Hello and thank you for your question! We recommend to our patients that the maintenance for Ultherapy is every 1-3 years, dependent on many factors. For example, how much laxity they started with, the condition of their skin, what their desired outcome in, how they are aging, etc. I have done subsequent Ultherapy treatments as soon as 3-4 months after the 1st, in patients who desire the most dramatic result, and are less concerned with costs etc. I have not seen or heard of any side effects or issues with doing subsequent treatments, esp after about a year. That is a great time to have your 2nd treatment. In addition, IPL based treatments can be done every months for several months in a row, without any issues, and in fact, providing great results in brown and red discolorations. IPL is treating just the top layers of the skin, where those superficial discoloration lie. So it works great with Ultherapy, which treatment the deeper layers of the tissue, down the 4.5 mm depth. We do a unique approach in our office, where we use 3 different transducers on each patient, and do an very comprehensive and customized treatment. Laying in a lot of "lines" , therefore maximizing the results for each patient. With this technique, our patients are seeing results early, often after a month, and we are seeing more dramatic results using this technique. Feel free to call our office for a complementary consultation. Good luck! Dr. Grant Stevens Marina Plastic Surgery Associates Marina del Rey, CA The Institute