Considering Facelift After Failed Ultherapy?

If your only concern was that Ultherapy was not effective, then I would recommend further discussion with your Plastic Surgeon. However, given your concerns with multiple procedures performed previously you would probably benefit from a second (or third) opinion if only for reassurance. In my experience, people who will benefit from a facelift do not get similar improvement with Ulthera. It does provide improvement but not to the degree that people are seeking and at a high price point to boot. I hope this information is helpful.Stephen Weber MD, FACSLone Tree Facial Plastic Surgeon

The Ultherapy will not give you the degree of lift that you will see with a face lift. If it didn't meet your needs, by all means have a consultation for a face lift, and if you have any loss of volume, I suggest having fat grafts performed at the same time. Sagging is the result of both loss of elasticity and volume. The face lift does lift the skin and underlying tissues (according to how it is done) and does a good job, but it doesn't add volume. The volume component can actually be the main reason for the appearance of aging in some people. These procedures must be individualized according to the patient's needs.
Regarding fat grafting, I suggest finding a PS who performs them routinely as they are very tedious.
Good luck and thank you for the interesting question.

A facelift could certainly be performed to improve the face and neck after previous conservative therapy has failed. Find a plastic surgeon with ELITE credentials who performs hundreds of
facelifts, necklifts facelift revisions, and facial procedures each
year. Then look at the plastic surgeon's website before and after photo
galleries to get a sense of who can deliver the results. Kenneth
Hughes, MD Los Angeles, CA