Ultherapy has the potential to melt fat, with case reports of lipoatrophy after Ultherapy That's not a bad thing if that is the aim, especially for patients with excess adipose tissue For volume deficient patients, the provider needs to avoid targeting the subcutaneous fat layer to avoid inadvertently melting fat and worsening the facial volume loss How does Ultherapy work? Using MicroFocused Ultrasound with Visualisation (“MFU-V”), the Ulthera device delivers ultrasound energy to the deeper layers of skin to generate focal areas of heating known as Thermal Coagulation Points. Collagen rich layers of the skin- such as the superficial musculoaponeurotic system (“SMAS”) and deep dermis are targeted. The treatment causes existing collagen to contract and triggers new collagen production- as evidenced by immediate skin tightening that further improves over the next 2-3 months. Using the patented DeepSEE® technology, the Ulthera system provides real-time ultrasound visualization of the skin down to 8mm, allowing practitioners to deliver the treatment at the optimal tissue depth and avoid injuring structures such as blood vessels or bone.