SMAS Lifting with Visualization: Why Ultrasound Guidance is Key to Safety and Efficacy

In aesthetic medicine, precision is not just a mark of professionalism; it is the foundation of safety and efficacy. This is especially critical for a SMAS lifting, where the physician’s goal is to target not the skin’s surface, but its deep structures.

This is precisely where visualization plays a crucial role—the ability to see the underlying tissues in real-time and control the depth of treatment with millimeter-level accuracy.

The Ulthera System in Armenia: SMAS Lifting with DeepSEE™ Guidance

At the Medest Clinic, the procedure is performed on the Ulthera System—the original American system that combines ultrasound energy with DeepSEE™ visualization technology. It is the only device of this caliber in Armenia, and it is what allows for the safest and most precise SMAS lifting.
Working with the Ulthera System, the physician can see the tissue structure beneath the skin and adjust parameters in real-time:

• Depth
• Energy
• Direction of the impulse

This eliminates working “blind” and allows for the development of intelligent, individualized protocols for each patient. This approach makes the outcome not just pronounced, but also predictable and natural.

Individualized Protocols: Why “Blind” SMAS Lifting is Obsolete

Without visualization, a physician relies solely on anatomical landmarks, and the procedure loses the subtlety that distinguishes precise work from a standard one. When performing a SMAS lifting under visual guidance, the specialist can see exactly where the SMAS layer is and work strictly in the zones that truly require lifting.

This is especially important in sensitive areas:

• Along the jawline
• In the neck area
• Around the eyes (periorbital area)

Every face is unique, and it is visualization that allows for accommodating individual tissue characteristics. Skin thickness, subcutaneous fat density, and the location of vasculature all influence the treatment plan. Therefore, at the Medest Clinic, standardized templates are not used; instead, the depth and parameters are selected for each patient individually.

Safety and Personalization: The Core of Visualized SMAS Lifting

Dr. Marina Shishmanyan explains why visual control is so critical:

“Visualization also significantly enhances the procedure’s safety. I can see the anatomical structures and avoid vulnerable zones, all while maintaining the necessary power and efficacy of the impulse. This makes the SMAS lift not only effective but also maximally tissue-sparing.

For me, a SMAS lift on the Ulthera System is not just a device-based procedure; it is precise, deliberate work with anatomy. When a physician sees how the energy is distributed beneath the skin, they can control every millimeter—and therefore, the result.

Visualization is not an add-on to the technology; it is its essence. It makes the procedure informed, safe, and truly personalized.”

This is why at the Medest Clinic, every SMAS lift is performed under mandatory visual guidance, ensuring each procedure is not just effective, but perfectly calibrated.

The clinic’s specialists support the patient at every stage—from diagnostics and consultation to post-procedure care. This comprehensive approach allows for achieving a long-lasting, natural lifting effect without overtaxing the tissues or compromising facial expression.

Book a consultation at Medest Clinic to receive your personalized care and treatment plan