I want to know what is the best treatment for me? Ultherapy or Morpheous8 or Thermi? I am 51 years old.

Question

I have sagging and loss of volume on my lower face and neck. I also have dark circles under my eyes.

Jason Emer, MD · Answer

As we age the skin sags there is  nothing  you can do that but try preventative  energy-based or thread-based  treatments or get a neck/facelift earlier in the aging process.  There are numerous options and some can be used in combination to get best outcomes but you need a consultation with an expert.
Options include for skin tightening :
thermage radiofrequency to heat skin and tighten it over time and prevent the aging process
ultherapy highintensity ultrasound to contract muscle and tighten the face and neck and prevent the aging process
PDO nova threads or instalift threads for immediate lifting without surgery and long term collagen production
sculptra injections for collagen production to areas of the face and neck with crepe skin or early sagging
btl exilis ultra, venus legacy, thermi250 , or inmode forma/contoura  for constant collagen stimulation monthly with facials
facelift/necklift with fat grafting/fillers if you need a big improvement
ThermiRF or J plasma /Renuvion or Inmode FaceTite   internal heating and tightening to long term internal heating and tighting with or without surgery
Platysmaplasty to tighten the muscles of the neck long term and create contour
Facial implants or fillers to contour the jawline and chin to improve the apperance of the nec k
Fractora/Morphenus8 or Intensif microneedling RF for improve superficial tightening, neck and chest wrinkling and crepe skin 
You need to see an expert in facial sculpting and age prevention.  Best, Dr. Emer.

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

David Hansen, MD · Answer

The choice is easy. Morpheus8 plus PRP is the top of the line skin tightening treatment. It is easy to undergo and with only roughly 4 days of swelling.

Michael A. Zadeh, MD, FACS · Answer

Thank you for your question. I perform ThermiTight, Ultherapy, and Genius Radiofrequency microneedling which in my opinion is superior than the Morpheus for skin tightening. Based on your picture alone, I think you will see the most significant results with ThermiTight, followed by Radiofrequency Microneedling, and then Ultherapy. Of course, these are all skin tightening treatments and will not replace the volume loss that is also present. I would recommend an in-person consultation and examination where an accurate treatment plan can be created for you. Best wishes.

Nicole Eisenbrown, MD · Answer

Hello, Sincere8617
Both Thermi and Morpheus8 are similar in that they both use radio-frequency. 
Thermi is a radio-frequency that is a lot more invasive than Morpheus8 and it won't be able to reach the under eye area properly.

Morpheus8 doesn't just have the benefits of radio-frequency BUT also that of Micro-needling! Making it a great option. Morpheus8 has shown great improvements in removing fat and tightening the jowls and neck AND tightening the eyes. 
Morpheus8 also works great in combination with Accutite and Facetite.

Best of Luck, 
Dr. Nicole Eisenbrown

Leonard Grossman, MD · Answer

All the technologies you mentioned result in some skin tightening at first. However, during the procedure a great deal of subcutaneous fat is literally cooked and as the body heals, this fat is lost forever making your face look considerably older and deflated some months after the procedure. I would urge you to visit a plastic surgeon near you and bring with yourself a set of photographs of you when you are considerably younger. I hope this helps and I hope the surgeon finds a treatment that will be suitable for you. Good luck from New York City plastic surgery

I want to know what is the best treatment for me? Ultherapy or Morpheous8 or Thermi? I am 51 years old.

Answers (6)

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