When you search for lifting procedures, the same words keep coming up: ultrasound, radiofrequency, thread lifting. Most of these procedures target skin tissue, such as the dermis or the fascia. Emface goes one step further. It works by contracting and strengthening the facial muscles beneath the skin themselves. They share the name "lifting," but the mechanism of action is different.

How Does HIFES Act on Muscle?
HIFES stands for High-Intensity Focused Electrical Stimulation, a technology that delivers high-intensity electrical stimulation through the skin surface and focuses it on the facial muscles. Whereas typical skin procedures aim at collagen synthesis or fat reduction, HIFES repeatedly contracts the muscle fibers themselves. As this stimulation accumulates, muscle mass and muscle tone increase, and relaxed facial muscles can again support the facial structure from their proper position.
Facial sagging with age is related not only to reduced skin firmness but also to weakening of the facial muscles. Cheek fat that drifts downward or a brow line that sits lower is not only a matter of skin. HIFES responds to this by repeatedly exercising the muscles with external stimulation to encourage the natural process of muscle strengthening.
What Synchro RF Does at the Same Time
Emface does not work with HIFES alone. Synchro RF (synchronized radiofrequency) is delivered together during the procedure. RF energy applies heat stimulation to the dermis and promotes collagen and elastin synthesis. The key point is that the two types of energy are not delivered separately but at the same time in a "synchronized" manner. Muscle strengthening and improved skin firmness proceed together within one session.
This combination also sets it apart from HIFU-type procedures, which mainly stimulate the fascia (SMAS) layer. HIFU devices such as Ulthera and Shrink Universe focus ultrasound to form thermal coagulation points in the fascia and lower dermis. Emface, by contrast, does not use ultrasound and induces muscle contraction directly with electrical stimulation, so the layer it works on and its mechanism are different.

Why Muscle Lifting Is Possible Without Incisions or Injections
There are no needles or incisions during an Emface procedure. Both the HIFES electrical stimulation and the RF energy are delivered non-invasively through applicators placed on the skin surface. This is why it is mentioned as an option for people who are uneasy about injections or who need to keep downtime to a minimum. However, being non-invasive does not eliminate the possibility of side effects, and the response to the procedure may vary with your skin and muscle condition.
At Repic Clinic in Gangnam, Emface is offered as a standalone procedure and is also designed in combination with other lifting devices such as Ulthera, Thermage FLX, Shrink Universe and InMode, as part of an integrated lifting approach. A pre-procedure assessment first gathers individual data, and then a suitable combination and order of procedures is designed accordingly. This differs from applying one uniform protocol to everyone.

What to Check Before an Emface Procedure
Because Emface repeatedly contracts the facial muscles with electrical stimulation, people with metal implants or a pacemaker are excluded from the procedure. The same applies if you are pregnant or have an active infection or inflammation on the face. You need to tell your medical team about these items accurately at the consultation stage.
The actual amount quoted may vary depending on the number of sessions and whether other procedures are combined, so it is best to confirm the details at a consultation.
- You must tell your physician in advance if you have a metal implant or pacemaker
- The procedure cannot be done during pregnancy or with an active facial infection
- The effect and its duration may differ depending on each person's muscle condition
- Whether to use it alone or combine it with other lifting procedures is decided after assessment
Related official information
You can find more details on the official website.
Repic Clinic official website →
※ This content is for general information only and does not replace a medical diagnosis or treatment. Please consult a medical professional before any procedure. Results, downtime and side effects vary from person to person.


