Do you recommend ULTRAtherma? Which is the latest in ultrasound for tightening skin?

A combination approach would give the most improvement. Kybella, PDO Nova Threads, Ultherapy and/or ThermiRF treatments (Venus Legacy) are non-invasive options that would do well in combination for skin tightening. VASER with ThermiRF is a great alternative for contouring and tightening the chin and neck and can be combined with a neck lift at the same time, if you're a candidate. See a cosmetic dermatologist for a long term treatment plan. Best, Dr. Emer.