Miso Clinic · Clinical column

Oligio Kiss in Daegu — why radiofrequency and ultrasound are used together, and which faces it suits

Oligio Kiss is the device whose name causes the most confusion. It is not the same machine as Oligio or Oligio X: it is a combined device that adds focused ultrasound (HIFU) to radiofrequency (RF). This column sets out whom Miso Clinic considers it for first, whom we do not recommend it for, and how far the published evidence goes.

Clinical column About 6 min September 2026 Miso Clinic, Daegu · Dr. Lee Chi-Hak, Medical Director

The short answer

We consider Oligio Kiss first for a face where thinning skin with lost firmness and sagging of the deeper layers are both present. Radiofrequency warms the dermis broadly, while focused ultrasound places discrete coagulation points at a depth set by the cartridge, so the two work on different layers. However, we could not find any published clinical trial carried out with Oligio Kiss itself, and there is no comparative study showing that delivering both from one device is better than using two separate devices. Its approved name with Korea’s MFDS is The Great RF Sonata (Wontech, approved 1 September 2023).

What kind of device is Oligio Kiss?

Oligio Kiss is a lifting device that combines Wontech’s monopolar RF device Oligio and its focused ultrasound device Ultraskin Tightan in a single unit. Its approved name with the MFDS is “The Great RF Sonata” (1 September 2023), and it was launched in Korea in February 2024 under the market name Oligio Kiss. If a search turns up both names, they are the same device.

Three products with similar names
ProductEnergyWhat it is
OligioMonopolar RFA standalone RF device
Oligio XRF (dual mode)An extension within RF — a separate model
Oligio KissRF + focused ultrasoundA combined device that adds a different kind of energy

Online posts sometimes present an advertising pre-review number as though it were an approval number. They are different numbers from different procedures.

Which layers do radiofrequency and focused ultrasound reach?

Radiofrequency heats broadly; focused ultrasound places points at a set depth. They are not two ways of doing the same job but technologies with different territories.

Radiofrequency and focused ultrasound — the two energies inside Oligio Kiss
ItemRadiofrequency (RF)Focused ultrasound (HIFU)
How heat is producedTissue heats itself through its electrical resistanceSound waves converge on a focal point, and only that point heats sharply
Shape of the heatEven, across a broad volumeDiscrete coagulation points laid out in rows
Layer reachedThe dermis as a wholeA specific depth set by the cartridge
Problems it handles wellThinning skin, general loss of firmness, textureSagging at a specific depth, a slackening contour line
Pain burdenRelatively lighterRelatively heavier

The face we see most often in the consulting room has both problems: the skin has thinned and the jawline has blurred as well. The design intent of Oligio Kiss is to use the two energies one after the other on such a face without changing machines.

“Can do both” does not mean “must always do both”. If loss of firmness is the only problem, RF alone; if deep sagging is the main problem, more weight on ultrasound — we use only as much of each as is needed. That choice is the real advantage of a device with two energies.

Faces Oligio Kiss suits, and faces it does not

Oligio Kiss — when we consider it first and when we do not recommend it (clinical judgement)
SituationJudgementWhy
Skin has thinned and the jawline has blurred tooConsider firstProblems in two layers at once
Repeated RF alone, but deep sagging unchangedConsiderAdds the depth focused ultrasound reaches
Had focused ultrasound alone, but texture and thickness unchangedConsiderAdds the broad heating of RF
Hollow cheeks or temples (volume loss)Not recommendedHeat does not create volume — fillers or CaHA
Skin genuinely stretched to the point of foldingNot recommendedBeyond what tightening can do — the territory of surgery
Melasma, redness, acne scarringNot applicableThe territory of other devices

If you have a metal implant or an implanted electrical device such as a pacemaker in the treatment area, are pregnant, or have an infection or active inflammation in the treatment area, you must tell us before treatment.

How far has the evidence been confirmed?

As far as we could find, there are no published clinical trial results for Oligio Kiss as a device. MFDS approval means the device passed a review of safety and performance; it does not mean there are effect figures published in papers. That is why this column contains no sentence of the “lasts so many months” or “improves by so many per cent” kind.

Evidence for the device classes — not evidence for this device

  • Monopolar RF — in a study of 20 women, one session, 24 weeks of follow-up, the jawline and nasolabial folds improved significantly at 12 weeks, with mean pain of 0.4/10. There was no control group and only a small number of women were included.
  • Focused ultrasound — there is a 2025 systematic review in Aesthetic Surgery Journal. We could not check the full text ourselves, so no figures are quoted.
  • Comparison between RF devices — of the 15 studies and 1,230 subjects gathered by a 2026 systematic review, one was a randomised controlled trial, and no direct device-to-device comparison was found.

The pain score of 0.4/10 above is for RF alone. When focused ultrasound is added, each coagulation point brings a sharp or aching sensation, so the burden is greater.

Recovery and pain, and when to judge the result

  1. Straight afterRedness · mild warmthThe immediate tight feeling is a mix of instant collagen contraction and swelling, and is hard to count as a lasting change.
  2. 1–3 daysSwelling · tendernessIf focused ultrasound was used, tenderness on pressing or chewing can remain for a few days.
  3. 2–4 weeksThe response is under wayVisible change is often still not obvious.
  4. 2–3 monthsTime to judgeWe review progress at this point and discuss whether anything more is needed.

There are no published data on how long results last with this device, so we do not give a number. We do not recommend a bundle of sessions from the start; we decide the next step from how the face looks two to three months later.

Summary

What is established

  • Oligio Kiss = monopolar RF (Oligio) + focused ultrasound (Ultraskin Tightan); MFDS approved name The Great RF Sonata (2023-09-01)
  • RF heats the dermis broadly; focused ultrasound places points at a specific depth — they work on different layers
  • For monopolar RF as a class there is a 20-subject, 24-week study (no control group)

What we could not find

  • A published clinical trial of Oligio Kiss itself
  • A comparative study showing that one device used in sequence beats two separate devices
  • How long results last with this device

Oligio Kiss in Daegu: frequently asked questions

Are Oligio, Oligio X and Oligio Kiss the same device?

They are different products. Oligio is a monopolar RF device, Oligio X is a separate model with dual-mode RF, and Oligio Kiss combines the RF device Oligio and the focused ultrasound device Ultraskin Tightan in one unit.

Is Oligio Kiss clinically proven?

As far as we could find, there is no published clinical trial carried out with Oligio Kiss itself. There is literature on monopolar RF and on focused ultrasound, but that is evidence for the device classes in general and does not prove the performance of this device.

Does Oligio Kiss hurt a lot?

With RF alone the main sensation is building warmth; when focused ultrasound is added, each coagulation point brings a sharp or aching sensation, so the burden is greater. We use numbing cream depending on the area and adjust the intensity, but we do not tell you it is painless.

Which is better: Oligio Kiss, Density or XERF?

No study has compared the three devices under the same conditions, so there is no basis for ranking them. We start from the face: Oligio Kiss when loss of firmness and deep sagging are both present, Density when the skin is thicker and the sagging deep, XERF when a lighter anaesthesia burden matters most. This is clinical judgement.

How many sessions of Oligio Kiss do I need, and how long does it last?

There are no research-established data on the number of sessions or the duration of results for this device. The collagen response triggered by heat develops over several weeks, so we review progress at two to three months and decide whether more is needed.

Where is Miso Clinic in Daegu?

4F Bombom Building, 125 Dongdeok-ro, Jung-gu, Daegu, at Exit 1 of Kyungpook National University Hospital Station. You can use the tower car park in the building, and the main number is +82-53-428-2700.

Read next

Product pages

The device itself is covered in the Oligio Kiss reference. The clinic’s other RF devices: Density · XERF.

Who wrote this

Written and reviewed by Lee Chi-Hak, MD, medical director of Miso Clinic in Daegu, South Korea. Every study cited above is given together with its design, its size and the limitations the authors themselves recorded, and where we could not find data, we have said that we could not find any.

Miso Clinic
Medical directorLee Chi-Hak, MD
Address4F Bombom Building, 125 Dongdeok-ro, Jung-gu, Daegu, South Korea · Exit 1, Kyungpook National University Hospital Station
Phone+82-53-428-2700
HoursWeekdays 11:00–19:00 (lunch 13:00–14:00) / Saturday 10:00–16:00 (no lunch break) / Closed Sundays and public holidays
ColumnsAll clinical columns
Reference libraryAll booster and device references

References

  1. Oligio Kiss approval — Korean MFDS (Ministry of Food and Drug Safety) medical device approval record. Product name The Great RF Sonata (Wontech), approved 1 September 2023. ‘Oligio Kiss’ is the market name; Korean launch February 2024 (Wontech product information). Composition: monopolar radiofrequency (Oligio) + focused ultrasound (Ultraskin Tightan).
  2. Monopolar radiofrequency studyCosmetics 2024;11(3):71, DOI 10.3390/cosmetics11030071. 20 women (mean age 47.95 ± 6.02, Fitzpatrick III–IV) · one session · assessed at 4, 12 and 24 weeks · blinded raters · no control group. Significant improvement of the jawline and nasolabial folds at 12 weeks; mean pain 0.4/10. This is not a study of Oligio Kiss (RF + focused ultrasound), and its pain figure does not carry over to treatment that includes focused ultrasound.
  3. Focused ultrasound systematic reviewAesthetic Surgery Journal 2025;45(7):690, DOI 10.1093/asj/sjaf053. A review of skin tightening and body contouring applications. We could not check the full text ourselves, so no result figures are quoted.
  4. Evidence comparing RF devicesAesthetic Surgery Journal Open Forum 2026 systematic review (15 studies · 1,230 subjects, one randomised controlled trial). It states explicitly that no direct device-to-device comparison was found.
  5. Medical advertising law — Korea’s Medical Service Act, Article 56(2). It prohibits advertising through treatment testimonials, comparison with other medical institutions, superlative claims and similar.
  6. Miso Clinic clinical protocols — criteria for indications, design by area, and the explanation and consent process before treatment. The source of the sentences marked “clinical judgement” in this column.

Everything in this column is general information and does not replace medical diagnosis or treatment. Effects and side effects vary with individual skin condition, age and underlying illness, and the same result is not guaranteed for everyone. Any decision to proceed should be made in an in-person consultation with a physician.

← Clinical columns · Reference library · Miso Clinic home

한국어 · English · 日本語