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Ultherapy in New Jersey


Ultherapy Before & After Photo. Procedure by Dr. Baljeet K. Purewal (Oculoplastic Surgeon) in New Jersey.





Loose skin dragging you down?

Ultherapy is a gentle, non-invasive treatment used to lift the skin on the neck, chin, and brow, and improve lines and wrinkles on décolletage. Many of us in our 30s and 40s are beginning to feel skin laxity — that is our skin is looking or feeling, less firm. Ultherapy is the perfect option for those who want some facial lifting but are not ready for a surgical facelift, would like to maintain results they’ve achieved with other therapies, or just want to stay ahead of the aging process.

Often we will use Ultherapy in combination with chemical peel treatments, BOTOX injections, or dermal fillers for maximum results.

FAQ: Ultherapy


What is Ultherapy?

Ultherapy is a non-invasive treatment using microfocused ultrasound to lift and tighten the skin along the jawline, lower face, under the chin, neck, eyebrows and chest. It is the only non-invasive treatment approved by the FDA for lifting of the skin in these areas. Ultherapy also stimulates collagen production in the deeper layers of the skin. During the treatment, ultrasound imaging is used to visualize the tissue being treated allowing for a precise treatment.

What is the downtime and recovery like for Ultherapy?

There is no downtime with Ultherapy. Once the procedure is done, there may be mild redness and swelling which usually resolves after 1-2 hours. Sunblock and make-up can be applied immediately after and patients may return to all their normal daily activities.

How long does the procedure take?

Depending upon how many areas are being treated, Ultherapy can take from 30 minutes to 90 minutes.

Is it painful?

We apply numbing cream for half an hour prior to the procedure and use cold air to help distract in more sensitive areas. Some patients may feel the sensation of energy targeting the deeper tissue but it only lasts while the ultrasound treatment is being delivered.

When should I expect to see results?

The goal of this treatment is a long-term result by enhancing the foundation of the skin and underlying tissue. It can take several months and up to 6 months for the body to create this new collagen and to see the overall improvement.

How long do the results last?

Most patients choose to repeat the procedure every 1-2 years to keep up with the aging process.

How does Ultherapy work?

Ultherapy is a non-invasive cosmetic procedure that uses focused ultrasound to stimulate the formation of new collagen deep below the skin’s surface. The production of new collagen will continue to improve the appearance of skin over 2 to 3, and up to 6 months post-treatment. Ultherapy is the only procedure to use ultrasound imaging, which allows Dr. Purewal to actually see the layers of tissue targeted during the treatment and ensure the energy is deposited precisely to where it will be most beneficial.

Does Ultherapy hurt?

As the ultrasound energy is delivered, you may feel tiny amounts of energy entering your skin, stimulating the collagen-building process. Comfort levels vary from person to person, but the sensation only lasts while the ultrasound energy is being delivered. Ultherapy is generally tolerated well, however for patients who are more sensitive, we offer numbing cream. Numbing cream is applied topically and takes about 15 minutes to work.

What should I expect after Ultherapy?

With Ultherapy, there is no downtime. After your procedure, you can resume your normal activities immediately, without having to follow any post-treatment regimens.

How many Ultherapy treatments will I need?

The majority of patients only need one treatment to significantly improve the firmness of their skin. Depending on how much skin laxity you have, and how your body responds to the treatment, Dr. Purewal may recommend additional treatments.

How long will my results last?

Since the procedure stimulates your own collagen production, how long the results last depends on your body’s response to the treatment. While treatment produces new collagen on the inside, your natural aging process will dictate how long that translates into visible results on the outside. Future touch-up treatments can help provide more control over the aging process.

New Jersey Ultherapy

A variety of factors contribute to the loose skin, fine lines and wrinkles that develop as we age. While we have control over some of these factors, like sun exposure and cigarette smoke, there are other factors that we have no control over, these factors include environmental issues and gravity. Now, advancements in the plastic surgery and cosmetic industry have created a way to turn back the hands of time, without surgery, using an innovative treatment called Ultherapy (micro-focused ultrasound treatments). This treatment actually stimulates the body to create a protein called collagen, which is considered the framework of the skin. The results achieved with micro-focused ultrasound treatments have led to it being referred to as a ‘non-surgical facelift.’

Who is a Good Candidate for a New Jersey Ultherapy Treatment?

Ultherapy is ideal for individuals who want to address the signs of aging without having surgery. Despite the color, condition or type of skin an individual has, a micro-focused ultrasound treatment is an effective solution for addressing the signs of aging.

These signs include:

  • Loose skin beneath the neck and chin.
  • Wrinkles and lax skin on the face.
  • Wrinkles on the upper chest area.

Combat the Early Signs of Aging or Reduce Existing Lines and Wrinkles

Generally, an individual’s candidacy for a micro-focused ultrasound treatment depends on his or her goals. Younger individuals who are interested in combating the early signs of aging may be good candidates for this innovative, non-surgical treatment. And older individuals who would like to reduce the signs of aging as a means to improve their self-confidence levels may want to consider Ultherapy. This innovative, non-surgical treatment is less invasive and less expensive than a traditional facelift, yet it offers comparable results. Moreover, micro-focused ultrasound treatments can be used periodically to maintain the youthful, refreshed appearance that patients desire.

What is an Ultherapy Treatment?

This is a non-surgical, FDA-approved, rejuvenating treatment that can be used to lift and tighten the skin on the face, neck, eyebrows, chin and upper chest area.

A New Jersey Ultherapy treatment is a non-invasive procedure, nonetheless, this simple, non-surgical treatment can provide patients with results that rival those attained with a surgical facelift. Whereas, recovering from a traditional facelift can take a month, sometimes longer, micro-focused ultrasound treatments have no downtime. The patient can return to his or her regular activities (e.g., working, exercising, socializing, etc.), directly following treatment.

What Makes Collagen So Important?

This protein is vital to the skin’s health, which directly affects the appearance of the skin. Collagen can be found in nearly every part of the body. Although the body produces collagen indefinitely, as we age, the production of this vital protein begins to slow. It is the natural process of the collagen breaking down, in conjunction with this decrease in collagen production that leads to the development of lax skin, fine lines and wrinkles.

Once the micro-focused ultrasound stimulates collagen production, the body rejuvenates the skin by creating more of this essential protein.

Do Ultherapy Treatments Hurt?

Some of Dr. Purewal’s patients state that the treatment is not necessarily painful. Most patients feel a warm or tingling sensation during treatment. These treatments require no incisions, stitches or recovery time. Some patients find this treatment to be soothing, whereas, others request that a topical numbing cream be applied to the treatment areas prior to the start of their micro-focused ultrasound treatment session. Patients just need to let her know before she begins their treatment session.

What Benefits Are Achieved with an Ultherapy Treatment?

This non-surgical, state-of-the-art micro-focused ultrasound treatment addresses sagging skin on the upper chest and neck area. After this procedure, the skin lifts and tightens as collagen is produced.

A micro-focused ultrasound treatment can also address the signs of aging on the face, including the fine lines and wrinkles that develop. Following this innovative non-surgical treatment, the patient will have smoother, more youthful-looking skin. The best part is that the results attained with this non-invasive treatment closely resemble those achieved with a traditional surgical facelift.

This treatment is less expensive than a traditional facelift and, since it is non-invasive, a micro-focused ultrasound treatment carries fewer potential side effects and risks than a surgical procedure does.

In addition, a micro-focused ultrasound treatment is one of the quickest procedures available to attain a refreshed, rejuvenated appearance.

This non-invasive treatment provides patients with natural-looking, long-lasting results.

Furthermore, after this treatment, there is no downtime, thus, allowing patients to go on about their day as usual.

New Jersey Ultherapy Treatments at Fresh Face & Eye

At Fresh Face & Eye, Dr. Baljeet K. Purewal performs micro-focused ultrasound treatments to help individuals rejuvenate their skin and attain the more youthful appearance they desire. Dr. Purewal has been serving New Jersey for 10 years. She is a board-certified Oculoplastics and Reconstructive Surgeon specializing in non-surgical facial rejuvenation and cosmetic eyelid surgery.

The Importance of Choosing an Experienced Ultherapy Doctor

Although there are fewer potential risks, side effects and complications associated with this non-invasive procedure than there are with its surgical counterpart, choosing an experienced Ultherapy provider is essential to achieving the best results possible.

Prior to beginning the treatment, the doctor needs to determine the ideal skin depth. Dr. Baljeet K. Purewal has the experience and skill necessary to determine how far the ultrasound energy needs to permeate the patient’s skin to stimulate the body into producing more collagen. In addition, she considers what her patient wants to accomplish with a micro-focused ultrasound treatment and uses this information to focus the energy directly into those targeted areas.

How Does a New Jersey Ultherapy Treatment Work?

During a micro-focused ultrasound treatment, Dr. Purewal reaches the deepest layers of the patient’s skin using highly concentrated ultrasound energy. This highly concentrated energy creates a thermal effect in the deeper layers of the skin. As the ultrasound energy permeates the skin, the body begins producing additional collagen.

How Do Ultherapy and Laser Treatments Differ?

Ultherapy and laser treatments vary greatly. Laser treatments use light energy, while a micro-focused ultrasound treatment uses sound energy to address the signs of aging. Using sound energy offers unique benefits in that it can penetrate into the deepest layers of skin, contrastingly, laser therapy is unable to permeate into these deep layers skin. Additionally, Ultherapy treatments are approved by the FDA for use in the cosmetic industry, in particular, to lift the skin. Laser treatments have not been FDA-approved for the lifting of skin; therefore, the results achieved with laser treatments are not as dramatic as those achieved using micro-focused ultrasound treatments.

Another difference between laser and micro-focused ultrasound treatments is that a micro-focused ultrasound treatment is a safe and effective FDA-approved treatment for all skin types, nonetheless, despite the fact that laser treatment technology continues to improve, it still has quite a ways to go before it will be considered a safe and effective treatment for all skin types.

Who Should Consider Having Ultherapy Treatments in New Jersey?

Despite the color, condition or type of skin an individual has, a micro-focused ultrasound treatment is an effective solution for addressing the signs of aging. Generally, an individual’s candidacy for a micro-focused ultrasound treatment depends on his or her goals. Younger individuals who are interested in combating the early signs of aging may be good candidates for this innovative, non-surgical treatment. Older individuals who would like to reduce the signs of aging as a means to improve their self-confidence levels may want to consider Ultherapy as opposed to a surgical facelift. These treatments are less invasive, less expensive and can be used periodically to maintain a youthful, refreshed appearance.

Individuals experiencing loose skin beneath the neck and chin, wrinkles and lax skin on the face, and lines and wrinkles on the chest may be ideal candidates for micro-focused ultrasound treatments.

An Initial Consultation for an Ultherapy Treatment at Fresh Face & Eye

Patients should feel free to ask questions. Some patients find it helpful to jot down questions or type them into their phone prior to their consultation, that way they do not forget what they wanted to ask Dr. Baljeet K. Purewal.

During the initial consultation, Dr. Purewal will review the patient’s medical information. While filling out the registration forms, patients need to include any medications they take regularly. Patients should also provide the name of their medications, dosage amount, frequency and the reason for the medication. In addition, Dr. Purewal would like to know if the patient takes any herbal supplements on a regular basis and the reason the patient takes these supplements. Also, if the patient takes vitamins/minerals, she needs to know (e.g., a multi-vitamin, extra C or B12, etc.).

Patients who follow a skin care regimen need to let Dr. Purewal know which products they use on the areas being treated.

Patients Need to Be Candid with Dr. Purewal

Since medical information is confidential, patients should never be concerned about speaking openly with the Dr. Purewal or her staff.
Dr. Purewal and her staff always put patient safety above all else, therefore, Ultherapy patients who smoke traditional cigarettes and/or e-cigarettes, as well as those who participate in recreational drug use and/or regularly consuming alcoholic beverages need to disclose this information to Dr. Purewal. She needs to know because some of these lifestyle choices negatively affect the body’s ability to heal.

Allergies to medications and/or latex should be listed as well.

Patients need to inform Dr. Baljeet Purewal of any previous surgeries and/or cosmetic treatments that were performed on the areas being targeted during the patient’s Ultherapy treatment session (e.g., a facelift when sections of the face are being targeted, etc.).

Additionally, when applicable, patients need to include any other surgical procedures that they have had (e.g., breast implant surgery, an appendectomy, etc.).

Dr. Purewal will examine the areas of the patient’s skin that he or she would like addressed. This skin examination helps Dr. Purewal as she determines whether the patient would benefit from a micro-focused ultrasound treatment.

Preparing for a New Jersey Ultherapy Treatment with Dr. Baljeet Purewal

After the initial consultation, if the patient decides to move forward with the treatment, it is time to prepare. Generally, very little needs to be done to the areas being treated with micro-focused ultrasound. After the treatment session, patients just need to continue with their regular skincare routine, eat well and avoid UV rays.

Patients interested in trying a new product should wait until after their micro-focused ultrasound treatment is done because if he or she has a negative reaction to this new product, the Ultherapy treatment will need to be rescheduled until these negative effects subside.

Dr. Purewal may give the patient specific pre-treatment
instructions to follow.

Tips for Keeping the Skin Healthy Before and After Treatment

Keeping the skin healthy before a micro-focused ultrasound treatment helps support the new collagen production. In addition, following a skin care routine keeps the skin looking more youthful, longer.

To keep the skin healthy and vibrant, patients need to:

  • Eat a balanced diet that is full of healthy fruits and vegetables. Following a balanced diet ensures the skin has the nutrients necessary to remain healthy.
  • Keep their skin hydrated by drinking plenty of water.
  • Wear sunscreen daily. Sunscreen is not an option, but a necessity. Dark spots on the skin, wrinkles and skin cancer all result from unprotected exposure to the sun’s harmful rays. Patients need to apply sunscreen every day and, if staying outside for any length of time, the sunscreen must be reapplied every four hours.
  • Moisturize their skin. Moisturizing is another essential step in maintaining healthy, vibrant-looking skin.

An Ultherapy Treatment in New Jersey: The Procedure

The length of a treatment is directly related to the areas being targeted: Treatment time for the neck and face can last up to 90 minutes. Whereas, the chest area usually takes about 30 minutes.

On treatment day, patients should cleanse their face as usual.

If the patient is wearing makeup, it needs to be removed prior to treatment.

1. Before the treatment session begins, photographs of the targeted areas may be taken: These photos are used for comparison purposes at the patient’s follow-up appointment. These photos will help Dr. Purewal and the patient see the changes that resulted from the micro-focused ultrasound treatment.

2. Dr. Purewal will examine the patient’s skin to ensure it is clean. In addition, she re-examines the target areas.

3. Dr. Purewal applies ultrasound gel to the treatment areas. She gently presses a handheld applicator against the patient’s skin. Using this imaging technology, Dr. Purewal views the internal layers of the patient’s skin. She does this to determine how far the ultrasound energy needs to permeate the skin to provide the patient with optimal results.

4. Next, she activates the ultrasound energy, moving the applicator over the targeted areas. Most patients say they feel a tingling sensation as the applicator moves over their skin, patients also proclaim that they feel a slight warming sensation directly beneath the surface of their skin as collagen production is stimulated.

5. After treatment, Dr. Purewal may give the patient follow-up instructions (e.g., applying a special cream to the treatment areas, etc.).

There is no downtime with a micro-focused ultrasound treatment, therefore, directly after treatment patients can immediately continue on with their typical daily routines.

Some patients are nervous about their treatment and request a topical numbing cream, since Dr. Baljeet K. Purewal and her entire staff are dedicated to making patients feel as comfortable as possible during their procedures, whenever possible, Dr. Purewal accommodates her patients’ requests.

What Patients Can Expect After Their New Jersey Ultherapy Treatment

Following a micro-focused ultrasound treatment, it is not uncommon for the skin to be sensitive and a bit flushed. However, these are good signs because it means that the energy successfully stimulated collagen production. The flushing typically fades within just a few hours.

Patients need to continue drinking plenty of water and applying a moisturizer to their skin after treatment. Some patients ask Dr. Purewal if the moisturizer they use is sufficient.

How Many Ultherapy Treatments Will the Patient Need to Reach His or Her Aesthetic Goals?

Most of Dr. Purewal’s patients only need one treatment to meet their aesthetic goals.

The Follow-Up Appointment

Dr. Baljeet K. Purewal usually wants to see her patients about six months after their micro-focused ultrasound treatment. During this appointment, Dr. Purewal evaluates the results by comparing the picture taken on the day of the procedure to the patient’s current appearance.

How Long Does It Take to See Changes?

As the collagen accumulates, patients will notice their skin is smoother and tighter in the areas they had treated with micro-focused ultrasound energy.

Patients usually notice some changes within a week of their treatment; however, these are not the final results.

When Will the Final Results Become Apparent?

Typically, the newly created collagen continues tightening and lifting the treated area for approximately three months after the patient’s Ultherapy treatment session. As collagen production continues, the patient’s moderate-to-severe wrinkles and fine lines will start to diminish.

Patients usually see their final results three months after their treatment, however, for some patients, final results can take up to six months to become evident.

Why Does It Take So Long to See the Final Results?

Since micro-focused ultrasound treatments are designed to stimulate the body into producing more collagen, the results can only become visible as the body creates this additional collagen.

After the Initial treatment; How Often Are Maintenance Treatments Necessary?

Since aging is a natural process, it will continue, therefore, the results attained with ultrasound energy are not permanent. Nonetheless, for some patients, the results last for three years. However, after about a year, many patients begin to see a re-emergence of the fine lines, lax skin and wrinkles that were addressed during their Ultherapy treatment. At this time, patients should schedule an appointment with Dr. Purewal for another treatment.

Dr. Purewal usually prefers that patients return for another treatment at around nine months, but no later than a year.

By having another Ultherapy treatment session before the results of the previous treatment totally subside, the body has an ample amount of time to begin creating more collagen, thus, preventing the re-emergence of the issues for which the patient sought treatment in the first place.

Frequency of treatment is ultimately up to the patient, however, if the patient would like to remain looking more youthful and refreshed, regularly scheduled maintenance treatments are necessary.

Lost Facial Volume May Require More Frequent Maintenance Treatments

Patients who have lost a significant amount of volume in the face, more specifically in their cheeks, may want to have maintenance sessions more frequently. This loss of volume usually results from significant weight loss in conjunction with a drastic reduction in the amount of collagen the body produces.

When loss of volume is the reason for micro-focused ultrasound treatments, Dr. Baljeet K. Purewal recommends the patient return every six months. That said, the patient determines the frequency and number of treatments he or she would like performed.

Are Ultherapy Treatments Expensive?

These treatments are much more economical than surgical procedures are. However, each treatment plan is unique, therefore, to determine how much a micro-focused ultrasound treatment will cost, Dr. Purewal needs to examine the areas the patient would like treated.

Following the skin examination during the initial consultation, Dr. Baljeet K. Purewal will have a good idea as to how much the patient’s micro-focused ultrasound treatment will cost.

Will Health Insurance Cover this Type of Treatment?

No, these treatments are aesthetic, which means they are not medically necessary. Therefore, insurance does not cover this treatment.

Dr. Baljeet K. Purewal Has Been Serving New Jersey for 10 Years

Dr. Baljeet Purewal is board-certified as an Oculoplastics and Reconstructive Surgeon. Dr. Purewal also specializes in performing rejuvenation techniques for the face and cosmetic eyelid surgery. For 10 years, she has been helping men and women throughout the state of New Jersey achieve their aesthetic goals.

Individuals in the New Jersey area who would like to look younger without having a surgical procedure, may want to consider an Ultherapy treatment. To learn more, or to schedule an initial consultation with Dr. Baljeet K. Purewal contact Fresh Face & Eye by calling (973) 635-4000. Chatham, New Jersey’s, Fresh Face & Eye, 82 Main St.