What Does Underlying Supportive Tissue in the Skin Have to Do with Ultherapy Wrinkle Treatment?

Doctor Answers 5

SMAS muscle layer and Ultherapy - Williamsville, NY

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Here are some things you need to know about Ultherapy:

. I have performed Ultherapy since 2011. I have performed it in hundreds of patients.
. It is an FDA cleared technology that uses high intensity focused ultrasound energy
. It is unique in that the system uses B mode US imaging during energy delivery, making it a focused treatment, unlike RF or other technologies.
. Maximal benefit from Ultherapy reaches at approximately 6 months.

. The skin is supported on a structure called SMAS and it is like a carpet laid on that material below it that prevents it from 'rolling'. It holds the carpet in its place. So does the SMAS muscle layer. Tightening the SMAS keeps the skin taut and reduces its laxity. 

Read the Ultherapy ebook provided on the link below. It is free access and located in the ebook section of the website.

Ulthera helps laxity

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

That is a great question. The wrinkles in the skin are in the dermis and do not go away with Ulthera. You are right!

Ulthera helps the supporting structure, more specifically, it tightens the SMAS or the superficial musculoaponeurotic system. This helps the laxity and sagging in the area. It lifts because it helps build collagen. While the little wrinkles that are superficial also get some of the energy and build collagen, the primary reason to do Ulthera is the tightening and lifting. Compare this to a laser like Fraxel, where the energy is targeted to making collagen in the dermis and helps smooth away wrinkles.

The two treatments therefore work best together to address different components of the aging process: Sagging and laxity is addressed with Ulthera and the large pores and fine wrinkles get treatment with Fraxel.

Hope this helps!

Tanya Kormeili, MD
Los Angeles Dermatologist

Ultherapy works best in those with better collagen and elastin in their dermis.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Ultherapy uses focused ultrasound energy to stimulate collagen production and cause tightening of the connective tissue layers, including the SMAS (the superficial musculoaponeurotic system).  Older or more photodamaged patients will not get as good a result with tightening as those who are less damaged and have better deeper tissue collagen and elastin properties.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

You might also like...

Ulthera works on collagen under the skin

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Ultherapy uses micro-focused ultrasound energy to stimulate the collagen that makes up connective tissues under and in the skin. Because the final result depends on the ability of the collagen to respond, so the younger and healthier the tissues are to begin with, the better the response. So it isn't a replacement for a facelift but can be very helpful with the right expectations.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 59 reviews

Ultherapy treatment and underlying supportive tissue

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Treatment of the underlying supportive tissue (SMAS and connective tissue over facial and neck muscles) is the hallmark of the "deep see"  Ulthera procedure. Ultrasound focused energy is delivered to thisdeep supportive tissue stimulating the growth of collagen thus tightening and lifting the skin.  The cosmetic procedure is performed with out cutting or damage the skin surface.  The Ulthera system is the first FDA approved medical device with specific lift indications for the face and neck.

Skin laxity or wrinkles are treated in two planes,one being the deep layer of the skin (dermis) and the other the underlying supportive tissue. New  collagen production is stimulated during the healing process, and results in tighter skin.



Rondi Kathleen Walker, MD
Washington Facial Plastic Surgeon

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.