Ultherapy is applied to the surface of the skin. The ultrasound waves reach into the superficial facial plane and second skin layer to stimulate new collagen. ThermiTight is a minimally invasive technique in which a probe is actually inserted deeply into the dermis, which is then heated up with radiofrequency energy. This also shrinks the collagen and stimulates the production of new collagen. Which therapy is best for you is determined by the degree of your sagging, amount of fat, and the quality of your skin. We did a trial comparing both, solely to the neck, and one did not show to be superior to the other. But if you also need to tighten the lower face and brow I tend to recommend Ultherapy. Results with either can be quite long-lasting — sometimes up to 2 or 3 years. Consulting a board-certified dermatologist will help you decide which treatment to choose. The best value can only be provided by choosing the most appropriate therapy for your particular case.