Hi have had Ultherapy a couple of times awhile back (I'm 43) and just had it done again. I have to say it matters WHO does it more than anything. I had "ok" results the first couple of times but this last time I went to someone new and she did an AMAZING job. I wish I had gone to her in the first place. Highly recommend it and it seriously works well on me. I feel like more aggressive protocols work and plan on repeating it again and again. Not super jazzed about the thought of surgery, so whatever I can do to avoid it I'm happy about. The one caveat is it hurts like a mother@#$%&...even with nerve blocks and meds. Totally worth it in IMO.