You ask a great question, and as you can see from the varied answers, there is no absolute yes or no for this question. Having a consultation with a board-certified dermatologist or plastic surgeon is the most important first step for you. We would recommend that you lose your weight and then have a procedure done. Having said this, you need to know that if we are dealing with too much sagging, then Ulthera may not be the best option so that is why a knowledgeable physician needs to do a thorough examination to see what the best options are. You would hate to have a procedure done and then lose more weight and then have more sagging – so I would wait and then have the procedure done.