Ultherapy – Skin-Tightening

At A Glance Ultherapy

  • Best Results1-2 sessions
  • Treatment RecoveryImmediate
  • Procedure Time40 minutes
  • Skin SpecialistNurse, therapist
  • Duration of ResultsVariable
  • AnaestheticNumbing, Gas
  • Back to WorkImmediate
  • Cost$$

Ultherapy – non surgical skin tightening

Ultherapy – Ulthera is a non-surgical skin tightening & lifting procedure that uses high-intensity ultrasound. This energy heats the deeper layers of the skin producing contraction & production of collagen. This results in skin tightening & lifting of the lower face, jowls, neck & upper lids. This is a no downtime treatment that takes 40 to 60 minutes to perform. This device is also great for contouring the lower face as it destroys unwanted fat.

FactsFacts on Ultherapy Treatments

  • Ultherapy is the leading non-surgical face & neck lifting treatment
  • Ultherapy delivers ultrasound to provide controlled heating to the deep layers under your skin
  • Controlled heating contracts collagen fibers and ligaments
  • This treatment can improve skin laxity and wrinkles around the eyes, mouth, & neck, giving a natural non-surgical facelift
  • Therapy can be combined with lasers, threads, & fillers for optimal results
  • HIFU or Ultherapy is also used to contour the lower face as it targets jowls & nasolabial folds
  • This treatment focuses on the deeper layers of skin & has minimal to no downtime
  • Patient sélection is critical for optimal outcomes

Who is an ideal candidate for Ultherapy?

Did you know that Jennifer Aniston maintains her looks with Therapy?

The ideal candidate are those with mild to moderate skin laxity age range late 20s to mid-50s with mild sun damage & a medium to the thick dermal layer.

Used in the correct patient, HIFU can be very effective in treating laxity in the lower face.

Where can Ultherapy be used?

Therapy treatments can tighten loose skin on the face, neck, sagging skin under the chin and soften lines and wrinkles on the chest.

Therapy treatments can produce a non-surgical brow lift in patients with mild to moderate skin laxity. Therapy is also a great treatment for adults that are just beginning to see the signs of aging including face, forehead, and neck skin laxity.

In what indicaton do I use Ultherapy most for?

Though HIFU can improve skin laxity by providing skin tightening, my most frequent application of this device is for facial contouring & shaping of the lower face & jawline.

Ultrasound is an awesome device for permanently destroying focal superficial fat, especially in the jowl area.

In summary-

  • Reduces jowls permanently
  • Requires 2-3 sessions over 3 to 6 months
  • Targets nasolabial fat pads & folds
  • Reduces under chin fat
  • Can be combined with collagen stimulating injectables
*Candidate selection is paramount for results. Read more to understand.

Is Ultherapy painful?

With correct pain relief this procedure is well tolerated. Patients feel warmth on their skin though out the treatment.

For larger areas, we often prescribe Entonox (laughing gas) as this makes the treatments more comfortable.

How long is the Ultherapy procedure?

Ultherapy takes between 30 minutes to 60 minutes depending on the areas treated. Some patients may only need a small area treated, whilst others will benefit from an Ultherapy neck and face-lift in the same session.

HIFU also known as Ultherapy & Ultraformer is useful for lower face laxity. Treatments take 15 to 35 minutes to perform.

Davin’s viewpoint on Ultherapy

Remember it is the combination of balanced texture, tone and volume that gives the most beautiful and natural results. Ultherapy provides improved skin tone to lift saggy skin, heavy eyelids, and jowls. The best results following Ultherapy is dependent on 2 main factors- patient selection and treatment methods.

Firstly, the ideal patient should have mild to moderate laxity in areas such as the lower face, eyelids, and/or neck areas. For patients with marked laxity- my treatment of choice is a mini-s –face lift, as Ultherapy limitations on what it can achieve. The most important factor is how this procedure is performed. This determines the results.

HIFU is a good treatment for lower face fullness. One session is all that it takes for improving skin laxity.

In Brisbane, with significant background sun damage, over half my Ultherapy cases are performed with laser therapy during the same procedure. Remember, Ultherapy tightens the skin, whilst lasers treat the palate of the skin, removing sun damage and fine wrinkles.

If you are volume depleted or if you have a thin dermal layer, this treatment is not for you. You will achieve better results with collagen stimulating injectables, dermal fillers, fat transfer & or filler thread placement. 

UV fragments collagen & elastin. This leads to skin laxity. If you have broken connective tissue, it will NOT contract. Hence the first push should be resurfacing or deep peels.

The big debate (at least in previous years), is whether this device causes fat loss. The resounding answer is ABSOLUTELY. This is the most frequent indication as to why we use this devices in the first place- namely to selectively & precisely destroy unwanted superficial fat in key area such as the jowls & nasolabial folds. For many years Merz, the company that makes Ultherapy has denied fat atrophy, however dermatologists & plastic surgeons have been using ultrasound off label to permanently destroy fat for over a decade. Goto pubmed.com (medical search engine), type in HIFU or Ultrasound and fat atrophy & you will see the recent reports of fat destruction with focused ultrasound.

Make no mistake, this is a very powerful device, in fact it is THE device of choice for fat destruction as ultrasound is far more effective as this job as compared to RF microneedling, lasers & monopolar RF devices. Patient selection (as reinforced throughout this page) is paramount.

What’s my favourite combination/s with Ultherapy?

My goto combos are-


  1. Lower face anti-wrinkle injections. These injections reduce the pull of muscles of the lower face, in turn amplifying the results of HIFU. Injections can be performed on the day of treatment & take 5 minutes to perform. This typically last 4 to 5 months. 


  1. Collagen stimulating injectables. Biostimulatory injectables are designed to provide additional collagen in the deeper dermis. This amplifies the results of HIFU- Ultherapy as it reduces skin laxity & provide a non-surgical face lifting option in select patients. The type of injectable depends on factors such as lower face volume, skin quality (measure of dermal collagen), skin hydration & turgor. Dr Van Park  & I employ injectables that include hybrid complex hyaluronic acids, PLLA, CAH, polycaprolactone & polynucleotides. We tailor dilution ratios based upon clinical features. Biostimulatory injectables are designed to reduce age related collagen depletion. They are performed 2-4 times annually, depending on the patient’s age & quality of the skin. 


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