Ulthera for melting fat at jaw angles? (Photo)

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Dear Esk, Thank you for your inquiry. It is very hard to assess your concerns looking at your picture. An in person consultation is always recommended for an accurate evaluation.Generally, you can successfully address fat reduction along jaw line with a series of Coolsculpting treatments followed by Ultherapy procedure in order to lift and tighten the skin. Hope this was helpful Best of luck 

Thank you for your question. Ultherapy is used to firm and tighten skin; it is not a fat reduction device. You might be a candidate for facial liposuction, which would remove the fat using tiny cannulas. If you combine this treatment with Ultherapy or another skin tightening procedure, you are likely to see a good result. I recommend scheduling a consultation with an experienced, board-certified dermatologist who can assess you in person and tailor a treatment plan to your precise needs and goals. 

As Ultherapy can tighten and lift the skin it may help lift the skin and fat together raising it over the jawline from where it had sagged from the lower cheek. Despite some claims on the internet, the Ultherapy company doesn't claim that it can reduce fat. When I intend to reduce fat on a facial or neck area, I typically use either ThermiTight or Liposuction or both. Kybella is used on the submental neck below the chin. ThermiTight heats the fat cells to the point that is expected to cause the death of the cell which is much higher than the temperature that Ultherapy can cause.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. 

I would need to assess you in person to know for sure what type of correction will help you best. If the problem is restricted to skin laxity, a skin tightening treatment like Ultherapy might be a good choice for you. This treatment delivers ultrasound energy into the layers of skin to constrict tissue and boost collagen levels for firmer, smoother skin. Ulthera, however does not “melt” fat nor affect it at all, so it is not the right choice for you if fat is also a concern. If you are also seeking some facial contouring due to an enlarged jawline, you have a couple of options. If an enlarged masseter muscle is the culprit, Botox injections can reduce the muscle and slim the jawline. I could also perform liposuction in the area if the issue is isolated, stubborn fat deposits. Liposuction by the tumescent technique is usually what I do in this situation. No technology can precisely remove fat in that area, but a liposuction cannula can target the area right under the jawbone and above it. Often it is best to have the fat directly over the bone for maximum definition, but that decision is best made at the time of the consultation.
I advise you to schedule a consultation with an experienced, board-certified dermatologist. Through a detailed assessment and discussion of your needs and goals, you and your doctor can design a treatment plan that meets your expectations and achieves your desired results.

Thank you for your question and for providing a photo. Ultherapy is a great choice to help lift the area along the jawline. Ultimately, you'll need an in-office consultation with a skilled provider for optimal results. All the best!

A combination approach would give the most improvement with Ultherapy for neck skin tightening. I recommend Ultherapy with radiofrequency treatments, lasers, microneedling/PRP, and/or Sculptra to get increased collagen, tightening and improved skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

You are a better candidate for Coolsculpting to reduce fullness first. After that, you may ask for PDO threads to lift and tighten sagging skin. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.