Thanks for your question. The two devices you are asking about are different. Ultherapy is fractional ultrasound and requires one treatment to tighten the skin of the face, neck, and chest. Some pain is associated with the treatment and results are noticeable within a three-month period of time. TriPollar uses radiofrequency (RF) energy to cause skin tightening, something that we all use for body contouring every day in our practices. This machine uses three poles of RF to cause a deeper effect than some of the other RF technologies and the way this was designed, the poles that produce the RF also help take away pain that can be associated with the procedure. So for skin tightening, one needs a series of treatments, usually 4-6, over a 4-6 month period of time, to get the desired results – but this technology works.