ALLTITE
DLTD technology
Introduced in the Kobe area in 2026, ALLTITE is a treatment for facial laxity and jawline definition.
ALLTITE is a lifting and tightening treatment that uses DLTD technology to address a broad zone from the deep dermis toward the superficial musculoaponeurotic system (SMAS).
Its DLTD mechanism uses Joule heating and dielectric heating. Ionic conduction and dipole polarization contribute within the alternating electric field. Treatment is intended to tighten the cheeks, area around the mouth, and jawline while limiting discomfort and downtime where possible.
Contents
Concerns this treatment may address
Causes of sagging
The diagram separates two broad contributors: changes in skeletal support, and loosening of the skin, subcutaneous tissue, and retaining ligaments. It labels common visible changes at the temples, under the eyes, cheeks, nasolabial folds, mouth, and jawline. The tent analogy identifies poles and ground as skeletal support, fabric as skin and subcutaneous tissue, and ropes as retaining ligaments. Reduced support and collagen can loosen these structures, making shadows and sagging more visible. Treatment planning may therefore combine restoration of deeper support, treatment of the skin and retaining structures with RF or HIFU, or both, according to the cause.
Decrease in collagen
As we age, the amount and quality of collagen in the dermis changes, making the skin more likely to lose firmness and elasticity.
Looseness of supporting structure
When the structures that support the skin from the inside, such as the retaining ligaments and other supporting tissue, become weaker, this can easily be seen as a loose contour.
Fat/skeletal changes
The position and volume of fat, and changes in the skeleton also affect sagging. We will also consider injectable treatments if necessary.
Retaining ligaments
Retaining ligaments are collagen-rich support structures that connect the skin with deeper tissues. Like branches supporting the skin from within, they contribute to firmness and facial contours.
When the quality of collagen changes due to aging, UV rays, inflammation, etc., this supporting structure weakens, which tends to appear as looseness in the cheeks, mouth, and jawline.
ALLTITE aims to tighten support structures and rebuild collagen by heating a wide area from the deep dermis to the retaining ligaments and around SMAS.
Leaves represent fat and natural volume; branches represent retaining ligaments; the trunk represents the SMAS and other supporting tissue; and roots represent bone and the underlying foundation. When the branch-like retaining ligaments weaken, they support the leaf-like fat less effectively and sagging becomes more visible. Retaining ligaments are fibrous structures that anchor the skin and subcutaneous tissue to deeper layers.
What is ALLTITE?
The diagram places ALLTITE between conventional RF and HIFU. Conventional RF is shown mainly addressing more superficial firmness and texture, while HIFU is shown acting more focally in deeper layers. ALLTITE is shown heating a broad zone from the deep dermis through retaining ligaments toward the SMAS, with the aim of supporting both surface firmness and deeper support. The listed considerations are avoiding unwanted fat reduction, addressing retaining structures while supporting surface firmness, using dielectric heating with less surface heat sensation than the illustrated conventional RF approach, and generally tolerable treatment. The final panel emphasizes individualized selection rather than superiority.
ALLTITE is a lifting and tightening treatment developed using DLTD technology that can simultaneously target the deep dermis to SMAS.
Using a dielectric-heating system that is different from RF (radiofrequency) and HIFU, we aim to efficiently deliver energy to deep layers while suppressing pain.
Simultaneously approaches the deep dermis, retaining ligaments, and SMAS
ALLTITE aims to heat the deep dermis, facial network support tissue (FNS), retaining ligaments, and the area around the SMAS widely and uniformly in a single treatment.
Designed with pain and downtime in mind
DLTD provides sustained heating at a relatively moderate target temperature. This design is intended to limit discomfort and irritation during treatment and generally allows an early return to normal daily activities.
Aim to tighten without reducing fat too much
Because energy delivery is designed to limit unintended heating of the fat layer, ALLTITE may be considered by patients who want tightening while preserving facial volume.
Differences between RF, HIFU, and ALLTITE
Sagging treatments differ in the depth of heat delivery, heating method, pain, downtime, and effect on fat. A medical examination will determine which treatment is appropriate for your condition.
What is DLTD technology?
DLTD is the manufacturer's name for this heating technology.
DLTD is designed to provide sustained heating at a relatively moderate target temperature across the deep dermis, facial network support tissue (FNS), retaining ligaments, and the area around the SMAS.
This aims for both tightening and lifting changes. There are individual differences in how the reaction occurs and how long it lasts.
The layers are epidermis, dermis, subcutaneous fat, and SMAS. The comparison shows monopolar and bipolar RF delivery beside a unipolar example and ALLTITE DLTD. DLTD is illustrated distributing energy through a wider deep treatment zone. Its technical mechanism is described as Joule heating and dielectric heating, with ionic conduction and dipole polarization contributing within the alternating electric field.
Designed for sustained heating of deeper tissue at a relatively moderate target temperature
ALLTITE uses DLTD technology for sustained heating at a relatively moderate target temperature, with the aim of limiting discomfort and irritation during treatment.
There are individual differences in how warmth is perceived. During the treatment, we check the condition and deliver treatment within a reasonable range.
The rows compare RF, HIFU, and DLTD by heating method, heating pattern, target layer, where temperature peaks with and without cooling, and intended effect. RF is shown using Joule heating with bulk heating centered in the dermis. HIFU is shown using high-intensity focused ultrasound for focal heating at the SMAS. DLTD is shown using dielectric heating with bulk heating spanning the dermis, fibrous septa, and SMAS, with a peak in the middle-to-deep dermis and intended short- and longer-term effects on wrinkles and facial lifting. This schematic comparison does not establish superiority or guarantee outcomes.
As skin-quality maintenanceALLTITE
ALLTITE is presented not only as a lifting treatment but also as an option for gradually supporting skin firmness and structure.
The left panel labels epidermis, basement membrane, dermis, and subcutaneous fat and illustrates age- and stimulation-related changes: reduced fibroblast activity, reduced collagen and elastin production, less firmness and thickness, dilated capillaries, chronic inflammation, and greater susceptibility to dullness and hyperpigmentation. The center compares heat-based stimulation such as RF or laser with treatments that supply selected ingredients. The diagram presents repeated treatment over time as analogous to cultivating and nourishing soil. The right panel depicts a healthier dermal structure with more collagen and elastin, improved firmness and thickness, more normalized microvasculature and basement membrane, less redness and dullness, and greater surface firmness. ALLTITE is presented as an RF option that may suit this repeated, gradual approach; results vary.
Skin firmness and collagen remodeling
Skin firmness is affected not only by surface moisture, but also by collagen, elastin, blood flow, and inflammatory conditions in the dermis.
ALLTITE uses thermal stimulation with the aim of collagen contraction and remodeling; changes are monitored over several weeks to months.
For those who want to achieve natural changes
This treatment may be considered by patients seeking gradual tightening without a marked change in appearance or who prefer to avoid injections.
It is popular as a continuous skin care menu according to age changes, along with skin treatments for pigmentation, redness, or acne.
Concept of treatment progress
ALLTITE is a treatment that monitors the progress not only of immediate changes but also of collagen reconstruction after heat stimulation. We do not over-emphasize immediate results, and create a treatment plan while checking the skin's reaction.
Immediately after treatment, tightening may be noticeable. The next day, temporary swelling may occur. Around days 2–3, swelling often settles and the area may feel more refreshed. At approximately 2–4 weeks, gradual change may become easier to notice. At around 1–1.5 months, medium-term tightening and collagen-related change may be more apparent. The source suggests about three sessions at intervals of roughly 1–1.5 months, followed by approximately six months of observation, then about one maintenance course per year according to condition. This is a general course; timing and response vary.
An early tightening sensation may be noticed
Collagen tightens with heat, and you can feel it as an immediate visual effect.
Skin quality gradually improves
This is the time when you start to get used to your appearance, but as a delayed effect, collagen increases and your skin quality gradually improves.
Changes may be maintained over time
By repeating the treatment, collagen increases, and the increased collagen also tightens with heat, making the effect last longer.
Treatment process
Examination/application confirmation
Check the jawline, cheeks, sagging around the mouth, fat amount, skin thickness, and treatment history.
Explanation of treatment policy
We will explain whether ALLTITE is suitable for you, how it is different from other lifting treatments and injectable treatments, and the required number of treatments.
Treatment
Treatment is delivered while the skin response is monitored. There are individual differences in how warmth and stimulation are perceived.
Aftercare explanation
We will guide you on what to do if you experience redness, heat, swelling, or discomfort, as well as the intervals between subsequent treatments.
Downtime, risks, and precautions
- After the treatment, you may experience temporary redness, heat, swelling, and slight discomfort.
- The treatment causes relatively little downtime, but the response and duration vary from person to person.
- Pregnant women cannot receive the treatment.
- If you have metal or plates in the treatment area, you may not be able to receive the treatment.
- People using pacemakers cannot receive the treatment.
- We will determine whether the treatment is suitable for you by checking your skin condition and medical history during a medical examination.
ALLTITE fees
300 shots per session
¥55,000
One course of 3 sessions
¥139,000
Frequently asked questions
How many ALLTITE sessions are recommended?
It depends on the situation and the change you are aiming for. Some people may feel a change after just one session, but we may recommend multiple sessions while looking at maintenance and changes. During your consultation, we will check your skin condition and the degree of sagging.
Is ALLTITE painful?
You may feel warmth or slight stimulation during the treatment. There are individual differences in how pain is felt, but we will deliver treatment while checking within a reasonable range.
Is there any downtime?
The treatment does not require much downtime, but redness, heat, swelling, and slight discomfort may appear temporarily. Aftercare instructions for the day of treatment are explained during the consultation.
What is the difference between RF and HIFU?
RF, HIFU, and ALLTITE differ in the layers that deliver thermal energy and the concept of heating. Which one is suitable for you depends on the type of sagging, amount of fat, thickness of skin, and your preferences regarding discomfort and downtime.
How much does ALLTITE cost?
ALLTITE is ¥55,000 per 300 shots, and ¥139,000 per course of 3 shots. The required number of treatments varies depending on the condition, so please discuss this with us during your consultation.
Can it be used in conjunction with other treatments?
Depending on the skin condition and treatment goal, ALLTITE may be combined with injectable, skin-quality, or other laxity treatments. Candidacy is assessed during the examination.
For those considering lifting treatment in Motomachi, Kobe
The appropriate method for sagging treatment varies depending on the looseness of the skin, amount of fat, bone structure, and past treatment history. At our clinic, we will recommend options, including ALLTITE, after an examination.