No Surgery Skin Tightening- The truth


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Ultherapy is the only device FDA approval for actual lifting and tightening of the skin around the neck. The device itself is called Ulthera, and the procedure Ultherapy. Apart from lifting the neck non-surgically, Ultherapy can be used to lift the upper eyelids, jowls, and mid to lower face. It is a non- surgical method of face lifting in patients with mild to moderate laxity and good collagen. However in certain patients with moderate to severe skin laxity, Ultherapy can be performed by a Plastic Surgeon or Dermatologist to deliver extra energy for collagen and SMAS remodeling.

It works differently than Thermage by using ultrasound energy known as HIFU or High Intensity Focus Ultrasound that reaches the SMAS -the muscular sheath that loosens as we age. Ultherapy is better than Thermage as it delivers its energy with more precision, depth and heat which radio frequency can’t do. The built in Ultrasound enables me to visualize depth, and to deliver energy up to 4.5 mm deep into the skin. This is not a laser device, so the upper layers of the skin are kept intact and like Thermage, Ultherapy is a now downtime procedure. Is ultrasound truly better than radio frequency? 
In short yes. The majority of patients will respond to Ultherapy more so than Thermage, however in some patients, especially Asian patients, Themage is still an excellent treatment. The reason why some races respond better is that collagen contraction is exaggerated in Ethnic skin.

Ultherapy doesn’t replace a facelift.  It physically cannot do what a facelift can, rather it’s a stop gap.  Ultherapy cannot change your anatomy either.  Some people are just made with a very short jawline, where the chin seems connected to the neck.  Ultherapy will not address this issue in a meaningful way. This is when fillers can reshape the chin and jawline – to a certain degree. Results take time, and sometimes aren’t visible for a full six months. 
Most patients will notice a difference by the 3 months mark.

If you’re tempted by Ultherapy, remember to ask your doctor what type of results you can reasonably expect and if you’re the right patient type.  I combine surgical and non-surgical methods including Botox, Juvederm Fillers, lasers and energy devices including Ultherapy, Infini RF and yes, even the newest Thermage in exceptional cases to deliver skin rejuvenation and tightening. Remember, it is often not the device but the method that gives the best results. Thanks for watching, and remember to subscribe – one new video every Saturday morning.

Dr Davin Lim
Brisbane, Australia.
Lasers and Lifts
185 Moggill Road,
Taringa, Brisbane. Australia.


  1. You don't need anything done to your lower lids, they look great. I would like to have this but don't think I could stand the pain.

  2. Thanks for the very informative explanation, I always look forward to watching your videos! Would you please advise me on whether it is wise to have my eyebrows feather tattooed immediately after the Ultheraphy treatment? If not, when is the soonest time possible? Also, can I do Piccosure skin rejuvenation two moths after Ultherapy? Many thanks

  3. great video Doc! I have just done Ultherapy 2 months ago, now i am thinking of doing infinis RF for further skin tightening and pore size reduction for my whole face. Is that detrimental? or do they both complement each other?

  4. Hi dr. I seriously need to know wat can b done to correct eye bags… m tired n sad of treating my eye bag… m in 30s buh look way older.? any suggestions ?

  5. The results are amazing!!! Why would anyone let someone cut up their face when this is available?? (Obviously a rhetorical question.) When you said you were close to 50 I about lost it because I really did think you were late 30's, possibly just over 40. I always said that I would never change my looks and just grow old gracefully, but seeing how quickly, easily, (and I take it), low risk this seems, I might be swayed. I know you can only speak for Australia, but can you give an idea how costly this is based upon the amount of work you had done plus having the jowls lifted like your mother did? But then again, I'm not even sure this procedure is approved in the US. P.S. I absolutely love your videos!!

  6. Those are Great Results. I had not seen this video but had noticed the change from earlier videos, I just thought you were more rested, lol. (PS. you're Mom looks GREAT! Please let her know!! Thank you)

  7. Thank you for all your vids. I've been considering either micro needling or CO2 laser treatment. I'm fair skinned. The downtime and overall cost is the only real issue. I was wondering though this procedure you did here. How long does it last? I've always been wrinkled under the eyes, because of allergies.

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