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A 60-year-old male asked:

some doctors say that ultherapy can cause a hollowing out of facial features vs.a face lift. is this the consensus out there and how likely is it?

5 doctor answers8 doctors weighed in
Dr. Asaad Samra
Plastic Surgery 20 years experience
Not Likely: Ultherapy targets the deeper structures in the face. There is a thermal injury that results from the micro-focused ultrasound. The results of the treatment are realized from one's healing that thermal injury. Hollowing would result from fat loss, and though it could be, fat is not targeted in this treatment.
Dr. Leonard Grossman
Plastic Surgery 36 years experience
I agree: The delivery of energy with ultherapy is not that well controlled resulting in loss of fat which is very important for a youthful face. Good luck from nyc.
Dr. Emil Shakov
Aesthetic Medicine 17 years experience
No consensus: Ultherapy does not rid the face of fat or cause hollowing per se. Patients need to be appropriately selected. Sometimes you need fillers with the treatment to create volume that was missing before treatment. The results of tightening are truly amazing and in my estimate why spend so much more with a face lift with all the downtime that would still need to be redone after 7 years or so.
Dr. David Sherris
Facial Plastic Surgery 33 years experience
Different therapy: Ultherapy and a facelift will not give the same results in any cases! the facelift will always give better results. Yet, you should only get a depression from ultherapy if you are over treated.
Dr. Otto Placik
Plastic Surgery 34 years experience
Not typically: Ultherapy typically targets the deeper layers of the skin. If prolonged or inappropriate settings are used, damage to to the underlying fat could possibly occur with hollowing but that is highly unlikely. A face lift will reposition the fat and remove excess skin

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Last updated Nov 16, 2018

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