Ultherapy^® PRIME

Some clients notice early firming, but more visible lifting usually develops over two to six months as collagen gradually remodels.

The full results of Ultherapy PRIME® do not appear on the day of treatment. The procedure uses microfocused ultrasound to create small, controlled thermal coagulation points at selected tissue depths. This activates the skin’s natural healing response and collagen-remodelling process. Firming and lifting therefore develop gradually over the following months.

Some clients notice that their skin feels firmer or that their contours look slightly more defined soon after treatment. These early changes are usually subtle. Temporary swelling or tightness may also affect the appearance during the first few days, so the final result should not be judged immediately after treatment.

More noticeable results generally begin to appear after approximately two to three months. Improvements may continue as collagen remodels, with the result becoming more established at around six months.

Taking before-treatment photographs can make gradual changes easier to see. For a more accurate comparison, use the same lighting, angle, posture, and facial expression each time.

Results may last for one year or longer. The actual duration depends on your skin condition, age, lifestyle, and natural rate of ageing.

Ultherapy PRIME® works by activating the skin’s natural healing response and supporting gradual collagen remodelling. This can improve existing laxity and help create more defined contours. According to official information, the results of one treatment may last for one year or longer.

However, Ultherapy PRIME® cannot stop natural ageing. Collagen continues to decline over time, and the skin gradually loses elasticity. Sun exposure, sleep, stress, weight changes, and other lifestyle factors may also affect how long the results last.

The duration of results may be influenced by:

Your starting level of skin and tissue laxity

Age and rate of collagen loss

Sun exposure and sun-protection habits

Smoking, sleep, and stress

Significant weight gain or loss

Hormonal changes and overall health

Treatment area and individual tissue response

Ultherapy PRIME® is not a permanent lifting treatment. Once the result has developed and stabilized, the need for future maintenance should be assessed based on your individual condition.

You may feel brief heat, tingling, prickling, or a dull aching sensation during treatment. Comfort levels vary depending on the treatment area and your personal tolerance.

Before treatment, the provider will cleanse your skin and apply ultrasound gel. Real-time ultrasound imaging is then used to view the skin and underlying tissue. As energy is delivered to the selected depth, you may feel heat, tingling, prickling, pressure, or brief discomfort.

The experience varies from person to person. It may also be affected by the treatment area, tissue thickness, pain tolerance, and treatment plan. Even for the same client, some areas may feel more sensitive than others.

Tell your provider how you feel throughout the procedure. Brief heat or tingling can be part of the normal treatment experience. However, you should immediately report sharp pain, persistent burning, or discomfort that feels noticeably different in one area. The provider can then check the transducer contact, ultrasound image, tissue depth, and treatment position.

More pain does not mean better results. An appropriate treatment uses assessment and real-time imaging to deliver energy to the intended tissue layer. The goal is not simply to use more energy or create a stronger sensation.

Most clients can return to normal activities immediately. Some may experience temporary redness, mild swelling, tenderness, or tingling.

Ultherapy PRIME® is a non-invasive treatment with no surgical incisions or injections. Most clients can return to work, go out, and continue normal daily activities after their appointment. A long recovery period is usually not required.

Temporary reactions may include redness, mild swelling, tenderness, sensitivity to pressure, tingling, or increased skin sensitivity. Redness usually fades within a few hours. Mild swelling may last approximately 3 to 72 hours. Some clients may notice mild tenderness when touching or pressing the treated area for several days or, occasionally, a few weeks. Recovery varies from person to person.

Less commonly, clients may develop bruising, linear swelling, temporary numbness, tingling, or localized muscle weakness. These reactions often improve over time. Contact the clinic if they persist, become worse, or noticeably interfere with daily activities.

If the area is red, swollen, or tender, avoid forceful massage, repeated rubbing, or pressing on it. Follow the aftercare instructions provided by your clinic.

If you have a wedding, photoshoot, important meeting, or on-camera appearance the next day, consider leaving extra time in case of temporary redness, swelling, or other reactions.

No. Ultherapy PRIME® is a non-invasive treatment for mild to moderate laxity. It cannot provide the same degree of improvement as a surgical facelift.

Ultherapy PRIME® and facelift surgery work in different ways, so they do not produce the same type or level of result.

A surgical facelift can remove excess loose skin and reposition or secure deeper tissue. It is generally more appropriate for people with significant laxity or sagging who want a more substantial change. Ultherapy PRIME® does not remove skin or surgically reposition facial tissue.

Instead, it uses microfocused ultrasound to deliver energy to selected tissue layers beneath the skin. This activates gradual collagen remodelling and can help improve certain concerns around the brows, under-chin area, and neck. The results are generally natural-looking and develop over time.

Ultherapy PRIME® may be an option for people with mild to moderate laxity who are not ready for surgery or do not want a surgical procedure and longer recovery period.

However, if you have significant loose skin, advanced sagging, pronounced jowls, or want a dramatic lifting effect, Ultherapy PRIME® alone may not meet your expectations. Increasing the number of treatment lines, using more energy, or having treatments too frequently cannot make a non-invasive procedure produce surgical results.

A professional assessment will help you understand what the treatment can realistically achieve.

YES. Ultherapy PRIME® may be included in a plan together with botox, fillers, or other treatments. The order and timing should be determined by a qualified professional based on the treatment areas and your individual needs.

Ultherapy PRIME®, botox, hyaluronic acid and other dermal fillers, collagen-stimulating injectables, and thread lifts address different concerns.

Ultherapy PRIME® mainly targets certain types of tissue laxity and lifting concerns. Botox is generally used for dynamic lines caused by muscle movement. Fillers are commonly used to restore volume, improve hollow areas, or provide structural support.

These treatments may be included in one overall plan, but there is no single treatment order or waiting period that is appropriate for everyone. The plan must consider the injectable product, injection area, treatment depth, tissue recovery, and desired outcome.

Before Ultherapy PRIME®, tell your provider if you have received injections in the:

Under-eye area

Temples

Cheeks

Nasolabial folds

Lips

Chin

Jawline

Whenever possible, provide the product name, approximate treatment date, injection area, and details of any previous swelling, nodules, or other reactions.

Even if an injected area looks fully healed, do not decide the treatment order on your own. A professional should create a safe and appropriate combined plan based on your individual situation.

Ultherapy PRIME® delivers energy beneath the skin and does not primarily target melanin. It can generally be considered for different skin tones, but suitability still depends on your skin, health, implants, medications, and previous treatments.

Some laser and light-based treatments target melanin or haemoglobin. People with darker skin, a recent tan, or a tendency to develop pigmentation may require additional precautions with those treatments.

Ultherapy PRIME® uses microfocused ultrasound to deliver energy to selected tissue layers beneath the skin. Its main target is not melanin at the skin’s surface. For this reason, skin tone is generally less of a limiting factor than it may be with certain light-based treatments.

However, being suitable for different skin tones does not mean the treatment is appropriate for everyone. Before treatment, tell your provider if:

The area has a wound, rash, infection, or significant inflammation

You have severe or cystic acne in the treatment area

You have an active implanted electronic device or a metal implant

You take anticoagulant medication

You have a health condition that may affect healing

You are pregnant or breastfeeding

You have previously received fillers, threads, surgery, or another treatment in the area

Skin tone is only one part of the assessment. Your provider must also consider your health, tissue condition, implants, medications, and previous procedures before recommending treatment.

The cost depends on the treatment area, treatment size, and personalized plan. After an assessment, our team will explain the exact cost before treatment.

The cost of Ultherapy PRIME® varies based on the areas being treated, the size of those areas, and the treatment plan you need. The brows, under-chin area, neck, and upper chest have different tissue structures and treatment goals, so one fixed price cannot accurately represent every treatment.

Ultherapy PRIME® includes real-time ultrasound imaging. Before treatment, the provider assesses the tissue beneath the skin and considers its thickness, the location of laxity, and your specific needs. Appropriate transducers, treatment depths, and treatment areas are then selected. Even when two clients treat the same general area, their treatment plans may differ.

When requesting a quote, ask what it includes, such as:

The exact treatment areas

Whether the brows, under-chin area, or neck are included

Professional assessment and before-treatment photographs

Follow-up arrangements

The training and qualifications of the person performing the procedure

Price is only one factor when choosing treatment. Real-time visualization, appropriate transducer selection, accurate tissue assessment, and a personalized plan are also important parts of treatment quality.

Ultherapy PRIME® uses microfocused ultrasound with real-time imaging. Thermage® FLX uses monopolar radiofrequency energy. They work differently and may suit different areas and concerns. The choice should be based on where you have laxity, your skin condition, and the results you want.

Ultherapy PRIME® delivers microfocused ultrasound energy to selected tissue layers beneath the skin. During treatment, the provider uses real-time ultrasound imaging to view the skin and underlying tissue. This helps confirm the treatment position and allows the provider to select an appropriate transducer and depth based on tissue thickness.

Common treatment areas include lifting the brows, under-chin area, and neck, as well as improving lines and wrinkles on the upper chest. If your main concern is laxity around the brows, jawline, under-chin area, or neck, Ultherapy PRIME® may be considered first.

Thermage® FLX uses monopolar radiofrequency energy to create controlled heating across a broader treatment area. This supports gradual collagen remodelling and is commonly considered for overall skin firmness, certain fine lines, laxity, and less-defined contours.

As a general guide:

If your main concern is lifting around the brows, under-chin area, or neck, Ultherapy PRIME® may be considered.

If you want to improve broader skin laxity, fine lines, and overall firmness, Thermage® FLX may be considered.

If you have concerns at different locations or tissue levels, a staged or combined plan may be discussed after assessment.

The decision should not be based only on age or online reviews. Skin thickness, facial fat, bone structure, location of laxity, previous treatments, pain tolerance, and expectations can all affect which option is more appropriate.

Start by identifying the areas that concern you most and the level of improvement you want. A professional can then assess your tissue and recommend a suitable option.

Ultherapy PRIME® may be suitable for people with mild to moderate laxity who want natural, gradual lifting but are not currently considering surgery.

Ultherapy PRIME® may be suitable if you have started to notice reduced firmness around the brows, under the chin, or on the neck. It may also be considered for gradually developing lines on the upper chest.

Age alone does not determine suitability. People of the same age can have different skin thickness, facial fat, bone structure, collagen loss, and patterns of laxity. One person may mainly have early skin laxity. Another may also have fat accumulation, facial hollowing, limited structural support, or more advanced tissue sagging. These concerns may require different treatment approaches.

The results of Ultherapy PRIME® are usually natural-looking and develop over several months as collagen remodels. It is more suitable for people who are comfortable with gradual improvement rather than an immediate or dramatic change.

If you have significant loose skin, advanced sagging, or want a result similar to a surgical facelift, Ultherapy PRIME® alone may not meet your expectations. A professional should assess the degree of laxity, tissue condition, and treatment goals before recommending the procedure.

Authorized treatment areas in Canada include the brows, under-chin area, neck, and lines and wrinkles on the upper chest. Your treatment plan will be personalized based on your needs.

Authorized uses of Ultherapy PRIME® in Canada include:

Lifting the brows

Improving tissue laxity beneath the chin

Improving neck laxity

Improving lines and wrinkles on the upper chest

The phrase “full-face Ultherapy” is sometimes used casually, but it does not mean that every part of the face can be treated in the same way. Skin thickness, facial fat, and tissue structure vary between areas. Your provider must first determine which areas are appropriate and what you want to improve.

Ultherapy PRIME® includes real-time ultrasound imaging. During treatment, the provider can view tissue beneath the skin, confirm proper contact, and select a suitable treatment depth based on tissue thickness. This helps deliver energy more accurately to the intended location.

A larger treatment area is not automatically better, and every area does not require the same depth. The plan should be based on the location of laxity, tissue structure, and the level of improvement you want.

The treatment itself usually takes approximately 30 to 90 minutes. The exact time depends on the areas treated, the size of those areas, and your personalized plan.

An Ultherapy PRIME® treatment generally takes around 30 to 90 minutes. A small, focused treatment is usually shorter. Treating multiple areas, such as the brows, under-chin area, and neck, will generally take longer.

Your total time at the clinic also includes assessment and preparation, such as:

Reviewing your health and previous aesthetic treatments

Cleansing the treatment area

Taking before-treatment photographs

Assessing tissue condition and the location of laxity

Marking the treatment areas

Using real-time ultrasound to view tissue beneath the skin

Completing a post-treatment check and reviewing aftercare

Allow more time than the estimated device-treatment time when planning your day. Your first appointment, a detailed consultation, or treatment of multiple areas may require a longer visit.

Assessment and preparation are important parts of the procedure and should not be skipped to save time. The provider needs to understand your tissue thickness, location of laxity, and goals before selecting the appropriate transducer and treatment depth.

Before Ultherapy PRIME®, tell us about your health, medications, implanted devices, skin concerns, and any recent injectable or cosmetic treatments.

Ultherapy PRIME® is not suitable for everyone. During booking and consultation, provide complete information about your health, medications, implants, and previous procedures whenever possible.

According to the official Ulthera® instructions for use, treatment is not recommended when:

The treatment area has an open wound, broken skin, or another unhealed skin condition

Severe inflammation or cystic acne is present in the treatment area

A pacemaker, defibrillator, or another active electronic implant is located near the treatment area

A metal implant is present in the treatment area

You should also tell your provider if you:

Are pregnant, planning to become pregnant, or breastfeeding

Take anticoagulant medication or have a bleeding or clotting condition

Have an active skin condition, infection, or another health issue that may affect recovery

Have a history of cold sores or herpes simplex

Have an autoimmune condition, diabetes, epilepsy, or a history of Bell’s palsy

Have received hyaluronic acid, a collagen-stimulating injectable, or another filler in the treatment area

Have had thread lifting or surgery, or have another implant in the treatment area

Have a history of keloids, hypertrophic scarring, or abnormal wound healing

Recently received botulinum toxin, fillers, laser, radiofrequency, microneedling, or another energy-based treatment

Take prescription medication or have experienced a recent change in your health

Your provider will assess your health, medications, implant location, previous treatments, and planned treatment area. They may adjust the treatment plan, recommend postponing it, or determine that it is not appropriate.

Even if an injection, surgery, or device-based treatment took place some time ago, provide the approximate date, product name, and treatment area. Complete information helps the provider create a safer and more appropriate plan.

Do not stop prescription medication unless instructed by your physician.

No. Ultherapy PRIME® should not be used directly on the eyelids, eyeball, or inside the eye socket. It is authorized for brow lifting, but a brow treatment is not the same as treating the upper or lower eyelids.

Ultherapy PRIME® is authorized for brow lifting. However, ultrasound energy should not be delivered directly to the eyeball, upper eyelid, lower eyelid, or inside the eye socket.

A brow-lifting treatment focuses on suitable tissue above and around the brows. Gradual collagen remodelling may help improve mild laxity in this area. However, Ultherapy PRIME® does not directly treat the eyelids and is not designed to correct under-eye bags, dark circles, or eyelid drooping.

Under-eye bags and eyelid laxity may be related to reduced skin elasticity, protruding fat, muscle function, brow position, or the structure of the eye socket. Ultherapy PRIME® may not be appropriate for every concern and cannot replace an eye examination or surgical assessment.

During treatment, the provider must use their knowledge of facial anatomy and real-time ultrasound imaging to identify appropriate areas and avoid the eyes, eyelids, and eye sockets.

Tell your provider if you have had eye or eyelid surgery, laser vision correction, or fillers around the eyes. You should also disclose glaucoma, retinal disease, changes in vision, or any other eye condition before considering a brow treatment.

Ultherapy PRIME® is not a fat-reduction treatment and is not intended to reduce facial fat. However, people with a slim face, limited facial fat, or existing hollow areas need a more careful assessment.

Ultherapy PRIME® uses microfocused ultrasound to support gradual collagen remodelling and improve certain areas of laxity. It is not specifically designed to reduce facial fat.

Extra care is needed if you have a naturally slim face, limited facial fat, or hollow areas around the temples, under the eyes, or in the cheeks. You should also tell your provider if you have recently lost a significant amount of weight or previously received a fat-reduction treatment, fat grafting, fillers, or another facial contouring procedure.

Ultherapy PRIME® includes real-time ultrasound imaging. This allows the provider to assess tissue beneath the skin and select appropriate transducers, depths, and treatment areas based on tissue thickness, fat distribution, and the location of laxity.

Treatment should not focus on making the face as small as possible, using the highest number of lines, or applying the highest energy. The priority is to preserve natural facial volume and balance while treating areas that may benefit from improvement.

If you have a slim face, existing hollowing, or concerns about volume loss, complete a professional assessment first. The provider can then determine whether treatment is appropriate and whether certain areas should be avoided or treated more conservatively.

Not necessarily. More treatment lines do not always lead to better results with Ultherapy® PRIME. It is more important for the energy to reach the appropriate area, depth, and tissue layer.

Face shape, treatment area, skin thickness, fat distribution, and location of laxity vary from person to person. The appropriate number of lines will therefore be different for each client. There is no single standard that suits everyone.

Ultherapy PRIME® uses real-time ultrasound imaging. This allows the provider to view tissue beneath the skin before selecting the treatment area, transducer, and depth.

Different transducers can target different depths, including 1.5 mm, 3.0 mm, and 4.5 mm. However, this does not mean every client or treatment area requires all three depths. The selection should be based on tissue thickness and treatment goals.

Simply adding more lines may not improve the result if the energy is not delivered to the appropriate location. Too many lines, excessive concentration of energy, or repeated treatment in an unsuitable area may increase discomfort and the risk of adverse reactions.

When discussing Ultherapy PRIME®, ask about more than the number of lines. You should also understand:

The exact areas being treated

The transducers and depths being used

Whether real-time imaging will be used to assess the tissue

How the plan has been personalized for your needs

The appropriate number of lines should be based on safety, accuracy, and your individual treatment needs—not on the idea that more is always better.

Not always. The need for numbing cream or pain relief depends on your tolerance, health, and treatment plan. Do not take medication on your own without professional guidance.

During Ultherapy PRIME®, you may feel brief heat, tingling, prickling, or a dull aching sensation. The experience varies depending on the treatment area, treatment depth, and personal tolerance.

Some clients complete treatment without additional comfort measures. Others may benefit from comfort options after a professional assessment. Protocols vary between clinics, so the plan should be based on your individual needs.

Do not take pain medication or sedatives, or use an unapproved numbing product, without professional guidance. Some medications may increase the risk of bleeding, bruising, allergic reactions, or other complications. They may also change how you respond to pain and heat, which can affect the provider’s ability to make adjustments based on your feedback and the ultrasound image.

Before treatment, tell your provider if you take anticoagulants, pain medication, or sedatives, or if you have previously had an allergic reaction to an anaesthetic. Do not stop prescription medication unless instructed by your physician.

Even if numbing cream or another comfort measure is used, continue to report how you feel during treatment. Tell the provider immediately if you experience persistent burning, sharp pain, or discomfort that feels different from the usual heat or tingling.

Visit the official Merz Aesthetics Canada Ultherapy® website (https://www.merzaesthetics.ca/ultherapy/ultherapy-home/) and use “Find a Provider.” Check the clinic name, location, and treatment offered by carefully. You may also confirm the device model and the provider’s qualifications at the clinic.

Before booking, visit the official Merz Aesthetics Canada Ultherapy® website and use the “Find a Provider” tool. Enter your city or address to see whether the clinic appears in the official provider directory.

Check the following details carefully:

Full clinic name

Exact treatment address

Specific clinic location

Whether the clinic offers Ultherapy® or Ultherapy PRIME®

If a business has several locations, do not check only the brand name. Make sure the address listed matches the location you plan to visit.

The Ultherapy® website states that treatment should be provided by an appropriately qualified physician or provider. The official directory can be an important reference when choosing a clinic.

At the clinic, you may also ask:

Whether the device is Ultherapy® or Ultherapy PRIME®

Who will perform the treatment and what qualifications they hold

Whether a health and suitability assessment will be completed

Whether real-time ultrasound imaging will be used

How the transducers, treatment areas, and depths will be selected

Checking the official website is an important first step. The assessment process, device information, provider qualifications, and treatment protocol are equally important.

Mild redness, swelling, tenderness, or temporary tingling usually improves over time. Contact the clinic promptly if you develop worsening pain, burns, blisters, significant numbness, muscle weakness, unusual facial movement, or changes in vision or speech.

Some clients experience mild redness, temporary swelling, tenderness when pressing the area, tingling, or sensitivity after treatment. These reactions usually improve gradually.

Contact the clinic promptly if symptoms do not improve, continue to worsen, noticeably affect daily life, or include:

Increasing pain or burning

Blisters, burns, broken skin, or unusual scarring

Swelling that does not improve or continues to spread

Significant or persistent numbness, tingling, or altered sensation

Localized muscle weakness, an uneven smile, or unusual facial movement

Lumps, nodules, noticeable hollowing, or new facial asymmetry

Significant or persistent changes in skin colour

Eye discomfort, blurred vision, or another change in vision

Difficulty speaking, a significant headache, or a sudden worsening of an existing migraine

When contacting the clinic, provide clear photographs if possible. Note when the symptoms began, whether they are worsening, which areas are affected, and any medications or skincare products you have used.