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V E R Y Painful - Shelby MI

I had ulthera, done on my whole face one week ago...

I had ulthera, done on my whole face one week ago today. It was V E R Y painful. I was actually crying it hurt so bad. At first they were not going to give me any injections to numb my face but gave me a Tramadol, I couldn't take the pain, I think I ended up getting about 30 injections at least. I am still very sore and have a few black and blue areas, one on my cheek is about the size of a silver dollar. The part that was the most painful was the areas near bone, the jaw, cheekbones, and temple areas. I don't notice a difference yet but I am optimistic about it. A couple of people said they see some difference but I am not sure. If so it is ever so slight. I really don't know if I could ever go through this again though. I sure hope I have good results.

I had ulthera, done on my whole face one week ago...

I had ulthera, done on my whole face one week ago today. It was V E R Y painful. I was actually crying it hurt so bad. At first they were not going to give me any injections to numb my face but gave me a Tramadol, I couldn't take the pain, I think I ended up getting about 30 injections at least. I am still very sore and have a few black and blue areas, one on my cheek is about the size of a silver dollar. The part that was the most painful was the areas near bone, the jaw, cheekbones, and temple areas. I don't notice a difference yet but I am optimistic about it. A couple of people said they see some difference but I am not sure. If so it is ever so slight. I really don't know if I could ever go through this again though. I sure hope I have good results.
 

I am really seeing some nice results. I am very...

I am really seeing some nice results. I am very happy I did this procedure. I paid $2500.00 and I think it was well worth it. I see the best results in my jowl area. I am four weeks out today. People are beginning to call me Benjamin Button, because it is gradual and very natural.
Allure Medical Spa

The physician assistant who I had the consultation with was great, The aesthetician was okay. I think she was a little rough with me. She should have had me wear some sort of a bib or smock, and a cap covering my hair. The gel got all over my hair and clothing.

3 out of 5 stars Overall rating
3 out of 5 stars Doctor's bedside manner
4 out of 5 stars Answered my questions
1 out of 5 stars After care follow-up
4 out of 5 stars Time spent with me
4 out of 5 stars Phone or email responsiveness
4 out of 5 stars Staff professionalism & courtesy
4 out of 5 stars Payment process
1 out of 5 stars Wait tmes
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I had this done yesterday. Took a vicodin 1.5 hours before and a valium about 40 minutes before. I stupidlynforgot to take 4 ibuprophens with the Vicodin. At one point I told them to stop because it was too painful. They gave me the ibuprophen, another Valium and another Vicodin. I truly don't think that helped and the thought of good results versus giving in to the pain is what kept me going. Anxious to see my results as they occur.
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Any improvement since May 30, LCR?
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it looks like a big difference
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Mine was 640 or therabouts (I only had lower face and upper neck done) but definitely just mild puffiness for a couple of days. My DH couldn't even see it. Fingers crossed!
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I agree. I think that when you have so much pain something is happening in your body. I was freaked out in the beginning because my face was so bruised and swollen, but I think I have had one of the best results that I have ever seen. Like that girl who posted that she didn't know what all the fuss was about and no pain no gain. Well I believe you will have an excellent result. And I bet you her's is not going to be so good. It also depends on how many passes they did on you. I think they did about 680 passes on me.
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Teacher, I had my Ultherapy the same day as you, I believe. It was somewhat painful, but tolerable with a couple of Vicodins. I have no swelling and I have the feeling that I will therefore be one of those who experiences very little result. When people have face lifts, there is a huge amount of swelling around day 3 -4 and then is all dissipates. That is just the body protecting its damaged tissues. So hang in there. I am sure lcr8720 is right. I'm sitting here thinking, "OK so that's all there is?" which is also rather disturbing as I expected to feel sore or sensitive. Think positive thoughts and imagine yourself looking in the mirror in a couple of weeks and both looking and feeling beautiful...
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Thanks, Antoniag and Icr8720. Both of you have lifted my spirits and helped me to think more positively about my results. Hopefully the welts and the swelling (and now a new bruise on my neck) will go down in another day or two.
I'm not sure how many total passes she did on me, but she did go over each section of my face and neck with 3 different transducers.
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Agree totally--this procedure is EXTREMELY PAINFUL!! Would only do it with injections or go back 5 times and do small portions. Took me 1.5 hours to get through 1/4th of my face because of the pain. Like getting tasered on your face. No kidding--BEWARE!!!!
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Hi Icr8720, Thank you so much for posting all of that info on your treatment experience with Ulthera. I think your results already look nothing short of amazing! I am so glad you said something about the pain issue. I have a very low tolerance to pain. I found this out when I went for vascular laser to rid myself of redness related to rosacea. It worked wonders for me but felt like someone was putting out a cigarette on my face every time the pulled the trigger (so to speak). I am a 49 year old lady and am loosing weight and don't want my face to sag once the weight loss is complete so I am considering Ulthera. After seeing your results I am definitely interested. But I will follow Dr. Samlaska's advice and ask the doctor who does it to give me lidocaine. Thanks and would love to see another picture again in 2 months!! Please
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Thanks for posting new pictures for us!! Its great you are liking the changes you see - happy for you!!

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Excellent results Shelby! Pain management is an issue with Ulthera, and you so correctly noted it appears to be mostly a problem around bony prominence's--jaw line, forehead regions, and orbital rims and temples are the most sensitive areas. Here are the main forms of pain management most physicians are using now:
-Oral medications: Traditional pain medications such as Tylenol 3, Tramadol, etc., frequently in combination with Valium, are utilized by many. I found that it did not work particularly well for my patients.
-Local anesthesia: Injections with lidocaine, marcaine, etc., are very effective in controlling pain, and this is the technique that I use. My patients that have had treatments with oral medications and have subsequently been treated a second time using local anesthesia have unanimously favored the injections. I inject along the jaw line, one injection at the base of the nose and cheek (Infra-orbital nerve), a bead above the eyebrows, and a bead along the lower orbital rim is all that is required. Patients are very comfortable and we can complete full treatments by using this option.
-Nitrous oxide: I have heard of one physician that is using only "laughing gas" with much success. A small facial cannula is used and the patient is given a switch which allows the patient to self administer the gas as needed. I am currently looking into trying this because it seems to be a great way to provide pain management.
-No anesthesia: Believe it or not this is an option. It is dependent on your pain thresholds. I have had two treatments without any pain control. I didn't think it was that bad, but that is just me. Others think otherwise...
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Thank you Dr Samlaska for the information you posted about pain control. It was very helpful. Where is your practice?
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My practice is in Las Vegas.
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Hello from Maryland. I just had the procedure done yesterday (full face and neck) and the doctor used the lidocaine injections (about 6 total) and over the counter tylenol. The pain was horrendous to say the least - and the doctor kept complaining that I was moving too much during the procedure! Again, the pain was horrendous!! I was in tears during the procedure and almost requested that the procedure be stopped completely. I would strongly recommend that patients be put to sleep for this procedure. And quite frankly I would never have this procedure done again unless I can be assured that it will be pain free.

I hope it works for me; I'm 55 and African American and look pretty good for my age. In fact, most comment that I look much younger than 55. I had the procedure done in the hopes that it would combat the saggy cheeks and droopy neck that were beginning to form.

One other thing. Today, I woke up to a swollen face and welts in several areas of my face. I know this is only temporary but just wanted to let you know.
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Yes, I concur with the "pain issue". I too was crying half way thru the procedures, and was given prescription pain meds. I like the idea of "laughing gas".
I had outstanding results from the procedure, and Ulthera marketing dept has asked
to use my before and after pictures in their marketing materials. I'm 53, and used Obaji for 10 years, so didn't have many wrinkles, just droopy skin. My doctor was even shocked with my results. Even with the pain, I would do it again in a couple of years. I think I look 10 years younger.

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I, too, thought the pain was unbearable, even after receiving many injections. My neck is so swollen after 4 days, that I can't see any definition between my chin and my neck. I also have large, red, hard welts all over my neck and the area to the left of my mouth is swollen and looks as if I have a mouthful of marbles.
I wish I had never had this procedure done. I don't know if or when the swelling and welts will go away.
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Hi Teacher84, I just wanted to let you know that I too, was very bruised and swollen. You can actually see the bruising in my picture. It is going on four months for me and I honestly still have pain under my chin at the jaw line. Thankfully the other areas that I had pain in are okay. Just give it time I am sure the pain and welts and bruising will go away. But I have had excellent results and sometimes when I feel the pain I tell myself that maybe it means it is still working. Just HANG IN THERE!! For me personally, I do think that the pain I endured was worth it for my good results. I bet you will have excellent results.
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Thank you for the uplifting remarks, Icr8720! I am so down in the dumps about my early results at this point, I can barely look at myself in the mirror.
I will try to think positively and Hang in There!
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Hey there, I had mine done on 8/17 and now I notice that my lower face remains swollen. Today is 8/20. Can you tell me how you are doing? Please email me for some support.
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So glad to hear you are seeing some good results!! That is awesome! I'd love it if you would post another picture so we can see the changes too. :)

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I am 53 year old.

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Also, excuse me asking but how old are you? I am trying to figure out based on the reviews here, what is the best age for ultherapy. I want to have it done on my whole face but I am not sure if I should wait a few more years (until after 40) or should I do it now.
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wow, great results already; I believe that you will see more improvement over next two months!
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Thanks for the update. I'm glad it worked so well for you.
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I can see a difference too so it appears to be working fairly quickly for you. Any new pics?
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