Ultherapy Should Not Hurt, Right?

On a scale of 1-10, I have had patients rate the pain from 0 to 11. Everybody experiences the sensation of the treatment differently, but we offer a variety of pain management techniques to aid in patient comfort. These range from distractions, music, and breathing techniques to numbing cream, oral medications, and injectable anesthetics. We tailor pain management specifically to each patient to provide as much comfort as possible.

The minority of patients say that it didn't hurt too much but the average patient says it does hurt. Avoiding direct treatment of some nerves is possible, but the bony areas sometimes need to be treated but the depth of the ultrasonic energy is adjusted so as not to allow the energy to reach the bone.  Treatment over the cheeks, without treating bone or nerve hurts with ongoing lines of treatment. We are treating now with multiple transducers to allow  planes of different depths to absorb the energy. The cumulative energy delivered can increase the discomfort.  Multiple dental fillings or dental fractures might cause more pain.  The reality is this is the only device currently that is FDA cleared for facial lifting and I see good results in my practice. Certainly, it does not provide the same excellent amount of lifting that a facelift can create but without downtime and only requiring one to two hours of treatment, most patients are willing to put up with the pain.  I prescribe and provide different medications to my patients to make it a more pleasant experience. I am very explicit with my patients in consultation to let them know that there is pain during Ultherapy. Very rarely, a patient with a very low pain threshold may ask for sedation and this can be delivered in our accredited office-based surgical facility via a board-certified anesthesiologist.

I have trained with one of the founders of Ultherapy and watched as he delivered treatment to his patient that only took Ibuprofen (Motrin, Advil) prior to the procedure. This was with the earlier protocols when far fewer lines of energy were delivered and with less transducers so fewer planes were treated.  I knew then, that those patients who managed with minimal medication were the minority, not the majority of those that would undergo Ultherapy and patients would need some prescriptions including pain killers and pills to relax them so that the treatment would be tolerated. My current protocol has allowed me to treat the overwhelming majority of patients with the maximum safe protocol to afford them the best chance of improvement while minimizing their discomfort. Greater than 95% of patients see improvement and would do it again knowing now what they learned by going through the procedure.

Whoever said it's not supposed to hurt hasn't had the treatment.

Ultherapy reaches very deeply into the skin and the ultrasound beams are focused into one tiny point. That's what you feel and it is not painless by any means.

You have the option of numbing blocks or other types of anesthesia, and most physicians will offer you whatever type of pain control you feel you need. It's not intolerable without prescription pain medication, but it can get pretty intense in a few areas where nerves are in the energy path or where bone is closer to the surface.

The pain is felt ONLY when heat is generated by the focused beams - a few seconds - though with a rapid fire sequence with a rest in between. There is no lingering pain (though you will be tender and possibly bruised)

We've gotten used to thinking we can make major changes and not have to feel anything, That's not the case. Ultherapy is a "purposeful" controlled injury designed to deep tighten and lift. For it to be effective, the energy has to be high. High energy hurts.

I have done Ultherapy since 2011 and have done this procedure in hundreds of patients.I have only terminated the procedure in 1 patient due to 'excessive pain' despite using ibuprofen before (1 hour before 400 mg) and immediately before (400 mg) the procedure. The modified or reprogrammed device (3rd generation) is nearly painless at the highest settings of energy delivery. Overanxious patients can be driven to the office and are recommended to take 5 - 10 mg of valium an hour before the procedure. Read the Ultherapy ebook provided on the link below.

Ultherapy is very effective at non-invasively tightening the skin. The procedure can be painful, but is felt differently by every patient. Pain varies from hardly any to severe. It is helpful to give a pain medication and a light sedative to help with the pain. If our patients get a sedative I make sure they get someone else to drive them home. Pain is almost gone except for some tenderness as soon as the procedure is over.