When does face stops shrinking after Ultherapy? How do I reverse this? (photos)

I got ultherapy 1 1/2 months ago. My face keeps shrinking. Skin is getting saggier as well but I believe from the loss of fat. When will this stop and how can I reverse it? Doctor did 900 lines at the highest setting. Face and around eyes. Stopped at Adam's apple area.

Doctor Answers 4

Ultherapy has helped many of our NYC patients tighten facial skin with great safety and high satisfaction

I had incorporated Ultherapy in my NYC practice since it was FDA cleared many years ago. I appreciate the engineering and science that was used to develop this device in collaboration with a plastic surgeon and  a dermatology based Harvard affiliated technology laboratory. The ultrasound image allows me to constantly see the depth of penetration that the energy reaches making it a very scientifically-controlled treatment. I do not recall any patient feeling they lost fat from my treatment with Ultherapy. I, in fact, when it first was developed, intentionally tried very hard to reduce the fat underneath the chin of the neck in some of my patients and I never saw fat reduction. This is not to say it can’t happen, but it can’t be easily explained.

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. 

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Ultherapy side effect

Dear pat4567:

I am so sorry you are not happy with your Ultherapy treatment. It is important to monitor the ultrasonic images as the treatment is being delivered to ensure layers of fat are not being targeted (unless it is part of the treatment plan to reduce fat as well as tighten and lift skin, such as on the neck where there may be submental fullness).

You may wish to consult a dermatologist or plastic surgeon in your area who injects fat, or consider fillers to augment the affected areas.

All the best,
Dr. Clark

Sheryl D. Clark, MD
New York Dermatologist
5.0 out of 5 stars 8 reviews


  • Hello, thank you for your question. I am sorry you are having problems following your treatment. I have read several of your other related posts. We have used this technology and our practice for the past several years with excellent results. We have not seen this problem and I would recommend you follow up with her treating physician. We generally tell our patients that their final results will be approximately 4-6 months following the procedure. If you are in fact losing fat you may consider some injectable fillers and/or autologous fat grafting but I would recommend this at a much later date. Best of luck.

John J. O`Brien, Jr., MD
Saint Petersburg Plastic Surgeon
5.0 out of 5 stars 28 reviews

Ultherapy related volume loss - myth or reality?

Thank you for your question.

"Ultherapy disasters" are because the machines are China knock-offs that are done in non-supervised spas without medical directors OR done by non physicians.

Ultherapy is FDA cleared to treat laxity of the skin in the lower face, jowls and neck.

Read the Ultherapy ebook on the link below.

Dr. Karamanoukian

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.