Is There an Art to Ultherapy? Does Is Matter Who Administers The Treatment?

I'm getting full-face & neck ultherapy next month. I have 3 possible doctor's offices I am considering, all within $3500-4000 in price. All are VERY reputable surgeons, but in 2 offices, the nurse performs procedure and in one, the doctor does. I've read there's an "Art" to performing ultherapy, and it DOES MATTER who performs the treatment. If this is true, then why and how does the "Art" and Technique matter? And how does technique determine results? How do I pick the right one?

Update: Photo removed

Doctor Answers 11

Ultherapy - A Client's Perspective

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A client of Dr. Shehla Ebrahim explains that Ultherapy feels like a deep pulse of heat.  It subsides just as quickly as it began.  There is residual heat remaining in the skin.  Recovery – there can be tenderness, slight swelling and possibly bruising. 

Expertise Is Essential to Ultherapy Results

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I would encourage you to go with your gut when choosing a board-certified dermatologist for your Ultherapy. However, a nurse who has been trained by a board-certified dermatologist and whose work is overseen by him or her, may be able to give you the desired results. There absolutely is an “art” to performing Ultherapy; years of experience, recognizing what tissue you are visualizing while treating, understanding the importance of each tissue plane and how they contribute to your aging concerns is required. I would look at the before and after photos posted on your candidates' websites, schedule another consult if necessary, and make the choice that makes you feel most comfortable.  The provider that recognizes that ultherapy can only do so much as can look at you comprehensively to see the interplay between bone, fat and skin that is accounting for your aging changes is would be more inclined to see.

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 91 reviews

Ultherapy Treatment Provider

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Technique is important. Not one face, neck or chest is the same. With that said we need to treat each patient to their own specific needs and cater to their specific anatomy. Whether the treatment provider is a medical aesthetician, nurse or physician they will need to have skill and knowledge to provide the utmost care.

Steven Gabel, MD, FACS
Portland Hair Restoration Surgeon
5.0 out of 5 stars 17 reviews

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It does matter who performs Ultherapy - Williamsville, NY

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In regards to the experience of the provider, the answer is a resounding yes ! It does matter who performs the procedure because the provider makes an assessment prior to the procedure what types of treatment lines to use, standard only or standard plus custom vectors of treatment to achieve the desired goals for the patient.

You are paying for experience and don't fixate on the price. 

Here are some things you need to know about Ultherapy:

. It is an FDA cleared technology that uses high intensity focused ultrasound energy
. It is unique in that the system uses B mode US imaging during energy delivery, making it a focused treatment, unlike RF or other technologies.
. Maximal benefit from Ultherapy reaches at approximately 6 months.

Read the Ultherapy ebook provided on the link below. It is free access and located in the ebook section of the website.

An Experienced Ultherapist will Customize your Treatment

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An Experienced Ultherapist will Customize your Treatment
Ultherapy does require detailed training and expertise. It does not have to be an MD and in many practices the MD does not perform the procedure, and therefore has less hands-on experience with the machine. Once a technician has been performing these procedures for some time, they will learn and be educated on more advanced techniques and skills. In our office, our NP and two PA’s perform the procedure. They have undergone extensive advanced trainings. Each patient who receives Ultherapy has different anatomy, varying laxity, and individual needs. We customize each treatment per patient. An experienced Ultherapist will look at the ultrasound image of your skin in each area, and decide which transducer will be most effective to target the appropriate layers and get you’re the best result!

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Many nurses, estheticians, and doctors are well trained enough to provide you with good results

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Technique does matter, however many nurses, estheticians, and doctors are well trained enough to provide you with good results. I would not base my decision on price. Instead pick the office that you feel most comfortable with. Also discuss with them your expectations, and how they can be addressed. Be sure that you have a realistic perspective going into treatment.

James Chan, MD
Portland Facial Plastic Surgeon
4.9 out of 5 stars 60 reviews

Who should perform Ultherapy

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This is a good question.  The treatment can be performed by a nurse, aesthetician, or medical assistant.  They need to have a understanding of the technology, skill with delivering the pulses and the more experience the better.  Every office is different.  You can ask the office who is doing the treatment and how long they have been doing it.Sometimes they are better at doing it that the doctor because of the volume and repetition. 

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 81 reviews

Yes it matters

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A successful cosmetic treatment, such as Ultherapy, requires a detailed technical knowledge, understanding of anatomy and skin physiology, and most of all adequate experience and training.  There are many technical and medical "maneuvers" that an experienced physican and/or practitioner will do in a course of any cosmetic treatment such as Ultherapy that will likely to enhance the ultimate clinical and cosmetic outcome, and more importantly, decrease incidence of adverse events.

Chang Son, MD
Englewood Dermatologist

Ultherapy perfomred by a doctor

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Ulthera is a foucsed ultrasound energy that is delivered in intense bursts to different areas of the face to induce tightening. The company has suggested two protocols already and the technique continues to evolve based on new treatments perfomred by physicians.  A physician understands the anatomy of the musculature and connective tissue of the face and knows what tissues to treat in order to see a lift in the desired direction.  In addition the physician has a healthy respect for the high risk areas to avoid so that there is less chance of nerve injury.

Patients aged faces are like snow flakes...there are no two alike and physicians can modify treatments tailoring them to the specific patient in front of them. One patient may need more treatment for the jowl and others may need more for the upper eyelids. I like to do the treatment myself on faces because I want the control of altering the treatment for my patients best result.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Ulthera needs a certified operater with experience for best results.

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Ulthera is becoming a very efficient means of non-surgical facial skin tightening, but should be performed by an experienced certified operator. Fortunately, most medical estheticians and nurses can be trained by the company and the doctor to use the equipment skillfully and correctly, with noticeably good results without any complications. In my office, my trained staff are obtaining results probably with less time and more ease than I would because of their experience treating our patients while the surgeon is operating and taking care of post op patients. After speaking with some treated patients from each office, consider returning to the location which  has experienced, certified operators, and makes you feel the most comfortable. You should be pleased with your results.

Maurice P. Sherman, MD
San Diego Facial Plastic Surgeon

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.