If You Did Not Bruise/swell Much After Ultherapy, Will Results Be As Good?

There is no correlation between the development of bruising and swelling after Ultherapy and the degree of improvement to be expected.  Although both can occur, the onset of each is highly variable and not linked to the clinical result.

Bruising is not an indicator of success with the procedure.  We customize the treatment to accentuate collagen formation in the areas of fascial laxity.  Bruising is sometimes seen near the jowls. Raffy Karamanoukian, Los Angeles

Whether or not someone bruises with Ultherapy is not an indication of potential results. Some patients will bruise because they take a lot of blood thinning supplements. Others will bruise and swell simply because they have skin that reacts to heat more strongly.

You still might see some bruising even after 2 days as the treatment focal depth is quite deep in the skin.

The ultrasound energy depth is predetermined by the system and the "tip" that is used. The 4.5 mm is the one that reaches most deeply with a 3 mm and optional 1.5 mm that address more superficial levels and skin texture.

 

Bruising is rare and is definitely not a prerequisite for a good result with Ultherapy for facial lifting.  Swelling does occur in some patients more than others, but to-date there is no scientifically proven approved concept that significant swelling is needed for a good result with ultherapy.  Many of my patients who did receive a very good result from Ulthreapy did not have significant swelling. The use of the superficial 1.5mm. deep transducer may help tighten fine lines but may cause more swellling.

Although there is inherent variability in response to nonsurgical treatments such as Ultherapy, I have not noticed any correlation to swelling or bruising as it relates to long-term results. It relates more to the skin's ability to rebuild collagen, which diminishes with age. With 600 lines it sounds like you had a thorough treatment.