By LIV Clinic · Medically reviewed by Dr. Narathai Vichienkalayarut, M.D. · Published August 13, 2026

Yes, the no-surgery, no-needle facelift is right here on the island — here is what to know.

Is HIFU available on Koh Samui? Yes — HIFU (High-Intensity Focused Ultrasound) skin tightening is available on Koh Samui at doctor-led clinics such as LIV Clinic, which offers it via the Ultraformer III device; it lifts and firms the skin by stimulating collagen deep in the skin without surgery or downtime.

Is HIFU available on the island?

Yes, at doctor-led clinics

HIFU skin tightening is available on Koh Samui. LIV Clinic offers it using the Ultraformer III, a micro and macro focused ultrasound device.

What HIFU is

HIFU delivers focused ultrasound to deep skin layers to stimulate collagen, lifting and firming without surgery.

How HIFU works

Deep, targeted heat

It creates tiny heat points at set depths, including the SMAS layer surgeons target, triggering collagen contraction and new collagen.

Gradual and natural

Because it works by building collagen, results appear gradually over two to three months and look natural.

What HIFU can treat

On Koh Samui, HIFU is commonly used for:

• Brow and forehead lifting
• Cheeks and mid-face laxity
• Jawline definition and early jowls
• Under-chin and neck tightening
• Some body areas with the deeper cartridges

What to expect

Comfort and timing vary per person.

Results and longevity

Timeline

Some tightening can be felt early, with the fuller lift building over two to three months as collagen forms.

Longevity

Results typically last around 12 months, sometimes longer, after which a maintenance session sustains the lift.

HIFU vs other options on Koh Samui

HIFU vs RF

HIFU (ultrasound) targets deeper layers; radiofrequency heats broadly for surface laxity. See our guide to choosing.

HIFU vs Ultherapy

Ultherapy is a branded HIFU device with imaging; read the difference.

Preparing for and recovering from HIFU

Preparation and aftercare are simple:

1. Have a consultation so Dr. Narathai can assess your suitability.
2. Arrive with clean, make-up-free skin.
3. Expect a warm tingling during treatment.
4. Avoid saunas, intense heat and strong sun for a few days.
5. Keep skin hydrated and use daily sun protection.
6. Allow 2–3 months for the full result to build.

HIFU at LIV Clinic Koh Samui

At LIV Clinic, HIFU with Ultraformer III is doctor-led by Dr. Narathai. Explore our HIFU and skin-tightening treatments, read our Ultraformer III full face guide, or book a consultation.

Frequently asked questions

Safety and consultation

HIFU is a non-invasive, energy-based medical procedure and, like any device treatment, carries some risk — common temporary effects can include redness, mild swelling, tingling or tenderness, and less common reactions are possible. Results vary from person to person, and no specific outcome can be promised. This article is general information, not medical advice.

At LIV Clinic, every treatment begins with an in-person assessment by Dr. Narathai Vichienkalayarut, M.D., who reviews your skin, medical history and goals before recommending a personalized plan. Book a consultation to find out whether this treatment suits you.