New Ultrasound Facelift - How Good is It Really?

I saw the new tonight and they showed an Austin, Tx Dr. performing it. Does this really work? I had a horrible CO2 laser procedure done around my eyes that left my skin crepy and wrinkled. Ive tried TCA peels but nothing works to fix it. Im only 41 and look great except under my right eye.

Doctor Answers 22


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I have been performing Ultherapy treatments for over three years. Every patient must be individually assessed by a qualifed physician. If you are a candidate, you will notice an improvement after 3 months.Your cheeks will be lifted, and your tone will improve. It is not a facelift, nor does it pretend to be. The results are natural and will make you feel more youthful.

Toronto Dermatologist

Ultrasound Facelift Not Really A Lift

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Thank you for your question. I assume you are speaking about Ulthea a new Ultrasound Skin Tightening method.

All of the non surgical skin tightening or non surgical facelift techniques to provide some skin tightening. In my experience the best I have seen is about 20% skin tightening which is far less than the skin tightening or lifting achieved by a surgical facelift.

If you have significant skin laxity then a surgical lift will be your best option.

In my experience the results of any non surgical skin tightening procedures require that you compare pre and post treatment photographs to see the result. That is not the case with a facelift, results can be seen in your mirror.

Please read the link below to understand how non surgical skin tightening works


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Ultherapy is the use of directed ultrasound energy to the face.  In 2011, Ultherapy was the best option for nonsurgical facelifts.  However, as time has progressed, newer technologies have been developed showing perhaps more promise and results.  Many of the newer technologies rely on radiofrequency delivered from a "bottom up" approach where energy is directed towards the surface of the skin.  While currently no nonsurgical treatment is a replacement for a facelift, the current best nonsurgical treatment for the face are Facetite and ThermiRF.  I prefer Facetite for work within the face since it works in a controlled field allowing it to be used along the difficult to treat medial portion of the face, where ThermiRF can not be used safely.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 181 reviews

Facial tightening

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I have had the best results with Thermage and eMatrix for tightening the skin, especially the delicate skin around the eyes.  TCA works for pigmentation but usually doesn't have much results for wrinkles around the eyes.  You may also benefit from some filler injected into the under eye hollows such as Restylane or Belotero.  For the best cosmetic results please consult a board certified dermatologist with a great deal of experience with skin tightening and cosmetic injections.

Ultherapy for Lifting

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Ultherapy, which is an ultrasound procedure that can lift and contour the neck and face, works very well on the right client.  It does not necessarily replace a surgeon or a facelift, but it can provide a more rested, youthful appearance.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.4 out of 5 stars 19 reviews

Ultherapy facial tightening is not indicated for loose crepy eyelid skin

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Ultherapy uses hi intensity focused ultrasound energy and is not directed immediately over the eyes.  The skin below the tear trough can be treated but not the skin from the eyelashes to the tear trough. The upper eyelid skin is not treated either with this modality. ultherapy does work well on cheeks, necks and foreheads.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

The new Ulthera does work, but it sounds like you might need something else

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I have the Ulthera in my office, and it does give certain patients wonderful results.  However it sounds like you might need something else to treat under the eye.  A picture or examination would be best.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Ultrasound facelift

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Ultherapy is an innovative technology that non-invasively delivers ultrasound energy to variable depths thus causing injury to the soft tissue layer being targetted. The injury recruits collagen and causes tightening and lifting. The results are subtle but can be repeated and treatments are well tolerated with no down time.  This is not a substitute for a facelift if you are looking with dramatic results. It may also not be a great option for the loose skin around the eyes. I strongly recommend an evaluation by a surgeon specializing in facial rejuvenation.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

Ultrasound Facelift?

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I think that when you are referring to an "ultrasound Facelift", the treatment you are describing is Ultherapy.  Although I have generally heard good reports about this treatment, it is not, should not be described as, and should not be marketed as a Facelift.  The sales representatives and the Surgeons I have spoke to about this advice are very clear about this point.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 104 reviews

Ulthera - how good is it?

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Ulthera is the only medical device that I have experienced that can deliver predictable energy to the deep layers of the face without surgery or downtime.  It will cause tightening of the skin and deep layers of the face, though not nearly as significantly as a Facelift would.  The ultimate results will depend more on the physiology of each individual patient, but there is no question that the device does what it claims to do to the tissue it is treating.  The treatment is marketed as a one time therapy, but I have found that repeating the treatment can improve the results further.

Leif Rogers, MD, FACS
Beverly Hills Plastic Surgeon
4.7 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.