If performed incorrectly can ultherapy cause fat atrophy? And if so are permanent fat cells damaged?

Im not sure why drs are not taking a stand on ulthera being preformed by very poorly trained people, if this machine can be only purchased by a Dr and is a surgical machine class 3-4 from what i understand, why is it in medispa's which i might be a idiot that prior to experencing adverse affects did not know the power of this treatment!!