Best treatment for wrinkles around mouth after Ulthera treatment?

There is no one treatment that can do everything (but we keep hoping!)Ultherapy can produce some improvement in lip wrinkles but there are usually more elements at work than it may seem. (Ultherapy is a wonderful treatment for lifting and tightening the underchin and neck area - which is where it shines brightest)Wrinkles can come from:collagen loss, which is typical in aging for most peopleelastin and collagen breakdown from sun exposure weight loss that obscured existing collagen loss support loss from the shrinkage of boneand/or habitual muscle contraction in natural speech smoking - which creates all kinds of havoc with all the skin on your face and body.A lot of women tend to purse their lips when they speak and it's a hard thing to change. (Some people avoid drinking from straws to avoid pursing their lips!).Lasers, specific skin care products, retin-a type prescription creams, fillers and good internal hydration can all be part of the fix. Old school full CO2 lasers could virtually wipe out lip wrinkles, but the recovery was horrible and the skin would lose pigment and take on a wax-like appearance. That wasn't always a good exchange for losing the wrinkles. The newer fractional lasers like Fraxel and eMatrix can improve wrinkles, but sometimes there is no effective way to get rid of them completely.

Ulthera is used to improve skin laxity and is not meant to be a wrinkle repair. If you are looking to treat wrinkles I would suggest either fillers or laser. 

Fraxel laser treatment and/or Botox may be a good option for the wrinkles you describe. If you are not already on Retin-A, this is a must have in everyone's medicine cabinet!