I'm 57 years old and considering Ultherapy to lift my neck and eyes. Am I too old? And how do I find an expert? (photo)

Question

I am researching non-surgical "lift" procedures as I'm not a good candidate for surgery (I cannot have epinephrine). I too old for Ultherapy? The best reviews are mostly from women in their 30s and 40s. I'm 57 and untanned, but am mostly Celtic/Scandinavian and have thin skin. Second, how can I find a doctor who specializes in this procedure, and has more experience? I've been told to look for doctors who attend Ultherapy Advanced Users meetings.

William Groff, DO · Answer

It looks like your skin is fairly lax, so you may be frustrated with just one or two sessions of Ultherapy. I would actually start you with ThermiTight, which is a more invasive procedure, but can tighten the skin more significantly. A small probe is inserted under the skin to deliver radiofrequency energy to the collagen layer to shrink it and stimulate the production of new collagen. As mentioned by my colleagues here, even with stimulation, older skin may not produce much more new collagen or elastin. Therefore, I would also recommend replacing some of the lost volume with Sculptra and Voluma, for a liquid facelift. Be sure to consult a board-certified dermatologist who has expertise in creating nonsurgical facelifts to help you choose the best treatments.

Deborah Pan, MD · Answer

Obviously, the younger the tissues are, the better the results, but that doesn't mean you won't see an improvement. Some of this is largely based on genetics, and some of my best responders have been older. However, as a general trend you might need more frequent treatments to maintain your improvement.

Michael A. Zadeh, MD, FACS · Answer

Ultherapy works best for those individuals with mild to moderate skin laxity. These are typically patients in their 30s-40s. Older patients may still see benefit, but may require a more extensive treatment. You would need an in-person consultation and evaluation to determine if you are a suitable candidate for the treatment. Certified Ultherapy providers can be found on the Ultherapy website. I would make sure you see before and after pictures of their actual clients and not the stock photos the company provides. Best wishes.

Dilip D. Madnani, MD, FACS · Answer

The best candidates are those with mild to moderate aging. You are in the moderate category so I would defiantly consider ultherapy. As for finding doctors with advanced training, I would ask any providers you find if they regularly under training- this is something we do regularly in our office. Also  review your providers before and after pictures of patients in the same age group and skin type to see what expected results can be

Stephen Prendiville, MD · Answer

Ultherapy is an FDA approved, effective soft tissue tightener that works best in patients in their 40's and 50's.  It is not a facelift, is not a replacement for a facelift, and will not give results which approximate a facelift.  For patients like you, the main discussion I have about Ultherapy relates to expectations.  I have had patients in your age group have great satisfaction, and others disappointed primarily related what they believed Ultherapy could do.

Jason Emer, MD · Answer

Yes, you can have Ultherapy but yo uare right if you are a face lift candidate ultherapy will do very little for you.  Ultherapy is a great product for skin tightening, but a combination approach would give the most improvement. I recommend Ultherapy with RF treatments, lasers, microneedling/PRP or sculptra to get increased collagen, tightening and improve skin tone.  I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Nancy Becker, DO · Answer

I would definitely suggest finding an office near you and at least have a consultation. It is ideal for mild to moderate laxity, however it IS doable on older and more lax skin. Our Master Esthetician that performs the treatment here has had great results with Ultherapy on older women, but it will help for someone to see you in person and determine whether you are a candidate. Ultherapy is typically a one time treatment, however if you do have extra laxity you are able to do another treatment afterwards for additional results.  I think with some research and a good technician you could see some great results! I hope that helps!

Lisa Jenks, MD · Answer

The younger we are, the easier it is to stimulate our bodies to produce collagen.  Therefore, Ulthera is a perfect treatment for people in their 30's and 40's.  I tell my patients who are in their 50's and 60's that Ulthera can still be a very helpful treatment and can produce significant results, but they are likely going to need a more aggressive treatment protocol and/or two treatments about 4 months apart.  I have seen beautiful results in women who are your age.  
The "find a doctor" tab on the Ulthera website should help you find a well-trained and experienced provider.
Best of luck to you.

Corinne Horn, MD · Answer

A good Ultherapy candidate has mild to moderate skin laxity such as a lowered eyebrow line, jowling and sagging skin on neck and under the chin. We have treated many patients your age and older that have been very satisfied with their results. The best way to find out if you're an Ultherapy candidate is to consult with a physician.

Robert S. Bader, MD, FAAD · Answer

There are no age restrictions for Ultherapy. One must understand that this does not replace a facelift. The results simply cannot be compared to one another. It is the best non-invasive option that we have available, but the results are subtle. That being said, results do vary greatly from one provider to another and from one patient to another. Those with heavy necks seem to do better in my experience. Those with thin, lax skin do not do as well. FYI-I am unaware of any "Ultherapy Advanced Users Meetings". Ultherapy is discussed at many cosmetic and Dermatologic meetings, but there is no specific meeting for this.Good luck!drbader

I'm 57 years old and considering Ultherapy to lift my neck and eyes. Am I too old? And how do I find an expert? (photo)

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