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Dual-approach High-intensity Focused Ultrasound for Facial Contour Modulation and Submental Reduction
Jong Keun Song1, Yerin Park2, Arash Jalali3
1From the Pixelab Plastic Surgery Clinic, Seoul, Republic of Korea.
Plastic and Reconstructive Surgery. Global Open
|July 23, 2026
Summary
Dual-mode high-intensity focused ultrasound (HIFU) offers precise facial contouring by targeting specific aging areas. This treatment improved facial volume and definition, with high patient satisfaction and minimal side effects.
Area of Science:
- Aesthetics
- Dermatology
- Medical Devices
Background:
- Facial aging causes region-specific volume loss and excess.
- Targeted energy delivery is crucial for effective facial rejuvenation.
- Dual-mode high-intensity focused ultrasound (HIFU) allows for precise remodeling of facial tissues.
Purpose of the Study:
- To evaluate the effectiveness of compartment-programmed dual-mode HIFU for facial and submental contouring.
- To assess region-specific volume changes and aesthetic outcomes after HIFU treatment.
- To determine patient satisfaction and safety of the dual-mode HIFU procedure.
Main Methods:
- A prospective case series involving 38 Korean adults.
- Single session of compartment-programmed dual-mode HIFU across 7 facial and submental zones.
- Outcomes measured using 3D stereophotogrammetry, cervicomental angle, jawline definition, and Global Aesthetic Improvement Scale.
Main Results:
- Significant improvements in cervicomental angle (+6.4°) and jawline definition (+17.1%) (P < 0.001).
- Intention-consistent volume changes observed: microaugmentation in central perioral-marionette zones and volume reduction in lateral facial and submental areas.
- 93.7% of participants rated as "improved or better" on the Global Aesthetic Improvement Scale at 12 weeks, with high satisfaction (4.5/5).
Conclusions:
- Compartment-programmed dual-mode HIFU effectively achieves coordinated, zone-specific facial and submental contour changes.
- The treatment demonstrates potential for non-invasive facial rejuvenation.
- Further studies are needed to confirm long-term durability beyond initial remodeling.
