Fotona 4D vs Ultherapy (HIFU) vs Thermage vs Filler Lifts: Non-Surgical Facelift Face-Off

If you are considering a non-surgical facelift treatment in Malaysia, you are in the right place.

non surgical facelift malaysia


The number of options for non-surgical facelifts have increased drastically in recent years, thus making it complicated when it comes to choosing the right one.

What is a Non-Surgical Facelift?

A non-surgical face-lift can include a number of different treatments and procedures that aim to address the effects of aging. Non-surgical options for facelifts fall into three categories: replenishing lost volume, resurfacing the superficial skin and tightening deeper tissue. Generally, a range of treatments are used in combination to achieve your overall facial rejuvenation goals.
There are 3 different categories of non-surgical face lifts that can achieve lifting without plastic surgery:
  1. Energy-based
  2. Filler-based
  3. Thread lift-based
The energy based category is the biggest group with various technologies and jargons, thus could be overwhelming and confusing for you as a consumer.

Different depths of penetration for different energy devices for non-surgical facelift

There is no clear path suited to everyone because the procedures used will be dependent on your individual goals. Generally, a range of treatments are used in combination to achieve your overall facial rejuvenation goals.

We will cover the pros and cons of the popular non-surgical facelifts in Malaysia.

1. Fotona 4D Non-Surgical Facelift

Fotona 4D has 4 state of the art lasers that are each designed to enhance your complexion in a unique way. Each one can be adjusted to provide a precise degree of treatment to suit your needs.

Furthermore, they can be combined to achieve a facelift-like result with the added benefit of enhanced skin tone and texture. This fully customised experience can also help protect your skin from damage stemming from overly aggressive treatment.



Fotona 4D Laser Face Lifting indications:
  1. Skin laxity and tightening 
  2. Lines 
  3. Nasolabial fold 
  4. Wrinkles 
  5. Loss of volume 
  6. Uneven tones and texture 


Pros of Fotona 4D:
  1. More effective than Thermage.
  2. No needles or injections needed. Less invasive than threadlifts.
  3. Relatively cheaper than Ultherapy and Thermage.
Con of Fotona 4D:
  1. Not easily available. Not all aesthetic clinics or beauty salons will have this device.
Fotona 4D cost in Malaysia: The prices of Fotona 4D laser treatments in Malaysia vary from RM 1,500 - RM 2,000 per session depending on the type of treatment, the doctor and the no. of sessions required.

Related: Fotona 4D Malaysia Price


2. Ultherapy (First Generation High Intensity Focused Ultrasound)

Ultherapy (HIFU treatment) delivers High Intensity Focused Ultrasound (HIFU) energy in a bullet-like manner to cause instant tightening of the Superficial Musculo Aponeurotic System (SMAS) layer of the face, stimulating collagen production without cutting the skin surface. The SMAS is the muscular layer that plastic surgeons pull and tighten in a surgical facelift procedure.

Ultherapy provides an instant and immediate lifting effect, followed by collagen stimulation over the next 3 months. Both effects are induced by the ultrasound energy. It's also very safe because the machine allows ultrasound visualization of the different structures and layers under the skin, allowing the operator to precisely target the right tissue - there's almost no chance of burns with this treatment.

Pros of Ultherapy:
  1. Instantly visible lift seen (forehead, eyebrows, cheeks, jowls, neck) with further improvement over 3 months.
  2. No needles or injections needed.
  3. FDA-cleared, non-invasive procedure that lifts and tightens the neck, chin and brow, and improves lines and wrinkles on the chest.
  4. Able to reduce the size of chubby cheeks.
Cons of Ultherapy:
  1. Treatment is pretty painful, although a pain score of 5 - 8/10 can be brought down to 1 - 2/10 with a nerve block.
  2. Efficacy of treatment is variable due to energy level and shot count having variations between different operators.
  3. Not suitable if you are thin-skinned and don’t have much fat on your face.
Ultherapy (HIFU treatment) cost in Malaysia: RM 6,000 to RM 8,000 per session.

Currently, a newer 2nd generation HIFU that is painless and more affordable is available. Please feel free to contact us for more information.


3. Thermage CPT

Thermage uses a radiofrequency (RF) device to heat the deep, collagen-rich layers of your skin. The heat helps remodel existing collagen and produce new collagen, which improves skin smoothness and texture.

Pros of Thermage:
  1. Face-lift effect is subtle and gentle, recommended for younger patients between 25 - 40 years old.
  2. No needles or injections (ideal if you are fearful of injections but want some sort of facial rejuvenation).
Cons of Thermage:
  1. Thermage can’t lift moderately saggy tissues and skin in older patients. Not suitable for moderate to severe signs of facial aging.
  2. Chance of skin burns.
  3. Burning discomfort during treatment.
Thermage cost in Malaysia: RM 5,000 to RM 7,000 per session.

Collagen production might take around 6 - 12 weeks, so don't expect obvious results before 6 weeks.


4. Dermal Filler Lifts

Dermal fillers have been used to fill facial depressions, skin folds and volume loss. It was recently discovered that they are extremely effective for face-lifting as well.

Common fillers used in Malaysia nowadays are:
  • Juvederm, Restylane, Belotero, Teosyal (Hyaluronic Acid)
  • Radiesse (Calcium Hydroxyapatite)
  • Sculptra (Poly-L-Lactic acid)
  • Ellanse (Polycaprolactone)
There are various filler lift techniques for different purposes. Some of the more popular filler lift techniques include:

a. The Hairline Lift (originated by Dr Peter Huang, a renowned plastic surgeon of Taiwan) – tightening the sides of your face and jowls via fillers placed in your hairline as an anchor. This has an upward pulling force on all your facial muscles, similar to a surgical facelift effect.

b. Radiesse 3D Vector Lift - Injection of radiesse fillers like threads in vectors that will give a lifting effect.

c. The Butterfly Lift (originated by Dr Puttipong Poomsuwan of Bangkok) – lifting of the true retaining ligaments of the face. It's postulated that depositing the fillers right under those ligaments causes a pressure tenting effect on those ligaments, and thus skin tightening and a "lift" can be witnessed immediately.

Pros of dermal filler lifts:
  1. Instant visible lift seen (cheeks, jowls, smile lines). Good for last-minute lifting before big events.
  2. No downtime.
Cons of dermal filler lifts:
  1. Unable to lift moderate to severely saggy faces.
  2. Large volume of fillers (3 - 7 CCs) needed for full face treatment.
  3. Risk of a chubby-looking face or lumpy skin in inexperienced hands.
Filler Lift cost in Malaysia: RM 6,000 to RM 10,000 (3 - 5 CCs).


5. Threadlifts

The popularity of threadlifts has increased considerably over the past few years. This is largely due to the desire to achieve face lifting without surgery.
how do threadlifts workThe most common types of thread lifts would be the Korean PDO threads and Silhouette threads which are US FDA approved. We do get enquiries on Serdev suture lift but this is an old technique and the trend is moving towards more modern techniques.

Serdev Sutures® are often referred to as “thread lifts". This is incorrect, due to the different characteristics of both techniques. “Thread lifts” use “barbed threads”, which are not sutured, nor fixed, but free floating in subdermal fat tissue, while Serdev Sutures® use semi-elastic absorbable sutures, which are fixed to immobile skeletal structures.

Pros of Korean Threadlift:
  1. Instant visible lift seen which will further improve in 3-4 months (forehead, eyebrows, cheeks, jowls, smile lines, neck, double chin) .
  2. Most dramatic lifting effect among all the listed treatments.
  3. Versatile and suitable for all faces.
Cons of Korean Threadlift:
  1. Skill-Dependent – 8 out of 10 doctors who learn how to perform Korean thread-lifts eventually do not offer it.
  2. High chance of not having any results if not done properly.
  3. Downtime of 3 - 7 days (bruising, swelling, pain). This can be highly minimized in experienced hands. My patients have a downtime of 1 - 2 days.
  4. Chance of side effects in inexperienced hands (thread extrusion, thread migration).
  5. Many low-quality threads made in Korea have flooded the market (be careful of the cheap Korean threads which may have more side effects).
Korean Threadlift cost in Malaysia: RM 5,000 - 6,000


6. Dysport Dermalift (Intra-dermal skin tightening & facelift)

Dysport is another brand of 'botulinum toxin' (the most popular brand being 'Botox'). Dysport Dermalift utilizes tiny injections of Dysport into the skin layer to stimulate skin tightening and increased production of collagen.

Pros of Dysport Dermalift:
  1. Instantly visible lift seen (forehead, eyebrows, cheeks, jowls, neck) with further improvement over 1 week. Good for last-minute lifting before big events.
  2. Cheaper than other procedures.
  3. Able to reduce the width of your face.
  4. Best effects seen if you have mild facial sagging.
Cons of Dysport Dermalift:
  1. Highly-skilled doctor required as side effects like ptosis, asymmetrical smile may occur in less-experienced physicians.
  2. Intra-dermal injections can be quite painful for some patients.
  3. Small chance of urticaria after treatment (rare but easily managed).
Dysport Dermalift cost in Malaysia: RM 2,500 - 3,500

This unique way of using Dysport (a brand of Botulinum toxin) originated from Korea when Dr Lee Young Seob, a renowned plastic surgeon, wanted a better alternative to injecting Botox into facial muscles (which is what the majority of doctors worldwide and Singapore are doing). Instead of injecting Dysport into the muscle layer, Dr Lee experimented with injecting Dysport in the skin layer (or intradermally). He found that this caused a contraction effect of the skin layer for 6 months, causing an immediate face-lifting effect without the frozen results of intra-muscular Botox!

Botox vs Dysport note: According to the FDA, it takes a minimum of two times more units of Dysport® to get the same effect as Botox®. So, if the patient has opted for Botox® and received 20 units, the same patient will need 40 units of Dysport® for an equivalent treatment.


Key Takeaways

The most important key takeaway is that you should never attempt this procedure with a non-licensed provider as a way to save money. This could not only result in dangerous side effects, but you’ll likely be unhappy with the work and may have to get it done all over again.

If you are looking for licensed aesthetic clinics and experienced practitioners, check out best aesthetic clinic in Malaysia.

If you’re having trouble finding a provider, please feel free to contact us.

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