Ulthera is an ultrasound technology, and Accent is a radiofrequency technology. (Neither is a laser in the actual definition of laser.) I offer both Ulthera and Accent treatments in my offices, and I make recommendations between the two based on what the patient wants to achieve, and with how many treatments. The Ulthera is considered a one-time only treatment, with results best seen at 3 months. The Accent requires a series of treatments, every 2-3 weeks for 5-6 sessions for best results. Not all patients are good candidates. Also, even if a patient is a good candidate for a treatment, if the results they want are not achievable with a given technology, I don't recommend it. There is no standard cost, because it depend on many factors. An individual Ulthera is more expensive than an individual Accent treatment, but Ulthera also requires less treatments, so may be cheaper for total cost. For Ulthera, the cost for either one depends on how many areas you are treating, and how many different depths you are treating, to effectively tighten and lift and tone an area. For Accent, it depends on how many areas, and you can choose skin tightening or volume reduction or both.