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Ulthera is a non invasive device that can be done by a trained aesthetician or physician assistant. In my office we use both. They are trained by the company to do advance treatments and have accumulated a vast amount of experience. I did trust my face to a well trained aesthetician after we got Ulthera
The regulations dictating who can peform a treatment in a doctor's office, is different in different states. Some may indicate physician supervision and other states may say that aestheticians can not perform certain treatments. There may not be specific mention of ultrasound energy devices and as it is not a laser, some state might need new regulations to include Ultherapy.
Ulthera is a nonivasive technology that uses focused ultrasound to stimulate collagen rebuilding and skin lifting. Though regulations vary from state to state, in most places it can be delgated to another person such as a medical esthetician. Because it is a medical device however it requires supervision by a medical professional.
Because we have 4 Ultherapy devices and the largest Ultherapy practice in the U.S., we have trained 3 physician assistants to perform the procedures under the supervision of 2 physicians. Our results are excellent and our physician assistants are superbly trained to do this FDA approved procedure. We have been using Ultherapy for at least 4.5 years (as of this writing on Jan 27, 2015). Read our Ultherapy ebook on the link below.
The laws vary by state as to what professional can perform what procedures. In Texas, Aestheticians can perform Ultherapy. Many are skilled, but physicians can perform a more customized treatment. The most important factor is that the person performing the procedure is well trained, has experience with the treatment and is supervised by a physician, if they are not one themselves.