Can Ultherapy accelerate long-term aging if you do it in your 20's by damaging tissue and architecture of skin?

Question

Can ultherapy accelerate long term aging if you did it at a young age? by damaging tissue and architecture of skin? shortenting telomeres?

Sabrina Fabi, MD · Answer

Very good question. Fortunately, early Ultherapy treatments tend to have the opposite effect, increasing collagen production to keep the skin soft and supple for even longer. Ultherapy uses ultrasound energy, targeting the technology into the inner dermal structure where it can tighten tissue and stimulate the creation of collagen. Ultrasound technology has been safely used in the medical industry for decades and more recently, has become a mainstay for some cosmetic procedures. Make sure you choose a board-certified cosmetic dermatologist to administer your treatment to ensure both safety and efficacy. Good luck to you!

Michael A. Zadeh, MD, FACS · Answer

Hello and thank you for your question. Ultherapy actually does the exact opposite as what you describe. It stimulates collagen production, tightening and lifting skin while improving structural support. The treatment actually works better as a preventative and maintenance measure in younger patients as we tend to produce more collagen than older individuals. However, not everyone is a candidate for the treatment, and treatment technique is extremely important to ensure optimal results. Make sure you see an experienced physician to determine if the treatment is appropriate for you. Best wishes.

Jason Emer, MD · Answer

Thank you for your question. As we age the skin sags there is nothing you can do that but try preventative treatments or get a neck/facelift earlier in the aging process. There are numerous options and some can be used in combination to get best outcomes but you need a consultation with an expert.
Options include for skin tightening :
1. thermage radio frequency to heat skin and tighten it over time and prevent the aging process2. ultherapy high intensity ultrasound to contract muscle and tighten the face and neck and prevent the aging process3. PDO nova threads or instalift threads for immediate lifting without surgery and long term collagen production4. sculptra injections for collagen production to areas of the face and neck with crepe skin or early sagging5. btl exilis ultra, venus legacy, and thermi250 for constant collagen stimulation monthly with facialsfacelift/necklift with fat grafting/fillers if you need a big improvement5. ThermiRF or J plasma or Inmode bodytite internal heating and tightening to long term internal heating and tightening with or without surgery6. Platysmaplasty to tighten the muscles of the neck long term and create contour7. Facial implants or fillers to contour the jawline and chin to improve the appearance of the neckBest,
Dr. Emer

Deborah Kessler Hudak, MD, MHA · Answer

Goodness, NO!! The opposite is true!! Ultherapy causes a tightening of the skin by inducing a tighter coiling of the collagen, and stimulating fibroblasts to produce new and more collagen and elastin by increasing the temperature of the target tissue (deep dermis) to 68-70 degrees Celcius, without increasing the temperature of the surface of the skin so dramatically.  It can also shrink the SMAS, the target tissue of facelifts and necklifts, and is the only FDA-approved device capable of giving a non-surgical facelift or necklift.  So with those two actions, it is basically making your tissue more like it was when you were younger, and not altering it into an unnatural form.  The only way I can logically conceive that a person might get an undesirable aging effect from Ultherapy is if there was treatment to the skin's fat layer in an area you do not want to lose fat as you age...such as the cheeks.  
Telomeres (on the ends of chromosome chains) are not a target tissue of Ultherapy.  The mechanism of action of Ultherapy is to have radiowave sources of a specified energy collide at a predetermined depth from the (transducer) source, producing microfocused energy that results in shrinking the target tissue, be it deep dermis, subcutaneous fat, or SMAS.  
I applaud your thinking through long-term consequences of cosmetic procedures. In the case of Ultherapy, I believe that ultrasound technology has been around and used for generations, and is quite safe when used as intended.

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