Is Ultherapy a good idea for a woman who is 67 with sagging skin and jowls?

Although an ethical medical office should review potential side effects with patients before Ultherapy treatment, side effects have been unusual in our office.  The most common side effect is under treatment- requiring an additional Ultherapy treatment(s) to see the best results.  And some people simply should not be treated- like those who are better candidates for a facelift, and those who have unrealistic expectations!  Ultherapy is best for those who have early gravity effects of aging, not significant jowls and neck skin laxity.  With that said, you should notice some mild improvement with UItherapy, are more likely to need more than a single Ultherapy treatment, and might wish to consider Ultherapy if a facelift is medically "out of the question" for you.

Since 2012, Saratoga Springs Plastic Surgery, PC has been the Albany, NY and  Capital District area office of choice for Ultherapy.  We are the only area office top rated and listed on the Ultherapy.com website an "Ultra Provider".    "Ultra Provider" designation by Merz, the manufacturer means my Ultherapy certified staff and I have more expertise and experience providing Ultherapy treatments than any other office in our region. In fact, Christina at my office is the only area Ultherapy technician to receive advance training at Ultherapy corporation headquarters in Phoenix, Arizona.  What does this mean for you?  Ultherapy is an effective  tool for non-surgical facial and neck (and for treating other areas "off label") skin tightening. In the right hands it can do wonders to rejuvenate your appearance.  Improperly used  by poorly trained doctors, nurses or other staff  located within or outside a medical office, the results can be poor and complications can occur.  Since Merz/Ultherapy (the manufacturer) does not provide guidance on how to choose a provider or who is allowed to do the procedure, when it comes to choosing a provider, the catchword is "buyer beware".  I imagine the overall "worth it rating" on RealSelf would be 95% for Ultherapy if poorly done treatments and patients who have unrealistic expectations of the results that could be achieved could be sorted out.  

I offer the analogy of a "hammer", a tool that can build a nice house or beautiful piece of furniture.  But in the wrong hands the "hammer" can hurt someone if you hit them over the head.... You get the picture.   Choose your Ultherapy provider with care.

You have posted no photo for us to evaluate so I'm not sure how we are expected to provide you with a relevant recommendation. Having said that, I would typically not recommend Ultherapy at your age or with the extend of skin excess and laxity that you report. Your best cosmetic outcome will be with a surgical face lift.