Ulthera uses ultrasound energy which penetrates very deeply and uniformly into the skin and underlying connective tissue resulting in a nonsurgical lifting and tightening of the skin. It is best used for the brow, forehead, mid and lower face, jawline, jowls, under chin and neck regions. It is the best nonsurgical alternative to a facelift. It is important to know, however, that it does not give the results of a facelift or necklift but then again you're not having to go thru surgery. It truly is noninvasive with no downtime or recovery time. It is very safe when performed properly by a trained expert. Patients are very pleased with the results as long as they have realistic expectations. Most patients have results after one treatment but can have even better results if they go thru a second treatment. Thermage is also an effective nonsurgical alternative to a facelift with results similar to Ulthera. It's important to have both procedures performed by a board-certified dermatologist or cosmetic surgeon who understands the anatomy and can optimize the treatments while minimizing undesired side-effects. There have been reported negative side-effects which are usually the result of a nonexperienced practitioner (ie: nurse or nonaesthetic doctor) performing the procedure. Thermage has a new 3.0 power tip which is more effective than the older tip and gives similar results to Ulthera. If a patient really wants proof as to which treatment works better, I give them the option of having half their face treated with one device and the other face treated with the other device--this way they can see that the results really are the same. Then if they opt to do a second treatment they can decide if they want to do the entire face with only the one device that they prefer.