How Much of an Improvement in Measurement for Ulthera Compared To Facelift?

Question

I was told at a clinic that there is only 1mm improvement compared to 8 mm with a facelift. 1 mm?? Tthat's nothing so why even offer a procedure with that little improvement. I don't get it 1mm is barely there!!

Deborah Pan, MD · Answer

As an Ulthera provider and as a surgeon who also performs facelifts, what you have to understand is that each has their place for facial rejuvenation.  For those women who have early signs of skin laxity and loss of elasticity and support in the face, Ulthera is perfect.  Results do vary, but in my hands, everyone has had photographic evidence of tightening of skin and some lifting of the cheeks and neck.  The previous reply was very biased. SkinTyte is a valid therapy using the same philosophy as Ulthera.  The statement that there is no control with Ulthera is wrong: Ulthera provides an ultrasound picture of the layers of the skin and face during treatment showing precise delivery of energy.

	If you want surgical results, you will need surgery.  There is no way around that fact, and if you wait too long and laxity is too far gone, both treatments will yield less than optimal results.  Both Ulthera and facelift depend on the quality of tissue offered to the surgeon.  The only way to know if Ulthera is appropriate, is to see a physician that can offer both and provide an honest opinion.  If you go to a provider who cannot operate, then you will get an answer that is "always Ulthera."  If you go to a physician who does not have Ulthera and only does facelifts, you will get an answer that is "always facelift."  The only way to know which is right for you is to have your face evaluated by someone who can offer both, and offer an honest opinion as to what can be achieved in your unique situation.  Every patient is different, and thus requires consultation.

	 

	I hope this helps!

Sabrina Fabi, MD · Answer

While no nonsurgical procedure can give you results as dramatic as a full facelift, if you have early signs of aging such as minimal sagging and loose skin, Ultherapy is a more appropriate alternative to avoid having to undergo several face lifts in a lifetime, as surgery is also not permanent and we continue to age.  In the study using ultherapy to lift the neck, they measured an average of about 50mm cubed of a lift. Ultherapy not only lifts the skin, but it actually reverses some of the aging process by promoting the production of collagen and elastin. Collagen is a protein that forms the matrix in your skin that gives it support and form. Elastin is a highly elastic protein that allows the skin to snap back into place after being stretched. Therefore Ultherapy not only gives your face a “lift,” it gives it a “boost” by actually encouraging it to act like younger skin by producing the elements needed to keep it elastic and supported. Please consult with a board-certified dermatologist to find out how Ulthera can help rejuvenate your face.

Ron Shelton, MD · Answer

Why do Ultherapy if it doesn't do what a facelift does?

	1. The lift can be a few, not 1 millimeter in many patients. It doesn't work well in terribly sun-damaged individuals and those who have lost a lot of elasticity with age.

	2. The few mm.s in different areas add up to a global reujvenation that is usually aesthetically pleasing to the patient and is noticable by others who know them.

	3. Many patients don't want surgery or are fearful of risks, or have medical conditions that preclude them from having surgery.

	4. There basically is no downtime from Ultherapy unlike facelift and this is very important for many people.

	5. Younger patients who are not ready for a facelift can benefit from an earlier facial restoration than waiting for them to be told they're a candidate for a facelift later in life.

Richard Baxter, MD · Answer

Ulthera uses highly focused ultrasound to stimulate collagen regeneration under the skin, but the results depend on each individual's response so measuring lift in millimeters isn't realistic. Factors that affect the response are age, how thick or thin the skin is, how much fat is in the layer under the skin, and so forth. A facelift is more than just lifting or tightening skin; a good facelift involves 3-D shaping of the face for a natural appearing result. Too much pulling does not look as good but would yield a bigger number if measured in millimeters of lift.

Rebecca Fitzgerald, MD · Answer

Surgical face lifting will obviously trump non surgical procedures. Ultherapy and previous nonsurgical technologies were developed to provide an alternative for those who don't want surgery and the attendant downtime, but do want to "look better".

	Nonsurgical tightening isn't appropriate for everyone and an upfront practice will tell you if you are not a good candidate.  As long as a patient understands the limitations and does not expect comparable results to surgery, Ultherapy offers enough improvement to satisfy many who simply aren't ready or willing to take more aggressive steps.

	As far as measuring and comparing Ultherapy to surgery, each person will have different needs, desires and different response to nonsurgical alternatives.

	The pluses for Ultherapy

	
		No downtime aside from redness and possible mild swelling
	
		No surgical or anesthesia risks
	
		No post treatment wound care
	
		No general anesthesia (but pain management is part of the process)
	
		Deep level treatment SMAS level - same as surgical levels
	
		No obvious "work done" result


	The limitations of Ultherapy

	
		Not a substitute for surgical lift
	
		Not a "pain free" procedure
	
		No instant results
	
		Not appropriate for patients with excessive laxity
	
		Not a substitute for treatment of volume loss which would normally be treated with collagen stimulators or fillers
		 


	Realistic expectations need to be in place for any procedure. Because Ultherapy contracts tissue and provides collagen stimulation, you do get a "lift" effect - but without excision of tissue.

How Much of an Improvement in Measurement for Ulthera Compared To Facelift?

Answers (7)

Answer: Ulthera is not a nonsurgical facelift

Answer: Ulthera is not a nonsurgical facelift

Answer: Is Effect from Ultherapy Measurable?

Answer: Is Effect from Ultherapy Measurable?

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Everything you need to know about Ultherapy

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How Much of an Improvement in Measurement for Ulthera Compared To Facelift?

Answers (7)

Answer: Ulthera is not a nonsurgical facelift

Answer: Ulthera is not a nonsurgical facelift

Answer: Is Effect from Ultherapy Measurable?

Answer: Is Effect from Ultherapy Measurable?

Browse related questions

Recommended reading

Everything you need to know about Ultherapy

Our mission is to create a world where every investment in modern beauty is Worth It.