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What does fat atrophy or necrosis really mean in practical terms?

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Nessie76Jan 13, 2014
Having recently had Ulthera, and noticing some minor irregular skin changes (part of normal healing or early signs of adverse effects??) it makes me nervous. Such as could Ulthera later be proven to be damaging, like early Thermage? To allay my fears, I'd love it if MD could explain what it is, how soon or long after a procedure one would notice a change, what a person would notice superficially, how a dx is made, and is the condition permenant? Can you gain/regain facial fat (like thighs)?

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From board-certified doctors and trusted medical professionals
Dr. Hratch Karamanoukian, MD, FACS
Board Certified Phlebologist
Answered on Jan 17, 2014
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Hratch Karamanoukian, MD, FACS

Agree that the Ultherapy has helped with the laxity problem with your facial skin. These wrinkles that you show on the photo are rather stubborn to treat in general but a fractional laser may help. Another option is the Obagi Blue peel and you watch 2 videos of this procedure on the link...

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Daniel Shapiro, MD

I do not know of any cases in which hair loss was associated with Ulthera treatments. Some tingling can occur but hair loss is not a known side effect of Ultherapy. 

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Daniel Shapiro, MD

Ultherapy is not meant to "melt" facial fat away. It is used to lift and tighten areas of the face, not reduce fat.

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