Ultherapy and microdermabrasion, such as Dermasweep, treat very different issues with the skin. Microdermabrasion can exfoliate the skin and rarely does anything for the long term improvement of wrinkles. Laser resurfacing or actual dermabrasion, which is used less commonly these days, or plasma resurfacing can reduce the wrinkles that are present at rest from sundamage and age, not the lines that result from muscular contraciton. Ultherapy does nothing for superficial lines or texture as the focused ultrasound energy delivers focal heat to the deep dermis and connective tissue layers to help lift the skin. Often, Ultherapy is done in conjunction with superficial treatments, not necessarily at the same time, though.