What's the difference between Ultherapy and Dermapen? Which one is better?

Ultherapy is the gold standard in non invasive skin tightening/ lifting. It uses a triple depth treatment protocol whereby heat is introduced under the skin at 4.5mm, 3mm, and 1.5mm depths. The generation of heat at these different layers forces the body to produce collagen in a wound response setting without having to damage the external skin so that over a three month period you will generally see a significant amount of lift in the treated areas. The dermapen stimulates collagen production by poking the skin with a bunch of small needle pricks. These pricks also elicit a wound response but can also cause scarring and are incapable of delivering the same kind of result in the lift.

Patients need to be seen individually in person to determine, even if it's the same skin condition, what the best treatment is for them.Ultherapy helps tighten the infrastructure, the dermis of the skin and lift the sagging facial features.  Using more shallow penetrating transducers, this ultrasound inducing device, creates heat in the tissues below the epidermis.  The more shallow 1.5mm. deep transducer may help fine wrinkles and creases and shallow acne scars, whereas certain scars need the 4.5 and 3mm deep transducers. However, the Ultherapy is not indicated for acne scars and the different depth transducers can be used to tighten up the sagging jowls, cheeks and other facial structures. The DermiPen is used at home to induce microtrauma to create collagen underneath the acne scars to build up new collagen and lift up the acne scars or fine wrinkles. I would caution patients to be wary of externally seen long term puncture sites from the dermipen that I have never seen with Ultherapy or Fraxel laser in my NYC practice.The information provided in Dr. Shelton's
answer is for educational purposes only and is not intended
to constitute medical advice. The information provided should
not be relied upon as a substitute for consultations with a qualified
health professional who may be familiar with your individual medical
needs.

Ultherapy is an excellent choice for non surgical face and neck lifts. Textural improvements are better suited for dermapen treatments. Best, Dr. Karamanoukian Los Angeles

Ultherapy is an ultrasound technology used for skin tightening and lifting.  Dermapen is a micropen technology used for texture, tone, fine lines and wrinkles and discoloration.  They are often used in combination.  I frequently do thermage followed by clear + brilliant laser, followed by Eclipse Micropen for the face, neck, and chest and get amazing results!

Ultherapy uses focused ultrasound to lift and tighten the neck, jaw line, and brow. It can also be used to treat vertical lines for chest rejuvenation. Ultherapy is not a skin treatment, but you will see improvement in the skin, especially lines. Dermapen is a type of microneedling device. This technology uses little needles to stimulate collage production in your skin. Its a great choice if you want to have brighter fresher skin. You can target acne scars, brown spots and fine lines.So basically if you want to lift and tighten go for an ultherapy treatment. If you want to improve your skin quality a microneedling treatment is great. I frequently do both to get a comprehensive rejuvenation with ultherapy to lift and tighten and then microneedling with PRP to improve skin quality and add a great shine.