Ultherapy: Stories

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Face, forehead and jaw - a long wait for results but happy now

  • posted 9 months ago
  • updated 3 months ago

I've only just had Ulthera, so it will be 2-3...

I've only just had Ulthera, so it will be 2-3 months before I can put up before and after pics, but I'd like to note my impressions of the treatment.

Why I had it: I've disliked the lax look of my neck and jaw line for the past 5 years but am not ready for surgery. I wanted something I judged as low risk, and followed up on it after reading promising reviews on RealSelf.

Getting advice: the doctor reported that I wouldn't see results for 2-3 months and it would only last a year. She advised I'd get a better, more permanent result doing lipo on my neck. She didn't think I needed platysma muscle correction. I think she's right, but I'm not quite ready for lipo, but it's something to consider carefully given the high cost and short term benefit of Ultherapy. I'm told most money goes on the machine parts, which are extremely expensive.

Pain management: Took 2 ibuprofen (Advil) an hour before. I was given a Penthrox (methoxyflurane) inhaler to use doing treatment, which was excellent. I generally have high pain tolerance.

The treatment: Short, sharp pulses from the head which feel a bit like very fine needles, and only last for the briefest part of a second. Overall I didn't find it unpleasant at all on my neck and most of my face. There were some localised pain areas on my left upper cheek, and it made my feet twitch a few times (my personal coping mechanism). But by the time it was getting anywhere close to extreme the pulse had finished and it was gone. The ibuprofen and Penthrox made the experience very manageable. Overall I've had more painful experiences with both IPL and dental cleaning.

Afterwards: Sat for 10 minutes waiting for the Penthrox to wear off (it does make you feel and behave like a happy drunk). I had slight tingling around my cheekbones, like a bit of wind burn. The tingling lasted for an hour and was gone. Skin was slightly pinkish for an hour after. I don't feel any tightness or other effects.

Overall: a good experience. Felt safe and hassle free. Felt she was a quality practitioner with lots of experience.

Will post photos again after 2 months – fingers crossed it'll be worth it.

It's been around 6 months since I had Ulthera...

It's been around 6 months since I had Ulthera treatment.

At 3 months I honestly couldn't see any benefit and had I posted then I would have said it wasn't worth it, especially given the cost.

But around 4-6 months it really kicked in and I began to notice a definite overall improvement. Rather than specific features, it's more like an overall refresh of the face; the forehead is tighter, the eyes less droopy, the cheeks more solid, and the jaw less jowly. Now I get a satisfying, relatively youthful impression when I look in the mirror, whereas 6 months ago I really didn't like looking in the mirror at all. My face appears to me like it did about 5 years ago.

I haven't had any other treatment, so I can only put it down to the ulthera.

I don't know how long this treatment lasts, some say about 2 years, and some say it will always be better than if I'd never had the treatment. If I get a good two years improvement, I'll definitely have it again if I need it.

My only disappointment is that I couldn't have it done on my neck, as I always wanted to see improvement there.

PS Sorry for not having photos, been very busy. I'll try and visit the clinic to get some after pics taken in the same type of light.
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I didn't find many practitioners locally who do Ulthera, so Ashbrooke was the first and only one I visited. I was confident that they had plenty of experience though, and I felt the procedure was low enough risk to not need that much research.

Comments (15)

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Jklein4139 15 May 2013
It is now approved for neck just avoid the thyroid
jpr 15 Feb 2013
Thank you for sharing. I didn't know about the inhaler. I look forward to your updates.
laurag086 14 Aug 2012
No problem at all. Regarding how long a modality lasts is dependent on many variables such as, lifestyle, metabolism, health, age etc. Your doctor suggested it would last a year, this may be true again depending those variables. Lipo to the area would give you more contouring and last longer I agree. You do need regeneration for your tissue regarding your issue of lax skin and this is where such treatments and modalities such as Ultrasound, Radio Frequency or Laser /light base treatments can assist. With my own experience using many different modalities Ulthera has been the best by far for tightening and contouring. I also use for contouring for the excess fatty deposits on the lower neck the Accent Radio Frequency. Used correctly I have had great results in contouring faces. It is non-surgical and requires no down time or pain relief.
Hope this helps. I understand the cost factor regarding the Ulthera, but like I said if you can come to some compromise for more treatments with your clinic regarding the costs then it would be well worth it!
P13_ski 21 Aug 2012
Thanks for your comments. I'll wait out the 2 months to see if ulthera has any effect by itself, and then explore other ideas. At least then I'll be able to give a fairly unhindered appraisal.
laurag086 9 Aug 2012
My advice for you is to wait 3 months for your result you will see the best result at this stage, then if your main concern is the jowl area re-do it. I understand there is a cost factor but it is much cheaper than surgery; you can discuss this with your clinician. I have had great results treating patients with the Ulthera I am loving this modality over Thermage and RF treatments. I do believe Thermage and RF have their place but not for the costs and results achieved.
P13_ski 14 Aug 2012
Thanks for your advice laurag086. I appreciate that ultherapy is cheaper that surgery, and safer. It's just that there's not much info out there about lasts, and compared to surgery or lipo which can last years to a lifetime, the cost-effectiveness isn't easy to measure.
Antoniag 4 Aug 2012
P13ski, lol same here. It is my lower neck (by the little dent under the thyroid, where the neck meets the body) that I need the most help. I notice a laxity and mild crepiness there. There's a machine used in spas in Europe called the CACI. It employs ultrasound, microcurrents and LED red light. I am wondering if one also uses the red light home device, whether this would encourage collagen production after Ulthera. I'm taking a fish collagen supplement but this is obviously internal. Perhaps both?
P13_ski 4 Aug 2012
Agreed. That's where the downward skin drift starts to 'pool' and my impression is that there's little to be done. The Dr suggested some fraxel and a bit of botox to settle the muscle which is causing the creping. Seems like a stop gap measure to me.
Can they do thermage on that part of the neck?
Antoniag 4 Aug 2012
I doubt if Thermage would do anything. A neck lift might though.
P13_ski 4 Aug 2012
Yes, a bit frustrating as who doesn't want a firmer lower neck? I even asked whether it's possible to pull the skin off to the side and zap it, but they said no....

Well I tried.... : /
ShannonCeballos 9 Aug 2012
You can safely pull the skin to the side and treat with the shallow transducer.
Megan P (Community Manager) 3 Aug 2012

Ah, ok. Thanks for filling me in on that!

Antoniag 3 Aug 2012
Too close to the thyroid gland, Megan...
Megan P (Community Manager) 3 Aug 2012

This is a really good review so far! I'll definitely be interested to follow your story and see how things go for you.

I wasn't aware they couldn't do Ultherapy on the lower neck and throat. Did they give any reasons as to why that is?

P13_ski 3 Aug 2012
They said it's too close to the glands and esophagus.

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