Recently, many people have been choosing Ultherapy to improve skin firmness and regain a youthful appearance.

However, many people may be concerned about the pain during the Ultherapy procedure and have questions about its safety.

 

In this article, we will explain the important points to consider when choosing a clinic that offers intravenous sedation (sleep anesthesia) for Ultherapy, ensuring a safe treatment.

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What is Ultherapy?

Ultherapy is an ultrasonic device equipped with DeepSEE technology, delivering energy deep into the skin, targeting the SMAS layer to promote collagen production and provide a lifting effect.

 

Among HIFU (High-Intensity Focused Ultrasound) devices, it has particularly high basic energy, making it very effective in improving skin firmness and reducing sagging.

 

It is especially popular for improving the jawline and neck wrinkles, offering a non-surgical way to quickly experience a lifting effect.

 

However, due to its high energy and strong effects, the pain during the procedure can be intense, leading to an increasing number of patients requesting intravenous sedation (sleep anesthesia).

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What is Intravenous Sedation in Dermatology?

Some patients choose intravenous sedation (sleep anesthesia) during the Ultherapy procedure to relieve pain.

 

This method helps patients remain relaxed during the procedure, allowing them to receive treatment while in a light, sleep-like state.

 

However, not all Ultherapy procedures require anesthesia. The need for sedation depends on the patient's pain tolerance and the area being treated.

 

The drugs used in intravenous sedation include the following:

✅ Midazolam
✅ Ketamine
✅ Etomidate
✅ Propofol

 

Each of these drugs has different effects and potential side effects, so selecting the right medication based on the patient’s condition is crucial.

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Points to Safely Receive Ultherapy with Intravenous Sedation

 

1️⃣ Choose a clinic with experienced professionals

The Ulthera procedure itself is relatively simple, but the situation differs when intravenous anesthesia is used.

 

Even under anesthesia, patients do not become completely immobile; they may move in response to pain or even wake up.

 

Therefore, a skilled physician is required to carefully manage medications during the procedure and respond precisely to any patient movements.

 

In particular, delicate control is essential to prevent risks such as burns or side effects caused by the handpiece’s contact with the skin.

 

For this reason, it is important to choose a dermatology clinic with extensive experience in both Ulthera procedures and anesthesia management.

 

For example, at an intravenous anesthesia-compatible clinic like Primi Clinic, experienced doctors personally conduct consultations and prioritize safety throughout the procedure.

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2️⃣ Check whether the clinic is equipped for emergency situations.

Intravenous anesthesia is a highly safe method, but proper emergency response equipment is essential to prepare for any unforeseen situations.

 

The head physician at Primi Clinic holds an ACLS (Advanced Cardiovascular Life Support) certification, ensuring that the clinic is well-equipped to respond quickly and effectively in case of an emergency.

When undergoing intravenous anesthesia at a dermatology clinic, it is essential to check whether the following emergency response equipment is available:

 

✅ Oxygen supply system
✅ Airway management devices
✅ Endotracheal intubation equipment
✅ Ambu bag (manual resuscitator)
✅ Oxygen mask
✅ Various emergency medications

 

A clinic equipped with these facilities can respond appropriately in case of any unexpected complications.

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3️⃣ Pre-procedure Health Check and Fasting Confirmation

 

Before receiving intravenous anesthesia, a medical check-up by a doctor is necessary.

 

It is important to accurately inform the doctor about any underlying medical conditions and medications you are taking to minimize risks.

 

The doctor will assess the patient's condition and create a safe treatment plan, determining the appropriate medications and dosage.

 

In particular, when undergoing intravenous anesthesia, a minimum fasting period of at least four hours is mandatory.
(Eating before the procedure can cause vomiting during anesthesia, increasing the risk of aspiration.)

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4️⃣ Checking for a Recovery Room After the Procedure

 

After intravenous anesthesia, patients need to rest until they fully regain consciousness.

 

✅ Being able to immediately...

❌ Absolutely No Immediate Movement After the Procedure!

 

✅ Due to the effects of anesthesia, dizziness and instability may occur. It is best to rest in a recovery room before going home.

 

When receiving intravenous anesthesia, choosing a clinic with a fully equipped recovery room is crucial.

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Ulthera with Intravenous Anesthesia: Pros and Cons

✔ Pros

✅ Minimizes pain during the procedure
✅ Provides a comfortable treatment experience
✅ Improves precision by allowing the procedure to be performed without movement

 

❌ Cons

⚠ Not suitable for all patients
⚠ Potential side effects from the medication (e.g., dizziness, nausea)
⚠ Requires a certain period of rest after the procedure

 

Deciding whether to undergo intravenous anesthesia should be done carefully, considering the necessity of the procedure and your overall health condition.

 

If possible, less invasive options such as local anesthesia or numbing cream should be considered for a safer approach.

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Checklist for Choosing an Ulthera Clinic with Intravenous Anesthesia

 

When selecting a clinic that offers Ulthera with intravenous anesthesia, make sure to check the following:

 

✅ Is the clinic equipped to handle emergencies?
✅ Does a doctor personally conduct consultations and evaluations?
✅ Does the clinic have a dedicated recovery room?
✅ Do the medical staff have the necessary qualifications and experience to handle emergencies?
✅ Is thorough pre- and post-procedure safety management in place?

 

Choosing the right clinic carefully will ensure a safe and effective Ulthera treatment 😊

 

📌 If you have any questions, feel free to leave a comment!

 

Thank you for reading until the end!

 

 

📍 Primi Clinic 3F, 52 Seongsuil-ro, Seongdong-gu, Seoul, South Korea