Why Don't I See A Difference After I Had Ultherapy Done 2 Months Ago on the Upper Face?

There are two components responsible for facial lifting after Ultherapy. One is the contraction of the SMAS connective tissue layer. This is an immediate effect. Once it contracts, it tightens and in turn, lifts the facial features that have sagged over time.  The other component is the development of collagen. This effect can take six months or more, even up to a year to see the final result. Having had less pain does not necessarily mean you would get less of a result.  Your nerve endings might not be as sensitivie to the thermal changes in the dermis as other people.

Results from Ultherapy, may differ, depending on how the treatment was done. How close together were the lines of therapy? How many lines were done? If one doctor were to treat the face with Ultherapy by giving only 500 lines, and another doctor treat with 1000 lines, the results certainly may be different. If there were multiple transducers of different depths used, then there might be better lifting or tightening.

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

 

It takes three months to START to see the results. Over the course of the next 6-9 months, even better results will become noticeable. 

Ultherapy results typically are just starting to kick in at the 2 month mark, and the onset is gradual. I tell patients they will see results at 3 months, and may continue to have improvement up to 6 months. Regarding pain during treatment, it really varies person to person. I've had some patients say it didn't hurt at all, and other patients say it was painful and much better tolerated with pain medication on board. The fact that you didn't have pain does not mean it was not working. Also, take a photo of yourself in one month (at the 3 month mark) and compare it to your pre-treatment photo. Often when the results are gradual, and you forget what you used to look like, thinking you always looked the way you do now. A few of my patients who wondered if they saw results were shocked when they looked back at their old photos. They actually had a huge result but didn't realize how they used to look. If you truly did not get any result, I would go to the provider and voice your concerns. Maybe you got a less aggressive treatment and there is room for more. While Ultherapy is an excellent treatment, the results do not equal a facelift. If the treatment does not give you as much as you hoped for, surgery may be what you really need to accomplish your goals.