A very common question I receive in my office is: "Doctor, can I use Liftera and biostimulators together? Or do I have to choose between them?"
The truth is that, in many cases, combining these technologies yields superior results, provided it is applied with planning, careful consideration, and medical supervision.
In this text, I will explain when this association makes sense, how it works, what the benefits are, and what defines the ideal protocol for each patient.
Schedule your personalized evaluation with Dr. Renata!
Dermatologist at Nova América
What is Liftera and how does it work on the skin?
Liftera is an advanced microfocused ultrasound device that works by stimulating collagen and tightening the deeper layers of the skin, such as the SMAS — the same structure treated in facelift surgeries.
In practice, it offers:
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Lifting effect without surgery;
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Facial contouring;
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Improves firmness and prevents sagging.
- Liftera 2: Natural Lifting | How Does it Work? See the Before and After! Click here!
What are biostimulators and how do they work?
Biostimulators, such as Sculptra or Radiesse, are injectables that stimulate the body to produce new collagen over time. They don't directly "fill" the area, but rather reinforce the skin's structure, improving its thickness, quality, and firmness.
In practice, the patient notices:
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Stronger and more elastic skin;
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Gradual reduction of sagging skin;
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Better structural support.
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Sculptra: What is it? How does it work? See Before and After Photos! Click here!
- How Much Does Sculptra Treatment Cost? Click here!
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Radiesse: What is it? How does it work, benefits, and post-treatment care? Click here!
- How Much Does Radiesse Treatment Cost? Click here!
Combining Liftera and biostimulators: is it possible and advisable?
Yes, it's possible — and often recommended.
This combination delivers complementary benefits:
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Liftera works by retracting and repositioning the deeper layers;
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The biostimulator strengthens the dermal matrix, supporting the lifting effect and improving skin quality.
The ideal protocol depends on factors such as:
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Degree of sagging;
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Age;
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Area treated (face, neck, body);
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Expectations and objectives.
How does the combined protocol work at the Renata Ralha Clinic?
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Detailed medical evaluation, considering anatomy, history, and biological response;
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Defining the correct order: we generally start with Liftera (microfocused ultrasound) for an immediate lifting effect and then apply the biostimulator for structural reinforcement;
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When performed on the same day, studies show that there is a potential increase in up to 7 times the collagen stimulation, taking advantage of the synergistic effect of technologies;
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Close monitoring to track progress and adjust the plan as needed.
Results: What to expect when combining Liftera and biostimulators.
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When will I see results?
The subtle lifting effect of Liftera can be noticed within weeks, while biostimulators show progressive results over 3 to 6 months. -
How many sessions do I need?
Typically, one Liftera session and 1 to 2 sessions of biostimulators are used, adjusted according to individual assessment. -
How long does it last?
On average, the combined results last 12 to 18 months, requiring annual maintenance. - Coolfase: What is it? How does it work? See Before and After Photos! Click here!
Why choose this combination at the Renata Ralha Clinic?
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Individualized planning, without ready-made protocols for everyone;
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Specialized medical experience combining technologies;
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A safe technique that respects the limits and needs of the skin;
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Careful monitoring before, during, and after treatment.
Schedule your personalized assessment.
If you want a complete plan for sagging and firming skin, with natural and lasting results, schedule an evaluation at the Renata Ralha Clinic. We will understand your case, plan the right protocol, and monitor each step of the process with ethics, science, and excellence.
Medical evaluation is essential to understand the patient's complaints, identify dermatological problems, and consider their individual characteristics, such as anatomy, skin type, and reactions to substances used. Based on this, it is possible to determine the appropriate techniques to naturally enhance the features of the face, skin, and body.
Choosing a dermatologist is crucial for a thorough analysis of the areas of disharmony in the patient and to determine the necessary techniques, whether it be increasing volume, correcting angles, or symmetry. With a personalized and exclusive treatment plan, it is possible to meet the specific needs of each patient while respecting their limitations.
Dr. Renata Ralha, Clinical, Aesthetic and Hair Dermatologist, CRM: 52-84102-1 RJ, RQE No.: 28115
Medical evaluation is essential to understand the patient's complaints, identify dermatological problems, and consider their individual characteristics, such as anatomy, skin type, and reactions to substances used. Based on this, it is possible to determine the appropriate techniques to naturally enhance the features of the face, skin, and body.
Choosing a dermatologist is crucial for a thorough analysis of the areas of disharmony in the patient and to determine the necessary techniques, whether it be increasing volume, correcting angles, or symmetry. With a personalized and exclusive treatment plan, it is possible to meet the specific needs of each patient while respecting their limitations.
Dr. Renata Ralha, Clinical, Aesthetic and Hair Dermatologist, CRM: 52-84102-1 RJ, RQE No.: 28115
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