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2nd Ultherapy Treatment - Bay Area, CA

I had full face/neck for 2nd time yesterday. Last...

I had full face/neck for 2nd time yesterday. Last time was November 2010. The largest difference my first treatment made was in the lift of my brow...as is emphasized by Ulthera, themselves. It's true. I had lift to the eyes because of brow lift and very slightly more jawline definition. However, as of just before my 2nd treatment on Friday, one of my eyes had actually more sag than it did before my 1st treatment, while my other eye was lifted a little more than it was three months ago. Also, it seemed that reviewing just before my 2nd treatment, that my jawline was sagging worse than it did before my first treatment.

I had my two treatments done by two different nurses. The first was horrifically painful and I was on pain meds and had injections and I have a high pain tolerance. This time, however, by a different nurse, it was MUCH less painful. Not NEARLY as bad. I didn't have injections and 5mg of Valium and 2 Tramadols.

I had my treatment yesterday, and just had one red cheek, which went away overnight. I just have the slightest pain due to (not visible) edema in jaw and in one cheek. And, it's only when I touch it. Otherwise, I notice nothing. Btw, I was able to do an intense two hour workout a mere hour after being treated. Now, I just must wait to see results from this 2nd treatment.

I did this 2nd treatment because I read that patients who may not have responded as well to only one treatment, tend to have a much better response to a 2nd treatment. I will say that if your brow is your major concern, Ulthera is fantastic. That was corrected immediately with my first treatment.

One thing to remember, Ulthera cannot do noses or eyes :( , so, I have a concern about patchiness - could be kind of odd, better skin tone, etc., except where I have my hugest pores (on my nose), and my eyes have no improvement as not treated either. I intend to do an FX treatment to my nose and eyes though - maybe upper half of face.

It is now two months out from my 2nd Ulthera...

It is now two months out from my 2nd Ulthera treatment. I can now definitely see changes. They happened faster than after my first treatment, which makes sense. Anyway, definitely brow lift. Also, very nicely, pore shrinkage, and believe me, I needed that lol! Also, the chin/neck has definitely improved. It's rather amazing, cuz it's so darned hard to get that area to respond to ANYthing short of cutting and other extreme stuff. Now, here is the bad news. As I said before, Ulthera can NOT be done on eyes OR on the nose. Unfortunately, some of my largest pores are on my nose, so unfortunately, the diminishing size of the pores surrounding my nose, while wonderful, has rather accentuated the large size of the pores on my nose. This is a real bummer to me. I don't know why people don't mention this. I hate the thought of a patchwork face. Now, I have to do something separately to take care of my eyes and my nose. Oh yes, the other thing, as everyone knows, one's nose just keeps getting longer as you age, so because no Ulthera there, it just keeps going downward :( . No lifting there :P :( . So, whatever plan you have, you've got to incorporate something for your nose and eyes, unless you just don't see any disharmony from other parts of your face improving, while a very few prominent parts continue to descend. My plan of action, as stated before, is to get Total FX done on eyes and nose. It is the best fractional laser around, as it covers the highest % area, yet is still fractionated. The downside is you need a week to recover. If you're up in front of people as I am for work, you need a week inside, not around people. BUT, in my opinion, for ME, it was sooo worth it the first time I had the full face/neck done. Trouble is finding that precious week to take off of work :( . Good luck everyone. Oh yes, I am getting pictures taken at the end of four months, when best results should be seen.

Okay, here's the unfortunate update and I think...

Okay, here's the unfortunate update and I think folks had better listen. I got photos today. It has been 4 months after my 2nd Ulthera. The REALLY bad news is, I believe it is actually responsible for GIVING me jowls and now I have a somewhat turkey neck that was NOT there 4 months ago! And, it was pretty easy to see this in the mirror, as well, before I went to have photos taken and compared. But, here is the worst part of the news. You can say that I'm just a totally rare case. But, apparently, that is not so at all. The very nurse, who is incredibly intelligent and definitely knows how to use this thing, who did my 2nd Ulthera treatment, has had three on her, and REALLY focused on her chin, jowl, neck area. Guess what? Yep, after she saw my awful results, she showed me hers. Her photos were all stored in the same computer. The SAME THING. It is SO visible, hugely worse, not a little. I am not exaggerating. So, get this done at your own risk. I did see a good difference ---for the brows--- for sure the first time. But, even the first time, one side of my face got worse. And now, I think I've really done it. I'm going to have to think about what to do next, as, absolutely no exaggeration, I just added at least five years to my face.

Went back today for photos once more, as I was not...

Went back today for photos once more, as I was not happy with results of 2nd treatment. I felt that I had seen improvement not there earlier. Now, bear in mind, I DID begin Retin A in between the time I had photos taken the last time and now. So, that makes a difference in skin texture, and, admittedly, I saw that. BUT, I really did see a significant difference, mostly on one side where I had mentioned true jowls seemed to have formed after the 2nd treatment. Today, when I compared the photos at the doc's office, I was surprised! The jowl had DEFINITELY diminished. It was pretty great! The other side was harder to tell, but it had not been as bad as the other either. So, bottom line, uneven response on my face. One side DID improve FINALLY - whew. And the other half of my face, at least, did not get worse :) , and slightly better in some others. So, was it worth it? Well, I did have quite a scare. But, in the end, it just took ME longer to experience the improvement. And, it got worse before it got better. So, I'm not certain. I would have to say I remain undecided.

I can't figure out how to edit the update I just...

I can't figure out how to edit the update I just posted, so I have to make an additional comment, instead. Sorry folks. At the beginning of my last update, I typed, "Went back today for photos once more, as I was not happy with results of 2nd treatment. I felt that I had seen improvement not there earlier."
That doesn't seem very clear to me now. So, all I was trying to say is that, until recently, I had been unhappy with 2nd Ulthera. But that, recently, I had seen what I thought to be new improvements in the mirror, so I went to the doc to get one more set of photos to verify what I thought I was seeing. And, I see improvement past what the Retin A would be able to improve. Thanks for reading.
Name not provided

I would say it is totally worth it for the brow. But, since I have a droopier eye than I did before I had anything done and since my jawline was worse than before I had anything done, I am withholding a 'worth it' rating. I just got my 2nd treatment done yesterday. so, I have to wait, obviously, to see if I respond to this 2nd treatment. I'm keeping my fingers crossed and will come back to update this accordingly.

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Thanks for the information. i had ultherapy 3 wks ago on my lower face/neck. my friend notices no difference me neither. i'm cheering for the 3 months mark
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No problem :) . Hope it helps. By the way, I found her CV link - wow, it's still unbelievable, how one person could do so much in one lifetime. Hope I'm allowed to post this link.
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Wow San Jose- thanks for all the details and the prompt reply! This really helps - having this information may make the difference between having the experience that you did, and knowing navigating the turbulent waters of Dr. Cockerham's office.

I really appreciate the information - I love that you give lots of details. Thank you for taking the time!
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FX: Dr. Kimberly Cockerham in Los Altos. I know she has another office somewhere else too. To be honest, I could not STAND her main assistant who was one of the snottiest people I've EVER met, but she may not be there anymore. That assistant was enough to keep me from going back. However, Dr. Cockerham has one of the most impressive CVs I've ever seen, being a top eye specialist, as well as, expert with FX. Only a few other things about the doctor. Make CERTAIN to get EVERYthing she says in writing. They have an AWFUL habit of making these flippant promises of giving you so much off a treatment and doing such and such for so much money. However, if you mention what they promised to them later, they act as if you're trying to steal something from them, and pull a guilt trip on you, with absolutely no recollection of what they told you. And the staff has 90% of time been exasperatingly disorganized - they're ALWAYS reorganizing, having turnover. But, if you get everything she promises in WRITING AND TAKE a copy WITH you (don't trust at ALL that it will be in your files, because that was MY mistake), then you'll be okay. Oh, and she has also slipped things on my bill that I did NOT approve, did not know about - such as a sunscreen that was $40 and also charged me for a biopsy she never did (she charged me ahead of time, then decided not to do it, and never refunded me, even though I talked to them about it - it was too tiring to fight them about it). I do recommend her, though, because of her serious expertise at FX and also because of her expertise with eyes - my eyes are so sensitive and she's one of the few drs who slip in metal eyeshields...and you don't feel it AND she won't scratch your eyes. Amazing. But, when you read her extensive CV with all her background, you'll see you can trust her ---medically speaking --- . So, you can trust you won't have any damage or scars from her - she's a perfectionist to the nth degree. And bottom line, it's good results without any mistakes that you want on your face.
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Forgot to say: I have not really found any other doc to equal Dr. Cockerham, so I've not done FX again. In spite of the nasty assitant (no fun to deal with when you're recovering), I'm glad I had it done by her :) . But though my relationship with her office is sour, doesn't mean yours or anyone else's needs to be :) being forewarned is forearmed.
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Hi San Jose,

What doctor would you recommend for Total FX? I'm in San Jose as well.
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Well, I hope my comments help, jlb1221. If I may suggest what I always suggest, the best procedure I've had by FAR and wish I could find a whole week for the downtime it takes, is Total FX (a combo of Active and Deep FX CO2). I posted, I believe, about mine. I had face/neck can't recall how many years ago. But, I would do THAT again for sure. But, it is a whole week down. It is different from the other fractionated lasers, in that, a significantly higher % of your face is lasered (thus the addtl. downtime). I will recommend an amazing doc for that if you're interested (she has such over the top credentials, and in more than one field, that one is mystified how one person could do all of what she has achieved in one lifetime - it's seriously mind boggling). However, I could not stand her nurse - she was simply awful (rude, sarcastic, and completely offensive does not beGIN to describe her, let me just say that, but then, thank goodness, the nurse doesn't do the procedure). Yes, I thought it odd that such a great dr would have such a horrible person in there. But, that nurse does treat the dr 'differently' lol, as you might imagine. Anyway, it's just that if I had a choice, I'd much rather do the FX than the Ulthera, but simply do not have the 1 week for it at this time.
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Thank you so much for taking the time to respond.....I really appreciate your perspective and comments!!
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pps: I am posting a link to a doc who posted here about Ulthera, rather related. I just saw it. It is mildly addressing the claims put out by Ulthera.


Also, in the end, when you're trying to lift skin of the neck/jowls (which granted, wasn't really a prob before this for me :( ), you need a neck lift. In fact, you owe it to yourself to access the 'face lift' portion of this site under the worth it ratings. The photos of the women who have posted are astounding and I am now considering this possibility, where I never would have before. Also, in the past months, reading SO many docs evaluation of how to get rid of jowls/neck droop/crepe prob, they have ALL agreed on one thing. You can laser or whatever as much as you want, but the only thing that is going to lift that is a facelift/necklift. Do go read and look at some of the facelift stories. Really and truly amazing with recommendations on who to go to and all sorts of details about what they went through and so many just in the recent past months! Good luck to you in your decision. I sure as heck know it isn't easy to sift through all this info, sometimes trying to evaluate who to believe, if someone is being hypercritical or a hypochondriac or if they are not. Or, are they legit? And, not wanting to be taken to the cleaners, yet not being a cheapskate either, cuz you get what you pay for. Whew.
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ps: Clarification of the bottom part of my last post. I saw a great and good difference to the top 1/2 of my face after the FIRST treatment, but nothing different after the 2nd treatment. Also, with regard to the numbness, I did not experience too much after the 2nd treatment. I only went numb on the neck after the 1st treatment. Anyway, as I said, Ulthera needs to list that as a possible side effect.
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Ok....I have been reading and researching and your last post has me VERY concerned. If I am reading this correctly - you (and apparently your Ulthera nurse) are saying you believe that once time passes and the results diminish you look worse?? I am scheduled for a procedure next Thursday and I have had this little nagging feeling that I shouldn't go through with it. My biggest concern is the cost versus the result - but then I'll read some rave review and I get all pysched up again...only to come back in to the "review community" and see a post like yours....which once again has my gut telling me not to do it. I'm pretty sure I'll be cancelling tomorrow.
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I just scrolled through your posts again....and I guess in read in you Sept 5 post that you said you think its hard to go wrong with Ulthera....is that the case? Having done this....are the results there? Is it worth the money? Do you recommend?
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It sounds like you want a guarantee that it will work for you (wouldn't we all?) but it's not possible with this treatment as we've all had very different experiences and different results. So it comes down to taking a risk of wasting your money, no result or perhaps even making things worse. I wouldn't have done this treatment unless I could afford to waste the money - that's what helped me make the decision. Good luck!
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Hello jlb1221,

So, I think for the top half of the face, that it seems to work - the brow in particular, which incidentally, is the exact place they always speak of when discussing the results of ulthera. However, I kid you not about the neck/jowls. I so wish I were. I am not exaggerating, whatsoever. In fact, I had wondered about the nurse, cuz she had told me she had done it multiple times on neck (had another nurse do it on her), and I didn't think it looked different. Then, when she showed me her side by side photos, wow. I don't know what the heck is going on. It doesn't make sense to me if the theory they are explaining is truly taking place. At the very least, it should NOT get worse, but that simply is not the case. Of course, everyone has their own individual response, but I think it highly likely this is not so isolated as, really, what are the chances that two people would have the exact same problem, four months after they have the procedure, where they have visibly aged? Yes, I believe it is a VERY real concern. And yes, I did say I thought it was hard to go wrong with Ulthera, but I also said that I would update. And, this is precisely why I am updating. The visible negative effects were not as much when I last wrote before this. But, they quickly became apparent after. Of course, I also did not know about the nurse either, until I went in a few days ago. So, as soon as I got back, I posted, as I believe this is critical info that everyone should have before doing this. Also, I don't know if you saw my previous post from my first ulthera treatment, but I went numb for about three months on my neck/jowls, even suspecting nerve damage, although I waited patiently to get feeling back. I had contacted Ulthera twice about that to try to get them to disclose that, as I saw someone else on the internet was absolutely terrified when she experienced the same thing. To date, I do not believe that Ulthera has disclosed that as one of the side effects of the procedure and they darned well should, so people like that woman do not freak out. Although, I'm not sure if it's ever a good thing to lose feeling for three months in any area of the body, regardless. You could get Ulthera done on the upper half of your face. I can't really see a difference from a 2nd treatment. But, I can tell you I definitely saw a great and good difference for the top half of my face, for which Ulthera is mainly indicated. I do recommend for that. Perhaps, modify what you are having done? I do not regret Ulthera for the top 1/2 of my face.
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That's a great way of looking at it Cate. 

Thanks for being such a great part of the community!


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does anyone know where they do the ultherapy in the pleasanton/dublin (east bay)? I just heard about this today and am interested because of my turkey neck. thanks
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Just FYI, here is a link to another page here on realself that talks about how, though, the majority of people responded to the first treatment, there are some who need a 2nd treatment in order to really respond. BUT, the important message is, in the end, everyone seems to benefit. I believe I fall into this category and can confirm this. A 2nd treatment was definitely worth it for me. http://www.realself.com/question/average-cost-ulthera
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Artemis 123, It sounds as if your reasons for doing this are very different from mine, so of course that is a totally personal decision for you. As for the eyes, you may not have understood fully what I wrote. Anyway, as far as feeling 'better about' myself? If you mean, am I happy with the results, then yes, as they are - obviously, if nothing is done to part of the skin, that part is not going to be improved, as I clearly stated. That doesn't mean the procedure is not worth it. It's all individual. I merely tried to explain in detail here for the benefit of the folks on here. Lastly, the main reason I do this is to look presentable in my profession, nothing more, not because I do not feel good about myself. I had received many comments on, for example, my large pores by coworkers and I simply wish my appearance to be less of a distraction, more of a non issue, as it should be in the workplace. To me, it is like anything else. You take your car in for maintenance and you wash and wax your car, even though the wax isn't strictly necessary. So, if one has the disposable income to do a few of the procedures that improve the quality of your skin that are available today, then it's a good idea. Just like fitness for the body. And, harmony of one's features is also a desire, of course. Right now, there is nothing else out there with no downtime and that achieves as much as Ulthera. Yes, it's too bad that a nose and eyes can't be included, but that's why you make a two pronged plan to cover the entire face. A dr did not do my procedure. Two different nurses did. So, just look around. I think it's hard to go wrong with Ulthera.
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ps oh who is the doc? i'm in the bayarea too!

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haha san jose so i cannot tell if you feel better about yourself now or not!!
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this seems really stupid. why do anything? if my eyes will look worse than i won't want to do it!! jeez i don't know about making up my mind. since i still get boyfriends who are 22-28 i wonder if i should not mess with mother nature. ;< all the droopiness is really depressing me though ;
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So, it's 8/7 now. And I'm updating. To answer artemis, as I said, it is the -- brow -- that is lifted, so the only reason the eyes were better was because of a secondary effect of some lift from the brow, not because the eyes were done themselves, as I said, cuz eyes are not done in ulthera. So, the brow could, of course, still be better, but the smaller lift effect to the eyes could, of course, diminish for a few reasons. One, it is possible that there was a slight decrease in the brow lift that I cannot discern with my naked eye, which could translate to a larger effect on my eye. It was not a huge effect on my eyes, of course. It's all relative. The other reason my eye could be worse and my brow still good is because the skin is not one uniform piece. It's living and it's different in different areas - so just as different parts of the face responded differently in the first place to ulthera, then too, different parts of the face can age or sag at slightly different rates, of course. I see that merely sleeping on my side will make a huge difference in making bags under my eye of the side I slept on. As we age, it does not take much to make a change to the worse in a part of one's face and not necessarily the entire face at once, which is the point I am trying to make.

So, I am going to be going in to get more photos to compare. But, looking at my face in the mirror, I'd have to say I do have some brow lift at this time, a speck over one month out from my 2nd treatment. It is possible the jawline has improved very very slightly, but I'll be able to comment more intelligently on that once I get more photos at the docs and compare to my photos I got at different times with my first treatment. I'll be getting photos in about a week. Then, going again in two more months to get more photos.
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thankyou!!! keep us posted! right now I am concidering needing to do two things. ulthera and under eye stuff.....

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Droopier eye? Since that is one of my complaints than a brow lift won't be good?? confused if it makes your eye area worse?

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