Most Ultherapy Prime treatments at La Jolla Cosmetic Laser Clinic take about an hour, depending on the areas being addressed. To help reduce any potential discomfort, we typically recommend taking 800 mg of ibuprofen approximately 45 minutes before your appointment.
When you arrive, your provider will review your treatment plan, cleanse the skin, and apply ultrasound gel. Once the Ultherapy Prime handpiece is placed on the skin, you may feel gentle warmth beneath the surface as the device begins delivering its precise, focused ultrasound energy.
As the handpiece moves across the treatment area, Ultherapy Prime targets specific depths within the skin—including the dermis and the SMAS layer, the same foundational tissue addressed in surgical facelifts. The energy passes safely through the outer epidermis without causing surface damage. When the ultrasound energy reaches these deeper layers, it is converted to heat, triggering the body’s natural wound-healing response.
This response stimulates the production of new collagen and elastin—two essential proteins responsible for skin’s firmness, elasticity, and youthful structure. While there is no actual injury to the skin, your body interprets the precise thermal energy as a signal to regenerate. Over time, the newly formed collagen strengthens and tightens the treated tissues, leading to a subtly lifted, firmer appearance.
Ultherapy Prime uses refined imaging and upgraded handpieces to deliver more accurate, consistent energy than previous Ultherapy systems. These improvements allow your provider to see the collagen-rich layers in real time and deposit energy exactly where it’s needed—typically at 4.5 mm and 3.0 mm depths. These tiny, targeted energy deposits are called thermal coagulation points (TCPs).
TCPs create a two-phase effect:
- Immediate tissue contraction for a subtle tightening effect
- Gradual, long-term collagen remodeling, which continues to improve definition through the lower face, jawline, neck, and other treated areas over several months
Because Ultherapy Prime’s energy bypasses the skin’s surface, most patients find the treatment more comfortable than many other skin-tightening technologies, and there is no downtime or recovery period afterward. You can return to your normal activities immediately.
The result? A naturally lifted, firmer look—often including better jawline definition, smoother neck contours, a refreshed cheek area, and even a gentle brow elevation, depending on the areas treated.