Which would you recommend; Ultherapy, venus or trinity laser? I'm looking for a younger, firmer face. Don't want to lose any fat

Hi Cezz,Ultherapy, performed properly, is by far the best choice to lift and tighten the face and neck. We have been using Ultherapy for the past 4 years with excellent results and very high patient satisfaction.  An added benefit of Ultherapy is that there is improvement of the skin tone, texture, and color.  With very little to no downtime, Ultherapy is a great facial and neck rejuvenation tool.  It has also just been FDA approved for the treatment of decolette lines.  Choose your treating physician most carefully.  Good luck and be well.Michael Persky, MDEncino, CA

The first thing you need to do is to make sure you are consulting with a board-certified dermatologist or plastic surgeon to determine which procedure or procedure is best for you. The Ultherapy procedure is great for ski tightening of the face and neck area. It is a one-time treatment; the Venus Freeze and now the Legacy are radiofrequency (RF) treatments that also do a great job in skin tightening. It works with several procedures, so work with your physician to determine which will be better for you. Dark spots will not be addressed with these, so having an IPL as well would be my best recommendation for you.

Ultherapy provides a non invasive way to tighten skin and is FDA approved for that indication. It does not destroy fat cells and does not alter the volume of fat in the treated areas. 

Ultherapy uses sound waves to injure the fascia and deep dermis without injuring the surface of the skin.  The procedure doesn't offer instant results but offers real and consistent tightening in good candidates.  Ultherapy can be used to treat the face, neck, temples (brow lift) and decollete and is used off-label for other areas.  I would recommend starting with a busy Ultherapy practice and ask them for what results you should expect.  Ultherapy will NOT decrease your facial fat.  I do think we see the best rejuvenating and age-reversing improvements when we combine modalities, including volumizing fillers in the upper face.  Good luck!

The "Buzz" in the medical and patient community still is Ultherapy.  Ultherapy is the only device FDA approved to tighten and lift the chin, neck and eyebrows.  Even doctors who have both Thermage and Ultherapy will recommend Ultherapy for firming sagging skin.  Ultherapy uses ultrasound to go deeper, reaching down towards the SMAS with more precision, depth and heat which is what provides the lift and growth of collagen.The Venus Freeze is a pulsed magnetic field and radio frequency energy.  The Venus Freeze, "may increase" theproduction of collagen and elastin in the skin.  Currently the device is only FDA cleared for wrinkle reduction, allrest only claims by the manufacturer.The Trinity, is not a laser, but a low level electrical current for "facial toning" and has an optional LED light attachment that is being "marketed" for "wrinkly reduction".  This is not a laser or even a medical-grade device.Clients should educate themselves before parting with hard earned money!