What makes a good candidate for Ultherapy on the lower face?

I have been doing Ultherapy since it was first FDA cleared in 2009 and have been impressed with its tightening of facial skin. I have not seen fat reduction with Ultherapy and at one point even tried very hard with a few patients to reduce the fat underneath their neck and I wasn't able to get any results. In my NYC practice I have a very high patient satisfaction with Ultherapy. It is not a replacement for a facelift in those who need the latter. Older patients with significant heavy jowls are not candidates. The typical person is in between 40 and 65 years of age but I have definitely treated older patients with good results.I just recently asked the company and they don't have medically reported cases of fat atrophy from Ultherapy. I wonder though if this is underreported and if it is caused by improper technique. The monitor allows the physician to determine how deep the tissue is in the particular region and the ultrasound energy should only be deep enough to target the dermis and fascia. This generates heat which then stimulates the body to produce more collagen.  The tightening effect of Ultherapy goes on for many months after treatment.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 great for tightening and/or lifting of loose skin and/or underlying fat/muscle anywhere on the face or body. It is the 2018 gold standard in nonsurgical lifting. Please consult a board certified aesthetic dermatologist for a consultation.  

Ultherapy is excellent for a patient with mild to moderate skin laxity, and a great alternative for someone who is not a surgical candidate. It is an FDA-cleared, non surgical method to lift, tone and tighten the lower face and neck. Ultherapy works by accelerating collagen and elastin production, with no downtime involved, so you can go back to work right away. In addition to the lower face and neck, Ultherapy can tighten and improve wrinkling around the eyes, lift the brows, and smooth away chest wrinkling.