If you’ve been curious about non-surgical ways to lift and tighten your skin, Ultherapy might be on your radar. This FDA-cleared treatment uses focused ultrasound energy to stimulate collagen production deep beneath the surface, helping to improve skin firmness around the face, neck, and décolletage. But how does it really work, and who is it right for? We sat down with Dr. Fricke to get the answers to your most frequently asked questions about Ultherapy.
What is Ultherapy and how does it work?
Dr. Fricke: Ultherapy is a non-invasive skin tightening treatment that uses focused ultrasound energy to lift and firm the skin. It targets the deep foundational layers of the skin—where surgeons typically tighten during a facelift—without disrupting the surface. The ultrasound energy stimulates your body’s natural collagen and elastin production, gradually tightening and lifting the skin over time.
Who is a good candidate for Ultherapy?
Dr. Fricke: The ideal candidate is someone with mild to moderate skin laxity. You may notice your skin starting to feel less firm, a lowered brow, sagging under the chin, or loose skin on the neck. Ultherapy works best for individuals who want subtle, natural-looking lifting without surgery or downtime. It’s not a replacement for a facelift, but it’s a great option for those looking to “prejuvenate” or maintain youthful contours.
What areas of the face and body can Ultherapy treat?
Dr. Fricke:
Some providers also use it off-label for areas like the arms, knees, or abdomen, but results can vary.
How is Ultherapy different from other skin tightening treatments?
Dr. Fricke: Unlike lasers or radiofrequency, Ultherapy uses ultrasound, which allows practitioners to visualize the tissue layers during treatment and deliver energy precisely where it’s needed. It penetrates deeper than most non-invasive devices, reaching the SMAS layer (superficial muscular aponeurotic system)—the same layer targeted in surgical facelifts. It’s also unique in that it doesn’t break the skin, so there’s no downtime.
What does Ultherapy feel like? Is it painful?
Dr. Fricke: Most patients describe it as a tingling, prickling, or heat sensation. The discomfort can vary based on the area being treated and individual pain tolerance. Some areas, like the jawline, may feel more sensitive. Many patients tolerate it well with over-the-counter pain medication beforehand. Newer protocols have also improved comfort significantly.
How long does an Ultherapy treatment take and is there any downtime?
Dr. Fricke: Treatment time varies by area. A full face and neck session can take 60–90 minutes, while smaller areas like the brow may take just 30 minutes.
There’s virtually no downtime—most people return to work or social activities immediately. You might have some mild redness, swelling, or tenderness for a few days, but it’s typically minimal.
When will I see results from Ultherapy, and how long do they last?
Dr. Fricke: Some people notice a subtle lift immediately after treatment, but the real results develop gradually over 2 to 3 months as new collagen forms. These results can last 12–18 months, depending on your age, skin condition, and how your body responds. Maintenance treatments every 1–2 years can help prolong results.
How would you rate Ultherapy on the glow-up scale (0–5)?
Dr. Fricke: Ultherapy earns a strong 4.5 out of 5 for delivering subtle, natural-looking lift and tightening with zero downtime. It’s not a miracle worker and won’t replace surgery for significant laxity—but for the right patient, it’s a powerful tool in the skin-rejuvenation arsenal.
Whether you’re noticing early signs of aging or looking to enhance your skin’s natural firmness without downtime, Ultherapy offers a non-invasive option worth exploring. As always, the best way to know if it’s right for you is to consult with a board-certified dermatologist who understands your skin’s unique needs. We’re here to help you take the next step in your skincare journey! Schedule a consultation today.
