"Anti-aging" is shorthand for half a dozen different concerns — fine lines, deep wrinkles, sagging skin, volume loss, dull tone, dark spots, hollow eyes. No single treatment covers them all. This page explains how we sequence treatments at Derma Essence based on your specific concern.
Match the treatment to the concern
- Fine lines, dynamic wrinkles (forehead, glabella, crows feet) → Botox, every 4 to 6 months
- Volume loss (cheeks, marionettes, lips) → hyaluronic acid filler
- Skin laxity / sagging (jowls, neck, mid-face) → HIFU annually
- Skin texture, fine lines, mild laxity → MNRF every 4 weeks for 4 sessions
- Dull tone, surface ageing → chemical peels + monthly Hydrafacial
- Sun damage, pigmentation → pigmentation laser
- Hollow eyes, dark circles → under-eye filler or PRP
HIFU — closest non-surgical alternative to a facelift
HIFU (High-Intensity Focused Ultrasound) heats the SMAS layer of your skin to ~70°C in microscopic columns, triggering collagen contraction and remodelling. Results show over 2 to 3 months and last 12 to 18 months. We use the Ultracel Q+ device — one of the most precise HIFU machines available.
Skin assessment 15 min
We map your face for laxity zones (jowls, jawline, nasolabial folds) and discuss what HIFU realistically achieves vs. surgical alternatives.
Topical numbing 20 min
HIFU is uncomfortable but tolerable with topical numbing cream. Some patients also take an oral analgesic 30 minutes before.
HIFU treatment 40–60 min
Three depth cartridges (1.5mm, 3mm, 4.5mm) target different skin layers. We deliver 600 to 1,200 lines depending on areas treated. Sensation is brief warmth/pricking that subsides immediately after each line.
Recovery 0 hours
You can return to work the same day. Mild redness for an hour, occasional tenderness for 1 to 3 days. Full results visible at month 3 — collagen takes time to rebuild.







