Ultherapy lifting 300 shots, effective for facial asymmetry? | Gangnam Seoul, Korea Dermatology Clinic Guide

Key summary: Ultherapy lifting with 300 shots does not correct facial asymmetry itself, and when bone, chewing muscles or dental occlusion are the cause, Ultherapy can hardly solve it. However, if the degree of jawline sagging or the position of soft tissue differs between sides, facial asymmetry can be approached by checking each side separately and planning different depth, area and energy.

One jawline in photos: why asymmetry consultations have increased

More people now say one side of the jawline looks lower in photos and ask whether 300 shots of Ultherapy could help. Because the left-right difference feels larger in photos than in the mirror, they look for Ultherapy lifting not to make the face smaller or tighten it overall, but to tidy up facial asymmetry even a little.

However, looking uneven alone does not make Ultherapy the answer for everyone. Depending on the cause, Ultherapy may have no role at all, or it may be the basis for planning each side differently. So before talking about shot counts, O.N Clinic first sorts out the cause of the facial asymmetry.

First, distinguish the cause of facial asymmetry

Human faces naturally differ somewhat between left and right. The cheekbones may protrude differently, the jawbone may lean to one side, or the chewing muscle may differ in size from a habit of chewing on one side.

If the facial asymmetry starts from bone and muscle, such as the size or position of facial bones, the jaw joint, chewing muscles or dental occlusion, a plan to straighten the structure with Ultherapy is not appropriate. Ultherapy is cleared for focusing ultrasound energy to coagulate tissue and, as a result, lift areas such as a sagging jawline. It is not used as a device to change bone position or muscle volume.

On the other hand, when the bones are similar but the skin and soft tissue have loosened more on one side so that the jawline or cheek height looks mismatched, the situation is different. Cases where one jawline sits slightly lower, only one jawline border looks blurred, or the difference in sagging between sides is noticeable may fall into this category.

Conditions in which Ultherapy can be considered for facial asymmetry

Even then, we do not decide on Ultherapy right away just because the face is asymmetric. In consultation we compare the height of each jawline, where volume sits, hollowness below the cheekbones, skin thickness and fat distribution, and first see which side's sagging stands out more.

If the check shows that bone or muscle differences are large, we do not plan to even out both sides with Ultherapy alone. Only when the sagging that Ultherapy lifting can address appears differently on each side can that difference be reflected in the treatment plan.

It is easy to think you could simply concentrate shots on one side, but there is one more condition. The depth and width to which energy is sent must be decided for each side.

Setting depth separately on each side with Ultherapy Prime

With Ultherapy Prime, the skin layers are shown on screen during treatment, and while viewing the image you can choose the right depth among 1.5mm, 3.0mm and 4.5mm. Because treatment proceeds while checking internal tissue with DeepSEE technology, tissue thickness and layer positions that differ from person to person can be reflected in planning the treatment area.

If facial asymmetry is your concern, both sides do not necessarily need the same depth and the same number of shots. For example, if one side has more volume along the jawline and sags downward while the other has less volume and a relatively defined jawline, applying the same depth, shot count and area to both sides could actually lead to an awkward result.

So O.N Clinic first maps out separately the zones on each side that need energy. On the more sagging side we decide the central layer to lift, on the less sagging side we decide where to leave untouched, and we also check whether the temples and cheeks already have hollow areas.

Placement matters more than the number 300

Many people assume 300 shots of Ultherapy means 150 shots split evenly on each side. For a plan that considers facial asymmetry there is no need to do so, and where on the face and at what depth the 300 shots are placed is actually the more important information.

Unconditionally giving stronger energy to the more asymmetric side is not desirable either. The right order is to first see whether that layer truly needs heat, and only when it does, to vary shot spacing, depth and width between sides.

Instead of comparing only the frontal contour, we also look at differences in jawline and cheek position from the side, confirm tissue depth with the real-time image of Ultherapy Prime, and then decide the area. We consider not touching areas that lack volume unnecessarily to be part of the design.

Setting realistic expectations

Rather than aiming to make both sides identical with Ultherapy lifting, it is realistic to check whether, among the factors creating your facial asymmetry, there is a part that overlaps with what Ultherapy can address. If someone explains that a single lifting treatment will correct differences that extend to bone and muscle structure, it is better to be cautious.

Since faces are not identical on both sides to begin with, pulling one side harder after discovering asymmetry is not the answer. By first identifying which of bone, muscle, volume or sagging creates the difference and separating out what Ultherapy can handle, you can set a far more realistic direction than a vague expectation of correction.

Ultherapy is a lifting treatment done without incisions, and the depth and area plan changes with thickness, fat volume, facial bone structure and degree of sagging. After treatment, redness, swelling, pain, tenderness or temporary changes in sensation may occur depending on the person, so we recommend deciding on treatment after a thorough examination.

Frequently asked questions

Only one side of my jawline looks wide in photos. Can Ultherapy help?

If sagging on one jawline looks more prominent, whether to apply Ultherapy can be reviewed after checking the condition of your face. If bone or chewing muscle differences are the cause, a different direction of treatment may be needed, so identifying the cause first is important.

Can more shots be placed on one side only?

If the two sides differ, it is possible to set line counts and zones differently on each side. Still, concentrating shots on one side is not the goal; setting depth and spacing based on the layers seen in the image and the facial structure comes first.

Only one side below my cheekbone is more hollow. Is treatment okay?

Areas that already lack volume may be better treated with a reduced area or avoided. We plan volume preservation together so that hollowness does not become more noticeable while trying to reduce facial asymmetry.

If my jawbone is twisted to one side, is Ultherapy lifting with 300 shots pointless?

Facial asymmetry originating from bone cannot be corrected with Ultherapy. Still, if the degree of sagging differs between sides apart from the bone issue, a supportive approach that refines only the loosened soft tissue can be considered in consultation.

Visiting and consultation

O.N Clinic is located near Gangnam Station, making it easy to reach by subway.

If facial asymmetry bothers you and you are considering Ultherapy lifting with 300 shots, recalling frontal and side photos where the difference shows clearly will make the consultation to sort out the cause easier. If you have questions, feel free to reach us through Chat with us now.

Author: Dr. Oh Seung-min (Head physician of O.N Clinic, graduate of Seoul National University College of Medicine, Academic Committee Chair of the Korean Society for Laser, Skin and Hair). See the full profile on the medical team page. First published 2026-09-30, last reviewed 2026-11-03

This article is for general information, and the appropriate treatment and results may vary depending on individual condition.