42 yr old, female. My neck skin has started to sag. Will Ultherapy fix it? If not, what procedure would best suit me? (photo)

ultherapy is not for everyone, but if you are looking to avoid surgery, then it is the next best thing.  I would recommend full lower face and neck treatment if you were to proceed with ultherapy based on your pictures.  It is not a wow for all patients.  But all will state there is a difference.  There is a simulator on the ultherapy website you may want to consider using.  If it doesn't show you what you were hoping for, then skip out on the treatment.  For my patients the simulator has been pretty accurate.  Good luck with your quest!

Ultherapy is a great option for the treatment of your submental skin laxity.  In our practice we recommend a medical grade skin care regimen to be used 6 weeks prior to Ultherapy treatment.  We also recommend 1540 non-ablative fraxel laser to help promote collagen and prepare the skin for the Ultherapy procedure.  We have seen better skin contraction and tightening when the area is pre treated with these modalities.  The results from an Ultherapy treatment work in a two-step process. The first stage is the contraction and denaturing of collagen, which causes an immediate tissue tightening, and resultant lift. The second stage occurs over time while the body’s healing response builds new collagen (neocollagenesis). New collagen production is generated over 2-3 months and often continues for 6 months after the treatment. Full results are visible after 3 to 6 months.

Combination treatments always work best for the neck area, and it's important to have realistic expectations about what non-surgical treatments can do. Ultherapy can improve the sagging neck skin, especially under your chin, but it will not completely fix it by itself. The results will be subtle, and multiple treatments may be needed. ThermiTight is another option which offers more dramatic results with a single treatment. For the horizontal neck lines fillers are an option, but results will last 6 months to 1 year. Please see an experienced physician who offers multiple treatments to address your concerns. Hope this helps.

I recommend a combination. Ultherapy works well with other treatments for best results. In my practice we do VASER and ThermiRF in combination with ultherapy to get neck lifting and tightening.  Please see an expert for a formal consultation. Best, Dr. Emer.

Thank you for your question and for sharing appropriate pictures. You seem to be a good candidate for Ultherapy and Juvederm for filling the lines on your neck.This combination should give you great results. Ultherapy will tighten the skin, but not address the lines that appear on necks sometimes with age. Make sure you're working with a board certified expert injector. 

Ultherapy is a focused ultrasound based soft tissue tightener.  You will likely see some result, but the question is whether it will be enough for you. The photo shows very platysmal banding and skin laxity; some degree of tightening may be seen with Ultherapy, but the platysmal banding will remain. At 42, you are an early surgical candidate so it isn't unreasonable to consider Ultherapy as a first step.