If I have a naturally round face, would Ultherapy be a solution for lifting and slimming? What are the alternatives? (Photo)

Question

My main areas of concern is to get rid of slight double chin (1), create a more chiseled jawline by getting rid of fat on the sides under jawbone (2) and lift and slim the lower face (3). I've heard of Ultherapy actually causing fat meltdown in people's faces. If I am actually looking for fat reduction, would it then be a good method for me? What about inadvertent melting of connective tissue? Is this mostly about not using the machine correctly? What are the alternative methods out there?

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

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question and for providing a picture. Ultherapy is a great option that lifts the face, however it would not provide the results you desire. I would suggest threading and fillers as well to help conture the face. I recommend scheduling an appointment with an experienced doctor in order to further discuss the matter.  Hope this helps. All the best.

Kimberly Butterwick, MD · Answer

Hello and thank you for your question. Ultherapy is an effective method of tightening the skin to reduce early jowl formation and create a firmer, smoother look. It is a good option for tightening up the skin on the neck as well. However, Ultherapy will not produce the  facial shape you are seeking. Combination therapy will give you the best option. Do Ultherapy first and then add filler to the face along the jawline and arch of the cheek to achieve lift, angularity and contour.
  
If you want to further slim the lower face, you have a couple of other options. Botox injections into the masseter muscle along the jawline can reduce the muscle and create a slimming effect. All of these treatments in combination will raise the neck. If further treatment is necessary, both liposuction and Kybella can be used to remove submental fat underneath the chin. Kybella is an injectable treatment that usually requires more than one treatment session and takes a few weeks or even months for results to fully develop. Liposuction takes care of the submental fat in a single session, but does require local anesthesia and a few days of recovery time. 
  
No matter which procedures you choose, combination treatment is best and make sure they are administered by an experienced, board-certified dermatologist who can tailor your treatment plan to your precise needs and goals.

Mitchel Goldman, MD · Answer

I appreciate your question and photos. Ultherapy is a skin-tightening procedure that works by delivering ultrasound energy into the dermal layers to stimulate collagen production. It does not work deeply enough to have any effect on unwanted fat. If you want to sculpt the chin and jawline, you might want to consider liposuction to suction away the unwanted fat cells. This procedure can be done using local anesthesia and downtime afterward is usually minimal. 
Once the chin is sculpted, Ultherapy can be used to firm up skin and create a smoother finish to the lower face. Make sure you work with a board-certified dermatologist who is experienced in these procedures to ensure you achieve an optimal outcome.

David Hansen, MD · Answer

Ultherapy doesn't work most of the time and can cause complications. Just get the tum. lipo with the micro canulas and Facetite and you will have beautiful sculpted jawlines and neck without the risks of ultherapy nor it's disappointing results. Within 1 day you can look amazing and it is so easy to do under local.   Sincerely, David Hansen,MD

Elham Jafari, MD · Answer

Hi and thank you for your question! Ultherapy can provide you with a nice skin tightening and lifting effect and can provide some improvements with your jawline and chin. However, Ultherapy primarily works by stimulating collagen (hence, tightening and lifting skin) and it does not melt way fat. For that, you can consider Kybella, CoolSculpting or WarmSculpting (SculpSure) that can specifically target fat cells and destroy them. Also a full face evaluation is needed as your picture does not provide a complete view and in some cases, we can also try jaw slimming with Botox or other neuromodulator to further create a slimmer and "V-shaped" face. I hope it helps and good luck!

Robert Heck, MD, FACS · Answer

Dear Lilly, I like ultherapy for your problem area to treat mild laxity. You do not appear to have enough tissue to warrant lipo or even cool sculpting but an in person consultation would best tell you what options you have. We have been doing UL over 3 years with no complaints of any tissue "melting" however I'm well aware of the reviews it gets. Make sure you go to a provider of UL that really understands what they are visualizing on the Ultrasound therefor giving you the best and most up to date protocol. Best of luck.

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Dmitriy Schwarzburg, MD · Answer

A variety of options can be used to address the problem you are experiencing including PDO threads. CoolSculpting to reduce fat if there are. In order to tighten and firm your skin, I would suggest combining Secret RF with Fraxel. Botox and fillers are also wonderful options when appropriate. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

If I have a naturally round face, would Ultherapy be a solution for lifting and slimming? What are the alternatives? (Photo)

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