Ultherapy: A Surgeon’s Perspective 
Costas Papageorgiou MD, London November 2014

What is unique about the Ultherapy Lift

Increasingly patients are demanding natural, noticeable, lasting results from their treatments without the downtime associated with high impact approaches.

Ultherapy is the only non-invasive ultrasound treatment with 3-FDA clearances for lifting the skin on the neck, chin, brow and décolletage.

Ultherapy uses focused, targeted ultrasound to generate new collagen deep within the skin (as deep as the SMAS layer) to lift and tone the skin, over time.

Ultherapy is the only cosmetic procedure to use ultrasound imaging, which allows practitioners to see the layers of tissue targeted during the treatment to ensure the energy is deposited to where it will be most beneficial.

Surgical Precison Without An Incision

Precise energy delivery increases the consistency and safety of treatment. Lasers are precise, but only treat the superficial skin layers. Radio-frequency reaches deeper than lasers, but imprecisely bulk heats tissue at variable temperatures and depths.

Only Ultherapy precisely heats tissue at a specific depth and temperature, with spacing between each thermal injury to promote healing. Real-time ultrasound imaging lets clinicians see exactly where energy will be delivered, providing an added level of precision and safety to the procedure.

Depth: Treat The Skin’s Foundation

Tissue laxity is largely the result of structural weakening in the skin’s foundation (SMAS/Platysma) at ~4.5mm deep. Prior to Ultherapy, this layer was only accessible during a surgical facelift, since non-invasive modalities, such as lasers and radio-frequency, are limited to treating the dermis (< 3mm). The Ulthera® System is the only technology that non-invasively treats at a 3 discrete depth (1.5mm, 3mm and 4.5mm), to target both the dermis and the foundational tissue layers where laxity begins.


Ultherapy heats to 60-70ºC the optimal temperature for stimulating new collagen growth or necollagenesis.

While Ultherapy does not duplicate the effects of  a surgical facelift, it is a great alternative for patients not ready for surgery or for those who want to continue building new collagen after a facelift.

Ultherapy is fast becoming the ‘must have’ treatment for those demanding such results, with no downtime. Clinical complications are extremely rare, with over 300,000 treatments performed globally, the adverse event is comfortably below 0.2%.