Three years ago I noticed some results, but the girl who gave me the procedure was a nurse (not a Plastic Surgeon or Dermatologist), and it was so new, she had limited experience delivering the procedure, and thus, (even tho she is great), I did suffer from a cyst-like burn (which is now a scar), above my forehead and I also had some bruising.
This time, I wanted to get my money's worth, and spoke to the people at Ulthera before I started researching options for a practitioner. I put together a list of very specific questions (see below Q&A in Dr. Review), and also made sure I selected a Ultherapy practice that had most or all of the various heads that are available (Ulthera has released different heads and if you are a skilled Ulthera practitioner, you can use each head in a different manner during treatment to get the maximum results vs. using the same head the entire treatment) It's more effective to be able to have options for each patient in terms of the heads that are used during treatment).
Also there is a technique and specific level of facial symmetry and proportion knowledge the practitioner must have to deliver the best results possible. Case in point: The doctor I went to (Dr .Michael Persky in Encino, CA - (LA)) did not treat my cheeks specifically b/c he said they looked good, and I told him I had some filler in my cheeks and under my eyes). We wanted to focus on my forehead, temples, lower face and neck as priority in terms of the treatment.
I will update this review in 6 months with final results... :) (which I am sure will be great)
Overall, best experience ever -- still pretty painful - Yes - so take painkiller or xanax -- but nothing that you can't get through - and no pain - no gain! :)