Ultrasound (HIFU) for a sagging facial line, radiofrequency (RF) for lost firmness — hearing that, many people consider having Ultherapy and Thermage back to back on the same day, a combination Koreans nickname "Ulthermage." V-RO lifting puts those two energies into a single device and aims in the same direction with a lighter setup.
HIFU and RF in One Device
V-RO is a fourth-generation lifting device refined over several rounds within the Doublo series, and its biggest feature is that HIFU ultrasound and RF radiofrequency can be delivered from one machine. Receiving Ultherapy and Thermage separately takes a long time and both sit in a high price range, which makes the barrier to entry considerable; V-RO handles the two functions in one session and lowers that burden. The handpieces in the photo are part of the upgraded V-RO cartridge lineup — the device has seven handpieces in total, with the broad ones delivering ultrasound and the slim ones radiofrequency.
What Each Energy Does
Ultrasound (HIFU) works by creating thermal coagulation points at a targeted layer of the skin to prompt collagen regeneration and production, which is why it is used for facial lines and wrinkles. Radiofrequency (RF) delivers energy in the form of a current into the skin to denature and strengthen collagen, supporting firmness and tightening. Added to this, the upgraded pen-type handpiece makes it possible to work closely over curved areas such as the forehead and delicate ones such as under the eyes. How much of a difference appears, and for how long, naturally varies from person to person.
In the End, It Comes Down to Who Handles the Device
However many handpieces there are, what separates the outcome is the practitioner's judgment. V-RO lifting at SKINIQUE Clinic is planned layer by layer, from the dermis down to the SMAS layer, based on the facial characteristics and the points for improvement identified during the consultation beforehand. Discomfort is generally reduced compared with the earlier Doublo and Doublo Gold, so with enough numbing cream applied, the session itself can be received relatively comfortably.
If You Are Not Sure Which Treatment to Choose
There are so many lifting treatments, with such complicated names, that it is easy to feel lost about where to go and what to have done. Rather than recommending everything at once, SKINIQUE Clinic consults in the direction of solving what is needed one step at a time, and works with you to find a plan that suits your skin without unnecessary treatment.
If this is your first lifting treatment and the worry comes first, it is perfectly fine to start calmly with a consultation. Detailed pricing is available on the price guide.
Wrapping Up
V-RO lifting is an option for those who want to care for both facial lines and firmness while handling two energies with one device. If you are curious about what kind of layer-by-layer plan your face would need, ask through a chat consultation on the right lifting for your skin.
This article was written by Chief Director Park Tae-hyung. He is the chief director of SKINIQUE Clinic and serves as an academic director of the Korean Society for Laser Dermatology and Trichology. First published December 16, 2022 · Last reviewed August 24, 2026
This article is general medical information, and skin conditions and responses to treatment vary from person to person. Please decide whether and how to be treated through an in-person consultation.