What is Damaged by Ulthera During the Treatment Process?

What is it that is damaged under the skin during the Ulthera treatment process?

Doctor Answers 4

High intensity focused ultrasound and Ultherapy - Williamsville, NY

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Ultherapy utilizes high intensity focused ultrasound energy at predetermined depths where focus is achieved - 1.5 mm, 3 mm or 4.5 mm .... it uses B mode ultrasound imaging in a process called DEEPSEE to visualize the structures where energy is being focused by the transducer. 

Read the Ultherapy ebook on the link below. 

We have performed Ultherapy in hundreds of patients since 2011. 

Ultherapy induces new collagen and tightens connective tissue layers

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Heat is produced when the ultrasound energy is absorbed by the dermis and this induces the production of new collagen.  The dense supportive layer of connective tissue is tightened and this pulls up on the skin and subcutaneous tissue thereby lifting the facial features.

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


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The zones of damage are limited to an area in the subcutaneous space at a depth of 3 mm to 5 mm deep. The reason that ULthera appears to be more effective than most procedures is because the SMAS that needs to be targeted for structural tightening is between 4-5 mm deep in the skin. This is the same structure that is tightened during a surgical facelift proceuduyre.

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon

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Ulthera stimulates collagen remodeling under the skin

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Ulthera uses high-intensity focused ultrasound (HIFU) given in precise bursts at 2 layers under the skin. Since there is an imaging component, the collagen-rich connective tissue such as the SMAS in the face can be treated. Unlike lasers, which are absorbed by different tissues depending on the wavelength of the laser energy, Ulthera will be absorbed by whatever tissue is in the layer where it is focused. This means that Ultherapy can be used on all skin types.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

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