68 year-old retiree reversed facial ageing signs with Ultherapy Prime
Ultherapy Prime targets loose jowls, sagging cheeks, drooping eyebrows, overall tired & "depleted" facial appearance on 67-year-old Chinese woman.
January 28, 2026
Table of Contents
Patient’s Profile
Name: Mdm M. H.
Age: 68
Occupation: Retiree & Active community volunteer
Concerns: Loose jowls, sagging cheeks, drooping eyebrows, overall tired and "depleted" facial appearance.
Treatment: Ultherapy Prime
Background
At 68 years of age, Mdm M. H.'s weeks are filled with community gardening and volunteering. Over recent years, she noticed her jawline softening into jowls, her cheeks losing their firmness and descending, and her eyebrows adopting a subtle droop that friends, kindly but consistently, pointed out.
"My friends kept saying, 'Are you tired?' or 'You look like you need a good rest.' I started avoiding group photos. [...] I just looked depleted. I wanted to look younger and needed a lift, but the thought of surgery – the cutting, the long recovery – wasn't for me. I have things to do!" Mdm M. H.. shared.
Having trusted Dr Ivan Puah with previous treatments, she returned to Amaris B. Clinic seeking a solution to reverse the signs of facial ageing.
Consultation & Assessment
During her consultation, Dr Puah was attentive to Mdm M. H.'s concerns. He conducted a thorough facial assessment, explaining that her concerns stemmed from the natural weakening of the skin's foundational support (the SMAS layer) and the loss of collagen over time.
While she desired a skin lift, the idea of a surgical facelift was out of the question: "The downtime, the recovery, the scars; it seems too extensive and invasive for my lifestyle. I want a natural refresh, not a dramatic change."
"Mdm M. H. is an ideal candidate for a non-surgical, collagen-building approach," Dr Puah explained. "Her goal is a natural lift and rejuvenation without a single incision. She did not need or want surgery. I recommended Ultherapy Prime. It's the only FDA-cleared, non-invasive treatment that can target those deep structural layers to lift and tighten skin from the inside out."
He detailed how Ultherapy Prime uses focused ultrasound energy to gently heat the deep structural support tissues at the optimal temperature for collagen regeneration. This process jumpstarts the body's natural healing response, leading to a gradual, natural-looking lift over 2 to 3 months.
The concept of 'lifting from within' with no downtime resonated with Mdm M. H., and she decided to proceed with the treatment.
Treatment Plan
A topical anaesthetic was applied, and the nursing team ensured she remained comfortable throughout the procedure.
Dr Puah explained each step as he used the advanced Ultherapy Prime device with its real-time Ultrasound Imaging capability.
"This imaging is crucial," Dr Puah noted. "It allows me to visualise the different layers of tissue in real-time, ensuring the ultrasound energy is delivered precisely and safely to the foundational layer we need to treat for an optimal lift."
Mdm M. H. described the sensation as 'deep, brief points of warmth,' and the procedure was completed smoothly within 60 minutes.
"There was no pain, just a strange warmth. The team was wonderful, constantly checking on my comfort."
Afterwards, her skin was slightly flushed, but there was no bandaging, no hiding. That alone was a huge relief.
Post-Treatment Care
Following the treatment, Mdm M. H. received detailed instructions on post-treatment care to optimise results.
Results
Mdm M. H. left the clinic with no downtime and resumed her social activities immediately—a key factor in her satisfaction.
After 6 to 8 weeks, she noticed her skin feeling firmer and tighter. The initial tired, sagging appearance began to soften.
Her jowls were noticeably firmer, her cheek contour was more defined and lifted, and the gentle elevation of her brows opened up her eye area. The overall "depleted" look was gone.
The new collagen will continue to remodel, maintaining a refreshed, more youthful contour. Mdm M. H. is advised to continue with Ultherapy Prime once a year to maintain her results.
Medical Disclaimer: Due to strict regulations from the Ministry of Health Singapore, licensed healthcare practices are not allowed to show and share before-and-after photos or videos in the public domain or through any form of push technology. "Before-and-after" or only "after" treatment visuals may be shown to patients privately during in-clinic consultation with Dr Ivan Puah.
Our patient narratives aim to provide valuable insights into individual experiences with our clinic's treatments; however, it is imperative to acknowledge the inherent variability in results. While the information shared is genuine and reflects the real journeys of our patients, it does not purport to be representative of typical outcomes, nor does it serve as a guarantee of similar results for all individuals.
Each patient's response to treatment is contingent upon a myriad of factors, including, but not limited to, their level of commitment, lifestyle choices, and medical history. It is essential to recognise that patient narratives are illustrative examples of potential outcomes and should not be construed as predictive of specific results. We advise a consultation with our doctor for comprehensive guidance tailored to individual circumstances.
