Why Am I Not Seeing Results After Two Weeks out from Ulthera and Sculptra Same Day ?

I had ultherapy two weeks ago followed immediately with 2 vials of sculptra. Presently, I see no improvement. Why?

Doctor Answers 9

Ultherapy and Sculptra at 2 weeks

Ultherapy has advantages as it uses imaging to deliver targeted high intensity 'focused' ultrasound.

The results of skin tightening will be most apparent at 6 months.

We have performed hundreds of Ultherapy procedures in our Williamsville, NY office.

Read our Ultherapy book on the link below.

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Ultherapy and sculptra results at two weeks post op


  You are very early in the post treatment phase of ultherapy.  The collagen production takes months to be seen so be patient.

  The same can be said for sculptra.  These injections need time to build up collagen and the process is not seen in two weeks.  These two methods of collagen buildup work on different principles.  Sculptra instigates collagen production from the surrounding deeper tissue and the ultherapy tightens the skin at two different levels.  Hence the two passes that you had during your treatment.

  Be patient and stay close to your ps to make sure your questions are answered.

Steven M. Lynch, MD
Albany Plastic Surgeon
5.0 out of 5 stars 18 reviews

Results after Sculptra and Ulthera

It can take up to 6 months to see results from ultherapy (sometimes sooner depending on the patient).  This is due to the fact that ultherapy and sculptra slowly but steadily stimulate the growth and production of collagen.  Sculptra is most effective when injections are given every 4-6 weeks (typically a total of 4 vials are needed, however this always depends on the patient).   With that being said, you still have plenty of time to see the full effects of the results.  I hope this answer helps.  

Paul L. Leong, MD, FACS
Pittsburgh Facial Plastic Surgeon
4.9 out of 5 stars 46 reviews

Both Ulthera and Sculptra stimulate the body’s own collagen

Both Ulthera and Sculptra stimulate the body’s own collagen.  That is a gradual process that takes several months. 

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 66 reviews

Ultherapy Tightening is Gradual & Sculptra Works Cumulatively

A more thorough explanation of the time element for seeing results from either Sculptra or Ultherapy would have prepared you not to expect to see changes in such a short period of time. Both produce results over time but very gradually - one of the positive benefits since you don't look different overnight!

Sculptra actually performs best in "layers" - the initial injections form the groundwork, then additional sessions build upon that and can be very customized. Think of Sculptra as layers of new collagen.

(Some younger patients only require one session of Sculptra but anyone who is also experiencing skin laxity generally has considerable volume loss that simply can't be reversed with one treatment).

Ultherapy works by heating the very deep structural tissue in the skin. The skin's response to this heat is new collagen production and a shrinking effect of older loose collagen. Ultherapy response is usually fairly evident at about 3 months, so be patient. Because the effects are gradual, you'll not necessarily notice the day to day subtle changes.

Tip: Keeping a copy of your pre-treatment photo to refer to over time helps make the wait a little easier.


Rebecca Fitzgerald, MD
Los Angeles Dermatologic Surgeon
4.1 out of 5 stars 21 reviews

Sculptra and Ulthera both induce collagen

Both Sculptra and Ulthera produce a thickening/firming effect through similar, but distinct, mechanisms. Sculptra is an injectable filler comprised of a suspension of disolvable particles that are similar to disolvable suture material. As they dissolve, they cause inflammation that results in collagen formation that produces the filling effect. The process takes 6-8 weeks. Ideally Sculptra is injected 3 times, about 6 weeks apart, to produce maximal effect.

Ulthera heats and perhaps mechanically injures the deep layers of the skin and the subcutaneous fat using focused ultrasound (sound waves). This likes results in inflammation that causes collagen to form, similar to a burn effect. This process takes longer than Sculptra; it takes 3 months or more to firm the skin.

Enjoy your treatments.

Steven Goldman, MD
Cleveland Plastic Surgeon
5.0 out of 5 stars 142 reviews

Sculptra Results Take Many Months to Appear

Both Sculptra and Ulthera take months to stimulate the body's collagen production. Patients having one to two Sculptra treatment sessions one month apart rated their correction as good to excellent 48% of the time. After three treatment sessions this percentage rose to 50%. After four treatment sessions this percentage rose to 67%. After five treatment sessions this percentage rose to 75%. A recent study showed that the majority of cosmetic patients would choose duration over immediacy when considering an injectable filler treatment. So please be patient and allow lots of time to see the results.


Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Gradual, Predictable Improvement

Both Ultherapy and Sculptra are designed to stimulate your body’s own collagen over time.  The regenerative process is initiated right away, but the full effect will build gradually over the course of approximately three months.  Patients typically need a minimum of 3 Sculptra treatments spread out over a few months to achieve the desired effect.

Daniel J. Leeman, MD
Austin Facial Plastic Surgeon
3.4 out of 5 stars 5 reviews

Ultherapy and sculptra are not immediate gratifiers

Please be patient.  No one expects results immediately from either the Ultherapy or Sculptra. Sculptra initiates your body's response to making new collagen after the injections and this takes time. Think of Sculptra as a seed, not an immediate volumizer. Usually it is done every four to six weeks for three sessions. Ultherapy provides improvement over six months after the procedure from tightening the connective tissue in the deep dermis and helping the fibroblasts make more collagen.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

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.