Firming, without surgery.
With the years, the skin loses tension — contours soften, the jawline becomes less defined. HIFU uses focused ultrasound to firm the skin from within, gradually and without an operation.

HIFU (high-intensity focused ultrasound) firms the skin by delivering targeted energy that warms deeper tissue layers and stimulates the body’s own collagen production — without surgery and without a single incision. At the private practice of Dr. Ackermann in Herzogenaurach — for patients from Erlangen, Nuremberg and Fürth — it is suited to a visible yet natural firming of the face and neck.
How firming without a scalpel works
HIFU does not work on the skin surface. Focused ultrasound reaches precisely defined depths beneath the skin and warms the tissue there in a controlled way. This stimulus prompts the body to form new collagen — the structural protein that gives skin its firmness.
The result is not an immediate lift like surgery. It is a gradual firming that develops over weeks as new collagen forms. A natural process, supported rather than forced.
Consultation
We assess your skin, its tension and what is realistically achievable — before anything is treated.
Planning
Which zones, which depth? The plan follows your anatomy and the areas that will benefit most.
Treatment
The ultrasound is applied zone by zone. Most patients feel a warm, occasionally tingling sensation.
Result
Firming develops gradually over two to three months as new collagen forms, and can last well beyond that.
Which areas can be treated
Face & jawline
The most common areas — firming the cheeks, midface and the contour along the jaw for a more defined lower face.
Neck & décolletage
Areas where skin often loses tension early — treated to smooth and firm without surgery.
Body zones
Selected areas of the body where skin has lost tension can also be addressed with focused ultrasound.
What HIFU can do — and what it cannot
So you can make an informed decision, here is the honest distinction.
Works well for…
Mild to moderate loss of skin tension. The skin is firmed gradually, with a natural result and no downtime for most patients.
Reaches its limits with…
Pronounced sagging or significant excess skin. Here HIFU cannot replace what only a surgical procedure could achieve.
Is never…
An instant lift. The effect builds over weeks as collagen forms — a gradual improvement, not an overnight change.
Comes with…
A realistic timeframe and clear information on what to expect. I promise no miracles — only a careful, medically sound approach.
Frequently asked questions
Is HIFU an alternative to a facelift?
When will I see a result?
How long does the effect last?
Is the treatment painful?
Does health insurance cover the cost?

Firming that respects the process
The skin firms on its own timeline, not on ours. I do not promise an instant lift — I offer a method that supports your body’s own collagen, gradually and honestly.
Whether HIFU is right for you, or whether another approach fits better, is something we decide together — with a diagnosis, not a sales pitch.
Skin Analysis
Wrinkles & Muscle Relaxants
Bio-Regeneration (Skin Quality)
HIFU Lifting
Infusion Therapy
Primary Care Support
Tension & Pain
Hair Health & Hair Loss
Skin Diseases