This review has been a long time coming. I turned 50 last year and was starting to notice my jawline and neck heading south. I was overall happy w/the way I was aging but wanted to do what I could to slow down the inevitable. I had virtually no wrinkles, even when smiling, but as stated I was starting to notice sagging. My biggest concern about Ultherapy was possible fat/volume loss. I talked w/several Dr's and was assured this would not happen. I was told that 20% percent of the people who have this procedure do not see visible results, but that even they benefit from increased collagen production. I had never done any procedures prior to this, not even botox. I was having a hard time with turning 50 and felt like this would be a nice birthday present to myself. Within the first 2 months of the procedure, however, my worst fears transpired and I started noticing volume loss. The most noticeable areas were around the eyes and upper cheek areas. I talked with the nurse practitioner who did my procedure and I was told that "I was imagining things" and that "I was one of those people who see things that aren't there" and that "I needed surgery all along but that I just didn't realize it." My face has continued to deteriorate and now my eyes seem to be affected. I have no idea why but my eyes look half open and much smaller now. I am very concerned and am going to have to see an ocular ps now. For a long time I was shocked when I looked in the mirror, now sadly I am getting used to my new appearance. I can't begin to explain how difficult this has been. I could elaborate but I'm purposely trying to downplay the emotions in the hope that my review is not dismissed. I have waited to write a review for several reasons. The main being that I simply did not want to do it. I know there will be those that for whatever reason will not believe my review or will want to discredit it. In the end, however, I felt I had to do what I could to warn others. I am posting pics of my eye and upper cheek area. I tried to find pics that show the damage but still allow me to preserve my anonymity. The before pic was taken about 2 months before the procedure and the after was taken a month ago. I am smiling wide in both pics. I want to emphasize that the person who did my procedure was very experienced and that she actually did training on Ultherapy, so an experienced practitioner is no guarantee that you will not have a poor outcome. My sole reason for posting is so that people can have all the information possible in order to make an informed decision. The one thing, however, I want to strongly suggest is that no one do this procedure on their upper face. The risk is just too great. If you are set on trying the procedure, please just try it on the lower face/neck. That's it. I've told my story and given my review. I hope this has been helpful. I'm trying to put this awful experience behind me, so I don't plan to respond to comments or questions.