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Key summary: If you expect a single 400-shot Alltite lifting session to change your face dramatically, you may be disappointed. Some people in the early stage of sagging do feel a more defined contour after one session, but what decides the result is the condition of the face before treatment and how the 400 shots are distributed, more than the number itself.

During long lifting consultations, I often meet people who place high hopes on the number 400. Many come in thinking it will be done in one go or that the face will lift noticeably.

Yet two people can receive the same 400 Alltite shots, and one is satisfied while the other feels little difference. This difference often comes from the condition of the face at the start and where and how the 400 shots are delivered, rather than the shot count.

This article briefly explains what Alltite lifting is, which faces are unlikely to see a big change from one 400-shot session, which faces tend to feel refined after one session, and how O.N Clinic distributes the shots.

Alltite is known as a lifting device that uses microwave-range radiofrequency energy to deliver heat from the mid to lower dermis to near the fascia layer. Simply put, it works closer to firming up the inside of loosened skin.

Cooling of the skin surface runs during treatment, and it is known to be designed to protect the surface while sending heat inward. Still, it is important to know first that Alltite lifting has things it can do and things it finds difficult.

Many people expect 400 shots to fix sagging cheeks, hollow areas and a collapsed jawline all at once, but that is not how it works. So when one of the three cases below applies, I tell people early in the consultation not to expect a big change from one 400-shot Alltite session.

The first is a face where sagging has already progressed deeply. When the skin has loosened considerably, there may be limits to how much one session of heat stimulation can lift.

The second is a face where hollowing shows before sagging. Lifting does not fill empty space, so shadows created by lost volume are hard to improve with Alltite lifting alone, and forcing heat energy onto a face with little cheek fat can make hollowing even more noticeable. In such cases we sometimes consider volume-restoring treatments such as fillers or collagen boosters before lifting.

The third is a face that feels heavy because of facial fat. Lifting alone may not carry the weight of the fat, and the whole plan can change depending on whether fat reduction comes first or goes together with lifting.

Recommending 400 shots as they are to these people can lead to results below expectations. That is why, before discussing shot counts, I first check whether the concern is the kind that lifting can solve.

This does not mean a single 400-shot session is meaningless. If sagging has just begun, or the contour has blurred slightly as elasticity decreased, you may feel your facial line has been tidied after just one session.

Online reviews saying the jawline was refined after one 400-shot Alltite session probably come largely from such cases. The more moderate the skin thickness and the more elasticity remains, the easier it tends to be to feel a response to heat stimulation.

However, even under the same conditions, the result changes again depending on how the 400 shots are divided. Spreading 400 shots evenly over the whole face can leave too little where strength is needed and too much where energy should be spared.

At O.N Clinic, we design 400 shots of Alltite lifting across three zones. We concentrate energy where sagging begins, such as the jawline and around the mouth, lower the intensity where volume hollows easily, such as the front of the cheeks, and pass carefully over the eye area and areas close to bone.

Distributed this way, the same 400 shots are used more where needed while protecting areas that should not be overworked. The shot count is the same, but it effectively becomes a different treatment.

As mentioned earlier, for people with little cheek fat, this distribution can shape the result even more. Whether one session is enough or a second session after an interval would be better is also decided at this design stage.

I do not recommend more shots or sessions than necessary. I believe starting with a shot count suited to the current face and deciding on additional treatment while watching the progress is less of a burden in the end.

My answer to whether one 400-shot Alltite lifting session can show results is that it depends on the face. If sagging is just beginning, you may feel a change after one session, and if deep sagging or hollowing is the concern, a different treatment direction may need to be considered as well.

Before expecting a dramatic change, I recommend first checking whether your concern can be solved by lifting and where on your face the 400 shots will go.

My cheeks are on the thin side. Won't lifting make them more hollow?

Forcing heat onto a face with little cheek fat can make it look hollow, so adjusting the intensity differently by area is important. In some cases we consider treatments that fill hollow areas before lifting.

My face looks saggy because of facial fat. Is Alltite alone enough?

For a face with a lot of fat, lifting the skin alone may bring limited change. It is better to first check whether fat reduction is needed as well and then plan the treatment.

Can I finish in one session if I increase the number of shots?

Increasing shots does not make the result grow in proportion, and depending on skin condition it can become a burden. You may consider starting with an amount suited to your current face and deciding the next step while watching the progress.

O.N Clinic is located near Gangnam Station, so it is easy to reach by subway.

If you are considering a single 400-shot Alltite lifting session, it helps to note whether your main concern is sagging or hollowing and whether you have had lifting before. This makes the consultation on distribution easier. If you have any questions, feel free to ask via Chat with us now.

Written by Dr. Oh Seung-min (Chief Director of O.N Clinic, graduate of Seoul National University College of Medicine, Academic Committee Chair of the Korean Society for Laser, Skin and Hair). His full background is available on the Medical Team page. First published 2026-11-03, last reviewed 2026-11-10

This article is for general information only. Suitable treatment and results may vary depending on each person's condition.