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

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.

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.

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.