HIFU · Cartridges · Pacific Plaza

HIFU Singapore Guide —
Machines, Cartridges And What They Mean

This HIFU Singapore guide explains the parts of a HIFU treatment that brochures name but seldom explain: what the machine actually does, which layer each cartridge depth reaches, why some platforms show the tissue on a screen and others do not, and what labels such as 4D or 7D mean. It is written so you can read a treatment plan, or a quote, and know what you are being offered. Dr Sin Yong uses the same questions when he plans HIFU at Atelier.

The Machine

What A HIFU Machine Does

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HIFU, sometimes written "hi fu", stands for high-intensity focused ultrasound. The transducer in the handpiece shapes ultrasound the way a lens shapes light, so that the energy meets at one point a set distance below the skin. There it heats a spot about the size of a grain of rice to roughly 60–70 °C, while the tissue it passes through on the way is spared. Each pass of the handpiece leaves a row of these points, called a line.

The heated tissue contracts, and the healing that follows lays down new collagen, so a HIFU treatment works gradually rather than on the day. That is also why the depth matters so much: the machine only heats the layer its cartridge is built to reach. The treatment itself, and who it is planned for, is on the HIFU treatment page.

Clinic devices are medical devices, used after a doctor's assessment. Units sold for beauty salons or home use differ in depth, energy and oversight, and in Singapore medical devices are regulated by the Health Sciences Authority.

Cartridges

Cartridge Depths, Layer By Layer

A cartridge, or transducer, fixes the depth of the focal point. Lower frequencies reach deeper. The common facial depths are below; some platforms add a 2.0 mm cartridge for thinner zones.

HIFU cartridge depths and what each reaches
DepthLayer reachedTypical useCannot do
1.5 mmUpper dermisThin areas such as around the brow and eyes; skin firmnessReach the SMAS or change fat
2.0 mm (some platforms)DermisBrow, forehead and other thinner zonesLift descended tissue
3.0 mmDeeper dermisFirmness where tissue is too thin for 4.5 mm, such as parts of the neckLift descended tissue or replace volume
4.5 mmSMAS, the support layer a surgical facelift repositionsJawline, lower cheek and under the chin, over enough soft tissueTreat a hollow or a full fat pad; used only over adequate tissue

Platform Types

Imaging, Cartridge-Only And Micro-Pulsed Platforms

HIFU machines share one physics but differ in three ways that matter to you.

  1. Imaging or not. Ultherapy shows the skin, fat and SMAS on a screen before each line, so the operator can confirm where the focus will land. Cartridge-only platforms fix the depth by cartridge and rely on the doctor feeling the tissue first. Ultherapy vs HIFU compares the two approaches.
  2. Point or glide. Most platforms fire separate points along each line. Micro-pulsed platforms glide while firing rapid small pulses, spreading the energy more densely along the line.
  3. Labels. "4D" or "7D" usually describes how many cartridge depths a machine offers. It is a maker's label, not a depth, a generation or a safety standard, so ask for the device name and its stated depths.

Shot counts do not transfer between machines either, because a "shot" is defined differently on each. Named platforms, including ones not offered at Atelier, are compared in Ultherapy Prime vs Ultraformer MPT vs Shurink. Dr Sin Yong holds a Key Opinion Leader appointment with CLASSYS.

Who It Suits

Who A HIFU Treatment Suits

HIFU suits early to moderate looseness of the jawline, under the chin, the neck or a low brow, in a face with enough soft tissue over the bone. It is not the tool for a face that is mainly hollow, heavy with fat or carrying surplus skin; what HIFU cannot do explains why, and HIFU disadvantages covers the trade-offs. Treatment is deferred or reconsidered in pregnancy, with active infection, open wounds or flaring acne in the area, with metal implants or implanted devices in the field, and with a tendency to keloid scars.

Reading A Plan

HIFU Treatment In Singapore: Reading The Plan

A clear plan names five things, and two plans can only be compared when all five match:

  • the device, by name;
  • the areas treated, such as jawline only or full face and neck;
  • the cartridge depth for each area, and the areas left untouched, such as over the thyroid and along the nerve at the jaw border;
  • the number of lines per area;
  • whether HIFU is combined with radiofrequency, filler or laser, and in which order.

At Atelier, Dr SY feels skin and fat thickness zone by zone before choosing depths, and gel contact is checked as he goes, since poor contact stops the energy focusing where intended. The appointment is described step by step on what to expect: HIFU, recovery on HIFU downtime, and the factors behind a quote on how we quote. The outcome is judged at about three months.

FAQ

HIFU Singapore Guide — Common Questions

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The 4.5 mm cartridge reaches the SMAS and is used along the jawline, lower cheek and under the chin where there is enough soft tissue over the bone. The 3.0 mm cartridge works in the deeper skin where tissue is thinner, and the 1.5 mm cartridge in the upper skin around the brow and eyes. Some platforms add 2.0 mm for thin zones. Depth is chosen area by area, not set once for the whole face.
Usually the number of cartridge depths or handpiece options a machine offers. They are labels chosen by the maker, not a measure of depth, energy, imaging or safety, and they do not tell you whether a doctor maps your face before treatment. When comparing clinics, ask for the device's name, the depths it will use on each area, and who sets them.
No. Home units differ from clinic medical devices in the depth and energy they deliver, and they are used without anyone assessing which layer has loosened or where nerves and thin tissue lie. The useful part of HIFU is placing heat in the right layer while sparing the rest, which depends on examination as much as on the machine.
Because a shot is not a fixed unit. Machines differ in how much energy each pulse carries, how pulses are spaced along a line, and whether energy is delivered as points or as a glide. A high count on one platform can mean less treatment than a lower count on another, and extra lines over thin tissue add heat without benefit. Compare areas, depths and lines instead.
Often, because each works on a different problem. HIFU tightens the deeper support layer, monopolar radiofrequency such as the VF Lift – Vertical Facelift on Volnewmer warms the skin and the tissue beneath it, and filler or collagen biostimulators replace lost volume. Volume is usually restored before energy is added to a thin face. The order and spacing are set at consultation.

Dr Sin Yong holds a Key Opinion Leader appointment with CLASSYS.

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