Noticing sagging skin, fine lines, or a jawline that’s lost its sharpness? You’re not alone. These are some of the earliest—and most frustrating—signs of aging. As collagen and elastin production slow down over time, the skin gradually loses its firmness, resulting in laxity, wrinkles, and a less defined facial contour.

While these changes are completely natural, they can affect how we feel about our appearance. 

According to the American Society for Dermatologic Surgery (ASDS), over 70% of people surveyed are considering a cosmetic procedure to improve skin laxity and overall appearance. 

But for many, the idea of surgery feels too invasive or simply unnecessary.

That’s where non-surgical skin tightening treatments come in—offering a middle ground between topical creams and surgical facelifts. Two of the most well-known and trusted options are Ultherapy and Thermage, both of which use advanced technology to stimulate the skin’s natural healing process and boost collagen from within.

A study published in the Journal of Clinical and Aesthetic Dermatology found that radiofrequency (like Thermage) and ultrasound-based devices (like Ultherapy) effectively increased skin tightness by stimulating collagen remodelling over time.

But how do you choose between Thermage and Ultherapy skin tightening? Let’s break it down.

What is Thermage Skin Tightening?

Thermage is a non-invasive skin tightening treatment that uses radiofrequency (RF) energy to heat the deeper layers of the skin. This heat stimulates the body’s natural collagen production, helping to firm up and smooth the treated areas.

• FDA-approved for use on the face, eyelids, and body.

• Best for patients with mild to moderate skin laxity.

• Often used to smooth wrinkles and redefine contours—especially along the jawline, neck, and eyes.
  

The treatment typically takes 30 to 90 minutes, depending on the area being treated, and results gradually appear over 2–6 months.

What is Ultherapy Skin Tightening?

Ultherapy treatment uses focused ultrasound energy to penetrate deep into the skin—specifically targeting the same foundational layer addressed in surgical facelifts (the SMAS layer). It triggers neocollagenesis, or new collagen production, without cutting the skin.

• FDA-approved for lifting and tightening the skin on the neck, under the chin, and above the eyebrows, as well as improving lines and wrinkles on the chest.

• Best suited for individuals experiencing early signs of aging.

• Offers visible lifting and firming over 2–3 months, with results continuing to improve for up to 6 months.
  
  

Unlike Thermage, Ultherapy skin tightening includes real-time imaging to help practitioners deliver precise energy at specific depths.

Ultherapy Treatment vs. Thermage Treatment: Key Differences

1. Ultherapy vs Thermagy: Technology Used

Ultherapy uses focused ultrasound energy to target deeper layers of the skin, specifically the foundational tissue (SMAS layer) that is typically addressed during cosmetic surgery. This energy heats the tissue to stimulate collagen production and achieve a lifting effect from within.

Thermage, on the other hand, uses radiofrequency (RF) energy to heat the dermal layers of the skin. It works more superficially compared to Ultherapy, focusing on smoothing and tightening the skin's surface and improving texture by stimulating collagen in the mid to deep dermis.

2. Ultherapy vs Thermagy: Treatment Depth

Ultherapy skin tightening penetrates deeper layers of the skin, reaching up to 4.5 mm beneath the surface. It’s designed to lift and firm areas like the brow, jawline, neck, and décolletage by targeting muscle layers.

Thermage skin tightening works at shallower depths, usually up to 3.0 mm. It is most effective for treating loose skin and fine lines on the face, eyes, and body by tightening the collagen-rich layers just below the skin’s surface.

3. Ultherapy vs Thermagy: Sensation During Treatment

Ultherapy treatment can be more uncomfortable, as the ultrasound energy penetrates deeper. Clients often describe a tingling, prickling, or heating sensation, especially in bony or sensitive areas. 

Thermage skin tightening method is generally considered more tolerable. It uses a vibration technique and a cooling system to make the treatment more comfortable. Most clients report a warming sensation during each pulse, but it's usually well-managed.

4. Ultherapy vs Thermagy: Ideal Treatment Areas

Ultherapy is ideal for lifting and tightening the lower face, neck, jawline, and brow, and even improving lines on the chest. It’s a go-to for clients looking to restore definition and contour to the face.

Thermage treatment is best for smoothing and firming areas with loose skin and fine wrinkles, such as the eye area, cheeks, thighs, stomach, and arms. It's especially popular for improving crepey skin texture on the body.

5. Ultherapy vs Thermagy: Results Timeline

With Ultherapy skin tightening, results appear gradually over 2 to 3 months as new collagen forms, with continued improvement up to 6 months post-treatment. It’s a long-game option, but the lifting effect is often more dramatic.

Thermage skin tightening delivers quicker visible results, with some improvement seen immediately and full results developing over 2 to 6 months. It's great for those looking for faster skin smoothing and textural enhancement.

6. Ultherapy vs Thermagy: Downtime and Frequency
   

Both treatments have minimal to no downtime—clients typically resume normal activities the same day. However, Ultherapy is often a one-time treatment that lasts up to a year or more, while Thermage treatment may require annual maintenance depending on skin condition and desired results.

When to Opt for Ultherapy vs. Thermage? 

Side Effects of Ultherapy Skin Tightening vs. Thermage Tightening

Both procedures are generally safe, but mild and temporary side effects can occur:

Ultherapy treatment:

• Tingling or tenderness

• Swelling or slight redness (few hours to days)

• Rarely, bruising or numbness
  

Thermage treatment:

• Redness and slight swelling (typically fades in 24–48 hours)

• Tingling or mild discomfort

• In rare cases, surface irregularities or burns
  
  

Always consult a licensed and experienced provider to minimize risks.

Which One Is Safer: Ultherapy or Thermage Skin Tightening?

Both treatments are FDA-cleared and considered safe when performed by trained professionals. However, Ultherapy skin tightening penetrates deeper, which can lead to a more intense sensation during the procedure, but also more pronounced lifting results.

If you have sensitive skin or prefer a more comfortable treatment, Thermage may feel gentler. But if your primary concern is skin sagging, Ultherapy might offer more benefits.

Which One Should You Choose—Ultherapy or Thermage?

Both Ultherapy and Thermage are powerful, non-invasive treatments that can help restore firmer, more youthful-looking skin—but the right choice depends on your specific skin concerns, treatment goals, and tolerance for discomfort.

If you’re looking to lift and contour deeper facial structures, particularly around the jawline, neck, or brow, Ultherapy may be the better option with its ultrasound-based, deep-targeting technology. 

On the other hand, if your goal is to smooth fine lines, improve skin texture, or address loose skin on the face, eyes, or body, Thermage might be more appropriate with its comfortable and effective radiofrequency energy.

Both treatments are safe, FDA-cleared, and offer natural-looking results without the need for surgery. Side effects are generally mild and temporary, such as redness, swelling, or slight discomfort.

Find the Right Professional! 

To get the best results, always choose a qualified provider. Look for board-certified dermatologists, cosmetic surgeons, or licensed medical professionals who specialize in non-invasive aesthetic treatments. Also, make sure to read reviews, check out before-and-after photos, and scheduling a consultation can help you feel confident in your decision.

If you are looking for the premier medical aesthetics clinic, connect with AE.R Skinlab offering both Ultherapy treatment in Vancouver & Thermage treatment in Vancouver. 

Our team of experts connect with you, analyze your skin, suggest the right treatment & ensure the results that your skin deserves. Book a consultation today.