Fat loss after Ultherapy? If it doesn't cause fat loss, why do faces get so much narrower after treatment?

1) Fat loss--why do faces get thinner after ultherapy? 2) If you do lose fat permanently from Ultherapy, what are your options and how soon can you do them after the ultherapy? 3) If you decide to go ahead with a real facelift in the end, how long do you have to wait to get a facelift, fat grafting/etc. for lost facial fat? 4) Can you have fillers like sculptra, etc. after ultheraphy, and how long should you wait before getting fillers?

Doctor Answers 5

Ultherapy and Face Thinnig and Face Lift

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I suggest posting photos , ultherapy tightens skin and in essense then makes faces look thinner as the skin gets more tighter.  Fillers help compliment this.  You can do a face lift anytime after ultherapy.  Best, Dr. Emer.

Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Volume loss with Ultherapy is not commonly observed

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So many questions from 'American Canyon' area about volume loss after Ultherapy implies that perhaps the practitioner in this area is using a technique that is not typical for the proper technique used by most Ultherapy practitioners in the U.S.

Ultherapy uses B mode ultrasound and they call this Deep See technology where the focus of treatment is visualized to prevent collateral damage to fatty tissue. Perhaps this is what is being observed by the patients from this geographic area. 

Read my Ultherapy ebook on the link below. 

Dr Karamanoukian

Ultherapy and fat loss

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Ultherapy does not cause fat loss. Is it possible that someone may have soft tissue tightening after Ultherapy that achieves a contoured face, well yes, thats the point of doing Ultherapy. Ultherapy does not cause significant facial fat loss. Ultrasound mediated fat cavitation is well known but very limited in its fat reduction effect.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

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No fat loss with Ultherapy

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I have been using Ultherapy for several years now and have not seen fat loss. Aging is sometimes associated with fat loss in the face which is why fat grafting is commonly done with a face lift, and why Ultherapy is not really a nonsurgical facelift. 

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews


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As far as we know based on thousands of patient experiences, Ultherapy does not case fat atrophy.  Thermage did occasionally.  In those cases, the loss is permanent.  Fat replacement or fillers should help replace the volume loss. 

David Marcus, MD
Santa Rosa Plastic Surgeon
4.9 out of 5 stars 34 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.