Ulthera Vs Laser for Skin Tightening

I would recommend both.  They work at different depths and both help to tighten your facial tissues.  I often combine treatments to allow collagen stimulation/remodeling at multiple depths.  The laser will definitely have more downtime if you are pursuing an aggressive treatment like the CO2 fractionated treatments.

Non-invasive skin tightening devices for the face can be started before the aging process is very noticable.  Pelleve is a radiofrequency device that can help tighten the skin.  Thermage is also useful for this puropose. Ultherapy may be the most effective when done as a solitary treatment. Lasers can tighten but often do this by either fractionally non-ablatively removing damaged collagen from the dermis through microchannels in the epidermis, or fractionally, ablatively, destroying more tissue and having a longer recovery, or finally non-fractionally removing all the epidermis to reach the dermis thereby creating the longest healing time and increasing risks of scar formation. Think of ultherapy as the deep tightening and lifting, and lasers as the refreshers of the surface damage.

There are important differences between Ulthera and laser peeling such as Fraxel for skin tightening. Both are intended primarily for facial rejuvenation. Laser procedures will have more of an effect on the skin itself but there will be some downtime due to peeling and redness. Ulthera goes deeper and does not disrupt the skin so there is no downtime to recover.

Ulthera, which uses high intensity focused ultrasound to deliver heat, is a great option for skin tightening on or off the face.  I would choose a laser like the fraxel dual if you also have skin discoloration or wrinkles that remain deep at rest.  If you have a combination of skin sagging plus texture and color issues, then you might want to consider doing an ulthera treatment first to start the process of improving collagen.  Then have your fractionated resurfacing with the fraxel -- the number of treatments will depend on the amount of texture and color to be improved.  At the end you can achieve a holistic rejuvenation.

Laser treatments, such as
Fractional Skin Resurfacing or eMatrix Skin Resurfacing, do trigger collagen
production to tighten skin. However, these treatments are used primarily to
address surface skin damage, such as fine lines and wrinkles, acne scars and
other blemishes, age spots, hyperpigmentation, and the signs of sun damage. Both
protocols require multiple treatments. Both also involve post-treatment side
effects, such as swelling and redness that lasts up to five days. Furthermore,
this is typically followed by bronzing and peeling due to the stimulation of
healthy new cell regeneration.

On the other hand, Ultherapy
is a treatment akin to a non-surgical facelift. The ultrasound energy employed
reaches down to the underlying muscle tissue in order to jumpstart collagen
production from the inside out. Ultherapy initiates a much stronger process of
lifting, tightening, and toning the skin to smooth wrinkles, diminish facial
folds, retract skin in the area of the forehead, jaw line and neck, and restore
more youthful facial definition. Ultherapy is a one-time treatment, with no
down time, and if your problem is lax skin and sagging facial features,
Ultherapy is by far the better choice.