Not sure how to update my original review so I will comment here. It has been 4 months since my second Ulthera treatment and I am totally sold. As with the first treatment, I didn't really notice much change until about the middle of month 3. In fact, I think my skin maybe even looked worse during months one and two following the treatment, but then something seemed to kick in and my skin looked firmer all over. Obvious areas of improvement were my jaw line and the droop around the corners of my mouth. I will need much less botox and filler to make minor changes at this point. I will definitely repeat the procedure in a year.