I am 43 and have I have sagging jowls, neck and cheeks. My skin is very thin. Ultherapy or Mini lift? (photos)

Thank you for your photos and question.  It is important to always have an in person consultation with a Board Certified Plastic Surgeon, but from you photos you look like you would be a good candidate for Ultherapy.  A mini lift is a good option too but does have some downtime.  Talk with your doctor about the benefits, risks, pricing and out come expectations with both procedures.  Ultherapy is a great option if you are not ready for a lift or for downtime.  Even if you decide to get a lift down the road, the Ulthera will help tighten the existing skin and promote collagen growth in the neck area.  Ultherapy can target three different depths: the Dermis (deeper skin), Fat + Connective tissue (Superficial Musculoaponeurotic System-SMAS) and Muscle. The Superficial Musculoaponeurotic System (SMAS) is located below the fat and is a strong tissue that envelops the face. It is made up of collagen, elastic fibers, muscle fibers and fat cells. The ultrasound energy produced during an Ulthera treatment, precisely and consistently heats the targeted tissue to 60-70 degrees centigrade, which is the optimal temperature for contraction and denaturation of collagen.In addition, filler or sculptra in your jaw (mandible) and chin area will help build up the area where bone loss has occurred which will support some sagging tissue.  Good Luck! 

Great question and thank you for your pictures. You are the ideal candidate for both procedures so the discussion now turns to you as we have to discuss the pros and cons of each option  and see where you are at. Ultherapy is wonderful as it does not require any downtime, results are not the same as a facelift but you do get neck and lower face lifting and tightening and the cost is significantly less. A lower face lift/neckl lift vs mini lift are all options for you to consider- to be determined at consultation. Pricing is higher than ulthera, surgery is involved and there is about a 7-10 day downtime with it but results are wonderful and will last as long as you do. So you have to decide whats better for you based on the above. The good news about ulthera is that if you are not ready for  surgery at this time then Ulthera will buy you time until you are ready. Good luck!

Ultherapy is more effective on patients with thicker skin however your age and your potential to build collagen is in your favor. Given your age and hesitation for surgery I would recommend Ultherapy in addition to other minimally invasive procedures such as fillers and Sculptra for overall facial volumization. It appears you may be a candidate for Kybella for the fullness under your chin and filler to enhance your chin projection which will help with jawline definition and diminish your jowls. Please consult a board certified dermatologist or plastic surgeon who has experience in Ultherapy and aesthetic injectables. Best wishes.