Is There an Art to Ultherapy? Does Is Matter Who Administers The Treatment?

I'm getting full-face & neck ultherapy next month. I have 3 possible doctor's offices I am considering, all within $3500-4000 in price. All are VERY reputable surgeons, but in 2 offices, the nurse performs procedure and in one, the doctor does. I've read there's an "Art" to performing ultherapy, and it DOES MATTER who performs the treatment. If this is true, then why and how does the "Art" and Technique matter? And how does technique determine results? How do I pick the right one?

Update: Photo removed

Doctor Answers (6)

Many nurses, estheticians, and doctors are well trained enough to provide you with good results

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Technique does matter, however many nurses, estheticians, and doctors are well trained enough to provide you with good results. I would not base my decision on price. Instead pick the office that you feel most comfortable with. Also discuss with them your expectations, and how they can be addressed. Be sure that you have a realistic perspective going into treatment.


Portland Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Who should perform Ultherapy

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This is a good question.  The treatment can be performed by a nurse, aesthetician, or medical assistant.  They need to have a understanding of the technology, skill with delivering the pulses and the more experience the better.  Every office is different.  You can ask the office who is doing the treatment and how long they have been doing it.Sometimes they are better at doing it that the doctor because of the volume and repetition. 

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 32 reviews

Yes it matters

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A successful cosmetic treatment, such as Ultherapy, requires a detailed technical knowledge, understanding of anatomy and skin physiology, and most of all adequate experience and training.  There are many technical and medical "maneuvers" that an experienced physican and/or practitioner will do in a course of any cosmetic treatment such as Ultherapy that will likely to enhance the ultimate clinical and cosmetic outcome, and more importantly, decrease incidence of adverse events.

Chang Son, MD
Fort Lee Dermatologist
5.0 out of 5 stars 1 review

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Ultherapy perfomred by a doctor

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Ulthera is a foucsed ultrasound energy that is delivered in intense bursts to different areas of the face to induce tightening. The company has suggested two protocols already and the technique continues to evolve based on new treatments perfomred by physicians.  A physician understands the anatomy of the musculature and connective tissue of the face and knows what tissues to treat in order to see a lift in the desired direction.  In addition the physician has a healthy respect for the high risk areas to avoid so that there is less chance of nerve injury.

Patients aged faces are like snow flakes...there are no two alike and physicians can modify treatments tailoring them to the specific patient in front of them. One patient may need more treatment for the jowl and others may need more for the upper eyelids. I like to do the treatment myself on faces because I want the control of altering the treatment for my patients best result.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

Ulthera needs a certified operater with experience for best results.

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Ulthera is becoming a very efficient means of non-surgical facial skin tightening, but should be performed by an experienced certified operator. Fortunately, most medical estheticians and nurses can be trained by the company and the doctor to use the equipment skillfully and correctly, with noticeably good results without any complications. In my office, my trained staff are obtaining results probably with less time and more ease than I would because of their experience treating our patients while the surgeon is operating and taking care of post op patients. After speaking with some treated patients from each office, consider returning to the location which  has experienced, certified operators, and makes you feel the most comfortable. You should be pleased with your results.

Maurice P. Sherman, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 24 reviews

Choosing the right doctor and the right treatment

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All of plastic surgery is an art form and you should ask to see photos of real patients in each office and ask to speak to some.  Don't rely on the comapny photos to decide, insist on real patients from that doctor/nurse.

Not to throw a wrench into your plans, but your photos show nice tight skin so what will Ulthera be doing for you?  On the other hand, you do appear to have some dyschromia (pigment spots) that might be better treated with an IPL laser than with Ulthera.  Also, an upper bleph might be considered as this is the most simple way to put your toe in the water of facial rejuvenation and is hard to beat in making you look younger, more refreshed and rested.  Without seeing you in person, this is obviously not a consulattion but just some independent thoughts.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 51 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.