Why Ultherapy Works So Well

 Ultherapy San Antonio TXCosmetic aging can be a frustrating aspect of life. The people we meet in our La Casita and Sonterra offices generally want to manage their aging process a little better. They are not interested in a dramatic transformation via plastic surgery. Most often, our patients want non-surgical solutions that will work in concert with their body to simply age more gracefully. Ultherapy is an excellent way to achieve this goal.

What Ultherapy Does

Ultherapy is a device that sends high intensity focused ultrasound into the deeper layers of tissue beneath the skin. Not just a deeper layer of tissue, but the “facelift” layer; the same tissue that a surgeon would reposition during a facelift. This is also referred to as the SMAS, or superficial muscular aponeurotic system. Experts agree that changing this layer of tissue changes the look of the face. The ultrasound waves that penetrate the SMAS result in tightening of this important anatomical structure.

How Ultherapy Works

All devices that emit energy, be it radiofrequency, lasers, or ultrasound, work by stimulating the body’s natural wound-healing functions. Energy penetration tricks the body into thinking the affected area has been wounded. In response, the immune system directs fibroblast cells to produce more collagen. Collagen is the protein that heals scrapes and cuts. It is also the protein that gives skin and superficial tissue its firmness and youthful appearance. Where Ultherapy stands out is in the depth of energy penetration. As mentioned, ultrasound energy gets absorbed into the deep anatomy of the face. With other energy devices, only superficial layers of tissue are reached. This achieves benefits such as pigment improvement, but it doesn’t do much to tighten the skin in a meaningful way.

The Elephant in the Room

If you’re researching Ultherapy, we are going to assume you’ve heard that this treatment can be quite uncomfortable. No one wants to endure 60 to 90 minutes of pain, even when the results are as good as they are with Ultherapy. We get it. We wouldn’t want that, either. When considering Ultherapy, there are a few things to consider. The first is that devices get revamped every now and then. First generation Ultherapy devices were more intense in energy output than newer models, which are gentler without being less efficient. The second detail that needs to be known is that providers who have been conducting Ultherapy treatments for as long as Dr. Bucay know how to maximize comfort for each patient. Typically, a combination of ibuprofen and acetaminophen does the trick just fine.

Learn firsthand how Ultherapy can take years off of facial aging. Call one of our San Antonio offices to schedule your consultation.

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The last few weeks have borne witness to the global pandemic caused by the coronavirus known as COVID-19. This is a novel virus that we do not fully understand, but whose devastating effects have been felt around the world, with no regards for borders or economies. Our thoughts and prayers are with those whose lives have been forever changed by this pandemic. In the spirit of containing this pandemic, I, Dr. Bhandari, and our incredible family of dedicated professionals who make up Bucay Center for Dermatology and Aesthetics have made the difficult but necessary decision to keep our offices closed through April 3, pending any further developments.


Our goal is to ensure the safety and well being of our patients and our team. We are grateful to all of you for your loyalty and understanding and look forward to the time when we can resume doing what we do best - caring for you. Until then, please adhere to the recommended guidelines regarding handwashing and social distancing. Please remember that social distancing doesn't mean social isolation - the digital age allows us to be there for each other.


Warmest wishes to all of you for continued good health and strength,


Vivian Bucay, MD