Ultherapy-does It Really Lift and Tighten, Are Results Predictably Good? (photo)

Doctor Answers 8

Ultherapy - Can I rely on predictable results?

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Ultherapy technology reaches deeper, with more pinpoint focus, than any other nonsurgical procedure for lifting and tightening. In fact, at this time it is the only FDA approved device for actual "lifting".

Don't expect big results "tomorrow"

Results take a while to come to full resolution. When you see news programs and people claim they get big results right away, or in a few days, they are really experiencing temporary tightening as a result of the treatment's effect that causes  inflammation at the deep treatment level.

Inflammation is your friend in this treatment and is the catalyst for much of the new collagen generation. You won't see it, or be aware of what is going on beneath, other than some limited soreness that subsides fairly quickly.

There is usually some immediate effect, but the "real deal" comes over a period of 3 to 6 months as the body goes through the new collagen generation process.

Predictability varies - and this variability is based on several things, namely

  • Patient age - More mature patients have a slower collagen-build ability so the effects may not be the same as someone in their 30's or 40's
  • Number of "lines" - There is a standard treatment protocol, but also room for customization.
  • Technician training and experience - Advanced treatment techniques can provide better results and a more comfortable treatment.


Los Angeles Dermatologic Surgeon
4.1 out of 5 stars 22 reviews

Am I a good Ultherapy candidate?

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Thank you for posting the picture.

You are a great Ultherapy candidate as the results are subtle and durable. They will tighten your skin and it is an FDA cleared procedure with proven results and high satisfaction rates. 

Read the Ultherapy book provided on the link below. 

Ultherapy lifts and tightens non-invasively

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Ultherapy does lift and tighten, but it won't give you the same results as a facelift.  However, it is non-invasive with no downtime and does take 3-6 months to see the results.   There are of course factors that determine the success of the procedure such as a person's age and the type of treatment they get.  For example, Ulthera is entirely customizable.  As such, the number of lines performed can affect the outcome.

Ritu Saini, MD - Account Suspended
New York Dermatologic Surgeon

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Ultherapy helps rejuvenate the face without a facelift, but it doesn't lift as much.

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Utlherapy has a very high patient satisfaction rate. There is minimal to no down time.  Over six months one can see some tightening and lifting of the sagging tissues.

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

Ultherapy Works, and surgery is still the "Gold Standard"

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Ulthera is a great non-surgical option for lifting the face, jowl and neck area. However, results from NON surgical options tend to be less predicible because they indirectly lift and rejuvenate the skin. In other words, surgery directly lifts and reposition loose muscle and skin, whereas ultherapy uses focused ultrasound energy to induce collagen growth, which then leads to rejuvenation of the skin and lifting of the underlying tissue. This process takes longer, and depends on the individuals anatomy, how they care for themselves, and how they are programmed to age genetically.

James Chan, MD
Portland Facial Plastic Surgeon
4.9 out of 5 stars 60 reviews

Ultherapy Results

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Ultherapy is the only non-invasive treatment that can specifically target the deep foundation below the skin that is addressed in cosmetic surgery without cutting or disrupting the surface of the skin. It is also the only procedure to use ultrasound imaging, which allows us to actually see the layers of tissue we target during treatment and ensure the energy is deposited precisely to where it will be most effective. Ultherapy deposits focused ultrasound energy below the surface of the skin to stimulate the body’s creation of new collagen. As a result, skin will actually begin to lift and tone over time.

Ultherapy is the most predictable no downtime skin tightening procedure currently avaialble

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Ulthers predictably puts zones of ultrasound coagulation in mid dermis and on the lining of the muscle in the face.  The results seem to be predictable and reproducible.  The thermage procedure chas a 20% non responder rate whcih does not seem to be present here.  In my opinion this is the most predictable skin tightening procedure there is with no down time.  I also just completed a research study for skin toghtening on the body with ulthra and the results seem promising.  I will be presentiong the data a medical conference soon.

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon

Ultherapy lift

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The answer to the question about whether it works, is yes, it does really work.  Its reliability, is as with every other procedure i.e. it depends upon proper choice of the patient and what their expectations are.  Patients with large hanging loose skin are sometimes better served with a surgical facelift unless they willing to accept a more modest result in order to avoid the downsides of a surgical procedure such as post-operative pain, bruising, downtime, anesthetic risks, downtime, and costs etc..

Ted Brezel, MD
Long Island Dermatologic Surgeon

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.