Key summary Start by comparing a 300-shot plan for a limited area, such as the jawline or under the chin, with a 600-shot plan covering several areas from the cheeks to the jawline. Additional shots can extend the treatment area or be divided between the layers that need treatment. If your face is lean or the area below your cheekbones is hollow, first tell the doctor which volume you want to preserve. Decide what you want lifted and which areas to avoid, then discuss the shot count that fits that plan.
01 What is different about 300 and 600 shots?
Shot count describes the amount of treatment, separately from the energy delivered with each shot. Ultherapy focuses ultrasound at a target depth below the skin to create small thermal treatment points, encouraging collagen formation as the tissue repairs itself. Treatment lines, energy and transducer depth are separate settings. When comparing 300 and 600 shots, look at how they are distributed as well as the total.
More shots can be used to treat an area more densely or extend treatment from the cheeks to the jawline and neck. If you are told that “600 shots would be better,” ask where those extra shots will go.
| What to compare | When considering 300 shots | When considering 600 shots | |
|---|---|---|---|
| Area of concern | A limited area, such as the jawline or under the chin | Several areas, such as the cheeks and jawline | |
| Distribution | Concentrating on the area that bothers you | Extending coverage or treating the required layers | |
| Explanation to request | How the planned area will be divided | Where the additional 300 shots will be used | |
| Cost | Whether the area you want is included | What the extra coverage and package include |
Information checked: 2026-10-26. These are consultation starting points based on treatment coverage; an individual prescription requires an examination. See the Ultherapy evidence guide for the basic mechanism and research.
02 Should I start with 300 shots if only my jawline and double chin bother me?
Compare a localized treatment plan if you want to preserve your cheeks while defining your jawline and the area under your chin. DermaFocus's guide to 300 and 600 shots starts with 300 shots for a smaller area and 600 for more extensive sagging extending from the cheeks. U&I Clinic Gwangmyeong also describes a plan of around 300 shots focused on the jawline and double chin.
The treatment area changes depending on whether your concern is the border from below the ear to the chin, fullness under the chin, or loose skin extending toward the neck. Point out the area that bothers you in your side profile and ask exactly how far treatment will extend.
Fullness under the chin also needs to be distinguished from loose skin. The cheek fullness and double-chin guide explains how the cause affects treatment selection.
03 Are 600 shots appropriate when my cheeks and nasolabial area are sagging?
Compare a 600-shot plan distributed across several areas when both your cheeks and jawline are sagging. Ask whether the forehead, eye area, under-chin area and neck are included. The actual treatment area matters more than a package named “full face.”
Sagging cheek tissue that makes the mouth area look heavy differs from volume loss next to a nasolabial fold that makes the fold look deeper. Whether you want to lift descended tissue or fill a hollow changes the treatments to discuss. The nasolabial-fold filler and lifting guide explains this distinction.
If sagging is pronounced and you expect a clearly lifted facial contour, ask about the extent of change the procedure can deliver before adding shots. The manufacturer does not describe Ultherapy as a replacement for a surgical facelift. For a comparison of surgical approaches, see SMAS, deep-plane and mini-facelift differences.
04 How should treatment be planned for a lean face?
If you already have hollowing below the cheekbones or along the side of the cheeks, first say that you want to preserve that volume. The condition of each area provides more useful consultation information than the overall amount of facial fat. One face can have different concerns, such as a full under-chin area and thin front cheeks. DermaFocus also advises deciding which areas to leave untreated when facial fat is limited.
Tell the doctor when your cheeks became hollow after a previous lifting procedure or when you recently lost substantial weight. Earlier photographs can help explain your original facial shape and what has changed.
The manufacturer's instructions include post-marketing reports of fat or volume loss, burns, blisters and sensory changes. Such reports cannot establish precise incidence or causation. Alongside the total shot count, ask which areas and depths will be avoided and how you can obtain care if a problem develops.
05 Can depth and technique differ even with the same shot count?
Ultherapy PRIME uses transducers targeting depths of 1.5mm, 3.0mm and 4.5mm, with treatment planned using ultrasound visualization of the tissue layers. Merz Korea describes a sequence of real-time imaging, an individual treatment plan and treatment of the target areas. These numbers describe the treatment depth, which differs from the depth that can be viewed on the ultrasound image.
The allocation between transducers can differ even for the same 600 shots. Ask, “Which transducers will you use for my tissue layers?” and “Will you use ultrasound visualization during treatment?”
For a comparison of treating doctors, devices and pain management, see Gangnam Beauty Check's Ultherapy clinic comparison. For one clinic's approach in detail, KBR's public information on Ultherapy at Seoul Liger Dermatology Clinic connects the clinic's explanations with its sources.
06 What do actual reviews say about shot selection and results?
A Gangnam Unni reviewer who booked 300 shots and chose 600 after consultation describes a plan focused under the chin. The reviewer was told that transducers of different depths would be used.
A Babitalk reviewer receiving 300 shots for the first time described the pain as more tolerable than expected. Another Gangnam Unni reviewer who received a total of 600 shots under sedation together with Rejuran said that they began noticing a change after one month.
Another Babitalk reviewer was disappointed with the change after receiving Ultherapy 600 shots, salivary-gland Botox and fat-dissolving injections under the chin together. This experience and the positive reviews differ in combined treatments and assessment timing, so they cannot be combined into a comparison of results by shot count.
07 Can I add more shots while waiting for the results?
If only a few days have passed, review the course of the first treatment before deciding that it was insufficient and immediately adding shots. The manufacturer's FAQ says results develop over 2–3 months and may last a year or longer after one treatment. Individual changes and duration vary.
At a consultation about further treatment, provide the date, areas and shot count of your previous procedure. Other ultrasound or radiofrequency treatments, fillers and thread lifts are also relevant to the doctor's next treatment plan.
Assess changes in contour and firmness rather than how much pain you tolerated. Contact the treating clinic for medical assessment if you suspect a burn or blister, or notice abnormal sensation or muscle movement. The Ultherapy pain and aftercare guide covers anesthesia, swelling, bruising, washing and exercise.
08 Which option should I compare first for my situation?
Start with the area that bothers you most. Find the conditions below that are closest to your face and use them to guide your consultation questions.
- Only the jawline and double chin bother you: Start with a localized 300-shot plan and ask how much of the under-chin area and neck it includes.
- Your cheeks, lower cheek tissue and jawline are sagging together: Ask how 600 shots will be distributed by area and depth. If nasolabial folds also bother you, discuss volume loss separately from sagging.
- Your cheeks are lean or hollow below the cheekbones: Identify the volume you want to keep and the areas to avoid before discussing shot count.
- You have fuller cheeks and substantial fullness under the chin: Ask whether treatment is intended to address fat volume or loose skin. If additional procedures are proposed, ask what each is meant to do.
- You are concerned about age, from your 20s through your 50s and beyond: Alongside your age, describe the extent of sagging, skin thickness, earlier treatments and subsequent changes. Ask for a plan for your face rather than choosing by an age-specific package name.
- Fine lines and surface firmness bother you more: Ask whether the target is deeper sagging or firmness near the skin surface. The Ultherapy and Thermage comparison explains the two approaches.
09 What should I ask when comparing prices?
Compare the total price together with the device, treatment areas, anesthesia and additional procedures included. A 300-shot package bundled with other lifting or injectable treatments differs from Ultherapy alone. Ask how the price changes if sedation is added or coverage extends to the neck.
If your budget is fixed, prioritize the area you most want to change. Ask whether the offer is a localized plan within that budget or whether including your desired area requires an extra charge. Before payment, check the total including VAT and anesthesia and whether the offer applies only on certain days or to a first visit.
Common misconceptions
600 shots cannot be calculated as twice the benefit of 300 shots. Coverage, depth and energy settings also contribute to the result.
Choosing 300 shots does not guarantee that cheek hollowing will be avoided. Even with fewer shots, the treatment plan depends on the area and depth being treated.
In summary
By the end of the consultation, clarify where the additional 300 shots would go, the expected change and the total cost including anesthesia. Use that explanation to decide whether the expected change is worth the additional expense to you.
Frequently Asked Questions
Can Ultherapy 300 shots treat the whole face?
300 shots are generally a starting point for a plan focused on areas such as the jawline and under the chin. Dividing them across several facial areas leaves fewer for each area, so review coverage and distribution together if sagging across the face is your concern.
Will Ultherapy 600 shots last longer?
The number 600 alone cannot establish a longer duration. Discuss the treated areas, skin condition and changes after previous treatment when asking about how long results may last.
Should I choose 300 shots if my cheeks have little fat?
A lean face alone does not determine a 300-shot plan. If your cheeks are hollow below the cheekbones but the area under your chin is full, first separate the areas so the front cheeks can be preserved while treatment focuses under the chin.
How do two sessions of 300 shots compare with one session of 600?
Two 300-shot sessions cannot simply be calculated as equivalent to one 600-shot session. Compare the areas, depths and interval for each session, including whether the same area is repeated or different areas are treated.
Do 600 shots mean twice the pain?
Pain is not calculated in direct proportion to shot count. Anesthesia, treatment area and energy settings differ, so ask how pain will be managed if it concerns you.
Do people in their 30s and 40s need different shot counts?
Age alone does not determine 300 or 600 shots. Even people of the same age differ in the extent of sagging, skin thickness and volume, so the actual condition of the face guides the plan.
Pre-consultation checklist
| What to clarify | Questions to ask | |
|---|---|---|
| Goal and coverage | How does a jawline-only plan differ from one including the cheeks? | |
| Volume to preserve | I want to keep this volume in my front cheeks. Which areas will you avoid? | |
| Depth and distribution | How will you use my tissue images to select transducers and allocate shots? | |
| Treating clinician | Who plans and performs treatment? Which model is used, and how is authenticity checked? | |
| Previous treatment and progress | Given the date and areas of my previous procedure, when should further treatment be assessed? | |
| Pain and total cost | What is the total including anesthesia, VAT and follow-up? Whom should I contact if a problem develops? |
Sources and verification date
- Merz Aesthetics Korea: Ultherapy PRIME, 2026-10-26. Visualization, individual planning, transducer depths and Korean product information.
- Ulthera System instructions for use, 2026-10-26. The 2025 edition covers treatment amount and settings, contraindications and post-marketing safety reports. The US instructions and Korean authorization information have different scopes.
- Ultherapy official FAQ, 2026-10-26. Manufacturer information on personalized treatment, result timing, candidates and the relationship to surgical lifting.
- U&I Clinic Gwangmyeong: shot-count selection, 2026-10-26. Clinic guidance based on treatment area and coverage.
- DermaFocus: 300 vs 600 shots, 2026-10-26. Coverage, additional shots, cost, and review accounts of pain and treatment time.
- Gangnam Beauty Check: Ultherapy clinic comparison, 2026-10-26. Doctors, techniques, treatment areas, pain management, cost and follow-up questions.
- Gangnam Unni, Babitalk, 2026-10-26. The individual experiences quoted in the review cards.
Editorial responsibility and interests
- Written and edited by the Korea Beauty Report Editorial Team.
- Medical professional review: none.
- No clinic has a contractual or advertising relationship with this article.
- First published: 2026-10-26. Sources last checked: 2026-10-26.
- This article supports treatment decisions; an individual diagnosis and treatment plan require a clinician's assessment.