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There is not a home therapy available for Ulthera. It is a focused intense ultrasound energy that often requires medical treatment to minimize the discomfort. Even lesser treatments which can provide improvement such as Pelleve, are not at-home treatments.
Ulthera uses microfcpocused ultrasound at high energy to stimulate collagen regeneration for a lifting effect. It would not be safe to do on your own so it must be done under a physician's supervision.
Ultherapy is only available in physician offices. It is an effective way to lift and tighten the skin of the face and neck.
In regards to the experience of the provider, the answer is a resounding yes ! It does matter who performs the procedure because the provider makes an assessment prior to the procedure what types of treatment lines to use, standard only or standard plus custom vectors of treatment to achieve the desired goals for the patient. You cannot own an Ultherapy device. It should be operated by a physician or under physician supervision. Read the Ultherapy ebook provided on the link below.