Doctor-led Ultherapy in Marylebone, London. Non-surgical ultrasound skin lifting for face, jawline and neck, no downtime. From £765. Book at Dr Joney De Souza.
You have noticed the lower face and neck starting to soften, but you are not ready for surgery. Ultherapy is built for exactly that moment, lifting and tightening the skin from within, with no cuts and no recovery time. At our Marylebone clinic, patients most commonly book Ultherapy in London for:
Ultherapy is at its best on mild to moderate laxity, firming and lifting the skin you already have for a natural, refreshed result. If your priority is correcting very advanced sagging, we will talk you through your surgical options at consultation so you reach the goal you are after.
Related concerns: this treatment helps with a sagging jawline and jowls and facial laxity.
Ultherapy is a non-invasive skin lifting and tightening treatment. As a HIFU (high-intensity focused ultrasound) treatment, it uses Micro Focused Ultrasound with Visualisation (MFU-V) to deliver precise energy into the deep foundational layers of the skin, including the SMAS, the same layer surgeons target during a surgical facelift. Your practitioner applies the energy with real-time imaging guidance, placing it at exactly the depth each area needs.
The controlled heat stimulates fresh collagen and elastin within the treated tissue. New collagen forms over the following weeks and months, so the skin gradually tightens and lifts from within. The result develops progressively and looks entirely natural, because it comes from your own regenerative response rather than any external agent.
Related treatments at Dr Joney De Souza: Morpheus8, Endolift, skin tightening and a sagging jawline.
Ultherapy results develop gradually as new collagen forms within the treated tissue. Most patients notice the first visible improvement from around three months, with the full lift visible at six months. Individual results vary depending on the area treated, the number of lines delivered and each patient’s own collagen response.
Regular patients report improved jawline definition, a firmer neck and a subtly lifted brow. Results are entirely natural in appearance because they come from the body’s own healing process rather than any external filler or volume agent.
Ultherapy uses Micro Focused Ultrasound with Visualisation (MFU-V) to target the deeper supportive layers of the skin with precision. Real-time imaging lets your practitioner see the tissue layers during treatment and direct energy exactly where collagen production is needed most.
Each focused pulse creates a tiny, controlled heating point deep in the tissue. Your body reads those points as something to repair and responds by laying down fresh collagen, which firms and lifts the skin over the months that follow. The energy passes straight to the target depth, so the surface of your skin stays intact throughout.
Before treatment begins, your clinician applies topical numbing cream to the area for around 30 minutes. Your practitioner then applies ultrasound gel to the skin so the handpiece glides smoothly and keeps consistent contact throughout the session.
Your practitioner uses the real-time ultrasound imaging built into the Ultherapy device to visualise the layers beneath the skin. This confirms the depth and placement of each energy pulse before any energy is delivered, so it reaches the target layer precisely.
The focused ultrasound handpiece delivers precise pulses of thermal energy to the SMAS layer, the mid-dermis and the superficial dermis, depending on the area treated and the depth settings selected. Each pulse creates a small controlled heating point within the tissue, triggering your body’s collagen rebuilding response.
Most patients feel a brief warm sensation or mild tingling as each pulse is delivered, which signals that the thermal energy is reaching the target depth. Intensity varies by area, so the neck and brow are typically more comfortable than the cheek or jawline. The numbing cream reduces discomfort considerably for most patients.
A full-face and neck Ultherapy session takes roughly 60 to 90 minutes, depending on the number of areas treated and the total number of lines delivered. Smaller areas such as the brow or submental region take considerably less time.
You can return to work and normal activities straight away. Some patients notice mild redness or slight swelling in the treated area, which usually settles within a few hours. The collagen remodelling process begins within days and continues for up to six months, with most patients reporting progressive improvement over that period.
Every Ultherapy treatment at Dr Joney De Souza Clinic follows a structured pathway, from initial consultation through to aftercare. Knowing what to expect at each stage helps you feel confident and prepared before you arrive.
Your Ultherapy begins with a consultation where your practitioner assesses your skin, discusses your goals and identifies the most appropriate treatment areas and depth settings. Any contraindications are reviewed at this stage, including active skin infections, open lesions, metal implants in the treatment area and certain medical conditions. Please arrive with clean skin and no makeup. Your clinician applies topical numbing cream for around 30 minutes before the session begins, so allow additional time for this step. Carried out by Dr Joney De Souza or a member of our clinical team. Your consultation is with Dr Joney De Souza or Dr Mattia Parducci.
Your practitioner applies the Ultherapy handpiece to the treatment area and uses real-time ultrasound imaging to confirm the tissue layers are visible before delivering any energy. The handpiece then passes systematically across the mapped areas, delivering focused ultrasound pulses at the depths set in your treatment plan. You will typically feel a brief warmth or tingling with each pulse. A full face and neck takes 60 to 90 minutes. Your practitioner keeps a continuous clinical assessment throughout, adjusting the parameters as needed based on how you respond.
You can return to normal activities the same day. Some mild redness, swelling or tingling may be present for a few hours, and these responses settle quickly with no specific management. Apply SPF daily from the day after treatment. Collagen production begins within days and results continue to improve for up to six months. An annual top-up session is recommended to maintain results as the natural ageing process continues.
Ultherapy is a sophisticated device-based treatment, so the outcome depends heavily on who performs it and how the treatment plan is structured. At Dr Joney De Souza Clinic in Marylebone, the real-time imaging component is used at every session rather than bypassed, and the plan is built around your face rather than a fixed protocol. The clinic’s non-surgical lifting work has been featured in Harper’s Bazaar.
My ‘less is more’ approach has become the mainstay of my practice and clients appreciate that they will have natural looking results.
Dr Joney De Souza, The Sybarite
Ultherapy here is not delivered as a fixed protocol. Your practitioner assesses you individually, maps the treatment area, selects the appropriate transducer depths and adjusts the energy delivery in real time based on what the imaging shows. That level of clinical precision is what separates a medical aesthetic environment from a cosmetic beauty setting, and it is the standard you should expect for a treatment that works at the structural level of the face. If your concern is early jowls and facial laxity, this is where careful planning earns its keep.
By stimulating the skin’s own collagen at its foundational layer, this is an investment in skin longevity, supporting the structure that keeps the face looking firm and healthy for longer.
Ultherapy is priced by treatment area, starting from £765. The cost reflects the number of transducer passes, the depth settings used and the total treatment time. All pricing is confirmed at consultation after a clinical assessment of the areas to be treated.
Prices shown are per session. Associate clinician pricing listed first; Dr Joney pricing listed second. Exact pricing confirmed at consultation.
| Treatment | Associate (£) | Dr Joney (£) |
|---|---|---|
Lower Face | 2,800 | 2,800 |
Lower Face & Neck | 3,000 | 3,000 |
Lower Face, Neck & Decolletage | 2,975 | 3,500 |
Neck | 1,500 | 1,500 |
Decolletage | 1,000 | 1,000 |
Full Eye area | 1,000 | 1,000 |
Mouth Area (smoker’s lines) | 500 | 500 |
Upper lip (smoker’s lines) | 400 | 400 |
Submental (under chin) | 1,000 | 1,000 |
Ultherapy and Morpheus8 work at different depths and address different aspects of skin ageing. Ultherapy targets the SMAS and deeper dermal layers to create a structural lift. Morpheus8 combines radiofrequency energy with microneedling to remodel the mid-dermis, improve skin texture and reduce fine lines. The two treatments complement each other rather than competing.
Patients who combine Ultherapy with a course of Morpheus8 typically achieve both a structural lift and a marked improvement in overall skin quality, so the result is more comprehensive than either treatment alone. The combination suits patients with both early skin laxity and textural concerns, and your practitioner advises on timing and sequencing at your consultation. If you are weighing energy devices against each other, our skin tightening options are worth discussing at the same visit.
Related reading: Ultherapy vs laser skin tightening.
Ultherapy prompts more patient questions than most non-surgical treatments, mainly because results are gradual rather than immediate and the technology works at a depth you cannot feel in daily life. The answers below cover the questions we hear most often at Dr Joney De Souza Clinic, from how the treatment compares to surgery to what to expect in the weeks after your session.
Ultherapy is a non-surgical skin-lifting treatment that uses micro-focused ultrasound with visualisation. At Dr Joney De Souza Clinic in Marylebone, the device delivers precise ultrasound energy to the deep foundational layers of the skin, including the same layer a surgeon tightens during a facelift. This gently warms the tissue and prompts your body to build fresh collagen, which gradually lifts and firms the skin. The visualisation feature lets your practitioner see those layers during treatment, so the energy goes exactly where it is needed. Ultherapy is the only non-invasive device cleared specifically to lift the brow, under-chin and neck.
Ultherapy suits patients with mild to moderate skin laxity who want a natural lift without surgery or downtime. It commonly treats the brow, the lower face, the area under the chin, the neck and lines on the decolletage. For sagging along the jawline, it can restore a firmer, more defined contour. Your practitioner assesses your skin and goals first to confirm Ultherapy is the right choice, because very advanced laxity may respond better to surgery.
Ultherapy works gradually. Some lift is visible early, but the main results build over two to three months as new collagen forms. Results then typically last around one to two years, depending on your skin and the natural ageing process. Many patients choose a maintenance session roughly once a year to sustain the lift. The change is gradual, so it looks natural rather than sudden.
Most patients need only a single Ultherapy session to see a meaningful result, which is one of its main advantages. Depending on your skin laxity and goals, your practitioner may occasionally recommend a second session or a yearly top-up to maintain the lift. The right plan is confirmed at your consultation after your skin is assessed. In most cases, one well-targeted treatment delivers the lift patients are looking for.
You will feel heat and tingling deep in the skin during treatment, which signals that the ultrasound is reaching the right layer and stimulating collagen. We keep you comfortable throughout, and modern protocols make the experience very manageable. There is essentially no downtime, so you can return to normal activities straight away. Mild redness, slight swelling or tenderness can occur but settle quickly.
Ultherapy is priced by the area treated, starting from £765 for the submental (under-chin) area, with full lower-face and neck treatments priced higher. Every price includes the doctor-led consultation, the treatment and aftercare. Ultherapy is usually a single treatment, so the cost reflects a long-lasting result rather than repeated sessions. You can see the full breakdown on our pricing page, and your plan is confirmed at consultation.
Each works differently. Ultherapy uses ultrasound to lift from deep within, with no downtime. Morpheus8 uses radiofrequency microneedling to remodel the skin and deeper tissue, with a short recovery. Dermal fillers restore lost volume rather than lifting laxity. A surgical facelift remains the most dramatic option but involves surgery and recovery, whereas Ultherapy offers a subtle, non-surgical lift. If your main concern is a firmer contour, it is worth reading up on jowls and facial laxity before you decide.
Yes. Ultherapy combines well within a wider plan because it targets deep structural lift. Many patients pair it with Morpheus8 for surface and deep remodelling together, or with dermal fillers and anti-wrinkle injections to address volume and dynamic lines. Your practitioner sequences any combined treatments appropriately so each works at its best, and advises on the right combination at your consultation.
Ultherapy has a strong safety record and is FDA-cleared, and a GMC-registered doctor carries out every treatment after assessing your suitability. It is not suitable during pregnancy, over active skin infections or lesions in the treatment area, or where laxity is too advanced to respond, in which case surgery may suit you better. Side effects usually stay limited to temporary redness, swelling or tenderness. Your medical history is reviewed before treatment to keep any risk to a minimum.
Carried out by Dr Joney De Souza or a member of our clinical team. Your consultation is with Dr Joney De Souza or Dr Mattia Parducci. Ultherapy lifts gradually using your own collagen, so the result looks natural and avoids the pulled appearance some patients worry about, refreshing and lifting rather than changing your features. To book, reach us by WhatsApp, phone or online. Dr Joney De Souza Clinic sits in Marylebone in central London, within easy reach of Bond Street, Baker Street and Marble Arch stations, and is convenient for patients across the West End and wider London.
Our patients return to us year after year for natural, precise results. Every review reflects our commitment to clinical excellence, patient safety and a personalised approach to aesthetic care.
Fantastic journey from start to recovery, Dr Mattia and his team are professional, caring and meticulous! The treatment was less painful than I imagined.
I genuinely wouldn’t trust anyone else with my skin. Dr Joney de Souza remains my top recommendation for anyone seeking expert aesthetic care in London. He has a calm, professional manner and always takes the time to truly listen and understand what you’re hoping to achieve. His approach is natural and refined, you always leave looking like the best version of yourself, never overdone.
Dr Joney de Souza is absolutely exceptional. Every visit, I leave feeling confident and cared for. The clinic is immaculate, the team is warm and professional, and the results speak for themselves. I wouldn’t go anywhere else.
The clinic is a beautiful, welcoming space in the heart of London, and the entire team is warm, knowledgeable and highly professional. Dr Joney’s expertise and eye for detail are truly exceptional, and the results speak for themselves.
