I am thrilled that I had my Ultherapy treatment. I saw tightening of my skin right away and it just gets better everyday. There is some pain but the technician warns you of the sensitive spots and also gives you a soft ball to squeeze. Certainly nothing I could not handle and well worth it. The Ultherapy treatment is definitely worth the time and money. I had my face and neck done and so happy that I did! Updated on 28 Oct 2018: My Ulthera treatment was done at OrangeTwist about 7 months ago. The results have been amazing. My skin is noticeably tighter and I am thrilled with the results. Would definitely do this procedure again and highly recommend it! Updated on 31 Oct 2018: I had the Ulthera procedure approximately six months ago. Definitely notice skin tightening and firmness. There is a little pain involved but only in certain areas and certainly nothing intolerable. The provider was excellent in explaining the procedure as it progressed along. Love my results and definitely worth it!