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2. SMG Plastic Surgeons Peter Hyans, MD, FACS Reza Momeni, MD, FACS Licensed Aesthetician Melissa Galloway Registered Nurses Michelle Ayvas Maria Boyd Mary Plaia Patient Representative Nancy DeLuca 3. What is Ultherapy?is the only FDA-approved non-invasive procedure to lift skin on the Neck, Chin and Brow.Not surgery. Not laser. Not an injection. 4. How does Ultherapy use ultrasound? Ultherapy uses ultrasound in 2 ways:1) To see beneath the surface of the skin and plan 2)a treatment specific to each patient To safely treat at pre-determined depths while bypassing the surface of the skin - Dermis - FatTreatment Line- Fibro-muscular Layer 5. How does Ultherapy work?Focused ultrasound energy - non-invasive Bypass the skin and heat deep tissueNatural, regenerative response. Stimulate the growth of new collagen Lifts and tightens the skin over time. 6. How is Ultherapy different from other treatments? 1. Temperature2. Depth3. Precision 7. Options for aging soft tissue / skin Do nothing Non-Invasive Treatment Injections (Botox and Fillers) Lasers (Fraxel, etc) Ultherapy (Ultrasound) Surgery 8. Who is an Ultherapy Candidate? Factors affecting treatment response include: Skin Laxity: Amount of excess, loose skin on the face and neck Volume: Degree and distribution of fat Skin Quality: Extent of lines, wrinkles, crepiness, and/or sun damageAge: 20-30s, 40-60s, 70s and up Lifestyle/Health: Smoker or nonsmoker; nature of health issues (minor, chronic, none) 9. REALISTIC EXPECTATIONS!!!Some patients benefit from more than 1 treatment Ultherapy is not intended to produce the same results as an invasive surgery 10. The Benefits of Ultherapy Non-surgical, non-invasive No downtime Proven ultrasound technology Natural, gradual results over 3-6 months Convenient, 1-2 hour procedure No after care or restrictions Usually, just one treatment Visible and invisible results 11. Ultherapyas seen in the media! 12. Before & After Photos: NeckBefore90 Days After 13. Before & After Photos: NeckBeforeCourtesy of Leslie Baumann, MD90 Days After 14. Before & After Photos: NeckBeforeCourtesy of Leslie Baumann, MD90 Days After 15. Before & After Photos: NeckBeforeCourtesy of Leslie Baumann, MD180 Days After 16. Before & After Photos: NeckBeforeCourtesy of Leslie Baumann, MD180 Days After 17. Before & After Photos: ChinBefore90 Days After 18. Before & After Photos: ChinBefore90 Days After 19. Before & After Photos: ChinBefore90 Days After 20. Before & After Photos: ChinBefore90 Days After 21. Before & After Photos: ChinBefore90 Days After 22. Before & After Photos: ChinBefore90 Days After 23. Before & After Photos: ChinBefore120 Days After 24. Before & After Photos: ChinBefore120 Days After 25. Before & After Photos: ChinBefore120 Days After 2nd Treatment 26. Before & After Photos: ChinBefore180 Days After 27. Before & After Photos: ChinBefore180 Days After 28. Before & After Photos: ChinBefore240 Days After 2nd Treatment 29. Before & After Photos: ChinBefore360 Days After 30. Before & After Photos: ChinBefore360 Days After 31. Before & After Photos: BrowBefore30 Days After 32. Before & After Photos: BrowBefore90 Days After 33. Before & After Photos: BrowBefore90 Days After 34. Before & After Photos: BrowBefore120 Days After 35. Before & After Photos: BrowBefore120 Days After 36. Before & After Photos: BrowBefore180 Days After 37. How long does it last? Patients still have fresh young collagen after 1 year Skin continues to age Yearly touch-up treatments help keep pace 38. Can you guarantee improvement? Since its not surgery, we depend on the bodys response to build collagenThe vast majority of patients see an improvement A small minority may see little to no improvement 39. Does it hurt? Comfort thresholds vary from patient to patient Discomfort means energy is being delivered, Sign that collagen-building has been initiated. 40. How much does it cost? Between $750 and $4000 Depends on the extent of treatment.