What is it? Ultrasound/HifU is a noninvasive treatment used to lift and tighten loose skin on areas such as the eyebrows, jawline, and jowls, as well as improve wrinkles on the chest. Ultrasound/HifU uses ultrasound energy to heat targeted tissue under the surface of the skin, triggering the natural production of collagen. Although some people might see an effect immediately after their treatment, most real results appear over two to three months as the collagen gradually improves skin’s tone and elasticity.

Who can have it? A good candidate for ultrasound/HIfU is someone with skin that has some degree of laxity, to the point of looking, and often feeling, less firm. A lowered eyebrow line or sagging skin on the eyelids, for instance, is often the first sign of "maturing" skin. Loose skin under the neck and under the chin signals a patient might be a candidate. Typically, those in their 30s and older who have mild to moderate skin laxity are candidates. While ultrasound/HifU is not a replacement for a surgical face lift, there are many people who want some lifting but are not ready for surgery. There also are younger people who want to "stay ahead of the game,” as well as those looking to prolong the effects of surgery.

Are there any contraindications? There are relatively few absolute contraindications, but these include infections and open skin lesions at the target treatment area; active severe or cystic acne; and the presence of active metallic implants, such as pacemakers or defibrillators in the treatment area. Precautions include treatment directly over keloids, implants, permanent dermal fillers, and the presence of factors that could alter or impair wound-healing, such as smoking.

What is the pain level? Most patients are able to tolerate the ultrasound/HifU procedure without significant pain. However, they can certainly feel the procedure. How intense this sensation feels is extremely variable from patient to patient. 

How long does the treatment take? An ultrasound/HifU procedure typically takes around 35-60minutes, but will depend on the area to be treated and the treatment plan determined by your practitioner. There are no special after-care requirements and you can resume your normal activities immediately.

How long do the results last? Long-lasting effect of ultrasound/HifU is dependent on each patient's age, genetic factors, and intrinsic and extrinsic aging factors. In general, patients continue to gradually improve over six months to one year.

What should I be concerned about? The risks of ultrasound/HifU are minimal when an experienced provider performs the procedure. The most common side effects are redness, soreness, numbness and tingling, but these resolve shortly. 

What else do I need to know? The quality of the skin is more important than the age of the patient, thus there is not an absolute age cut off when determining if someone is a candidate for ultrasound/HifU treatment.