I am wondering if anyone thinks Ulthera Treatment could have any long term side effects years from now ? Could heating the skin from underneath ever result in Hyperpigmentation or little bumbs arising and showing up years later ? What about permanent nerve damage. I just wanted to get some Dr's thoughts on what could be possible permanent side effects since the technolgy is so new.
November 3, 2011
Answer: Side effects and Ultherapy
Ultherapy treatment works by using ultrasound energy to create focused heat at a specific depth in the skin. A side effect could occur if treatment is placed over nerves that run close to the jawline and the chin area. The nerve could become weak due to the heat injury. However, this area is not treated with the current protocol and our current Ulthera tips, so as to avoid this side effect.
Regarding hyperpigmentation. The treatment passes thru the most superficial layer of the skin and thus it is very unlikely that it will cause hyperpigmentation. Because it treats the deep layers and does not damage the top layer of the skin, this treatment is very popular in Asian countries where patients are at a high risk for pigmentation.
If I was to treat a patient with a history of melasma with Ultherapy, I would still recommend sun-avoidance and an effective UVA/UVB SPF to minimize any risk of worsening their pigmentation. After Ultherapy, the skin usually has a nice healthy flush due to the heat that has been delivered to the deeper layers. This heat causes inflammation deep in the skin which produces new collagen. If the inflammation reaches the top layers, then theoretically this could aggravate pigmentation. I have not seen this side effect.
Long term safety is based on long-term use of ultrasound, and the experience we have with using heat to stimulate collagen. Ultrasound has been proven to be very safe. Heat, when used at the appropriate strength and under the correct conditions has also been proven to be safe.
Helpful
November 3, 2011
Answer: Side effects and Ultherapy
Ultherapy treatment works by using ultrasound energy to create focused heat at a specific depth in the skin. A side effect could occur if treatment is placed over nerves that run close to the jawline and the chin area. The nerve could become weak due to the heat injury. However, this area is not treated with the current protocol and our current Ulthera tips, so as to avoid this side effect.
Regarding hyperpigmentation. The treatment passes thru the most superficial layer of the skin and thus it is very unlikely that it will cause hyperpigmentation. Because it treats the deep layers and does not damage the top layer of the skin, this treatment is very popular in Asian countries where patients are at a high risk for pigmentation.
If I was to treat a patient with a history of melasma with Ultherapy, I would still recommend sun-avoidance and an effective UVA/UVB SPF to minimize any risk of worsening their pigmentation. After Ultherapy, the skin usually has a nice healthy flush due to the heat that has been delivered to the deeper layers. This heat causes inflammation deep in the skin which produces new collagen. If the inflammation reaches the top layers, then theoretically this could aggravate pigmentation. I have not seen this side effect.
Long term safety is based on long-term use of ultrasound, and the experience we have with using heat to stimulate collagen. Ultrasound has been proven to be very safe. Heat, when used at the appropriate strength and under the correct conditions has also been proven to be safe.
Helpful