Ultherapy Vs Fraxel for Skin Tightening and Shrinking Pores Doctor Answers, Tips
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Ultherapy Vs Fraxel for Skin Tightening and Shrinking Pores

Hi, I am mid 40s & have aged pretty well, no wrinkles.BUT I have sagging in the jowl & neck & recently noticed my cheeks have started sagging too,which makes my eye hollows look deeper(I have naturally high cheekbones & deep set eyes).

With my cheeks sagging my once poreless skin now has stretchy large pores.I had restylane filled in the eye hollows.I have read on both Fraxel & Ulthera. Which is better for tightening/pore shrinkage & general skin texture smoothing? Can they be used together?Thanks

10 Doctor Answers | Asked by the_scream in New York, NY
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Ultherapy Vs. Fraxel

Ultherapy treats underneath the skin so it will do nothing for hyper-pigmentation, and very litte for texture, fine lines, wrinkles or pore size but, it does tighten and lift skin. So, it’s a great treatment to combine with laser skin resurfacing because the laser treats the surface of the skin. The best treatment/technology for laser skin resurfacing is a CO2 fractional laser. This laser is considered the most effective treatment for combating wrinkles, aging, and many other skin... more
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Ultherapy vs. Fraxel

I have both the Fraxel Repair Laser (CO2 Laser) and Ultherapy and I have used both of them on some patients. They do different things. The Fraxel Repair is for skin surface irregularities such as wrinkles, scars and pigment irregularities from sun damage. Ultherapy is for facial lifting and tightening. Fraxel also tightens the skin, but it doesn't lift the deeper layers as Ultherapy can. They are complementary procedures and I have seen excellent results... more
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Don't expect your pores to change after Ultherapy with Ulthera, Fraxel may or may not help

Some patients do get improvement in their pore size with Fraxel, but some do not. I have not ever seen it get worse, though. Ulthera is not going to affect the pore size as it only affects the deep dermis and connective tissue layers without changing the surface of the skin. You mentioned that your pores are visible now after your cheeks have sagged but if they are lifted to some extent with Ulthera, the pores will not look better. Sometimes volumization of deflated cheeks... more

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Best Treatment for Skin Tightening and Pores...Ulthera or Fraxel Laser?

Hi, Ulthera is better for the treatment of sagging of your jowls, cheeks, and neck. Ulthera is a deeper treatment, targeting the muscle lining and deep undersurface of the skin with ultrasound heat energy. It is the only device FDA approved for both tightening and lifting of the facial skin and muscles. Fraxel is a more superficial treatment that is better for wrinkles and pores (though there is some improvement of pores in the areas treated with Ulthera). ... more
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Ulthera is all about face lifting without sugery

The "Big Deal" about Ulthera is not just skin tightening, thats the same page we have been on with Lasers and Thermage for now over eight years, but whats different about Ulthera is "Lift", and lift comes from Ulthera's noninvasive ultrasound energy tightening of the SMAS that same deep collagen over muscle, underneath the fat of the face, that are tightened with a face life, so the big deal with Ulthera is not just tightening of the deeper skin collagen, but... more
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Ulthera and Fraxel are great in combination

Each technology is great on its own, but they address different issues and achieve results in different layers of the tissue. I use the Ulthera in conjunction with a Fractionated CO2 Laser (Alma Pixel CO2) to achieve better results than either could on its own as they complement each other. Ulthera is the premier technology for noninvasive facial tightening by causing its effects in the deeper layer of the skin and the more superficial subcutaneous tissue--with amazing results for jowls... more
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Ultherapy for Skin Tightening, Fraxel for Large Pores

Ultherapy works very well to tighten skin of the cheeks, neck and jowls, but Fraxel works on the texture of the skin and pore size. They work very well in combination so you combat not only gravity, but the changes in the skin that can occur giving you a youthful glow.
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Apples to Oranges

It is hard to compare the two procedures because in some ways they are like apples and oranges. Ulthera treatment is a non-invasive procedure with minimal downtime, with generally 1-3 days of mild swelling and possible bruising. Fraxel re:pair procedure done effectively would require at least 1 week downtime where the patient is precluded from work and social functions. Fraxel restore is gentler but requires multuples sessions but is highly effective in treatent of large pores. more
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Injectable fillers can be used to actually lift and reshape in addition to filling the hollows under the eyes

Injectable fillers can be used to actually lift and reshape in addition to filling the hollows under the eyes (which Restylane did). Some of the collagen stimulators such as Radiesse and Sculptra can improve some skin texture. However, when it comes to superficial skin, IPL (Intense Pulse Light) therapy is a good treatment for pores, blotchiness, discoloration and red capillaries. Ultherapy and Fraxel work superficially on the skin, and how much wrinkle correction you will... more
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Fraxel beats Ultherapy for textural improvement.

Fraxel is a resufacing tool and Ultherapy is a tightening tool. They can definately be used together for optimal results. If surface improvment is the goal (pore size, texture, color, superficial lines) then go with the Fraxel. If tightening is more important then start with Ultherapy.
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Comments (1)

aje66 8 Apr 2013
ive had fraxel twice and it actually left me with larger pores,broken capillaries,a few ice pick scars and the issues I had in the first place are still there

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