Ultherapy uses micro-focused ultrasound to deliver heat to the deep support layer of the skin — the same layer a surgeon tightens in a facelift — triggering new collagen.
Ultherapy uses micro-focused ultrasound to deliver heat to the deep support layer of the skin — the same layer a surgeon tightens in a facelift — triggering new collagen. It is FDA-cleared to lift the brow, under-chin and neck, and to improve lines on the décolletage. One session is usual, with results building over 2–3 months.
Ultherapy is the only such device with ultrasound imaging built in, so the practitioner sees the tissue layers while treating rather than working blind. It lifts and tightens; it does not remove volume loss or resurface the skin's surface.
Founder & Board-Certified Family Nurse Practitioner
Founder of BUTEX Medical Spa in Frisco, Texas, and a board-certified Family Nurse Practitioner who has been treating patients across North Texas since 2012. She performs every assessment and treatment personally.
Last reviewed
Appointment time
45–90 minutes depending on area
Downtime
None — mild redness or tenderness for a day or two
Results appear
Gradual from 6 weeks, peaking at 2–3 months
How long it lasts
About a year; maintenance as ageing continues
Sessions needed
Usually one
The process
How Ultherapy works
01
Imaging the tissue layers
The built-in ultrasound shows exactly where energy is being placed, so treatment is matched to your anatomy rather than a standard depth.
02
Focused energy at three depths
Energy is delivered to the deep support layer, the dermis and superficially, creating precise coagulation points that the body repairs with new collagen.
03
Your own collagen response
Nothing is added. Tightening comes from tissue remodelling over the following weeks — which is why the result is gradual and looks unforced.
Is Ultherapy right for you?
You have mild to moderate laxity — a softening jawline, heavy brow or loose under-chin skin
You want lift without surgery and can wait a few months for the result
You are not looking to replace lost volume, which needs filler instead
You do not have significant, heavy sagging, where surgery gives the better outcome
Benefits
FDA-cleared specifically for lifting brow, chin and neck
The only micro-focused ultrasound device with imaging built in
One session, no downtime, no injections
Results look gradual because they are your own new collagen
Non-surgical lifting and tightening compared
These treat different depths. A consultation is about matching the depth of the problem to the depth of the device.
Treatment
Reaches
Sessions
Results appear
Ultherapy
SMAS and deep dermis (ultrasound)
Usually one
2–3 months, building to 6
Fotona 4D
Inner cheek, dermis and surface (laser)
3–4, spaced monthly
Gradual, over the series
Radiofrequency tightening
Dermis
4–6, spaced weekly to monthly
6–12 weeks
PDO threads
Subdermal — mechanical lift plus collagen
One
Immediate, then improves for 3 months
Common questions
Ultherapy questions, answered
Is Ultherapy painful?
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There is heat and a deep prickling sensation during energy delivery, strongest over bony areas. Settings are adjusted for comfort and most patients tolerate the session well with oral pain relief beforehand.
How long does Ultherapy last?
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Around a year for most patients. It does not stop ageing — it resets the clock, and many patients repeat it annually.
When will I see results?
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Some tightening at six weeks, with the real result at two to three months. Judging it earlier than that will always disappoint.
Ultherapy or a facelift?
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Ultherapy suits mild to moderate laxity and gives a subtle lift. Heavy, hanging tissue needs surgery — we will say so rather than sell you a treatment that cannot deliver what you want.
This page is general information, not medical advice, and it does not replace an in-person assessment. Results vary between patients, and no outcome is guaranteed. Suitability, risks and alternatives for ultherapy are discussed at consultation. Call (469) 432-0868 to book.
Book a consultation
Ask us about Ultherapy
A consultation covers whether ultherapy suits you, what it will cost, and what it realistically will and will not do. No obligation to book treatment on the day.
Ultherapy is performed at our Frisco clinic on Dallas Parkway, serving Plano, McKinney, Allen, Prosper, Little Elm, The Colony, Celina and North Dallas.