Should I get Morpheus8 or Ultherapy first for jawline sagging, fine lines & acne scars? (Photo)

Question

My concerns are sagging skin around the jaw line, fine lines in my forehead and crows feet, and a few acne scars/redness. I want to get both the Morpheus8 and Ultherapy done in the near future. Which procedure would you recommend I get done first?

Michael A. Persky, MD · Answer

Hello Lupic,
Your neck anatomy is best suited for liposuction  which would be best to restore your jawline definition.  If you are looking for non-surgical treatment, I believe that Profound RF or FaceTite would be your best choices, though FaceTite is a bit more invasive.  Morpheus 8 will not do much for your neck and jawline.  Multiple M8 treatments may help with fine lines. Ulthera is good for lifting the muscles and skin of the face and neck, though your neck will not respond well to just Ultherapy.  Make sure to choose an expert physician in these procedures.  Good luck and be well.

Michael Persky, MD
Encino, CA

J. Timothy Katzen, MD, FACS · Answer

Hello, thank you for your question regarding sagging skin, fine lines, crows feet, and acne scars and how to get rid of them. As you mentioned, Morpheus 8 can be a great option to help address your concerns. Morpheus 8 helps to tighten and lift the skin, which will address the sagging skin around the jawline. Morpheus 8 will also help the fine lines on your forehead and crow's feet. For the forehead and crow's feet, I would also suggest Botox, as a preventative measure moving forward. Morpheus 8 is microneedling plus radiofrequency, and thus will also help address the acne scars you mentioned. I typically suggest 3 consecutive treatments, 4-6 weeks apart, then yearly treatments for maintenance if needed. I hope this helps!

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Camille Cash, MD · Answer

If you are looking for nonsurgical options you may want to consider FaceTite.  This uses RF technology to tighten skin up to 40%.  This can be followed with Morpheus8 treatments to improve overall skin tone and texture for a more complete result.  See a board certified plastic surgeon near you to see if you are a candidate!

Should I get Morpheus8 or Ultherapy first for jawline sagging, fine lines & acne scars? (Photo)

Answers (5)

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