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.