Ultherapy vs. Titan - Which is More Effective for Skin Tightening?

Question

Please Compare Ultherapy with Titan Procedure. Is one shown to be more effective than the other for skin tightening, in particular of the face and neck?

Andrew T. Lyos, MD, FACS · Answer

I prefer Ulthera for skin tightening over radiofrequency (Titan or Thermage) because the energy can more precisely be targeted to the layer where it is most beneficial for tightening and lifting. Ultherapy works by allowing the doctor to visualize the tissue beneath the skin with a specially designed hand piece. Utilizing this deep visualization, the doctor is able to deliver ultrasound energy to a precise area needing treatment. Ultherapy encourages the natural production of collagen, which allows the skin to appear firmer and more elastic. By utilizing such a precise instrument, Ultherapy provides a safe treatment, leaving the skin above the treated tissue unharmed. You will look better in two years, than if you would if you did not have ultherapy. For most of our patients, they will reconsider repeating the treatment after 2 years.

Gregory A. Wiener, MD, FACS · Answer

The Titan treatment consists of an infrared light, which gently heats up the underlying layers of the skin, increasing new collagen production. Ultherapy uses ultrasound to deliver a small focused heat source to deeper tissues. It can be applied with great precision at the level of the SMAS(a collagen rich layer under the facial skin). It also has the advantage of imaging to confirm you are at the correct depth.

Ron Shelton, MD · Answer

I had compared Titan to Thermage many years ago and did not find the Titan to be as effective as Theramge. I have now seen Ultherapy to be much more effective than Theramge on facial areas, so that I can conclude that Ultherapy is more effective than Titan, even though I did not compare the two.

Sanjay Grover, MD, FACS · Answer

Non-surgical devices can cause a lifting or tightening effect by delivering heat to the tissues to stimulate collagen production. Ulthera, Titan, ReFirme, and Thermage all deliver heat to the tissues in different degrees. I believe that Ulthera delivers the most heat in a more precise manner than the others. I do also own and use ReFirme by Syneron. I have seen nice results with multiple treatments with ReFirme as well. Ulthera utilizes high-focused ultrasound energy to deliver heat while ReFirme utilizes radiofrequency energy or electrical energy.

Michael A. Persky, MD · Answer

Hi Decatur,

	Ultherapy by Ulthera is the only device FDA approved for both lifting and tightening of the skin and muscles of the face, neck, and eye brows.  It is much more effective with a much higher patient satisfaction rate than Titan.  Like all "tools" that physicians use, the results will vary depending upon the artistic vision, skill, and experience of the treating physician.  Good luck and be well.

	Best,

	Dr. P

Luis A. Vinas, MD · Answer

Having experience with both, Ulthera is superior technology and results with no down time.Ulthera is also more precise. The newer ultrasound technology and the screen on the device makes it superior. Go on both web sites and you will see the difference.

Shehla Ebrahim, MD · Answer

With Ultherapy the depth of the sound wave penetration makes it possible to target the tissue layers that could previously only be addressed by surgery. The Titan treatment uses infrared light, which cannot be delivered with the same precision.

Anna M. Paré, MD · Answer

Ultherapy belong to a newer generation of skin tightening procedures and stands out from a broad variety of non-invasive skin tightening treatments.The depth of the sound wave penetration makes it possible to target the tissue layers that could be previously addressed only by surgery. This is why I believe Ultherapy is more effective then the Titan for lifting and tightening the skin. Unlike Titan, which seams disappointing with it's results to some patients, Ulthera is the first device that uses  ultrasound technology to address sagging skin, lift eye brows, chin area, and corners of the  mouth and recently the décolleté.

Hratch Karamanoukian, MD, FACS · Answer

Thank you for posting this important question as it helps guide those who are considering non invasive procedures to reduce skin laxity.There are no head on studies, that I am aware of, that compares Ultherapy to Titan. However, Ultherapy is very well studied, FDA cleared, has many indications and great outcomes with high success and patient satisfaction rates. Best,Dr. Karamanoukian

Michael H. Gold, MD · Answer

Titan is a device that uses what we call near-infrared light to treat the skin. Over time, skin tightening can and does occur. Ulthera uses fractionated ultrasound to penetrate deep into the skin causing tightening as well over time. As one of the other doctors noted, there has never been a head-to-head clinical trial comparing one to the other so we don’t know for sure which is better. Anecdotally, we all note that Ulthera should be the better choice, and we also agree with that opinion.

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