Ultherapy® Skin Tightening
Dr. Sasaki is the first physician in California (and the fourth in the USA) to implement the only imaged and focused ultrasonic device (Ulthera, FDA-cleared in September 2009) for multi-levels of tightening and lifting of sagging tissues in the forehead/brow, face and neck. This technology offers a precise non-surgical approach to elevation of tissues in a similar, but not as aggressive manner as performed by traditional plastic surgical procedures. The procedure is performed by Dr. Sasaki’s certified registered nurses under his direct supervision. From an external transducer on the skin surface, all tissue levels from the skin down to bone can be visualized on an adjacent imaging screen. The transducer focuses 95% of the ultrasonic energy to a point less than 1mm in diameter and precisely releases a number of thermal coagulation points firstly on the muscle’s fascial covering and, secondly with another transducer, to the lower level of the reticular dermis of the skin. These pin-point sites of thermal injury result in reorganization and contraction of the collagen fibers to tighten and elevate non-surgically layers that are addressed during surgical procedures. Since September 2009, Dr. Sasaki and his registered nurse have treated over 150 patients with a response-rate (eight out of ten patients) similar to that observed in Europe and the Far East. The procedure is performed usually without topical anesthetics. The clinical results can be observed as early as 6 weeks in some patients (majority of patients will respond by 3 months) and can last as long as 1-2 years.
This unique tightening technique is frequently combined thereafter with adding volume to the temporal hollows and midface/perioral irregularities to provide some of the attributes, obtained by a surgical rejuvenation procedure. Dr. Sasaki will advise his patients, based on their findings and goals, which of the approaches will meet their individual expectations. Surgical procedures for the most aged patients will almost always result in longer-lasting outcomes than non-surgical approaches for younger patients. On the other hand, non-surgical tightening and volume replacement treatments may offer an alternative approach for further facial rejuvenation after the major effects of a surgical procedure have passed.