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After treatment and risks

After treatment and risks

Microfocused ultrasound lifted the brow 0.47 to 1.7 mm and reduced the submental area by 26 to 45 mm2 in pooled studies, with improvement in 92% at day 90 lasting up to 1 year. After radiofrequency-assisted liposuction o

After treatment

Stage by stage

Day of treatment

Most noninvasive treatments take 1 hour or less, and makeup can often go on right after. Redness and swelling are expected. After Thermage, they usually lasted less than 24 hours.[1][2]

First week

Six of over 600 Thermage patients had swelling for up to 1 week. Minimally invasive radiofrequency needs sedation, a driver home, wound care and a compression garment for 4 or 5 days.[1][2]

Weeks 1 to 6

After minimally invasive radiofrequency, results usually appear in about 1 month. Swelling lasted over 6 weeks in 4.8% of FaceTite lower face and neck patients.[1][2]

Months 2 to 6

After one ultrasound treatment, most people see modest lifting in 2 to 6 months. After noninvasive radiofrequency, the best results appear in about 6 months.[1]

Months 3 to 12

Microfocused ultrasound improvement continued up to 1 year in pooled studies. Gradual tightening for close to 1 year has been reported after minimally invasive radiofrequency.[1][2]

Repeat treatment

Some people benefit from more than one treatment, and a series may be needed. AAD says radiofrequency results can last 2 to 3 years with the right skin care.[1][2]

Risks

Risks, in numbers

Pain

Pooled pain after microfocused ultrasound averaged 4.85 out of 10. Parallel ultrasound scored 5.6 and 6.64 out of 10 in two studies.[1][2][3]

Burns and scarring

Second-degree burns followed 0.36% of Thermage applications in the multicenter study, with small scars in 3 patients at 6 months. Full-thickness burns were frequently reported to the FDA for Renuvion.[1][2]

Fat loss (lipoatrophy)

Lipoatrophy was among the most frequent Ulthera problems in 106 FDA device reports. One Thermage patient had a slight cheek depression that resolved in 3.5 months.[1][2]

Nerve injury

Marginal mandibular neuropraxia followed 1.2% of FaceTite lower face and neck treatments and resolved. Temporary sensory and motor nerve injury were among the common events in the Renuvion APR neck study.[1][2]

Hardening and nodules

Tissue hardness followed 9.1% of 55 RFAL neck and face patients and resolved with massage. A review found induration and nodules the most frequent complications of subsurface radiofrequency.[1][2]

Helium in body cavities

Four case reports describe pneumothorax, pneumomediastinum, pneumoperitoneum and pneumomastia after Renuvion. FDA adverse event reports included 15 life-threatening events and 3 deaths.[1]

Redness and swelling

Transient redness with or without swelling is the most common effect of microfocused ultrasound. Other effects were rare, at 2%, including numbness, bruising and striations.[1][2]

Later facelift

One FDA device report described a compromised facelift after Ulthera. A 2025 review found no supporting evidence in the published literature on the effect on a later facelift.[1]

How long results last

Microfocused ultrasound lifted the brow 0.47 to 1.7 mm and reduced the submental area by 26 to 45 mm2 in pooled studies, with improvement in 92% at day 90 lasting up to 1 year. After radiofrequency-assisted liposuction of the abdomen, skin area stayed 25.8% smaller at 1 year. AAD says radiofrequency results can last 2 to 3 years with the right skin care.[1][2][3]