The VOLFORMER Protocol: Why I Combine Volnewmer and Ultraformer MPT
Updated: 1 day ago
In short: VOLFORMER is a protocol in which Ultraformer MPT (micro-focused ultrasound, HIFU) and Volnewmer (monopolar radiofrequency) are applied in one session, in a set order. The ultrasound works point by point in the deep supporting layer (the SMAS, at 4.5 mm); the radiofrequency heats the skin evenly over a broad area. There is no downtime, the effect builds over 2–3 months, and the treatment is usually repeated once a year. The combination makes sense when a face is both sagging and losing skin density; if one problem clearly dominates, one device is enough.
What “SMAS lifting” and “RF lifting” actually mean
In advertising, “SMAS lifting” almost always means device-based HIFU: ultrasound focused at the depth of the SMAS, the supporting layer a surgeon tightens in a facelift. It is not a surgical SMAS lift and does not replace one.
“RF lifting” means heating the skin with radiofrequency. Volnewmer works at 6.78 MHz; its tip is continuously water-cooled and vibrates, which makes the treatment more tolerable.
VOLFORMER is the name of the protocol, not of a separate device: two devices, one session.
Why two devices instead of one
Facial ageing affects several layers at the same time. The deep supporting structures loosen and tissues descend. The dermis thins and loses collagen. The two usually happen together, especially after 45.
Ultraformer MPT works point by point at set depths: 4.5 mm for the SMAS, 3.0 mm for the deeper dermis, 2.0 and 1.5 mm for the more superficial layers. Volnewmer heats the dermis volumetrically and evenly, improving skin density and firmness.
Treat only one layer and the other stays as it was. That is often when a patient says “the device didn’t work”, when in fact it was aimed at the wrong problem.
How the session runs
Examination and, where useful, AURA 3D skin analysis: what is laxity, what is thinning skin, what is volume loss.
Ultraformer MPT: depths are chosen zone by zone; 4.5 mm is used only where tissue thickness allows it.
Volnewmer in the same session: a 0.25 cm² tip around the eyes, 3 cm² for the contour and jawline, 4 cm² for the face.
The total heat load is shared between the two devices. Two devices in a row do not mean a “double dose”: in a thin face the energy is reduced, and sometimes one part is left out altogether.
The order is deep layer first, then skin. The session usually takes 1–1.5 hours. No anaesthesia or sedation is needed.
Who VOLFORMER is for
It fits when both of these are present:
a softened jawline, early jowls and a heavier lower face;
thinner skin with fine lines and lost density.
This combination is common after 45–50 and after weight loss, including weight loss with GLP-1 medicines.
When it isn’t needed, or isn’t suitable
One problem dominates: if it is mostly skin quality, Volnewmer alone is usually enough; if it is mostly laxity, Ultraformer MPT alone is usually enough.
Marked excess skin: a surgical facelift gives a more predictable result.
A very thin face with little subcutaneous fat: thinning of fat has been described after deep ultrasound energy, so the protocol is limited or not done.
Volume loss is the main problem: tightening does not restore volume.
A pacemaker or metal implants in the treatment area (for radiofrequency), pregnancy, or active inflammation in the area.
An honest note on the evidence
There are no published comparative studies showing that VOLFORMER is more effective than either method on its own. The protocol is based on the known mechanisms of the two devices and on clinical experience.
For the individual methods, there are data. A single micro-focused ultrasound treatment of the forehead lifted the brow by about 1.7 mm on average at day 90 (Alam et al., 2010). A 2023 systematic review concluded that the method works for mild to moderate laxity, with weaker results in marked laxity and obesity (Contini et al., 2023). Monopolar radiofrequency as a method has clinical data in facial and neck laxity, but high-quality comparative studies specific to Volnewmer are still limited.
Why one session, and why once a year
Heat contracts collagen fibres immediately and starts the production of new collagen, which continues for weeks. The result is assessed at around three months. Repeating the treatment after a month only reheats tissue that is still remodelling; it does not add to the effect.
The new collagen stays, but ageing continues. So the sensible rhythm is one VOLFORMER session, then maintenance once a year. For a patient travelling from abroad, that means one trip a year, not a series of visits.
What to expect afterwards
Mild redness and warmth for a few hours; sometimes slight swelling or tenderness to touch for a few days.
You can return to normal activities the same day.
Some patients notice tightening in the first days, but the main effect develops over 1–3 months.
The result is assessed at around three months.
Transparency
Dr. Kağan Cingöz is one of Classys’ international trainers for Ultraformer MPT and Volnewmer. He is not the author of the VOLFORMER protocol: he presents it at congresses (DEAK 2026) and teaches it to physicians. The trainer role is a link with the manufacturer, which is why we also write openly about what these devices cannot do.
Travelling for VOLFORMER
The practice is in Kırklareli, Türkiye, about 2 hours by car from Istanbul Airport (IST) and about 30 km from the Bulgarian border. A typical plan:
Send photos and questions on WhatsApp in advance, for preliminary information and appointment planning.
Have the examination and the treatment on the same day.
Head back to Istanbul in the evening, or fly home the next day.
The assessment, plan and quote are made at the examination. How the trip works: Istanbul Airport to Kırklareli.
Frequently asked questions
Is VOLFORMER the same as the “SMAS lifting” in adverts?
A procedure’s name tells you little. Ask which device is used, at which depths, and how many pulses go into each layer.
Can I have only ultrasound or only radiofrequency?
Yes, and often that is the better choice. The combination is only needed when both laxity and thinning skin are present.
Does it hurt?
Ultrasound feels like short, deep pricks of heat, stronger near bone; radiofrequency feels like a wave of warmth, softened by the cooling and vibration. The energy is adjusted to your tolerance. More: Does Ultraformer MPT or Volnewmer hurt?
When will I see results?
Some patients notice tightening straight away, but the main effect develops over 1–3 months and is assessed at around three months.
How long does it last?
The new collagen stays, but ageing continues, so a maintenance session is planned once a year.
Sources
Alam M, White LE, Martin N, et al. Ultrasound tightening of facial and neck skin: a rater-blinded prospective cohort study. J Am Acad Dermatol. 2010;62(2):262-269.
Contini M, Hollander MHJ, Vissink A, et al. A systematic review of the efficacy of microfocused ultrasound for facial skin tightening. Int J Environ Res Public Health. 2023;20(2):1522.
Sabet-Peyman EJ, Woodward JA. Complications using intense ultrasound therapy to treat deep dermal facial skin and subcutaneous tissues. Dermatol Surg. 2014;40(10):1108-1112.
This article is for general information; diagnosis and treatment are decided after examination.
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