Ultherapy is something we call fractional ultrasound and is a one time neck, face tightening procedure that for wrinkle reduction and tightening it is the deepest penetrating of all the energy based devices. Ultherapy has been around now for several years and has become one of the most popular procedures, and when done in an office of a board-certified dermatologist or plastic surgeon, offers the best predictable results, all of which occurs in one single setting. An Ultra Neck Lift is a procedure based on radiofrequency (RF) energy penetrating into the dermis and causing thermal injury to the area, and as it regenerates itself, we end up with new and tighter collagen in the area. The technology used is called Pelleve, and it is a series of RF treatments that causes tightening of the area, in this case the neck. The Pelleve treatments work over time, and a series – up to six – are usually required to get the results that we want to see. Both work — one works one time and is an expensive procedure; the other works over time, costs less per procedure, but nonetheless works. Make sure you are going to a skilled provider, learn the facts, and chose what works best for you and your lifestyle.