CoolSoniq

• When discussing firmness and sagging while also considering treatment pain
• When previous lifting was uncomfortable and you want adjustments to method and intensity
• When you want device selection suited to your skin and recovery schedule

What we check together before treatment

We check skin and fat thickness, hollowness and prior filler, threads and energy treatments. Disclose pregnancy or breastfeeding, inflammation, infection and electronic implants. No device suits everyone; areas and eligibility are determined at assessment.

CoolSoniq creates thermal coagulation points at target depths with focused ultrasound and uses tissue responses during recovery. Cooling is designed to reduce surface heat buildup.

1.5, 3.0 and 4.5mm are cartridge focal depths. Actual skin, subcutaneous tissue and fascia positions vary by area and individual. CoolSoniq has no real-time ultrasound imaging; we consider device differences, including when imaging is needed.

ACC cooling — cooling the skin-contact surface

ACC (Active Conduction Cooling) suppresses overheating of the ultrasound source and cools the skin-contact surface. It is intended to protect the surface and reduce pain burden. Sensation varies by area, settings and sensitivity.

Pen applicator — close contact along facial contours

The pen-shaped applicator moves in contact with curved areas. The manufacturer calls its technology TDT (Thermal Diffusion Treatment). We adjust the treatment range and speed for skin thickness and bone and nerve locations.

Three depths — tailored to tissue condition in each area

We select target depth with 1.5, 3.0 and 4.5mm applicators. Deeper is not better everywhere. Choice considers skin and fat thickness, existing hollowness and desired changes.

• Assessment: We check sagging and skin thickness and select applicators and shot counts by area.
• Anesthesia: Cooling reduces the anesthesia burden, but topical anesthesia may be added if needed.
• Treatment: We work by area and adjust the order over bony areas. Before starting, we agree that a raised hand means stop.
• Soothing: Cooling and soothing before leaving. Everyday activities can resume the same day.

Results may last about 6–12 months, varying with skin condition, treatment scope and individual response.

More shots alone do not mean longer duration. Sagging, firmness and previous response guide the next treatment timing.

• Mild redness and swelling often settle within hours, but may last 2–3 days. Recovery varies.
• Avoid alcohol, saunas, steam rooms and strenuous exercise for about a week. Maintain sunscreen and moisturizing.
• Gentle cleansing and makeup are often possible the same day, but adjust as instructed if irritation remains.
• Filler and thread lifting may be performed the same day. Scope and order depend on areas and skin condition, with separate appointments if needed.

Contact the clinic if this occurs

• If blisters or weeping occur
• If sensation is reduced or expressions feel unusual
• If mild redness or pain persists for 7 days or longer
• Rapidly worsening redness, pain or swelling, or accompanying heat or fever, regardless of duration

• We adjust cooling, intensity, speed and area sequence to skin response.
• We do not rank devices uniformly; areas and scope are determined after assessment.
• Before starting, we agree that you can raise your hand to signal uncomfortable pain.
• Consultation and treatment take place in private rooms, with communication in 4 languages.