Ultherapy of Lower Face & Neck Led me to a FACELIFT.

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*Treatment results may vary

I am 47 years old and have been using fillers, etc...

I am 47 years old and have been using fillers, etc for about 5 years, on and off. However, the rapid sagging of my jawline and neck in the last two years has become too severe for the fillers to address so I have started looking into a lower facelift.

However, I planned to do the facelift next year on my 48th birthday and went to a new dermatologist for fillers yesterday, you know, to draw attention away from the turkey neck. After much discussion and reviewing case studies of other patients, she convinced me that Ultherapy would give me great results and perhaps stave of major surgery a while longer.

Here's what I know at this point and what you may be able to expect.

- About an hour prior to the procedure you are given an Ativan (optional) to calm you the f*** down, as well as 800mg Ibuprofen to help with the pain (oh, we'll get to the pain in a minute). Numbing cream is applied to the subject area.

- Ultherapy can be done in several areas of the face (upper, mid, lower or any combo thereof). I chose lower (i.e., from nostril-level to base of neck and from behind ear to behind ear.)

- Once you are sorta numb you are placed on a bed. A technician will then begin to address sections where a pre-determined number of "zaps" is called for, making sure the entire area to be treated is covered (like mowing a lawn). She/he will do section by section ensuring each section gets the number of zaps needed.

- It's a lot of zaps.

- Pain. I'm not gonna lie, it hurts. I've had tattoos done and some of the really bad zaps are up there with a tattoo needle except with tattoos you don't feel that nerve ending/electric shock pain. The zaps range from "mosquito bite" to "rubberband snap" to "OHMYGOD STOP SO I CAN KILL MYSELF". This is certainly a "No Pain, No Gain" scenario. But I got through it, because Beauty.

- The tech will first do the entire area with the ultrasound machine that goes really really deep and when all that is done he/she will go over the same area, piece by piece with an ultrasound that goes much less deep into the skin. The latter is supposed to hurt less. LOL.

- Once it's done you feel some tightness but it's been almost 24 hours and I have no discomfort whatsoever. I have no bruising or swelling or redness of any kind.

- Now we wait 3-6 months for results.

I will post before pictures shortly and then every month thereafter.

Stay tuned!


Ugh. I can't even look at these. Am I part turkey and didn't know it??


Am I part turkey? UGH. I can't even look at these.

One week in, the tightening (and mild discomfort) begins!

I woke up with a little soreness in my neck today but didn't give it much thought, thinking it was residual tenderness from the procedure last week. However, as the day progressed the area got tighter and a bit more sore and now, 8 hours later I have had to take a Tylenol.

It's an odd feeling, like you can't swallow as easily as you normally do, like your neck is not quite long enough. Something is definitely going n in there.

I hope that's a good thing?

Is there an improvement? I don't know.

It's been 3 months since my treatment and while I do sometimes see an improvement I have to say at this point I would have rather put the $2,500 towards a lower-face lift. I think I could have gotten this almost-imperceptible tightening with a good face cream.

My wonderful doctor told me she sees much more improvement from months 3-6 but I don't know. I can't see the tightening accelerating enough in the next 3 months to meet my expectations.

At this point I will most likely still go for a lower facelift early next year.

3 months. Mind's made up - I'm having a face lift.

Ultherapy Schmerapy.

To be clear, I will give it 6 full months before a final "Worth It" or "Not worth It".

My doctor asked that I give it a full 6 months and that's what I plan to do. At that time I will give it a rating. Thanks.

Ultherapy might have even made things worse!

Six months. Very disappointed. This was an experiment this doctor talked me into, but one only one of us could afford. I went to her to have some things injected here and there while I put money aside for a lower facelift. She told me not to do a thing and to give this a chance (i.e., "I need to pay for this ridiculously expensive Ultherapy machine I bought.")

Six months later I'm $2,500 poorer and saggier.

I went for my six month check-up today and after 1.5 hours of waiting to see the doctor I left.

Not worth it. Not one little bit.

8 months later...

Nothing. Like it never happened.

Oh wait! Something did happen! The doctor got an extra $2,500 to help pay for her very expensive machine!

Ultherapy - A Year Later

I am almost convinced that this procedure made my neck worse. The biggest waste of time and money ever. Glad I helped this doctor pay for her machine!

Please see my review: "Face Lift for my 48 Birthday" to see my facelift results.

DO NOT WASTE YOUR MONEY ON ULTHERAPY. There are creams that work better than this ultrasound BS do!
Dr. Julia Julien, M.D.

Update: Talked me into a procedure I didn't want and was unsuccessful. Went to my check up today, waited 1.5 hours, never saw her. A Columbia grad working as a Dermatolgist for over 20 years in Miami, Dr. Julien's reputation precedes her. Smart, to-the-point, scientific, plus sweet as could be. She's very progressive and will recommend only what she knows will give you the best bang for our buck. Her office is large, clean, gorgeous and her staff is remarkable.

3 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
4 out of 5 stars Answered my questions
2 out of 5 stars After care follow-up
2 out of 5 stars Time spent with me
3 out of 5 stars Phone or email responsiveness
1 out of 5 stars Staff professionalism & courtesy
4 out of 5 stars Payment process
1 out of 5 stars Wait times
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