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Best Long Term Filler - or Should I Try Ulthera?

asked 1 year ago by Kasya
Latest answer by Chang Son, MD
Question viewed 6,602 times
Tags: face, female

Please suggest. Main concerns are: 1. Looking natural 2. No puffy/plumb look/result 3. Cost I am undecided between Ulthera and Radiesse or Juvederm.

12 answers to Best Long Term Filler - or Should I Try Ulthera?

Ultherapy lifts and tightens, fillers restore volume

Ultherapy and fillers address different issues. Ultherapy uses ultrasound technology to lift and tighten the subcutaneous tissues of the face. Fillers, such as Radiesse and Juvederm, restore volume to the areas of the face that have lost it. If your issue is that you feel that your skin is sagging a bit and want the tissues of your face to look a bit more lifted, then Ultherapy is the way to go. If you are concerned that there are areas of your face that look hollow and deflated or there are... more

Sarmela Sunder, MD
Beverly Hills Facial Plastic Surgeon

www.sunderplasticsurgery.com

Ulthera-vs-Fillers or Both

Based on your photo it seems that most of your issue is in the midface and is lack of volume. While Ulthera can provide some lifting in he midface, I think the most predictable option for you is adding a filler. This will also reduce the depression of the cheek fold. Furthermore if you end up with a slight loss of subcutaneous fat after Ulthera you may find yourself requiring more volume to achieve the result you are looking for. Both of the fillers you... more

Christopher Tolan, M.D.
Saint Paul Facial Plastic Surgeon

Ultherapy vs Filler

In our experience, Ultherapy can help to tighten up the mid face but your major aesthetic problem appears to be volume loss. For this area, both Radiesse and Juvederm will work well. This is a tricky area for filler, so choose who you have do it carefully.

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Ultherapy vs Filler

From you photos it appears that both could address some potential concerns you may have. The nasolabial folds can be improved quite naturally with fillers such as Juvederm or Radiesse. Ultherapy works differently than fillers in that its effect will tighten the underlying muscle to promote a lifting change to the face. Regions which ultherapy can address include the cheeks and prejowl region, neck line, and jawline. If you are looking for a focused treatment of a... more

Edward S. Kwak, MD
Manhattan Facial Plastic Surgeon

Ulthera for tightening, fillers for volume: not the same

There isn't really much overlap between what Ulthera does vs what injectable fillers do. If there is some early skin laxity then Ulthera can be very effective, but fillers will add volume to replace what is missing. From the picture you posted, the skin tone appears good but there is some hollowing along what we call the "tear trough" from the inside corner of the eye obliquely down the cheek. Go for a filler and either Radiesse or Juvederm should give a good long-term result.... more

Richard Baxter, MD
Seattle Plastic Surgeon

baxterplasticsurgery.com

Ultherapy vs. dermal fillers

Ultherapy will not add volume to a face, but it will tighten the face and occasionally negate the need for facial fillers. However, as we age we do tend to lose volume in our faces, and despite the tightening effects of Ultherapy, fillers are often a useful addition in the preservation and restoration of a youthful appearance. In you situation, based on the photo, Ultherapy may be the best choice, though may not fully correct all the areas on concern. Another argument for... more

Leif Liu Rogers, MD
Beverly Hills Plastic Surgeon

Ulthera vs. Filler

Looking at your picture, I can suggest a filler on your cheek depression to lift it up to the rest of the cheek. It would look natural and youthful. The Ulthera will not do the same. It will tighten and lift the neck , jowls and cheeks and brow. Most patients in my practice do both. The Ulthera treatment first and the filler right after. You will love the look of the filler and the Ulthera will continue to get better as time hoes by up to 4 to 6 months.

Luis A. Vinas, MD
West Palm Beach Plastic Surgeon

Best when used in combination

Although both Ultherapy and fillers such as Radiesse and Juvederm are both used to achieve "revolumization" of skin tissue, they work best in different regions of the face. When treated correctly, they can give a very nice synergistic effect to each other. Generally speaking, for localized volume loss, such as nasolabial folds, dermal fillers are superior. For more global volume loss, such as cheeks, upper neck, Ultherapy would be the treatment of choice. ... more

Chang Son, MD
Fort Lee Dermatologist

They are Complementary!

The use of Ulthera and a filler isusually complimenteary. As we arge there are two processes that happen. One is that we "sink" thgat has to do with volume loss, and the second is "sagging" which is looseness of skin. Fillers are used to correct the sinking and Ulthera is used to treat the sagging.

Cameron Rokhsar, MD
Manhattan Dermatologist

Ultherapy vs Fillers

Your best result may be from the combination of fillers for the loss of volume in your mid and inner cheek and smile creases, whereas the Utlherapy could help lift the cheek and corner of the mouth. You will see more immediate improvement with volume correction so I would vote on fillers if you can only have one of the two treatments. If you decide on Ultherapy in the future, you would consider doing that prior to the next session of fillers rather than after. see video

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Ultherapy or Fillers? No comparison

Ultherapy is tightening technology - Fillers or collagen stimulators restore volume or augment insufficient volume. Your photo appears to suggest you would get some very pretty results from Sculptra that could lift up the cheek and in doing so, also minimize the nasolabial fold and lower face laxity. The face is like a puzzle in that you need all the pieces to complete the picture. Volume loss under the eyes can be attended to with a filler like Restylane - you "could"... more

Rebecca Fitzgerald, MD
Los Angeles Dermatologist

Ultherapy or Fillers? Consider Sculptra in this Case

As others have already posted, Ultherapy and fillers generally achieve different goals. Although the angle of the photograph is not ideal, the image seems to suggest that addition of volume to the mid-facial area would provide more benefit than soft tissue tightening. For this purpose, I would suggest Sculptra first as a way to gradually add volume in the deeper soft tissues of the face. Radiesse and Juvederm can add immediate volume, but won't last as long as Sculptra. more