1 day post-op Ultherapy has left many superficial burn lines. Advice? (photos)

Question

I received an Ultherapy treatment Friday, the pain was indescribable and I normally have a high pain tolerance. Toward the end of the first transducer she stated it was overheating and due to my pain we wod discontinue and she would have the unit called for service. I know am left with these burn lines all over. I called the provider and she said “totally normal” which I have yet to read anywhere that is correct. Any feedback would be helpful.

Robert Heck, MD, FACS · Answer

Those marks are from doing the 1.5 mm transducer usually. Your provider can apply varying amounts of pressure that usually help prevent that. We have done UL for over 2 years and have never had an issue of "burn" like issues. There is also a way for the provider to turn down the energy if you can't tolerate. We also apply medical grade numbing cream and use PRO NOX for comfort. Lastly, you should treat the skin with something to prevent issues right away- call your treating office for recommendations. Lastly, if they still charged you make sure they were able to complete the full protocol of line counts to make sure you'll get an effective treatment. Best of luck.

Michael A. Zadeh, MD, FACS · Answer

In my 6 years of performing Ultherapy treatments, I have never seen anything like this. You were either treated by a knock off Chinese device, or by someone who had no clue what they were doing. The 1.5mm transducer can leave superficial welts occasionally, but these usually resolve within a few days. Nothing like what your picture shows. Also, I have never heard of a transducer "overheating". Please make sure you are under the care of an experienced physician. Best wishes.

Jason Emer, MD · Answer

This is very uncommon with Ultherapy. I recommend getting a formal evaluation with a cosmetic dermatologist for after care right away. I recommend Silagen + Bioshield to promote healing and prevent scarring. See an expert. Best, Dr. Emer

John J. Martin, Jr., MD · Answer

These burns can happen occasionally - not sure if it is the handpiece, or perhaps from not holding the handpiece firmly against the skin.  I would use some Vaseline or Aquaphor to keep them moist. They are superficial and should heal fairly quickly.  IF they remain red or get hyperpigmented you may need some laser to help with the color.

Monica Bonakdar, MD · Answer

I have owned an Ulthera system since its FDA clearance and performed numerous Ultherapy treatments. I have never seen the treatment cause such burns. At the most on very thin skin individuals we see raised red lines that resolve in less than 24 hours. You should have been treated for these already prior to leaving the office. I highly recommend that you immediately see an experienced aesthetic medicine specialist for a formal evaluation and treatment of these burns so that permanent scarring is avoided.
Dr. Bonakdar

1 day post-op Ultherapy has left many superficial burn lines. Advice? (photos)

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