Can you get second degree burn from Ultherapy procedure?

It would be very difficult to get a second degree burn from an Ultherapy procedure. The device heats up the tissues anywhere between 1.5 to 4.5 mm deep to the skin. When performed properly, it would be difficult to get a second degree burn, however there are reports of welts that have happened, after using the 1.5mm transducer. Those tend to go away quickly. 

Ultherapy uses ultrasound energy and an ultrasound gel is applied so there is no air between the skin and transducer. I have not seen a burn from ultherapy nor heard from my colleagues of such but it could be theoretically possible. I have seen and tell my patients that when the superficial 1.5mm transducer is used, that there are commonly welts (red swellings) that are temporary but could last for several days.

I have never seen a burn from ultherapy if this is done properly.  Please see an expert.  Best, Dr. Emer.

Hi and thank you for your question! In 5 years of performing Ultherapy, our NP has never had a patient with a burn. However, she has had a few patients over the years report getting burns in other practices. The theory is that this is technique dependent and the practice should be informed as they may need additional training on technique. Also, if there is a metal implant in the treatment area, the area should be avoided, as the heat can reflect off the implant and onto the surface of the skin. Best, Dr. Grant Stevens  

We have treated hundreds of patients with Ulthera and I have never seen a burn.  The Ulthera uses ultrasound energy delivered between 1.5mm - 4.5 mm deep into the tissue.  Occasionally, patients experience welts after treatment with the superficial 1.5mm transducer, but these resolve within a few days.  If the device is functioning properly and used in a proper manner, it would be almost impossible to develop a burn.