From Karen

Our one-on-one consultations are complimentary and designed to meet your individual needs. We customize treatments and optimize for best results.

I have always been committed to excellence in aesthetic medicine. We offer the latest or most advanced treatments.

Karen M. Soika, MD Signature

Dr. Karen Soika


Ulthera or Ultherapy for skin tightening and lifting

Ulthera is a face-lift without the surgery. Skin can be tightened and lifted non-invasively with no downtime using focused ultrasound energy.

What are Ulthera and Ultherapy?

Ulthera is a device that uses focused ultrasound energy to lift and tighten the skin. Ultherapy, a blend of the words ‘Ulthera’ and ‘therapy’ describes the treatment performed with the Ulthera device. It is a safe non-surgical method to lift and tighten skin without any visible downtime.

ultheraHow does it work?

Medically, ultrasound is used for a variety of reasons. The term ‘ultrasound’ is commonly associated with pregnancy scans. In these ultrasound scans, high-frequency sound waves are emitted by a handpiece, and the reflections of these soundwaves are recaptured to form an image. Conversely, Ultherapy focuses ultrasound waves to a specific point deep within the skin or beneath the skin. This heats and coagulates proteins that in turn stimulate new collagen formation and tightening or lifting of the skin.  Ultherapy targets the foundational layers of the skin, including the deep dermis and the SMAS layer (or superficial muscular aponeurotic system, the layer that is tightened in face-lifts). This ‘deep heating’ leads to tightening of the skin. There is no visible downtime to Ultherapy treatment as the superficial layers of the skin are bypassed. All of the effects are deep within the skin or beneath it. It is akin to lithotripsy, a procedure that utilises focused ultrasound energy to break down kidney stones for excretion. The ultrasound energy reaches the target (the kidney stone) without disrupting the skin or other structures.

What can be treated?

Utilising the power of focused ultrasound, Ulthera skin tightening can be used to lift and tighten the jaw line, chin, brow, and neck with one treatment. It is not a replacement for a surgical face-lift. Instead, it provides an alternative for those who are looking for a non-invasive treatment to tighten skin and slow the facial ageing process.

In summary, the key benefits of Ultherapy include:

  • Non-invasive nature
  • No visible downtime
  • Neocollagenesis – builds collagen
  • Single treatment

Who can have Ulthera and what areas can Ulthera treat?

Ultherapy is suitable for most patients concerned about skin laxity. It is most common for those over the age of 35 seeking a lift or tightening, who are not wanting to have a surgical face-lift. It may also be sought by those looking to prevent skin laxity or to slow down the facial ageing process.

The results of Ultherapy cannot be compared to that of a surgical face lift. The results are not as dramatic or visible, and hence this procedure is only suited to those looking for subtle changes. It does not replace a surgical face lift. Instead, it provides an non-invasive alternative for those looking to subtlely fight the progression of skin laxity.

Ulthera works on mild to moderate skin laxity where the skin begins to feel and look less firm. Common areas to treat include loose cheek skin and jowls, sagging under the chin, loose skin on the neck, the forehead to lift lowered brows, and lines or wrinkles on the chest.

The Ulthera procedure stimulates collagen production by delivering focused ultrasound energy to the skin’s foundation layer, typically addressed in cosmetic surgery,  without cutting or disrupting the surface of the skin.

Ultherapy utilises focused ultrasound waves in precise areas from the dermis down to subcutaneous tissue causing thermal coagulation points (TCPs). Thermal coagulation occurs when heat is generated at the site of the collagen, heating to temperatures of 60 – 70 degrees celsius. Intense vibrations are caused at a cellular level, the friction of this leads to heat formation at the localised site, thermal coagulation points. During an Ulthera treatment there are approximately 1600 thermal coagulation points precisely placed into well-defined areas and depths of the skin.

To learn more about Ultherapy procedure or to schedule a consultation by Dr. Karen Soika, please contact us at 203-489-3908 or click here.

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The Cosmetic Medic
45 E Putnam Ave, Greenwich
CT 06830, USA

Phone: 203-489-3908
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