I had ultherapy to thighten sagging skin that was just starting at my jowls. I had this procedure done twice in the same year. I cannot say that it improved my skin but I can say that I look significantly older than before the procedure. my facial fat has dramatically been reduced. i cannot say if that is attributed to my normal aging or to the procedure (and stacking it the way I did) but i do look much older than both of my siblings now, who have never had anything done. i would strongly suggest erring on the side of caution and staying away from this procedure until more is known about the fat atrophy that may accompany it. or just doing your research and making sure the technician is highly experienced. it could be due to the technician or like I said it could be my fault or my own aging at play. “As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway.”