What is the best non surgical treatment alternative to a Facelift? Would it be radio frequency? If so which one is best? (photo)

The most effective way I’ve found to treat sagging in the lower face and neck is a combination procedure using liposuction and ThermiTight’s radiofrequency (RF) energy, which is delivered through a needle-like probe. The combination of removing fat and tightening the skin makes a big difference in the jawline that is very close to the effects you would get with a neck lift. The benefits can last about as long, too — up to 7 years — as the RF energy stimulates your skin to produce new and robust collagen. 
For the upper face, I would suggest the Silhouette InstaLift, rather than an energy device, because your Ulthera was disappointing in the past.  Energy devices like Ulthera are worthwhile, adding structure and tightness, but in some cases, the lift just isn’t enough. I’m excited about the results of InstaLift because it is a very safe means of actually mechanically lifting the tissues.  The sutures are made of the same substance as Sculptra, so as they dissolve, they add volume and hold the lift up.  A treatment will last approximately 2 years, at which time you could add more if desired. Based on your photo, you may also need to restore lost volume in your upper cheeks with a filler, which may help alleviate your tear troughs, too, depending on your results with the InstaLift. Combination therapy like this often gives the very best results. Please find a board-certified dermatologist to evaluate your anatomy and skin in depth to come up with a combination therapy that will help you look as young and healthy as you feel. 

Thank you for the question, and thank you for posting your photo. First of all, you look great! To turn back the clock a bit, you may find better results by volumizing the cheek area (Apple and zygomatic) to provide a natural youthful look with dermal fillers. Thr Ulthera is operator dependent, and results will vary from experience to experience. I tailor my treatment plan for each individual to get the kind of results each patient is excited about. But I wonder if all along it was some volume that was needed in the mid face that left you dissatisfied with the Ulthera? Best luck, Dr. P.