박유미 원장 , 청담 4.4클리닉 블로그

2026-07-03

Sherf Series Part 6 - Treatment Methods to Maximize Sherf Lifting Effects

Discover how to maximize Sherf lifting effects. Learn why personalized treatment design, facial structure analysis, and proper energy settings matter more than just shot counts.

Sherf Series Part 6 - Treatment Methods to Maximize Sherf Lifting Effects

How are the number of shots and energy settings determined?

During lifting treatment consultations, many people ask these questions.

‘How many shots do I need for good results?’ ‘Isn't it better to get more shots?’

However, what truly matters in a lifting treatment is not just the number of shots, but the ‘treatment design’.

Even when using the same equipment,

Facial structure analysis

Energy settings

Treatment points

can make a significant difference in the final results.


1️⃣ More Important Than Shot Count: ‘Facial Structure Analysis’

Facial sagging is not caused by skin issues alone.

As aging progresses,

Decreased skin elasticity

Changes in fat distribution

Sagging around the retaining ligaments all occur together.

Changes in bone and fat due to aging

Therefore, when performing a lifting treatment,

✔ Skin thickness

✔ Fat distribution

✔ Direction of sagging must be analyzed first,

👉 and then it is crucial to determine the treatment points.


2️⃣ Treatment Points That Create the Lifting Effect

Rather than irradiating the entire face uniformly,

there are specific points where the lifting effect is most prominent.

Typically, these include:

Above the cheekbones (zygoma area)

In front of the ears (preauricular area)

The jawline

When energy is delivered to these areas,

👉 a lifting vector is formed that pulls the face upward.

Facial retaining ligaments (which become lifting points)

Thus, in actual treatments, rather than applying the same number of shots across the whole face,

the design is centered around these lifting points.


3️⃣ How Are Energy Settings Determined?

The core of radiofrequency lifting is

👉 inducing collagen denaturation at the optimal temperature.

Collagen in the dermal layer undergoes

Collagen contraction

and collagen remodeling at around 60~63°C.

Therefore, energy settings are adjusted by considering:

✔ Skin thickness

✔ Pain sensitivity

✔ Treatment area


4️⃣ Why Is Excessive Energy Bad?

Many people think, ‘Doesn't higher energy mean better results?’

but this is not always the case.

If the energy is too high, it can increase the risk of:

Increased pain

Burns

Post-inflammatory hyperpigmentation

Therefore, 👉 appropriate energy + a sufficient number of shots is crucial.


5️⃣ Factors Considered in Actual Treatments

When designing a Sherf treatment, the following factors are comprehensively considered:

✔ Degree of facial sagging

✔ Skin thickness

✔ Fat distribution

✔ Lifting points

✔ Energy settings

✔ Number of shots

By taking these elements into account, 👉 a personalized treatment design is created.


✔ Summary

To maximize the effects of Sherf lifting,

it is not just about

✔ Number of shots

✔ or the equipment used.

Facial structure analysis

Treatment points

Lifting vectors

Energy settings

and complementary treatments that can fill in the gaps or create synergy must all be considered together.

This is why, even with the same equipment,

👉 the results can vary significantly depending on the treatment design.

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