Skin tightening in the eyes and jaw line - would Sylfirm X or Ultherapy deliver better results?

Without photos, it is difficult to comment in any but the most general way. What can be said is that If there is sagging and jowl formation of the lower face and jawline, robust HA fillers have a proven track record (when injected by experienced physician injectors) for achieving nonsurgically and noninvasively immediate results for straightening and defining the jawline and treating jowls along the jawline. And if the problem is accordion lines and parallel laugh lines of the lower cheeks around the mouth, this, too, can be improved by injection of an appropriate cohesive, low viscosity HA filler properly injected in the region. A robust HA filler placed in the upper cheek region (the support region for the under-eyes) can also significantly improve under-eye hollows, bags and tear trough issues. By contrast, you would be wise to exercise a great deal of "buyer beware" when evaluating so many of the here-today-gone-tomorrow, relatively expensive "bells and whistles" light and energy-based treatments, etc. that are backed far more by heavy marketing hype than hard science. To lessen the chance for "buyer's remorse," you would be wise to consult with a board certified cosmetic dermatologist. Hope this helps. Best of luck.

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

We were a big user of Ultherapy when it first came out and it is still a good treatment when used appropriately, but here are the reasons why we have pretty much replaced Ultherapy with the SylfirmX:
SylfirmX is much less painful and you can treat the whole face whereas, there are certain areas of the face that should not be treated with Ultherapy. In my experience, the SylfirmX gives better overall tightening although you you need to do 3 or more treatments for best results while the Ultherapy is meant to be a single treatment. The cost for 1 treatment of Ultherapy is comprable to 3 treatments of SylfirmX. If you do multiple areas like the face neck and chest, the Ultherapy pricing can become prohibitive because the provider has to pay for each pulse whereas 1 SylfirmX tip can be used to deliver a full face neck and even body treatment in a single session without the provider incurring any extra costs other than cost of labor. When used propery, Ultherapy has no down time. SylfirmX has almost no down time. There is some redness that usually resolves within 24 hours. Finally, SylfirmX is designed to be more of a regenerative treatment especially when combined with PRP or exosomes. The micro channels created by the needles allow these therapies to be absorbed into the skin, the focused ultrasound does not create any channels for products to be delivered. We still provide ultherapy for people who specifically request it, but SyfirmX is our top choice for non-invasive skin tightening.