Ulthera: A Technique for Better Skin Tightening Results

Ulthera SPT

• S – See: View the screen in real-time to observe the detailed and precise structure and issues of the skin.
• P – Plan: Analyze the problems and plan the treatment accurately for the best results.
• T – Treat: Implement the plan by a specialist doctor, resulting in tighter and more youthful-looking skin.

Skin tightening and wrinkle reduction that helps restore youthful skin using high-intensity focused ultrasound (HIFU) technology. This technology targets the deep layers of the skin, causing it to contract and tighten, and stimulates the production of collagen and elastin. It addresses skin issues accurately without surgery or downtime, with visible results from the first session. It helps slow down skin aging and reduces the chances of future wrinkles. First introduced in 2004, it is the only device approved by the US FDA.

Working Principle of Ulthera

The doctor uses the device to emit sound waves beneath the skin, generating heat of 60-70°C that penetrates deep into the skin. The energy points are about 1 mm in size, resembling small fish roe, arranged in a straight line beneath the skin. This method can address issues of sagging skin and wrinkles, tightening the skin without the need for surgery.

The SMAS Layer (Superficial Muscular Aponeurotic System) is the upper muscle layer located deep within the skin, situated between the subcutaneous fat layer and the muscle layer. It has a depth of 4.5 mm and is the same layer that surgeons target in facelift or tightening surgery procedures.

Ulthera Device with Multiple Depth Levels to address different skin issues in each layer, including the deep SMAS layer:

• 1.5 mm Depth: Reduces fine lines and wrinkles in the upper skin layers, including the epidermis and dermis.
• 3 mm Depth: Tightens the fat layer, stimulates collagen production, and reduces skin laxity.
• 4.5 mm Depth: Targets the SMAS layer, the same layer addressed in surgical facelift procedures.

Results After Ulthera Treatment

The treated skin area will immediately feel lifted and tightened, with wrinkles appearing reduced. The skin will look smoother, pores tightened, and youthful, healthy skin restored. Noticeable changes become more evident over 3-4 months post-treatment, and the tightening effects can last approximately 1-2 years. Results vary depending on the individual and continuous skincare maintenance. 

*Results may vary from person to person.

Who is Ulthera Suitable For?

• Individuals with sagging skin lacking firmness.
• Those with wrinkles in various areas of the face, such as the forehead, drooping eyebrows, eyelids, wrinkles around the eyes, neck, nasolabial folds, and corners of the mouth.
• Individuals with fat in sagging cheeks.
• Those with a double chin (submental fat).
• People with undefined facial contours who want a more defined and tightened facial outline.
• Individuals with skin issues desiring smoother, brighter skin with tightened pores.
• Those who prefer a non-surgical facelift, as Ulthera does not require surgery or downtime.

Which Areas Can Be Treated with Ulthera?

• Entire face
• Around the eyes and under the eyes
• Eyebrow tails
• Corners of the mouth
• Nasolabial folds
• Neck
• Abdomen

Duration of the Treatment

The treatment takes approximately 30 – 45 minutes, depending on the area being treated.

Ulthera Procedure Steps

• Consult with the doctor, providing information about any chronic diseases, surgical history, or history of other facial procedures clearly. This allows the doctor to assess if the patient is suitable for the procedure and to evaluate facial issues, plan facial contour adjustments, and determine the appropriate number of shots.
• The doctor will advise applying a numbing mask for about 30-45 minutes before starting the procedure.
• The doctor will begin the treatment, starting with the handpiece with the lowest energy setting and gradually increasing to the highest, completing the planned number of shots.

Post-Ulthera Care

• You can resume your daily activities as usual.
• Avoid strong sunlight or outdoor activities that may cause skin sensitivity.
• There may be slight swelling in some areas.
• Follow the specialist doctor’s care instructions.

Ulthera Prime – Non-surgical skin lifting with the latest technology

What is Ulthera Prime?

Ulthera Prime is the latest innovation in skin lifting and tightening, using Focused Ultrasound technology, or High-Intensity Focused Ultrasound (HIFU). It can deliver energy deep into the SMAS layer (Superficial Musculoaponeurotic System) the same layer targeted by surgeons during facelift surgery. However, Ulthera Prime achieves this without surgery, without downtime, and with a high level of safety.

This technology is designed to be more precise than previous generations, as it allows practitioners to “see the skin layers” through the See & Treat system, enabling energy to be delivered exactly where it is needed. The result is naturally firmer, tighter, and more lifted-looking skin.

Key highlights of Ulthera Prime

1. MFU-V (Microfocused Ultrasound with Visualization) technology

• Uses precisely focused ultrasound to deliver energy deep into the SMAS layer, the same layer targeted in surgical facelifts.
• Features real-time Visualization, allowing physicians to see the skin structures during treatment and adjust the energy points with greater accuracy.

2. Improved display – larger Full HD screen

• Screen size is approximately 35% larger than previous models.
• Higher resolution and sharper images help physicians visualize skin layers more clearly and in greater detail.

3. Faster processing / shorter treatment time

• Processing speed is reported to be about 20% faster than before.
• This reduces overall treatment time, making the experience more comfortable and less painful, as patients do not need to endure the handpiece for long periods.

4. Longer-lasting results with faster visible effects

• Immediately after treatment, a 20–30% lifting effect may be seen due to tissue contraction in the SMAS layer.
• Results become more noticeable within 2–3 months as new collagen and elastin are stimulated.
• Results can last approximately 1–2 years, depending on age, skin condition, and post-treatment care.

5. Improved physician usability and patient experience

• Modern, redesigned device that is more convenient for both practitioners and patients.
• Quieter operation helps reduce patient anxiety during treatment.
• Enhanced precision through real-time visualization reduces the risk of misdirected energy or unwanted tissue impact.

Differences between Ulthera and Ulthera Prime

1. Technology and precision

• Ulthera (original version):
  Uses high-intensity focused ultrasound (HIFU) to deliver energy to the SMAS layer for skin lifting and tightening. However, the precision in targeting energy points may be lower compared to newer models.
• Ulthera Prime (new version):
  Equipped with the See & Treat system, allowing physicians to “see the skin layers” during treatment. This enables more precise and accurate energy delivery, reduces the risk of targeting the wrong skin layer, and helps produce more consistent results.

2. Treatment comfort (pain vs. comfort)

• Original Ulthera: Many patients experience relatively high levels of pain or burning sensations, often requiring significant use of numbing agents, and some are hesitant to repeat the treatment.
• Ulthera Prime: Features improved, gentler energy delivery, significantly reducing pain and making the experience much more comfortable and tolerable.

3. Suitability for different skin types

• Original Ulthera: Generally more suitable for people with thicker skin or more pronounced skin laxity.
• Ulthera Prime: Designed to be suitable for all skin types, including thin or sensitive skin, and even for those who have previously undergone other aesthetic procedures, with a high level of safety.

4. Results and continuity

• Both versions offer similar lifting and collagen-stimulating effects, but Ulthera Prime tends to deliver more consistent and natural-looking results.
• Results from both typically last about 12–18 months, but Ulthera Prime provides more gradual improvements, so changes appear subtle and natural without sudden, noticeable differences.

5. Value for money

• Original Ulthera: Still meets standard expectations, but pain and certain limitations may make it less suitable for some individuals.
• Ulthera Prime: Ideal for those seeking a more comfortable, safer, and more precise technology. It offers better value due to reduced discomfort during treatment and improved overall results.

Why choose Ulthera Prime?

• Safe and certified by the US FDA
• Noticeable results from the first session, with continued improvement over 2–3 months
• Long-lasting results for 12–18 months, depending on aftercare
• Minimal pain, no swelling, no downtime, daily activities can be resumed immediately
• Suitable for all skin types, including sensitive skin and those who have previously undergone other aesthetic procedures

Who is Ulthera Prime suitable for?

Ulthera Prime is suitable for people with the following concerns:

• Sagging skin and an undefined facial contour
• Double chin or loose skin under the chin
• Deep nasolabial folds, downturned mouth corners, or drooping eyelids
• Those who want skin lifting and tightening without surgery
• Individuals aged 25 and older who are beginning to show signs of aging

Results from Ulthera Prime

• Sharper facial contours with reduced skin sagging
• Reduced wrinkles, nasolabial folds, and downturned mouth corners
• Lifted and tightened skin around the eyes, helping with drooping eyelids
• New collagen production for plumper-looking skin
• A fresher, more youthful-looking face

How many lines are used for each Ulthera Prime treatment area?

• Ulthera Prime eye area: 200 lines
• Ulthera Prime cheeks: 300 lines
• Ulthera Prime cheeks + double chin: 500 lines
• Ulthera Prime full face: 700 lines
• Ulthera Prime full face + neck: 1,000 lines

Ulthera Prime treatment procedure

• Medical consultation
  The physician will analyze the skin concerns and create a personalized treatment plan for each individual.
• Skin preparation
  The treatment area will be cleansed, and a topical anesthetic will be applied to help reduce discomfort.
• Treatment session
  The physician will use the Ulthera Prime device to deliver energy to the targeted skin layers according to the planned areas. This step typically takes about 30–60 minutes.

Time to see results and how long they last

After the procedure, an initial lifting and tightening effect can be seen immediately. The results will gradually become more noticeable over 2–3 months as new collagen is fully produced. The effects typically last for approximately 12–18 months, depending on individual skin condition and aftercare.

Preparation before Ulthera Prime treatment

To achieve the best results, it is recommended to follow these guidelines:

1. Get enough rest – so the skin is strong and ready for treatment.
2. Avoid wearing makeup on the treatment day – to ensure cleanliness and reduce the risk of infection.
3. Avoid aggressive skin procedures, such as laser treatments or intensive therapies, for at least 1–2 weeks before the procedure.
4. Inform the physician in advance if you have any underlying medical conditions or are taking certain medications, such as blood thinners or skin-related drugs.
5. Drink plenty of water to keep the skin well hydrated, which helps enhance collagen production.

Post-treatment care after Ulthera Prime

After Ulthera Prime treatment, no downtime is required and you can resume daily activities as usual. However, to ensure clear and long-lasting results, follow these care instructions:

1. Avoid touching or applying strong pressure to the face during the first 24 hours.
2. Avoid intense sun exposure and high heat, such as saunas or strenuous exercise, for the first 1–2 days.
3. Apply moisturizer and sunscreen regularly to protect the skin and support collagen regeneration.
4. Makeup can be applied immediately after treatment, but gentle products are recommended.
5. Drink plenty of water and get sufficient rest to support optimal collagen production.
6. Attend follow-up appointments as scheduled so the physician can assess results and provide further guidance.

Summary – Why is Ulthera Prime such a popular choice?

Ulthera Prime stands out because it combines safety, precision, and natural-looking results without downtime. A single treatment delivers long-lasting effects, making it ideal for those who want skin lifting, facial contouring, and skin rejuvenation without pain or surgery.

FAQ – Frequently Asked Questions about Ulthera Prime

1. Is Ulthera Prime painful?
   Ulthera Prime has been developed to be gentler than earlier versions, significantly reducing discomfort during treatment. Most patients feel only a tight or warm sensation beneath the skin, rather than severe pain. If there is concern, the physician can apply a topical anesthetic to increase comfort.
2. How many sessions are needed to see results?
   In general, only one session is needed to see results. The skin often feels tighter immediately after treatment, with full results becoming visible over 2–3 months as the body continues to produce new collagen.

• For significant skin laxity, a physician may recommend one session per year to maintain results.
• For mild laxity, once a year is usually sufficient for prevention of future sagging.

3. What age is Ulthera Prime suitable for?
   Ulthera Prime is suitable for individuals aged 25 and older.

• Ages 25–35: Ideal for those with early signs of mild sagging, used to slow skin aging and prevent wrinkles.
• Ages 35 and above: Helps address sagging skin, nasolabial folds, downturned mouth corners, and unclear facial contours, resulting in a noticeably more youthful appearance.