The new ULTHERA machine using high intensity focused ultrasound or HIFU for TISSUE TIGHTENING has arrived on our shores and of course, I voluntered to give it a try. I was the perfect candidate for it being 40-something with a little sag in the jowls and due for my second Thermage treatment this year. No fear felt, thinking it would be like a Thermage session with heat, the technician started with my under chin and jawline area. The sensation felt like little pins and needles scratching on my skin but overall it was pretty tolerable. Then we tried on some patients, and it turned out they felt more comfortable with Ultherapy then some of the other skin tightening modalities. 1 patient even fell asleep! Both patients felt they could see the effect on their lower face immediately. Now this is amazing as lower facial sagging and laxity is one of the most difficult problems to treat. Many treatments before this including Thermage still could not tackle this area very satisfactorily. So my