/\/kojihifu.com\/english\/hifu-vs-rf-microneedling-facial-sagging\/\" target=\"_blank\" rel=\"noopener\">Facial Sagging Treatment: HIFU vs RF Microneedling<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/hifu-tokyo-non-surgical-skin-tightening\/\" target=\"_blank\" rel=\"noopener\">HIFU in Tokyo: Non-Surgical Skin Tightening Explained<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/how-to-treat-facial-sagging-hifu-rf-microneedling-fillers-and-facelift-options-explained\/\" target=\"_blank\" rel=\"noopener\">How to Treat Facial Sagging: HIFU, RF Microneedling, Fillers, and Facelift Options Explained<\/a><\/li>\n<li><a href=\"https:\/\/kojihifu.com\/english\/tokyo-skin-tightening\/\" target=\"_blank\" rel=\"noopener\">Popular Non-Surgical Skin Tightening Treatments in Tokyo for International Patients<\/a><\/li>\n<\/ul>\n<div style=\"margin: 2.5em 0 1em; padding: 1.5em; border: 1px solid #d5d5d5; border-radius: 10px; background: #fafafa; font-size: .9em;\">\n<p style=\"font-size: .72em; font-weight: bold; color: #888; margin: 0 0 1.2em; letter-spacing: .08em;\">SUPERVISED BY<\/p>\n<div style=\"display: flex; align-items: flex-start; gap: 1.2em; flex-wrap: wrap;\">\n<div style=\"flex-shrink: 0; text-align: center; min-width: 110px;\"><img decoding=\"async\" style=\"width: 100px; height: 100px; border-radius: 50%; object-fit: cover; object-position: top center; display: block; margin: 0 auto; border: 3px solid #e0e0e0;\" src=\"https:\/\/kojihifu.com\/hon\/wp-content\/uploads\/2022\/01\/photo-karibejun-400-3_re-300x300.jpg\" alt=\"Dr. Jun Karibe MD \u2014 Board-certified Plastic Surgeon, Director of Kojimachi Dermatology &amp; Plastic Surgery Clinic\" \/><\/p>\n<p style=\"margin: .6em 0 .1em; font-weight: bold; font-size: .95em; color: #222;\">Dr. Jun Karibe<\/p>\n<p style=\"margin: 0 0 .1em; font-size: .75em; color: #999;\">MD<\/p>\n<p style=\"margin: 0; font-size: .75em; color: #555; font-weight: bold;\">Director<\/p>\n<\/div>\n<div style=\"flex: 1; min-width: 200px;\">\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Education &amp; Career<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Juntendo University School of Medicine<\/div>\n<div>Department of Plastic Surgery, University of Tokyo Hospital<\/div>\n<div>Assistant Professor, Plastic &amp; Cosmetic Surgery, Saitama Medical University<\/div>\n<div>Assistant Professor &amp; Chief Resident, Yamanashi University Hospital<\/div>\n<div>2019: Founded Kojimachi Dermatology &amp; Plastic Surgery Clinic (Ichigaya, Tokyo)<\/div>\n<div>2021: Founded BIOTOPE CLINIC Shirokanedai (Minato-ku, Tokyo)<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-bottom: .75em; background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Certifications<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Board-certified Plastic Surgeon \u2014 Japan Society of Plastic and Reconstructive Surgery<\/div>\n<div>Specialist \u2014 Japan Society of Anti-Aging Medicine<\/div>\n<div>Certified Industrial Physician \u2014 Japan Medical Association<\/div>\n<div>Allergan VST-certified Injector (Botox &amp; Hyaluronic Acid)<\/div>\n<\/div>\n<\/div>\n<div style=\"background: #fff; border: 1px solid #ebebeb; border-radius: 6px; padding: .7em 1em;\">\n<p style=\"margin: 0 0 .35em; font-size: .78em; font-weight: bold; color: #666; border-bottom: 1px solid #f2f2f2; padding-bottom: .3em;\">Awards<\/p>\n<div style=\"font-size: .82em; color: #444; line-height: 1.75;\">\n<div>Best Presentation Award \u2014 Dept. of Plastic Surgery, University of Tokyo (2016)<\/div>\n<div>Excellence Award \u2014 Japan Society of Plastic and Reconstructive Surgery (2018)<\/div>\n<div>Featured Presentation \u2014 ASPS Annual Scientific Meeting, USA (2018)<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"margin-top: 1em; padding-top: .75em; border-top: 1px solid #e8e8e8; display: flex; flex-wrap: wrap; align-items: center; gap: .5em;\"><a style=\"display: inline-block; background: #e1306c; color: #fff; padding: .4em .9em; border-radius: 4px; text-decoration: none; font-size: .8em; font-weight: bold;\" href=\"https:\/\/www.instagram.com\/dr.jun_\/\" target=\"_blank\" rel=\"noopener noreferrer\">Instagram<\/a><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Compare Volnewmer, Thermage, and HIFU skin-tightening treatments. Learn how monopolar RF works, realistic results, costs in Tokyo, and which suits your skin best.","protected":false},"author":4,"featured_media":8692,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,21],"tags":[402,378,399,240,70,71,26],"class_list":["post-8693","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cosmetic-treatments","category-skin-dermatology","tag-thermage","tag-non-surgical-lifting","tag-volnewmer","tag-radiofrequency","tag-hifu","tag-skin-tightening","tag-tokyo-clinic"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/8693","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/comments?post=8693"}],"version-history":[{"count":1,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/8693\/revisions"}],"predecessor-version":[{"id":8799,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/posts\/8693\/revisions\/8799"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media\/8692"}],"wp:attachment":[{"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/media?parent=8693"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/categories?post=8693"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kojihifu.com\/english\/wp-json\/wp\/v2\/tags?post=8693"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}