Hi Mary,
Patient satisfaction in my practice is much higher with Accent XL compared with the consensus patient satisfaction rate with Thermage. I can only vouch for the Accent XL results as performed by the RN who performs the procedure in our office.
Ultrashape has promising early results but as you know it is not FDA approved for use in the US. I heard that there were a few complications that need to be rectified before FDA approval of Ultrashape.
Nice to hear that you had good results with Thermage, I don't get to hear that often enough.
Good luck and be well.
Dr. P



