Ultherapy Safe with Laser Genesis?

Is it safe to use these two laser treatments together? Should they be spaced apart and for how long?

Doctor Answers 5

Ultherapy and 1064 laser treatment

I would not recommend doing them at the same time. Ulthera does treat the dermis and can induce secondary changes in the epidermis through use of sound waves. The laser genesis uses 1064 micropulses that causes very selective dermal and epidermal injuries that induces tissue remodeling and rejuvenation. After the treatments using both of these devises there is stimulation of collagen formation that occurs over weeks to months. You would get your best results I believe by spacing the treatments out, say 3 months apart. I would also recommend doing the 1064 laser first and the Ulthera second, since there is little risk for epidermal injury with Ultherapy, and the new dermal collagen induced by the 1064 laser may provide a synergistic effect after being exposed to the focused ultrasound energy. I hope this helps! Good luck!

Las Vegas Dermatologist
5.0 out of 5 stars 4 reviews

Ultherapy and Nd YAG laser

Thank you for your question.

Two different technologies with some overlap of the treated areas. 

HIFU of Ultherapy does affect the dermis and SMA muscles, sparing the epidermis. 

The Nd YAG 1064 can cause injury to the most superficial layers of the skin.

It is best to space them at least a week.

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

Ultherapy and lasers

Unless the physician who is performing the treatment has significant experience utilizing the two procedures on the same day on the same patient, it might be more prudent to space them apart. I tend to perform the Ultherapy first and then do laser resurfacing afterwards, usually on a separate day but there can be exceptions. Discuss the risks with your physician.


The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Ultherapy use with other lasers (Genesis)

Genesis is a 1064 Yag laser used for redness and collagen regeneration. It heats from the surface down. It generally takes multiple treatments to get good results.

Ultherapy is an ultrasound technology that bypasses the top layers of the skin and focuses high frequency ultrasound waves to target the underlying fascia and deeper skin to cause tightening, lifting, and plumping. You see results in 2-3 months, and it is built as a "single" treatment, however more than one treatment may be recommended based on your results.

There is little research on using a laser at the same time as the Ultherapy. In theory, it seems that you could safely use the two lasers together, however, there may be an increased risk when you are heating the tissues twice at the same time.

I would probably recommend separating the two procedures by a week or so unless there is really a strong reason for you to need them at the same time (such as living really far away from the treatment center). If you do proceed with having them at the same time, think about first doing a "test" area.

Jennifer Reichel, MD
Seattle Dermatologist
4.5 out of 5 stars 42 reviews

Ultherapy and Laser Genesis

There is no concern about doing the procedures together – the Ulthera treatment is going much deeper than the laser genesis therapy – so treat away.

Michael Gold, MD
Nashville Dermatologic Surgeon
4.0 out of 5 stars 18 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.