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.