Ulthera (microfocused ultrasound)

A non-invasive device that focuses ultrasound energy at set depths under the skin, creating small heated points that trigger new collagen. Built-in ultrasound imaging lets the operator see the layers being treated. It is FDA-cleared for lifting and tightening specific areas and is not a replacement for a surgical facelift.

Adults, typically in their 30s or older, with mild to moderate sagging of the face and neck.

The skin is cleansed and ultrasound gel is applied. The handpiece images the skin layers and delivers energy line by line, then the gel is removed.

Usually no downtime. Slight redness can last about an hour. Some people have swelling, bruising or tenderness along bony areas for up to a month. Full results take 3–6 months to show.

• Discomfort or pain during treatment
• Redness, swelling, bruising or tenderness, sometimes for weeks
• Temporary facial nerve weakness or numbness
• Rare: blistering, ulceration, tissue atrophy or skin necrosis, reported in a 2018 case series

• Normal activities can usually resume right away
• Expect some tenderness along the jaw or cheekbones
• Report numbness, weakness in facial movement or blistering to the clinic