Ultherapy Before or After Weight Loss?

I've lost 30 pounds, and need to lose another 20. I was considering doing Ultherapy now but wondering if I should wait until I'm done losing all the weight?

Doctor Answers 11

Wait it out.

It is probably better to wait until optimal weight is achieved because Ultera is more effective in patients with thinner skin.

New York Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Ultherapy and Weight Loss

With a procedure like Ultherapy, it's best for the patient to be at a stable and consistent weight. Additional weight loss may cause additional laxity to your skin, therefore it is best to have the treatment once you are at your goal weight. 

Mary E. Hurley, MD
Dallas Dermatologist
4.2 out of 5 stars 5 reviews

Ultherapy and weight loss

Thank you for our question. We encourage patients to be a stable weight prior to the Ultherapy procedure. As with any contouring or tightening procedure, a stable weight will allow for optimal results. If you are looking to lose 15-20+ pounds, we recommend that you get close to goal prior to having the procedure done. Losing weight can many times make the skin have more laxity and sagging. You will most likely get the best result after you hit goal weight.

Steven Gabel, MD, FACS
Portland Hair Restoration Surgeon
5.0 out of 5 stars 12 reviews

Ultherapy before or after weight loss - Williamsville, NY

I would wait on the Ultherapy until you have reached your weight goal. 

You will find, at that point, that the laxity is worst than you thought it was - it will give you realistic expectations as to what is needed to correct the laxity of the skin.

We have performed Ultherapy since 2011 in hundreds of patients. 

Read the Ultherapy book on the link below. 

Hratch Karamanoukian, MD, FACS
Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Ultherapy by Ulthera and Weight Loss

Hi San FRancisco in San Francisco,

Sarmela Sunder, MD has answered your question beautifully and accurately.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Does weight loss affect timing of Ultherapy treatment?

In general, an approximately 30 lb weight loss is noticeable in the face and neck. If you were planning on losing 10 lbs, I would say that it would not matter whether you did Ultherapy now or later. If you are planning on losing 20 lbs, I would consider waiting until after you have lost all the weight first. If you are planning on losing 30 lbs, I would definitely recommend waiting.

The additional weight loss may affect the appearance of your face and neck in the form of volume loss, as well as sagging skin. It makes more sense to treat these areas once you’ve achieved your target weight than to do it half way through your weight loss. Imagine having a treatment now and being happy with your results, only to develop more sagging as a result of additional weight loss. In addition, addressing your face and neck after your complete weight loss also allows your physician to tailor your treatment to give you the best results possible. Hope this helps! Good luck!


Sarmela Sunder, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 19 reviews

Finish Weight Loss Before Proceeding with Ultherapy

Th amount of weight loss that you are anticipating will effect the treatment results from Ultherapy.  An additional 20 lb weight loss should take about  3-4 months.  It will be worthwhile to wait this amount of time to get optimal results.

Joseph Campanelli, MD
Portland Facial Plastic Surgeon
4.5 out of 5 stars 8 reviews

It depends on your expectations

Because you are losing a substantial amount of weight which will affect the fat percentage in your face as well, you may be left with increasingly saggy skin.  Ulthera is wonderful for mild to moderate sagging and will help tighten and lift the skin.  Ulthera also improves the tone and texture giving the skin a much more youthful appearance.   Your level of satisfaction will be based on your expectations going in to the treatment.  Even with weight loss, your skin will be improved with the Ulthera but excess redundant skin will probably require a surgical approach.

Dan Mills, MD
Orange County Plastic Surgeon
4.8 out of 5 stars 33 reviews

Ulthera and weight loss

You will most likely get the best result if you wait until you are at your goal weight before having Ultherapy.   However, patients have been treated as part of a healthy weight loss process and have have very good results.  As long as you are losing weight on a steady 1-2 pounds per week basis, not a crash diet, it seems the Ultherapy is able to tighten the skin at the same time.

Angela Sturm, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Ultherapy after marked weight loss

Having ultherapy before or after a slight weight change should not matter, but IF you have a fat face and want tightening, and then lose significant volume of fat, the Ultherapy's depth of 4.5mm may penetrate to the important deep structures of the connective tissue to help tighten it. If your face is not fat to begin with and your weight loss is in the body area, then it shouldn't make much of a change. However, if you will be losing weight by incorrectly dieting and not consuming enough protein and vitamin C then your collagen production might be jeopardized and the Ultherapy may not be as successful.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

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.