Which one is the better treatment for wrinkles, age spots and large pores, Ultherapy vs. Thermage?

Ultherapy is an external ultrasound that is designed to tighten the deep tissues of the skin and help lift facial skin. It does nothing for the very surface of the skin such as red and brown spots.  The newest 1.5mm deep transducer may help improve more superficial wrinkles but there are better devices such as the series of Fraxel lasers and plasma treatment that can help that better.  Brown spots, lentigines, are better treated with the Clear and Brilliant, Permea, Frazel Dual, Ruby laser, Alexandrite laser, Neodynium Yag laser, and other devices.Thermage, although using a different energy than Ultherapy (Thermage uses radiofrequency in comparison to ultrasound) also does not change the skin's color or wrinkles. It is designed to tighten the skin.

I believe Ultherapy is superior.  I have performed treatments using both systems and Ultherapy has proven to provide superior results for lifting and tightening.  Additionally, Ultherapy uses targeted "fractionalized" Ultrasound pulses thereby providing more precise heating/treatments of the underlying tissues and at specific depths, whereas Thermage uses more random bulk heating that, in my opinion, can have issues with fat degradation and imprecise heating of the underlying tissues. Ultherapy also has several FDA indications that Thermage currently does not.However, I do not think either system is very effective at age spots, large pores, or very deep wrinkles.  For those issues I would recommend a fractional CO2 laser (Active Fx).The attached link and website provides more information.I hope this helps.

Both Ulthera and Thermage are designed to stimulate skin collagen rebuilding through heating of the deep layers of the skin. I believe that Ulthera is more precise because it uses microfocused ultrasound. Surface issues such as age spots are better treated with IPL or lasers.

Ulthera works best for tightening of the neck and jowls.  Intense Pulsed light is great for the pigment spots.  And there are many lasers which work well for the wrinkling.  Thermage should help with the wrinkles, but you might also want to consider fractionated CO2 or a new technology such as Infini which is micro-needling with radiofrequency.

In my opinion, Ultherapy is a far superior treatment to Thermage for tightening, lifting, and toning loose skin. In, fact it is the only FDA-approved treatment for doing so. If your main concern is with wrinkles and you are determined to be an appropriate candidate then I would recommend Ultherapy. However, neither Ultherapy or Thermage treat age spots or large pores. There are other procedures which will treat those conditions. I suggest you schedule an in-person consultation with a board certified physician who can evaluate all of your concerns and come up with a personalized treatment plan for you. Best of luck.

Ultherapy is FDA cleared to tighten the skin of the face and neck and treats facial laxity.Ultherapy does not treat 'large pores or age spots"/The new Ultherapy transducers (1.5 mm) can help with fine wrinkles around the mouth, lips and eyes. Read the Ultherapy book provided on the link below:

Ultherapy uses microfoucsed ultrasound to heat deep in the tissue and tighten skin.  It does not really address wrinkles, age spots or large pores.  You would likely get far better results with a combination of Fraxel Laser and IPL.

Both Ultherapy and Thermage are non-surgical "facelift" treatments that lift and tighten skin to produce a more youthful appearance. I prefer Ultherapy (ultrasound technology) to Thermage (radio frequency technology), because it involves one 90-minute treatment, and the results continue to improve over time. Nevertheless, neither of these two treatments are intended for facial resurfacing to reduce the appearance of wrinkles, age spots, and enlarged pores.For that, there are a number of good options; however, without a photo, I can't be too specific because I have no idea how severe your problem is. Nevertheless, an effective facial resurfacing treatment plan might include one of more of the following procedures: Fractional Skin Resurfacing, Intense Pulsed Light Photo Rejuvenation, VI Peels, and Microdermabrasion.  

You can refer to some of the answers below and see that these 2 devices are better for tightening and lifting tissue.  Ultherapy I believe is much more effective than Thermage for that (having had both in our practice).  In my experience, both do improve skin tone and texture but not coloration even though they are designed to go deep to the superficial skin.  Treatments such as ThermiRF smooth are more superficial and much better for fine lines and wrinkles with no down time.  If you are able to have some down time, fractionated laser such as the Palomar 1540 is very effective for pores, color changes and fine lines on the face and if you can spare a week of down time, fractionated CO2 laser may be your best option.  Make sure you are being treated at a practice which has these various devices and in consultation discuss with the doctor which option would be best for the outcome you need.  Also, make sure to address other items such as pain (some of these treatments can be quite painful and we now treat many patients under nitrous oxide gas in addition to topical anesthetics or oral meds so our patients remain comfortable during the treatment).Lastly, Sculptra, the injectable collagen stimulator, may be an excellent option if you are looking to improve skin tone and texture but also need volume.Best of luck!

Ultherapy and Thermage (or other tissue tightening procedures whether they use RF or ultrasound) target several millimeters deep in the tissue.  Your list of concerns is more superficial and best addressed with intense pulsed light or superficial radiofrequency devices such as Fractora (by InMode), some lasers, or chemical peels.I'd see an experienced derm or plastic surgeon and review the many options then customize a regimen for your specific needs.