Effectiveness and Safety of Ultherapy In A Premier NYC Cosmetic Dermatology Practice

ultherapy female face before and after photo

Rejuvenating Minimally-Invasive Skin Tightening Procedure

Ultherapy is the gold standard non-invasive therapy for lifting and tightening skin.  With over 60 clinical trials completed proving it’s efficacy and safety, Ultherapy is FDA cleared for:

  • Lift of the Neck
  • Lift of the Chin 
  • Lift of the Brow
  • Improvement of winkles on the decolette

Additionally, with over a decade of experience performing Ultherapy treatment in NYC for our patients – we are experts at applying the technology for off label uses including:

  • Improvement of wrinkles on the face, neck, and body
  • Skin tightening of the face, neck, and body

Improvements in the last 1-2 years in the technique and machinery of the Ultherapy device have led our patients to have “WOW!” results with improvements they are greatly impressed with when they look at their before and after images.

Is Ultherapy Safe?

Ultherapy is safe, with over 1 million treatments performed worldwide.  It is performed as a single treatment with no downtime. The results are long lasting and NATURAL and come on gradually from 2 months to over 180 days.

When you undergo Ultherapy in our NYC Board Certified Dermatology Practice you have the benefit of knowing you are receiving the most safe and effective treatments possible from a team headed by a Board Certified Dermatologist that is nationally recognized as a leader in non-invasive cosmetic procedures of the face and body.  Dr. Akhavan is consistently listed as a Top Doctor in publications such as New York Magazine and Castle Connolly. 

Mechanism of Action of Ultherapy

Ultherapy uses ultrasound technology to optimally heat tissue at three specific depths to induce neocollagenesis (the creation of new collagen).  These depths are 4.5 mm to reach the SMAS (Superficial Muscular Aponeurotic System), 3.0 mm to reach the subcutaneous tissue, and 1.5 mm to each the deep dermis. The SMAS is the same depth that is treated during face lift surgery.  The power and depth of Ultherapy is why it is the ONLY device FDA cleared to say it lifts skin.

showing epidermis penetration depth of targeted ultherapy treatment

Ultherapy is a very unique device as it uses ultrasound technology in 2 ways: 1) it uses powerful and focused ultrasound to deliver energy to specific depths of tissue and 2) it also uses ultrasound technology to visualize the treatment area under your skin for maximum safety. 

How does Ultherapy create collagen?

The process is called neocollagenesis and it occurs in 3 overlapping stages.

showing the process of collagen rejuvenation in three phases

  1. Inflammation (immediately following treatment):  Starting from treatment time to 70 days post treatment a type of white blood cells called macrophages come to the treated areas and release growth factors stimulating proliferation of new cells such as fibroblasts that promote repair and remodeling of tissue. 
  2. Proliferation (within hours after treatment): Starting the night of the treatment, fibroblasts will synthesize new collagen (mostly type III collagen) and other proteins to rebuild the collagen matrix (the scaffold upon which new tissue growth occurs).
  3. Maturation (3 weeks to 1 year after treatment):  In the last step of neocollagenesis, type III collagen is gradually replaced by type I collagen, which forms strong crosslinks and provides structure and support to your skin.

Results

The results you can achieve in terms of lifting and tightening with an Ultherapy treatment in our NYC is office is incomparable to any other non-invasive procedure.  That is the reason why Ultherapy has been the only device to achieve FDA clearance for non-surgical lift.  In a split face study where patients where only treated with Ultherapy on one half of their face, Ultherapy increased collagen production by 42%.  This leads to significant improvements in lift, tightening, and wrinkle reduction.

facelift from ultherapy

chin and neck lift

Patient Comfort

As with almost all other non-invasive energy based devices such as lasers and RF microneedling, ultherapy has some amount of discomfort associated with the energy emitted from the device.  Making our patients as comfortable as possible for all of our procedures, including Ultherapy, is something we are passionate about and have become known for in NYC.  For Ultherapy we have many options including maximum strength prescription numbing creams, devices made to increase comfort including Zimmer Cooler (air chiller) and ProNOX (nitrous oxide), vibratory analgesia, and anti-inflammatory medications.

What is the price? How do I learn more?

The cost of Ultherapy in New York City depends on the specific areas that you’re looking to treat. Contact us here to tell us about your goals or to schedule a consultation and one of our aestheticians will be in touch shortly. You can also reach us by phone at (212) 444-8204 weekdays from 9AM to 7PM. We look forward to speaking with you!

To see where we’re located, check us out on maps for Ultherapy NYC.

Ultherapy Treatment Frequently Asked Questions

Ultherapy works deep below the skin, creating a stronger, tighter structural foundation, as well as noticeable surface tightening, generating more profound results than were previously available without surgical intervention. Similar to the ultrasounds used during pregnancy, Ultherapy allows your surgeon to visualize the distribution of sound waves and target the areas that will create the most profound impact for your face and neck.

Ultherapy is different- there’s no downtime, fillers, injections, or radical changes – just natural tightening from your body’s immune response to gentle, time-tested ultrasound. Similar to the way a vigorous workout leaves you sore the next day, Ultherapy creates micro-damage to the underlying tissues, which helps your body respond faster with rebuilding collagen and tightening throughout the area.

Ultherapy uses tried-and-true ultrasound technology, which has been FDA-cleared to lift the neck, under the chin, the brow, and the décolleté. By directing the ultrasound energy precisely at the areas in need of tightening, Ultherapy stimulates the growth of new collagen.
Collagen is a natural protein that provides the elasticity and tone in youthful skin. As we age, the collagen in our skin loses its strength and diminishes. Ultherapy works by jump-starting the collagen-production deep below the skin. Because your body builds collagen over the months following your Ultherapy treatment, your results appear naturally and slowly.

Results
Results from Ultherapy are not immediate, though you may experience a boost in collagen production directly following your treatment. Full results will develop over time, usually 2-3 months, and sometimes as long as 6 months out. Natural, slower-developing results means you won’t look radically different over night, and no one will need to know you’ve had anything done.

Ultherapy is the only FDA-cleared procedure that targets the deep foundation, below your skin, without cutting or disrupting the surface of the skin. Also, the only procedure to use ultrasound imaging, Ultherapy allows our surgeons to view the deeper layers and direct the ultrasound to the specific areas that need it the most. The level of precision and the degree of transformation seen from Ultherapy can only be surpassed by surgical intervention. So if you’re not ready for a facelift, an uplift with Ultherapy could be for you.
The lasers offered at The Dermatology & Laser Group address issues in the superficial layers of the skin (e.g. fine lines, wrinkles, pigment changes). Ultherapy addresses the deep skin layer and the foundational layer addressed in cosmetic surgery that lift and lend support to the skin. Therefore, the two technologies are quite complementary!

The procedure has been cleared by the FDA after demonstrating safety in clinical studies, and over 200,000 treatments have been performed safely worldwide. In addition, ultrasound energy has a proven track record, with use in the field of medicine for more than 50 years.

Ultherapy sessions usually last 60-90 minutes. You do not have to take downtime after your treatment, but as the process can leave you red, and there is the possibility that your surgeon will prescribe you medications to limit discomfort, we suggest taking the remainder of the evening to relax after your procedure.
Most patients note that they can feel the ultrasound working. However, comfort thresholds vary from patient to patient, and so it is difficult to say if you will experience this as discomfort. What you do feel during delivery of the ultrasound energy is temporary and a positive signal that the collagen-building process has been initiated. Patients typically leave comfortable and excited about the benefits to come!
Exciting advancements have recently been implemented, including a new-and-improved treatment approach and update to the procedure’s System, Ultherapy Amplify, which is proven to increase patient comfort of the procedure without impacting efficacy. Of course, your practitioner will consult with you prior to your skin treatment to make your experience as pleasant as possible.
Ultherapy works best on areas with moderate loose and sagging skin in the brows, neck, décolleté, and under the chin. While Ultherapy can certainly provide improvement for severe sagging and loose skin, the results will be less dramatic.
Patients may enjoy some initial effect but the ultimate lifting and toning will take place over 2-3 months, as tired collagen is replaced with new, more elastic collagen. As this collagen-building process continues, further improvements can appear up to 6 months following a procedure.
Results from Ultherapy have been shown to last for at least 2 years, with gradual aging beginning to show after the 2 year period. In order to prolong your results, you may wish to have another Ultherapy treatment at the end of the 2 year period. Remember that no procedure is able to stop the aging process, but Ultherapy can help you make significant progress towards turning back the effects of gravity.
The majority of patients only need one treatment; however, some may benefit from more than one treatment (depending on how much laxity you have and your body’s own biological response to the ultrasound and collagen-building process). Your physician will be able to recommend the right treatment plan for your needs during your cosmetic consultation.

References

Fabi SG. Noninvasive skin tightening: focus on new ultrasound techniques. Clin Cosmet Investig Dermatol. 2015 Feb 5;8:47-52. 

Friedmann DP, Fabi SG, Goldman MP. Combination of intense pulsed light, Sculptra, and Ultherapy for treatment of the aging face. J Cosmet Dermatol. 2014 Jun;13(2):109-18.

Kerscher M, Nurrisyanti AT, Eiben-Nielson C, Hartmann S, Lambert-Baumann J. Skin physiology and safety of microfocused ultrasound with visualization for improving skin laxity. Clin Cosmet Investig Dermatol. 2019 Jan 14;12:71-79.

Pavicic T, Ballard JR, Bykovskaya T, Corduff N, Hirano C, Park JY, Saromytskaya A, Sevi J, Vasconcelos S. Microfocused ultrasound with visualization: Consensus on safety and review of energy-based devices. J Cosmet Dermatol. 2022 Feb;21(2):636-647. 

Montes JR, Santos E. Patient Satisfaction Following Treatment With Microfocused Ultrasound With Visualization: Results of a Retrospective Cross-Sectional Survey. J Drugs Dermatol. 2019 Jan 1;18(1):75-79.

Brobst RW, Ferguson M, Perkins SW. Ulthera: initial and six month results. Facial Plast Surg Clin North Am. 2012 May;20(2):163-76, vi.

Pak CS, Lee YK, Jeong JH, Kim JH, Seo JD, Heo CY. Safety and efficacy of ulthera in the rejuvenation of aging lower eyelids: a pivotal clinical trial. Aesthetic Plast Surg. 2014 Oct;38(5):861-8.

Shome D, Vadera S, Ram MS, Khare S, Kapoor R. Use of Micro-focused Ultrasound for Skin Tightening of Mid and Lower Face. Plast Reconstr Surg Glob Open. 2019 Dec 31;7(12):e2498

Friedman O, Isman G, Koren A, Shoshany H, Sprecher E, Artzi O. Intense focused ultrasound for neck and lower face skin tightening a prospective study. J Cosmet Dermatol. 2020 Apr;19(4):850-854.

Brobst RW, Ferguson M, Perkins SW. Noninvasive treatment of the neck. Facial Plast Surg Clin North Am. 2014 May;22(2):191-202.

Gutowski KA. Microfocused Ultrasound for Skin Tightening. Clin Plast Surg. 2016 Jul;43(3):577-82. doi: 10.1016/j.cps.2016.03.012. Epub 2016 May 4.

Oni G, Hoxworth R, Teotia S, Brown S, Kenkel JM. Evaluation of a microfocused ultrasound system for improving skin laxity and tightening in the lower face. Aesthet Surg J. 2014 Sep;34(7):1099-110. doi: 10.1177/1090820X14541956. Epub 2014 Jul 2.

Suh DH, Oh YJ, Lee SJ, Rho JH, Song KY, Kim NI, Shin MK. A intense-focused ultrasound tightening for the treatment of infraorbital laxity. J Cosmet Laser Ther. 2012 Dec;14(6):290-5.

Baumann L, Zelickson B. Evaluation of Micro-Focused Ultrasound for Lifting and Tightening Neck Laxity. J Drugs Dermatol. 2016 May 1;15(5):607-14. PMID: 27168269.

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Dermatology and Laser Group Testimonials

Came here to see Dr. Akhavan and the experience from start to finish was more than I could hope for. From the moment I booked the appointment I could tell the office is extremely well organized and thoughtful towards their patients’ needs…
Doug R., ( Via Yelp )
I cannot recommend Dr. Akhavan’s practice enough. Dr. Akhavan answers all my questions, no matter how dumb. Unlike my last dermatologist, I felt that they listened to me and allowed me to have input on decisions regarding my health care…
Patricia O., ( Via Yelp )
Dr Akhavan is an outstanding dermatologist. I went in for a skin check and he discovered an abnormal mole. Note that I was 8 months pregnant at the time…
Anda B., ( Via Yelp )
Dr. Akhavan came highly recommended by my close friend and colleague. Although I trust my friend’s word, I still checked the doc out on Yelp. As of today, Dr. Akhavan only has FIVE STAR reviews and you know what? Everything everyone says about him is true!…
Helen L., ( Via Yelp )
Dr. Akhavan was prompt, courteous and informative. I went on the day of snowpocalypse 2014. It didn’t matter, the doctor and his staff were in the office ready for my visit…
Radoslav A., ( Verified ZocDoc Patient )