The Science of the “Invisible Lift”: An Interview with Dr. Olga Semenova on Ultraformer MPT
In the past, the only way to truly reverse sagging skin was through invasive surgery. Today, the world of aesthetic medicine has reached a turning point. We sat down with Dr. Olga Semenova — a renowned Dermatologist and Endocrinologist at FBS Beauty — to discuss the Ultraformer MPT. This is not just a treatment; it is a breakthrough in non-surgical lifting that provides lasting structural definition without a single incision.
Q: Dr. Semenova, many patients in Marbella are unhappy with sagging skin but fear the “operated” look of traditional surgery. What is the modern alternative?
Dr. Olga Semenova: We have entered the era of what I call the “Invisible Lift.” В моей практике я часто встречаю пациентов, которым нужен результат «здесь и сейчас» без выпадения из социальной жизни. Они хотят выглядеть моложе, но при этом оставаться собой.
While surgery involves repositioning and cutting tissue, Ultraformer MPT (Micro-Pulsed Technology) targets the SMAS layer (Superficial Muscular Aponeurotic System). This is the deep muscular scaffold that plastic surgeons tighten during a traditional facelift. We achieve structural firming using High-Intensity Focused Ultrasound (HIFU). By working from the inside out, we effectively perform a “lift without a scalpel.”
Q: Can you explain the technology behind Ultraformer MPT? How does it differ from older generations of Ultherapy?
Dr. Olga Semenova: The evolution from standard HIFU to MPT is like comparing a basic mobile phone to the latest smartphone. Traditional systems used a “Normal Mode,” delivering energy in large, singular points, which could be slow and uncomfortable.
The Ultraformer MPT utilizes Micro-Pulsed Technology. It delivers thermal energy in a continuous line or 417 micro-points in a single scan. This precision allows us to create thermal coagulation points at three different depths: the dermis, the deep dermis, and, crucially, the SMAS layer.
When these points reach 65–75°C, it triggers immediate contraction of collagen fibers and initiates “neocollagenesis”—the birth of new, high-density collagen. Because the MPT mode is so rapid, the heat doesn’t diffuse to surrounding pain receptors, making this version significantly more comfortable than its predecessors.
Q: You utilize a “Single-Session Protocol.” How can one visit be enough?
Dr. Olga Semenova: This is why I chose this specific technology for FBS Beauty. Unlike mesotherapy or light lasers that require a series of 5 to 10 visits, Ultraformer MPT is a high-intensity medical procedure.
The energy delivered in one 45-minute session is sufficient to kickstart a biological repair process that lasts for months. We are not just giving the skin a “boost”; we are causing a controlled internal remodeling. For our patients in Marbella, who value their time and travel frequently, achieving a 3-year result in one hour is a massive advantage.
Q: Let’s talk about the “90-Day Transformation.” What happens inside the tissue after the patient leaves your clinic?
Dr. Olga Semenova: The biological response is fascinating and divided into clear phases:
- Day 1: An immediate “flash” effect occurs. The heat causes existing protein fibers to shorten and tighten instantly, giving a refreshed look immediately after the session.
- Days 2–30: The “Inflammatory Phase.” Your body’s repair cells (macrophages) remove old, damaged collagen. Patients often feel a pleasant “tightness” deep under the surface.
- Days 30–90: The “Proliferation Phase.” This is where the magic happens. Fibroblasts—the cells responsible for youth—begin synthesizing new Type I and Type III collagen. Skin density increases, and the lift becomes more visible every week.
- Day 90+: The “Remodeling Phase.” New collagen matures and strengthens the facial contours. The jawline becomes sharp, and sagging in the mid-face area disappears.
Q: As an endocrinologist, you mention that “beauty comes from within.” How do hormones affect the success of Ultraformer MPT?
Dr. Olga Semenova: Many clinics overlook this, but collagen synthesis is a complex hormonal process. If a patient has a deficiency in estrogen (common during menopause) or issues with thyroid function, their “biological repair shop” is essentially closed for business.
At FBS Beauty, I evaluate the patient’s overall hormonal health. If the body lacks the internal “fuel” to build new collagen, even the most advanced machine won’t yield a 100% result. By balancing the endocrine system, we ensure that Ultraformer MPT has the support it needs to create that three-year lasting firmness.
Q: How does Ultraformer MPT compare to fillers or Thread Lifts?
Dr. Olga Semenova: Fillers add volume. They are excellent for hollow areas, but if the issue is sagging (ptosis), adding filler can make the face look “heavy” or “puffy”—the so-called “pillow face.”
Thread lifts provide mechanical tension. They pull the skin up but don’t necessarily improve its quality or density.
Ultraformer MPT is structural. It adds nothing “foreign” to your face; it uses your own biological resources to lift and tighten. It is the perfect foundation. Often, I recommend MPT first to “tighten the canvas,” and then, if needed, we add a minimal amount of filler to address fine details.
Q: There is a myth that ultrasound lifting is extremely painful. Is that still true?
Dr. Olga Semenova: In the past, yes. The first generation of Ultherapy was a test of endurance. The MPT version has changed the game. Because energy is delivered in rapid micro-pulses, nerve endings don’t accumulate the heat that causes sharp pain.
Most patients describe it as a warm, prickly sensation. We also use a medical-grade topical anesthetic. Crucially, there is zero downtime. You can go from my treatment chair straight to a business lunch or a gala in Marbella without bruising or swelling.
Q: Who is the ideal candidate? Is there an age limit?
Dr. Olga Semenova: It’s less about age and more about tissue laxity. I have patients in their 30s who want to prevent sagging (Pre-juvenation) and patients in their 60s looking to restore their jawline. It is most effective for mild to moderate skin laxity. If sagging is severe, I will be honest and suggest a surgical consult. My goal is always an elegant, natural result.
I would like to personally invite every reader to our clinic for a Free Initial Consultation. We will use professional diagnostic tools to assess your skin laxity and hormonal health, creating a medical strategy tailored to your life, not just a trend.
Q: How can our readers start their transformation?
Dr. Olga Semenova: You can read more about the technology on our dedicated Ultherapy & Ultraformer page or explore our full range of services at fbs.beauty. My team and I in Marbella are ready to help you rediscover your most confident self.
