As people age, concerns such as a less-defined jawline, lower-face sagging, double chin, drooping around the mouth and neck lines become increasingly common.

However, these concerns are not caused by age alone. Some clients have excess submental or lower-face tissue, while others mainly experience collagen loss, reduced skin elasticity or weakening of deeper supporting structures. Many clients present with a combination of these concerns.

For this reason, aesthetic clinics should not use the same machine or treatment plan for every client. Equipment selection should be based on tissue thickness, skin quality, degree of laxity, facial volume and the client’s primary treatment goals.

What Causes Lower-Face Sagging?

Changes in the lower face and neck may be associated with:

• Reduced collagen and elastin in the dermis
• Decreased skin elasticity
• Changes in the position or volume of facial fat compartments
• Weakening of deeper supporting tissues
• Excess tissue around the jawline or submental area
• Thinning neck skin and the development of fine lines
• Changes in facial structure associated with ageing

Different aesthetic technologies target these concerns in different ways.

Tecnologia	Main Mechanism	Best Suited For
HIFU	Creates focused thermal coagulation points at selected tissue depths	Deeper lifting, jawline definition and facial contouring
Dual-frequency monopolar RF	Provides volumetric heating through the dermis and subcutaneous tissue	Overall tightening, elasticity improvement and neck rejuvenation
Microaghi RF	Delivers radiofrequency energy through adjustable microneedles	Skin texture, pores, acne scars, fine lines and localised tightening
EMS	Stimulates muscle contractions through electrical or electromagnetic energy	Muscle activation and supplementary facial contour management

1. MPT HIFU: Precise Facial Lifting and Contour Management

MPTHIFU uses cartridges of different depths to deliver focused ultrasound energy to selected tissue layers.

Compared with conventional single-line HIFU systems, MPT technology can provide standard dot, ultra-pulse, circular and micro-circular treatment modes. These options allow practitioners to adapt treatment coverage to different facial and body areas.

Main Advantages

• Facial cartridge depths including 1.5 mm, 2.0 mm, 3.0 mm and 4.5 mm
• Suitable for the cheeks, jawline, submental area and selected neck areas
• Multiple treatment modes for different tissue conditions
• Treatment mapping can be customised according to tissue thickness and laxity
• Suitable for clinics focused on precise facial contour management
• More efficient energy delivery than traditional single-line systems

Which Clients Are Better Candidates?

MPT HIFU may be suitable for clients with:

• Early loss of jawline definition
• Mild to moderate lower-face laxity
• Relatively thick tissue in the submental area
• A desire for non-invasive structural lifting
• Localised areas requiring precise treatment

For clients with thin faces, limited cheek volume or a risk of facial hollowing, practitioners should use a volume-conscious treatment strategy. Dense treatment over volume-sensitive areas should be avoided.

MPT HIFU should not automatically be used as a facial fat-reduction treatment. Cartridge depth, energy, line spacing and treatment areas must be selected according to individual anatomy.

2. 22D Max HIFU: Multi-Mode Face and Body Treatments

IL 22D Max HIFU system uses multi-line and circular treatment modes. Compared with traditional single-line HIFU, each activation can cover a larger treatment area, improving treatment efficiency.

The system can be equipped with cartridges for different facial and body depths, allowing clinics to develop programmes for facial lifting, jawline contouring, submental management and body contour treatments.

Main Advantages

• Multi-line energy delivery for faster area coverage
• Circular treatment modes for more uniform application
• Multiple cartridge depths for facial and body treatments
• Suitable for the lower face, jawline, submental area and body
• Helps clinics expand both facial and body treatment menus
• Offers more treatment flexibility than a basic HIFU platform

Which Clinics Is It Best Suited For?

The 22D Max is particularly suitable for clinics that:

• Treat both facial and body contour concerns
• Want to improve treatment efficiency over larger areas
• Need multiple HIFU treatment modes
• Want to increase the number of services offered by one platform
• Have a diverse client base with different treatment requirements

The term “22D” does not mean that every client requires maximum energy, more treatment lines or every available mode. Parameters should always be adjusted according to tissue thickness, treatment area, client tolerance and the manufacturer’s approved protocol.

3. 360 Max HIFU: HIFU, RF and EMS in One Platform

IL 360 Max is a multifunctional facial and body platform that combines HIFU, radiofrequency and EMS technologies.

Its different HIFU handpieces can be used for precise single-line treatments, multi-line body applications and circular facial coverage. RF and EMS functions extend the treatment menu beyond conventional HIFU.

Core Configuration

• 15RS single-line HIFU handpiece: For precise facial and localised treatments
• 18RS multi-line HIFU handpiece: For larger body contour areas
• 36RS circular HIFU handpiece: For faster and more uniform facial coverage
• RF function: For skin tightening and collagen-support treatments
• EMS function: For muscle stimulation and supplementary contour management
• Body cartridges: Optional depths of up to 18 mm
• Cartridge capacity: Designed for up to 10,000 shots per HIFU cartridge

Main Advantages

• Combines three technologies in one system
• Covers both facial and body applications
• Allows clinics to design treatments for different tissue layers
• Provides more treatment flexibility for diverse client profiles
• Suitable for clinics offering anti-ageing, facial contouring and body treatments
• Helps reduce the need to purchase several separate platforms

Which Clients May Benefit?

The 360 Max may be considered for clients with:

• A fuller lower face and reduced jawline definition
• A combination of contour concerns and skin laxity
• Both facial and body treatment requirements
• Different tissue conditions requiring flexible treatment modes
• A need for structural lifting combined with surface-level tightening

For clinics treating both fuller faces and thin faces with skin laxity, the 360 Max provides greater flexibility. Practitioners can select the appropriate technology instead of using the same HIFU settings for every client.

4. XERF Dual-Frequency Monopolar RF: Overall Tightening and Volume-Conscious Treatment

XERF combines 6.78 MHz and 2 MHz monopolar radiofrequency for volumetric tissue heating.

Unlike HIFU, which creates focused thermal points at selected depths, monopolar RF distributes heat across a broader tissue volume. It is therefore particularly suitable for clients whose main concerns are skin laxity, reduced elasticity, fine neck lines and general loss of firmness.

Main Advantages

• Dual-frequency 6.78 MHz and 2 MHz monopolar RF
• Volumetric heating through the dermis and subcutaneous tissue
• Suitable for overall face and neck tightening
• Supports collagen remodelling
• More uniform energy distribution than focused ultrasound
• Easier to incorporate into volume-conscious treatment strategies
• Generally comfortable when used with the integrated cooling system

Which Clients Are Better Candidates?

XERF may be more suitable for clients who:

• Have limited facial fat but noticeable skin laxity
• Want to improve neck lines and skin elasticity
• Are concerned about losing cheek volume
• Prefer a comfortable, non-invasive tightening treatment
• Need overall tightening rather than highly localised deep treatment

XERF is not completely consumable-free. Its treatment tips have a defined shot capacity and must be replaced after reaching their limit. Clinics should include tip costs when calculating treatment prices and return on investment.

5. M8 Pro RF Microneedling: Fractional RF Treatment with Cold-Hammer Soothing

The M8 Pro is a professional RF microneedling system in the same treatment category as Morpheus8-style fractional RF platforms. It combines adjustable microneedling depth, radiofrequency energy and a cold-hammer function in one system.

After the needles enter the skin at a selected depth, RF energy is delivered into the target tissue to create controlled thermal stimulation. This supports collagen and elastin remodelling while also addressing texture-related concerns.

The cold hammer can be used for surface cooling and soothing according to the operating protocol. Strict hygiene and disinfection procedures must be followed, particularly after microneedling, when the skin barrier has been temporarily disrupted.

Main Advantages of the M8 Pro

• Fractional RF microneedling technology
• Adjustable needle depth of up to 7 mm
• Nano, 12-pin, 24-pin and 40-pin treatment tips
• Face, jawline, submental and body treatment options
• Supports treatments for skin laxity, pores, acne scars, fine lines and texture
• Cold-hammer function for cooling and soothing
• Allows clinics to provide tightening, resurfacing and skin-quality treatments
• Adjustable settings for different tissue conditions and treatment goals

Which Clients Are Better Candidates?

The M8 Pro may be suitable for clients with:

• Lower-face laxity accompanied by relatively thick local tissue
• A poorly defined jawline or submental area
• Neck laxity accompanied by fine lines
• Enlarged pores, acne scars or uneven skin texture
• A desire to improve both firmness and skin quality
• Acceptance of temporary redness and a short recovery period

A Layered Treatment Approach

Deeper treatment modes may be considered for appropriately assessed, thicker tissue around the jawline or submental area.

More conservative needle depths and energy levels should be selected for the cheeks, neck and other areas with thin skin or limited tissue thickness.

The maximum 7 mm setting represents the device’s available adjustment range. It does not mean that every facial area should be treated at this depth. Actual settings must be selected according to the treatment area, tissue thickness, fat distribution, client tolerance and approved protocol.

How Can the M8 Pro Be Combined with HIFU or XERF?

• MPT HIFU + M8 Pro: Suitable for clients with deeper contour laxity combined with pores, acne scars or skin-texture concerns.
• 360 Max HIFU + M8 Pro: Suitable for clinics that want to combine facial or body contour management with fractional RF services.
• XERF + M8 Pro: XERF provides broad, non-invasive tightening, while the M8 Pro addresses targeted RF microneedling and skin-quality concerns.

These treatments are generally better planned in stages. Excessive thermal energy should not be applied to the same treatment area during one session without a validated combination protocol.

Machine Selection Guide for Aesthetic Clinics

Main Treatment Requirement	Recommended Machine
Precise facial lifting and contour management	MPTHIFU
Multi-line facial and body HIFU treatments	22D Max HIFU
Combined HIFU, RF and EMS services	360 Max Hifu
Non-invasive tightening, neck rejuvenation and volume-conscious treatment	XERF
RF microneedling for pores, acne scars, texture and localised tightening	M8 Pro
Deeper contour lifting combined with skin-quality treatment	MPTHIFU O 360 Max + M8 Pro
Multi-layer premium anti-ageing programmes	HIFU + XERF + M8 Pro

How Should Clinics Treat Clients in Their 30s, 40s, 50s and 60s?

Age can provide a general starting point, but it should never be the only factor used to select a machine or treatment plan.

A professional assessment should consider:

• Skin thickness and elasticity
• Facial fat volume and distribution
• Degree and location of laxity
• Signs of facial volume loss
• Whether the primary goal is lifting, tightening or skin-quality improvement
• Previous aesthetic treatments
• Medical history, medication and contraindications
• Healing capacity and tolerance for downtime

Two clients of the same age may require completely different treatment strategies.

Clients in Their 30s: Early Prevention, Contour Definition and Skin Quality

Common Concerns

Clients in their 30s may experience:

• Early loss of jawline definition
• Mild facial laxity
• Fuller tissue around the lower face or submental area
• Enlarged pores, acne scars or uneven texture
• Early neck lines and reduced elasticity
• A desire to prevent further visible ageing

Recommended Machines

MPTHIFU

Suitable for mild contour laxity and early jawline definition concerns. Treatment should be precisely mapped, and excessive treatment should be avoided over naturally thin cheeks.

XERF Dual-Frequency RF

Suitable for thinner faces, early skin laxity and preventative tightening. Its volumetric heating approach supports elasticity while allowing a volume-conscious treatment strategy.

M8 Pro RF Microneedling

Suitable for clients with enlarged pores, acne scars, uneven skin texture and mild laxity. It is particularly useful when skin quality is as important as facial firmness.

Suggested Strategies for Clients in Their 30s

• Fuller face with a poorly defined jawline: MPTHIFU
• Thin face with mild skin laxity: XERF
• Laxity combined with pores or acne scars: M8 Pro
• Contour and skin-texture concerns: MPT HIFU and M8 Pro in separate treatment stages

Treatment Priority

The objective should be early intervention, contour optimisation and skin-quality improvement. Normal facial fat should not be excessively treated simply to create a smaller-looking face.

Clients in Their 40s: Combining Deeper Lifting with Skin Tightening

Common Concerns

Clients in their 40s may experience:

• Progressive lower-face laxity
• Reduced jawline definition
• Early marionette lines or more visible nasolabial folds
• Increasing neck laxity and fine lines
• Changes in facial fat position
• Accelerating collagen loss
• A combination of contour and skin-quality concerns

Recommended Machines

360 Max Hifu

Suitable for clients with reduced contour definition, relatively thick local tissue and skin laxity. HIFU addresses selected deeper areas, RF supports skin tightening and EMS can be used as a supplementary muscle-stimulation service.

22D Max HIFU

Suitable for clinics requiring efficient, multi-line facial and body treatment options. Its different modes allow larger areas to be covered more efficiently.

XERF Dual-Frequency RF

Suitable for clients with noticeable skin laxity but limited facial fat, or those wishing to preserve cheek volume.

M8 Pro RF Microneedling

Suitable when laxity is accompanied by pores, fine lines, acne scars or declining skin texture.

Suggested Strategies for Clients in Their 40s

• Fuller face with poor jawline definition: 360 Max O 22D Max HIFU
• Thin face with skin laxity: XERF
• Deeper laxity combined with surface looseness: HIFU + XERF
• Contour laxity combined with texture concerns: HIFU + M8 Pro

Treatment Priority

Clients in their 40s often begin to experience ageing across multiple tissue layers. A single device may not address contour, elasticity and skin quality equally well. Carefully staged combination treatments may therefore provide a more complete programme.

Clients in Their 50s: Multi-Layer Treatment with Facial-Volume Awareness

Common Concerns

Clients in their 50s may experience:

• More noticeable lower-face and neck laxity
• Changes in the position or volume of facial fat
• Deeper nasolabial folds and marionette lines
• Reduced jawline definition
• Thinner, drier and less elastic skin
• Increasing neck lines and skin redundancy
• Localised fullness combined with volume loss in other areas

Recommended Machines

MPT HIFU or 360 Max HIFU

Suitable for clients with adequate tissue thickness and clearly defined areas requiring deeper contour treatment.

HIFU should be concentrated only in appropriately assessed areas. Dense treatment should be avoided over hollow, thin or volume-sensitive facial regions.

XERF Dual-Frequency RF

Suitable for clients whose primary concerns are skin laxity, reduced elasticity and neck ageing. It is often easier to incorporate into a volume-conscious treatment plan.

M8 Pro RF Microneedling

Suitable when skin thickness and healing capacity are appropriate and the client also has fine lines, pores or skin-texture concerns. Conservative depth and energy should be used on thin cheeks and neck skin.

Suggested Strategies for Clients in Their 50s

• Fuller face with lower-face tissue descent: Conservative HIFU + XERF
• Thin face with volume loss and loose skin: XERF first
• Laxity combined with fine lines and poor texture: XERF + M8 Pro
• Thick jawline but hollow mid-face: Localised HIFU only in appropriate jawline or submental areas, avoiding volume-deficient regions

Treatment Priority

Clients in their 50s should not automatically receive deeper treatment, higher energy or more lines.

Preserving facial volume, controlling cumulative thermal exposure and avoiding overtreatment may be more important than increasing treatment intensity.

Clients in Their 60s: Improving Firmness with Realistic Expectations

Common Concerns

Clients in their 60s may experience:

• Moderate to advanced facial and neck laxity
• Thinner skin and slower recovery
• Weakening of deeper supporting structures
• Facial volume loss combined with localised fullness
• More pronounced marionette lines and jawline laxity
• Neck skin redundancy
• Medical conditions or long-term medication use

Recommended Machines

XERF Dual-Frequency RF

For clients with thin skin, reduced facial volume or a preference for gentler non-invasive treatment, XERF may be prioritised for overall firmness and collagen support.

MPTHIFU

HIFU should only be used in clearly assessed areas with sufficient tissue thickness. Conservative settings and careful mapping are particularly important in this age group.

M8 Pro RF Microneedling

The M8 Pro may help address fine lines and skin texture, but skin thickness, healing capacity, medication, infection risk and medical history must first be evaluated. RF microneedling is not suitable for every client in their 60s.

Suggested Strategies for Clients in Their 60s

• Thin face with skin laxity and reduced volume: Conservative XERF trattamento
• Localised thickness around the jawline or submental area: Localised conservative HIFU + overall XERF
• Good skin condition and healing capacity with significant texture concerns: Carefully selected M8 Pro trattamento
• Severe skin redundancy or advanced structural sagging: Professional medical or surgical assessment

Treatment Priority

Non-invasive and minimally invasive technologies can improve firmness, skin quality and certain contour concerns, but they cannot completely replace surgical lifting.

Clinics should explain the limitations of device-based treatment and avoid promising complete lifting or dramatic rejuvenation after one session.

Age-Based Machine Selection Summary

Client Age	Common Concerns	Recommended Machines	Possible Combination
30s	Early laxity, reduced jawline definition, pores and acne scars	MPT HIFU, XERF or M8 Pro	MPT HIFU + M8 Pro
40s	Lower-face sagging, less-defined jawline and neck lines	360 Max, 22D Max or XERF	HIFU + XERF
50s	Multi-layer laxity, tissue descent and facial volume changes	XERF or conservative HIFU	HIFU + XERF; XERF + M8 Pro
60s	Moderate to advanced laxity, thinner skin and slower recovery	Conservative XERF	Localised HIFU + XERF, with medical assessment when necessary

Final Machine Recommendations

Choose the machine according to the clinic’s main treatment focus:

• Precise deeper facial contour management: MPTHIFU
• Efficient multi-line face and body HIFU treatments: 22D Max HIFU
• Combined HIFU, RF and EMS services: 360 Max Hifu
• Overall skin tightening, neck rejuvenation and volume-conscious treatment: XERF
• Pores, acne scars, fine lines, skin texture and localised RF tightening: M8 Pro Microneedling RF

The most professional approach is not to recommend a machine based only on age. Clinics should evaluate the client’s age range together with tissue thickness, degree of laxity, skin quality, fat distribution and facial-volume status.

By selecting the appropriate technology—and combining treatments only when indicated—clinics can build safer, more personalised and commercially valuable facial rejuvenation programmes.

Treatment availability, operator qualifications and permitted indications vary by country. All treatments should follow the device manual, local regulations, contraindication screening and appropriate professional supervision.