I had Ultherapy done in California a couple of years ago and must say that I never saw a difference, except in my pocket book. I looked at my before and after pictures and there was no difference, and there was also no difference that I felt after the post-Ultherapy tenderness left me. I almost feel like I have lost fat in my face from the procedure and need more fillers now. Serious waste of money that was sold to me as the best thing I could do to "maintain" my looks.