Risks of Having Ulthera over Fillers?

The issue of whether Ultherapy & Fillers are safe together is really not that complicated. Ultherapy causes collagen tightening by heating the layers of tissues of the face in a targeted way. Fillers restore volume in those tissues.  Ultherapy before fillers is very safe.  We often combine ultherapy with fillers by first doing the ultherapy then placing the fillers so that the heat does not affect them.  Heat is more likely to affect botox than fillers.  Ultherapy after fillers immediately after fillers and botox probably is not a good idea, but in a delayed fashion is safe. Ultherapy is usually a one time treatment where filler are not.  Even if you have some absorption of fillers which will happen anyway...you can get more.  The combination together is very effective!

Regardless, I generally wait 2 weeks after a hyaluronic acid placement to perform the procedure on my patients and I keep in mind where I have placed the filler.  Studies have been done to evaluate the effect of other energy devices that heat the skin as deep as 3 mm, immediately over 4 different fillers, and they have shown through biopsies that it doesn't break the filler down any quicker.  I would recommend seeing someone that does many Ulthera treatments for evaluation and treatment. Good luck.