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Non-Invasive Skin Tightening? RF Microneedling vs Ultherapy? Find Out Which is Best for You | MedSpa NYC
Ultrasound skin tightening (Ultherapy) has long been considered the best non surgical facial procedure around. That’s until a new and different skin tightening treatment entered the arena — Microneedling with Radiofrequency.
So are you wondering if Ultherapy or Microneedling with RF is right for you? Truthfully, both are great options to get rid of saggy skin and reverse skin laxity.
What’s more, you’ll likely be happy with the results of either to contour the cheeks on the midface, lift the brow and/or tighten sagging jowls on the lower face. And more!
That said, there certainly are differences between them, which could impact which you choose.
Let’s drill down further on RF Microneedling vs Ultherapy, courtesy of the best MedSpa in Manhattan, NYC:
Is Microneedling with RF Better than Ultherapy? Which is Best for Facial Skin Tightening?
Before we discuss the pros and cons of each treatment, it’s important to share an important similarity.
Both Microneedling RF and Ultherapy stimulate collagen production at the deeper layers of the skin, in order to tighten, firm and lift the skin.
How they go about this differs, as do the specific results each treatment achieves.
Additionally, which is best for you depends on your beauty goals, skincare concerns and budget. Here’s more on Ultherapy vs RF Microneedling:
What’s the Main Difference Between the Two Skin Tightening Treatments?
While both treatments are effective, Ultherapy is often preferred for deeper lifting and tightening, especially in areas like the neck and jawline.
RF Microneedling, on the other hand, excels in improving skin texture, reducing fine lines, and treating acne scars.
Here are more specifics of each treatment, including application, benefits, results and what you can expect before and after treatment:
What Ultherapy Benefits and Results Can I Expect?
Ultrasound energy reaches below the skin to gently heat the SMAS layer (where plastic surgeons cut during a facelift), in order to spark neocollagenesis. Here’s what you should know about Ultherapy:
1. Ultherapy is the only treatment cleared by the FDA for skin-lifting. Put simply, no other company can make that claim.
2. Ultrasound is a time-tested technology with a proven track record of safety and efficacy.
3. Ulthera bypasses the surface of the skin. That means there’s no trauma to the top or epidermis layer.
4. Ultherapy can penetrate deeply into the skin’s layers, targeting foundational tissues that other treatments cannot reach, which stimulates natural collagen production from within.
5. It’s highly targeted. The esthetician can customize treatment to your specific skincare concerns. Specifically, she can deliver tiny amounts of energy to clearly defined depths under the skin.
6. Although downtime is generally minimal, it’s possible to experience side effects, such as tenderness, flushing, bruising, and swelling for up to a few weeks following treatment.
7. Ulthera typically requires 1–2 sessions to achieve results that last up to five years, depending on individual skin laxity.
To maintain results long-term, occasional follow-up treatments may be recommended based on your skin’s aging process and lifestyle.
8. Ultherapy treatment areas are extensive. It’s commonly used as a full face, midface or lower face lift.
It’s works on most areas of the skin showing visible signs of aging, in order to tighten, firm and lift the brow, cheeks, under eyes, jowls, jawline, lower face, under the chin, and on the neck, as well as to improve lines and wrinkles on the chest and décolletage.
9. Ultherapy Body Contouring is an off-label use for knees, stomach, butt, and arms and is effective for similar skin issues, including loose or crepey skin.
10. Ultherapy skin tightening results appear gradually over 2–3 months and can continue for up to 6–12 months after treatment. It’s important to note that individual results may vary.
In summary, Ultherapy is particularly effective for individuals with mild to moderate skin laxity who are seeking a non-invasive alternative to surgical facelifts.
It is ideal for those who want a gradual collagen boost without plastic surgery for natural-looking results and minimal downtime and recovery.
Click for in-depth information about Ultherapy
What RF Microneedling Benefits and Results Can I Expect?
A Rejuvapen holds Microneedles that make micro injury to the surface of the skin, as well as direct the RF energy to the dermal layer of the skin. Here’s what you should know about Microneedling with Radiofrequency:
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RF Microneedling uses two highly-effective modalities in tandem.
Microneedling works to repair the surface of the skin, including diminishing fine lines or wrinkles, reducing pore size, minimizing scars, as well as restoring uneven skin tone. On the other hand,
Radiofrequency tightens skin by promoting collagen production at the deeper layers of the skin.
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Like Ultherapy, RF Microneedling is targeted. It gives the esthetician the ability to customize treatment for you to areas of the epidermis at the skin’s surface, as well as the dermis deep within the skin. This is due to its adjustable needle depth that assures tailored treatment to address individual skincare concerns.
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RF Microneedling can be further customized with the addition of serums, such as Platelet-Rich Plasma or Meso Vitamins.
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While both RF Microneedling and Ultherapy are generally easily tolerated, RF Microneedling is typically less painful than Ultherapy.
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Although downtime is typically minimal, it’s possible to experience side effects, such as tenderness or redness for up to a few days following Microneedling.
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While some benefit may be seen after one treatment, Microneedling with Radiofrequency typically requires 2-3 treatments spaced four weeks apart to see skin-tightening results.
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Ultherapy can last for up to five years with possible maintenance in between. On the other hand, RF Microneedling for lifting skin needs to be repeated more frequently (typically after a year), in order to maintain skin-tightening results.
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RF Microneedling skin tightening results generally appear more quickly than Ultherapy. Skin-lifting typically occurs after three months; however, results depend on individual skin laxity.
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RF Microneedling is versatile. It’s suitable for all skin types and tones and with treatment areas including RF Microneedling for body, face, neck, chest and décolletage.
In summary, RF Microneedling is especially beneficial for individuals looking to improve skin texture, reduce acne scars, and achieve a more even skin tone.
This treatment stimulates collagen and elastin production for long-lasting rejuvenation and is suitable for most skin types seeking a smoother, firmer complexion.
Click for in-depth information about Microneedling with Radiofrequency
Compare Ultherapy vs RF Microneedling
| Feature | Ultherapy | RF Microneedling |
|---|---|---|
| Technology | Ultrasound energy | Microneedling + Radiofrequency |
| Treatment Depth | Targets SMAS layer (deep) | Targets dermis and skin surface |
| Primary Benefits | Lifting, tightening, improves laxity | Texture improvement, scar reduction, pore size, tightening |
| Pain Level | Moderate discomfort during treatment | Mild to moderate discomfort with numbing cream |
| Downtime | Minimal; possible tenderness and swelling | Minimal; redness and tenderness for a few days |
| Results Timeline | Gradual, over 2-3 months; lasts up to 5 years | Visible after 1-3 months; maintenance yearly |
| Best For | Deep lifting (neck, jawline, brow) | Skin texture, acne scars, fine lines, all skin types |
| Cost | Higher upfront, longer lasting | Lower per session, more sessions needed |
Am I a Good Candidate? How Do I Know Which Treatment is Best for Me?
Choose Ultherapy if:
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You want to lift and tighten sagging skin, especially around the neck, jawline, and brow.
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You prefer a treatment that targets deeper layers of the skin.
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You’re looking for longer-lasting results (up to several years).
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You want a non-invasive alternative to surgical facelifts.
Opt for RF Microneedling if:
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You want to improve skin texture, reduce acne scars, and minimize fine lines.
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You’re focused on refining surface-level skin issues and overall tone.
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You prefer a treatment that can be customized with serums like PRP or vitamins.
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You’re okay with periodic maintenance to sustain skin tightening effects.
What is the Ultherapy Price? What is the RF Microneedling Cost?
It’s kind of like comparing apples and oranges, frankly.
Ultherapy cost is more upfront. However, Ultherapy requires fewer treatments and lasts longer than RF Microneedling. So your Ultherapy cost may end up being less than RF Microneedling price in the long run.
What’s more, you may want to consider both treatments used in tandem, depending on your skincare concerns.
As always, your own individual needs may vary. That’s why, we always suggest coming in to speak with us about your skincare concerns and budget, in order to figure out which treatment is right for you.
Final Words: Which is Better? RF Microneedling vs Ultherapy? Can I Combine Them?
Ultherapy and RF Microneedling are two of the most popular non-invasive skin tightening treatments available today.
Both aim to stimulate collagen production, but they differ in technology, treatment depth, and results. Understanding these differences can help you make an informed decision about which procedure aligns best with your aesthetic goals.
For even more dramatic results, many patients are now opting for combination skin tightening treatments in NYC that include both Ultherapy and RF Microneedling.
This layered approach to skin tightening works by addressing multiple depths of the skin: Ultherapy reaches deep to lift and firm the foundational SMAS layer, while RF Microneedling targets the dermis to improve texture, tone, and surface imperfections.
When used together, these treatments offer a synergistic effect for comprehensive facial rejuvenation—tightening, lifting, and smoothing the skin for more natural-looking, long-lasting results.
Where to Get Ultherapy or RF Microneedling Near Me? Why Choose Smooth Synergy® Medical Spa in NYC?
At Smooth Synergy® Medspa and Laser Center in NYC, we’ve been in the non surgical aesthetic cosmetic business for over 20 years. It’s this experience that gives us the ability to help you choose the treatment that will give you the results you’re looking for.
Our expert team at Smooth Synergy® MedSpa specializes in personalized treatments tailored to New Yorkers’ unique skin needs. Conveniently located in Manhattan, we welcome clients from across NYC including the Upper East Side (UES), Midtown, and beyond.
Some of the top reasons to choose us for Ultherapy and RF Micorneedling in NYC:
- Smooth Synergy® is a leading provider of Nonsurgical Skin Tightening and top rated med spa in New York.
- On-site Medical Director, Dr. George Liakeas, leads a talented and experienced team of medical estheticians and skincare specialists to give you the Ultherapy results you’re looking for.
- We were one of the first practices to offer Ultherapy in New York.
- Our Medical Spa has over 200 positive reviews on Yelp and Google.
- We take pride in our exceptional customer service.
Call us at 212-397-0111 to speak with an Expert in Beauty to find out why
Whether that’s RF Microneedling or Ultherapy or another treatment from our comprehensive menu, we recommend that you come in for a consultation. An Expert in Beauty will listen to your skincare concerns and recommend a treatment plan that works for you. Please call us at 212-397-0111 to schedule an appointment or drop by to say hi at our UES, Manhattan location.
Frequently Asked Questions (FAQs) About Ultherapy and RF Microneedling
Q: How long do the results of Ultherapy last?
A: Ultherapy results can last up to five years, depending on individual skin laxity and aging process.
Q: Is RF Microneedling suitable for all skin types?
A: Yes, RF Microneedling is generally safe for all skin types and tones.
Q: Can I combine Ultherapy and RF Microneedling treatments?
A: Combining both treatments can be beneficial, as they target different layers of the skin and address various concerns. Consult with a professional to create a customized treatment plan.
Q: How long do the results of Ultherapy last?
A: Ultherapy results typically last up to 1-2 years, with some patients experiencing benefits for up to five years depending on their skin laxity, age, and lifestyle factors. Maintenance treatments can help prolong results by continuing to stimulate collagen production.
Q: How long do the results of RF Microneedling last?
A: RF Microneedling results generally last around 6-12 months, with optimal outcomes seen after a series of treatments. Regular maintenance sessions are recommended to sustain skin tightening, improve texture, and manage aging signs.
Q: Is Ultherapy safe for all skin types?
A: Yes, Ultherapy is FDA-cleared and safe for most skin types and tones. However, it is best suited for individuals with mild to moderate skin laxity who want to avoid surgery. A professional consultation will help determine if it’s right for you.
Q: Is RF Microneedling suitable for all skin types?
A: Yes, RF Microneedling is effective and safe for all skin types and tones, including darker skin, with a low risk of pigmentation changes. It can address a variety of concerns like acne scars, fine lines, and uneven skin texture.
Q: Can I combine Ultherapy and RF Microneedling treatments?
A: Absolutely. Because Ultherapy targets deep foundational layers to lift and tighten, and RF Microneedling focuses on surface texture and collagen remodeling, combining them can provide a comprehensive skin rejuvenation approach. A customized plan from your provider will optimize timing and treatment sequence for the best results.
Q: What is the typical downtime for each treatment?
A: Ultherapy typically involves minimal to no downtime, with some patients experiencing mild redness or swelling. RF Microneedling may cause temporary redness, swelling, or minor pinpoint bleeding but generally requires only a few days of recovery.
Q: How many sessions of each treatment are recommended?
A: Ultherapy often requires 1-2 sessions for lasting results, whereas RF Microneedling typically involves a series of 3-6 treatments spaced several weeks apart, depending on individual skin concerns.
Q: Which treatment is better for lifting sagging skin?
A: Ultherapy is generally preferred for lifting and tightening sagging skin because it stimulates collagen in the deeper tissue layers, whereas RF Microneedling is more effective at improving skin texture, tone, and fine lines.
Q: Can these treatments help with acne scars?
A: RF Microneedling is particularly effective for reducing acne scars by promoting collagen remodeling and skin regeneration. Ultherapy has less impact on surface scars but improves overall skin tightness.
Q: Are these treatments painful?
A: Both treatments are generally well-tolerated. Ultherapy may cause brief discomfort during the procedure, while RF Microneedling involves minor needle pricks and heat sensation. Topical anesthetics and numbing agents are typically used for comfort.
For those in New York City, New York, NYC, NY, UES, Upper East Side, or Manhattan seeking advanced skincare treatments, Smooth Synergy® Medical Spa offers both Ultherapy and RF Microneedling options tailored to your needs.


