Face ultrasound treatment still good in some areas after 1.5 years, other areas no benefit - Sydney, AU
I've only just had Ulthera, so it will be 2-3...
I've only just had Ulthera, so it will be 2-3 months before I can put up before and after pics, but I'd like to note my impressions of the treatment.
Why I had it: I've disliked the lax look of my neck and jaw line for the past 5 years but am not ready for surgery. I wanted something I judged as low risk, and followed up on it after reading promising reviews on RealSelf.
Getting advice: the doctor reported that I wouldn't see results for 2-3 months and it would only last a year. She advised I'd get a better, more permanent result doing lipo on my neck. She didn't think I needed platysma muscle correction. I think she's right, but I'm not quite ready for lipo, but it's something to consider carefully given the high cost and short term benefit of Ultherapy. I'm told most money goes on the machine parts, which are extremely expensive.
Pain management: Took 2 ibuprofen (Advil) an hour before. I was given a Penthrox (methoxyflurane) inhaler to use doing treatment, which was excellent. I generally have high pain tolerance.
The treatment: Short, sharp pulses from the head which feel a bit like very fine needles, and only last for the briefest part of a second. Overall I didn't find it unpleasant at all on my neck and most of my face. There were some localised pain areas on my left upper cheek, and it made my feet twitch a few times (my personal coping mechanism). But by the time it was getting anywhere close to extreme the pulse had finished and it was gone. The ibuprofen and Penthrox made the experience very manageable. Overall I've had more painful experiences with both IPL and dental cleaning.
Afterwards: Sat for 10 minutes waiting for the Penthrox to wear off (it does make you feel and behave like a happy drunk). I had slight tingling around my cheekbones, like a bit of wind burn. The tingling lasted for an hour and was gone. Skin was slightly pinkish for an hour after. I don't feel any tightness or other effects.
Overall: a good experience. Felt safe and hassle free. Felt she was a quality practitioner with lots of experience.
Will post photos again after 2 months – fingers crossed it'll be worth it.
Replies (13)

Well I tried.... : /

Can they do thermage on that part of the neck?
It's been around 6 months since I had Ulthera...
At 3 months I honestly couldn't see any benefit and had I posted then I would have said it wasn't worth it, especially given the cost.
But around 4-6 months it really kicked in and I began to notice a definite overall improvement. Rather than specific features, it's more like an overall refresh of the face; the forehead is tighter, the eyes less droopy, the cheeks more solid, and the jaw less jowly. Now I get a satisfying, relatively youthful impression when I look in the mirror, whereas 6 months ago I really didn't like looking in the mirror at all. My face appears to me like it did about 5 years ago.
I haven't had any other treatment, so I can only put it down to the ulthera.
I don't know how long this treatment lasts, some say about 2 years, and some say it will always be better than if I'd never had the treatment. If I get a good two years improvement, I'll definitely have it again if I need it.
My only disappointment is that I couldn't have it done on my neck, as I always wanted to see improvement there.
PS Sorry for not having photos, been very busy. I'll try and visit the clinic to get some after pics taken in the same type of light.
Replies (5)


Update on 1.5 years
I've been very happy with the quality of my face since I had the treatment. People do note that my skin and face tone is in very good nick for my age, considering it's pale, I live in a harsh climate and I don't live a particularly healthy lifestyle.
I've not been happy with the quality of my neck (ie thinning skin and a difference in colour), but they didn't treat there. Why I'm raising it is that I wish they'd been able to treat my neck at the same time, I'd have happily paid the extra. I will eventually go back to the clinic and if they can do my neck, I'll get a complete second treatment done.
It's really hard to do objective reviews of a treatment where the effects are so subtle and changes happen slowly over time. All I can say is that before I had the ultrasound treatment I didn't like looking in the mirror. I could see obvious signs of aging. But over the past year that's changed, I feel I look considerably fresher and younger when I look at that reflection. That's all I can say really.
This is a really good review so far! I'll definitely be interested to follow your story and see how things go for you.
I wasn't aware they couldn't do Ultherapy on the lower neck and throat. Did they give any reasons as to why that is?