The Science

Ultherapy® is an FDA-approved, noninvasive procedure that lifts and tightens the neck, jawline, and brow. It is also indicated for the lines and wrinkles on the chest, but it has been used with very successful results on the arms, knees, thighs, and earlobes. Using microfocused ultrasound waves, Ultherapy focuses on 3 levels of skin:

  • The first level is the same level that would be targeted for a face-lift (the level of the muscle). It’s at this level that the energy is directed to stimulate collagen and elastin tissue
  • The next level is the deep dermis, to tighten the skin, which requires the same tightening as the muscle beneath it
  • The final, superficial tightening directly affects fine lines and wrinkles in the skin


So in one machine, Ultherapy gives 3-dimensional tightening and lifting of the full tissue of the face and neck. “You’re actually stimulating the production of new collagen,” says Dr. Patricia Wexler, “and over several months the face is lifting and that muscle is tightening. It’s like shrink-wrap.”

Our Approach

A good candidate for Ultherapy is someone with skin that has “relaxed” appearance: there is a certain degree of laxity, lack of firmness, and sagging. A lowered eyebrow line, the sagging skin on the eyelids, or a slight break in the jawline (sometimes called a prejowl) is often the first sign of “maturing” skin. Typically, those in their thirties and older who have mild to moderate skin laxity are candidates.

While Ultherapy is not a replacement for a surgical lift, there are many people who want some lifting but are not ready for surgery. As a practice, we feel Ultherapy is a great option for younger people who want to “stay ahead of the game.” And if you have chosen to undergo a traditional surgical lift procedure, Ultherapy is a great way of maximizing those results.

What to Expect

Length Of Procedure

A single Ultherapy treatment can last between 30 to 90 minutes. Typically, a full face treatment takes 45 to 60 minutes; a brow lift treatment can take around 15 minutes.


Patients treated with Ultherapy will begin to notice results at 1 month, with full results at 6 months. These results can last up to 2 years, depending on each patient’s individual aging process. As the skin continues to age (which varies by individual) future touch-up treatments can help keep pace with the maturation process.


The procedure can be uncomfortable for patients, especially those who are sensitive to the sensation of heat. If you are concerned about discomfort, we can help control the pain with medication. However, there is no pain following the procedure, and Ultherapy has no downtime: you can return to your activities right away. “Rumors of discomfort are greatly exaggerated,” says Dr. Patricia Wexler, as we have greatly addressed patient concerns over the years. Some patients may feel numb along the jawline, or experience other possible side effects that our practitioner will review with you.

Number of Treatments

The majority of patients only need one treatment; however, depending on the initial muscle and skin laxity, your dermatologist may recommend multiple treatments.

Treated Conditions

Our Doctors Say…

Thickness and firmness is attributed to collagen production and elasticity, as well as hydration. Look for products that stimulate collagen. Procedures like Ultheraphy can also accomplish this.

Dr. Patricia Wexler

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