For a noninvasive aesthetic treatment, Ultherapy enjoys an unusually high rate of patient satisfaction. However, one of the dirty little secrets about Ultherapy that often goes unmentioned, or under emphasized in a consultation is that it hurts. Of course, different patients have a wide variety of pain thresholds. And we certainly see in our practice some patients who can tolerate a full Ultherapy treatment of the forehead, face and neck with just a couple of tablets of ibuprofen, but these patients are often the exception rather than the rule.A complete Ultherapy treatment of the forehead, face and neck can last an hour and a half, and for many patients, a couple of ibuprofen just won't cut it. We routinely pretreat patients about to undergo Ultherapy with a topical anesthetic for thirty minutes prior to commencing treatment. But, for some patients, this still does not provide sufficient pain control.Because we have a fully certified ambulatory surgery center, we have the capacity to offer patients two higher levels of anesthesia in order for them to tolerate the procedure comfortably. The first is the administration of intravenous pain medication and anesthesia with monitoring of the patient's vital signs by a physician during the Ultherapy procedure. For patients who absolutely do not want to feel any pain whatsoever during their Ultherapy treatment, we offer an even higher level of care: administration of propofol by an anesthesiologist, with full anesthesia monitoring, in one of our operating rooms while Ultherapy is being performed. Not only will the patient not feel any pain during the procedure, but she will have no memory of the procedure afterward. Propofol also has the advantage of allowing patients to wake up very quickly after the Ultherapy is completed, and it is associated with a very low incidence of post-procedure nausea. Our surgery center has performed more Ultherapy treatments than just about any other practice in the country, and our doctors and nurses are trained to the highest standard in the proper performance of an Ultherapy treatment. One of the things that we have learned from this vast experience, and particularly from patients who have previously undergone Ultherapy treatments elsewhere, is that the patient's ability to tolerate the procedure is a major determinate of the quality of the result she ultimately experiences. Adequate pain control during the procedure is crucial to obtaining the best result from Ultherapy that is possible for each patient. That is why we offer patients a customized menu of analgesic and anesthetic options to maximize their results, and make the experience of their Ultherapy treatment as pleasant as possible. The analgesic or anesthetic option chosen will affect the fees associated with the procedure in our center. But our long experience with Ultherapy has taught us that choosing the right analgesic or anesthetic treatment for the Ultherapy procedure is a crucial variable in determining the ultimate outcome of the treatment, and one that is often not adequately discussed during patient consultations for Ultherapy.