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

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?

Doctor Answers 14

Ultherapy or Titan for Skin Tightening

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While both devices aim to induce new collagen production, Ultherapy is much more precise and predictable.  RealSelf has a great feature that lets people rate whether they felt the procedure was worth it.  As of today 92% of Ultherapy patients were happy vs. 57% for Titan. 

Portland Facial Plastic Surgeon

Titan vs. Ultherapy

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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.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Best Lift and Tightening Non-Surgical, Non-Invasive Plastic Surgery Treatment...Ultherapy by Ulthera

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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.


Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

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Ultherapy VS. Titan

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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.

Ultherapy VS Titan

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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.

Ultherapy or Titan - Williamsville NY

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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. 

Dr. Karamanoukian

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

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Although there are no direct head-to-head studies comparing Ultherapy to Titan, Ultherapy, seems to be more popular among those who had the procedures done. It may also depend on the skill and judgement of the user.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 76 reviews

Comparing Ultherapy to Titan

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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.

Andrew T. Lyos, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 65 reviews

No head to head study but Ultherapy seems superior

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To adequately answer this question, we would need a head to head scientific study which is not something that is not and wont be available.  Based on personal experience, however, Ultherapy seems superior when compared to Titan or Thermage in achieving skin tightening.

Chang Son, MD
Englewood Dermatologist

Ulthera is going to deliver more heat to the tissues.

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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.  

Sanjay Grover, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 245 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.