Is Ultherapy damage reversible? Do I need surgery? (Photos)

Any skin tightening procedure that produces heat, has the potential to damage the fat if not done properly. Ultherapy is very safe it you use the ultrasound and identify the level of the collagen properly and the proper transducer accordingly.

At this point, it appears that you have has volume loss. The best ways to restore volume is with a biostimulator (Sculptra) or a fat transfer. Those will give the longest lasting results.

Since the problem is volume loss, a collagen stimulator like Sculptra, powdered stem cells of fat like Renuva, or a facelift surgery incorporating fat transfer would all be options. I recommend an in person consult with a few board certified plastic surgeons to get opinions since the surgeon will be able to manipulate the tissue which gives more information than just photos.

One other option that can help to tighten tissue and stimulate collagen is Radiesse and Sculptra injections. If Ultherapy treatment truly reduces the fat layer, the only way to restore fat is to do a fat transfer. But Radiesse and Sculptra can help bring back the volume and help tighten the skin to reduce the visible loss of volume in the tissues.