Thank you for your question. I really enjoy using both technologies in my practice as standalone procedures or in combination with one another. Both help to stimulate new collagen where the energy is delivered. Here are some common questions I receive is:
1) Which one is better? Profound delivers energy at the deepest portion of the skin and allows for the creation of collagen and elastin. Ulthera can also deliver energy at this depth but the energy is not as intense as Profound. So I believe a stronger response can be seen when comparing Profound vs Ulthera at the 1.5mm depth. However, Ulthera goes deeper and provides energy at the 3.0mm and 4.5mm depth which helps to target different layers which allows for a more collagen production in the muscular layer and fibroseptal layers of the facial tissue. Thus the best result is when you combine Profound and Ulthera together.
An added twist is that Profound has a deeper transducer that can help to break down some of the fatty tissue so is great in areas such as the double chin. This combination of Ulthera and Profound allows for a highly customized treatment plan. In our practice this it is common to combine these modalities (and even add on microneedling or laser resurfacing to help with the surface of the skin).
2) How often do I have to do the procedure? When you do a procedure that creates a net balance of collagen or elastin, the effects can be long lasting. However, you can build on your treatment results and continue to build more and more collagen support for the aging face. For someone on an aggressive schedule, one might do this annually and add-on smaller Ulthera retreatments for small areas such as peri-oral regions or the forehead every few months.