Neck tightening - ulthera or fractora. (photos)

While I do like ultherapy for skin tightening of the face and neck, one major drawback of the technology is that it does nothing for fine lines and wrinkles (texture issues).  Texture issues such of those are best addressed with resurfacing devices  i.e. laser, peels, microneedling.   I do not have much experience with fractora personally, but the device makes me nervous as it has uninsulated needles an is very technician dependant.  I Personally prefer Lutronic's Infini, In my opinion this device is the gold standard in regards to RF Microneedling devices.   It has insulated needles which makes it more controllable with less downtime.  I find it works great on necklace line and the perioral region.   As opposed to fraxel and other lasers it has less downtime and also gives a degree of skin tightening.  

A combination approach is needed. My recommendation for neck tightening for all my patients that are candidates for RF treatments is Thermage combined with exilis or Ultherapy. Liposuction with energy on the neck such as ThermiRF also does very well to tighten. Fillers can go directly into the lines for improvement. I suggest seeing an expert for an in person consultation.  Best, Dr. Emer.