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The ultrasound that you get when you are pregnant is one that just bounces the sound waves off. The Ulthera is one that focuses it down so you have a lot more energy at a pinpoint level. By doing that, you'll actually cause some coagulation and obviously don't want to do that when you are doing test for pregnancy but that's what makes it worthwhile that it will actually coagulate some of the tissues. One of the things that we do to minimize the pain for Ultherapy is that we make sure that somebody is medicated little bit with maybe Xanax and a pain pill and it's tolerable. I've had it done a couple of times and we're not the best candidates... we are not as strong as the women are but the other thing we've been seeing is people adding that on to some of their surgical procedures. It's what I had done. It was like [inaudible 00:01:00] using too much of it when you're going to do me so that you get a lot of juice with it. The pain factor that you have... it hurts a little bit more when you are over bony prominences but if you medicate well ahead of time, it really isn't as bad. The difference is that if you are looking... it's all in patient expectations. If you are looking for a facelift, which would be maybe an 85% result, Ulthera is not going to do that but then again, Ulthera is... might be a 10 or 15% result but it will help with adding collagen to the skin. A facelift isn't going to change the qualities of the skin but there are no incisions, no injections, no recovery. It's totally nonsurgical. You just need to match people's expectations. If your expectation is to have one of a facelift, you are not going to be happy but of all the things that I have in my practice, people are more happy with Ulthera, probably because it's new but it's a real wonderful tool.

What Is Ultherapy? Use Ultrasound to Tone and Tighten the Skin

Dr. Daniel Mills explains the technology behind the new Ultherapy procedure, what it feels like, and how well it works.