Which is better for the neck and face: Ultherapy or Profound RF?

profound doesnt work well and has a lot of downtime. ultherapy should be 2x yearly and is for muscular tightening not the skin. so if you want a full plan you need morpheus every 2-3 months, thermage and ultherapy together every 6 months, and threads once a year. that is for TIGHTENING only. see an expert and start MTS roller from emeragecosmetics regularly at home with anteage MD rollers (see link).


As we age the skin sags there is  nothing  you can do that but try preventative  energy-based or thread-based  treatments or get a neck/facelift earlier in the aging process.  There are numerous options and some can be used in combination to get best outcomes but you need a consultation with an expert.


Options include for skin tightening :
1. thermage radiofrequency to heat skin and tighten it over time and prevent the aging process
2. ultherapy highintensity ultrasound to contract muscle and tighten the face and neck and prevent the aging process
3. PDO nova threads or instalift threads for immediate lifting without surgery and long term collagen production
4. sculptra injections for collagen production to areas of the face and neck with crepe skin or early sagging
5. btl exilis ultra, venus legacy, thermi250 , or inmode forma/contoura  for constant collagen stimulation monthly with facials
6. facelift/necklift with fat grafting/fillers if you need a big improvement
7. ThermiRF or J plasma /Renuvion or Inmode FaceTite   internal heating and tightening to long term internal heating and tighting with or without surgery
8. Platysmaplasty to tighten the muscles of the neck long term and create contour
9. Facial implants or fillers to contour the jawline and chin to improve the apperance of the nec k
10. Fractora/Morphenus8 or Intensif microneedling RF for improve superficial tightening, neck and chest wrinkling and crepe skin
You need to see an expert in facial sculpting and age prevention.  Best, Dr. Emer.

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question. Both Ultherapy and Profound are great for tightening the face and neck. Ultherapy uses ultrasound energy where Profound uses microneedling and radio-frequency. With Ultherapy there is "little to no" downtime -sometimes swelling, bruising and tenderness can occur. Because Profound is using microneedling and a lidocaine injection prior to the treatment the downtime can be anywhere from 7-10 days which includes bruising and swelling. It is very important to seek a trained professional to determine which treatment is best for you and to discuss your expectations. Sometimes the combination of both Ultherapy and Profound can be done too!

Don't waste money on those other 2 since they rarely make any difference but do get Morpheus8 since it is by far the best and really helps a lot.