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Because the treatment works below the skin's surface, there is no downtime.My skin is a little red, but this goes within an hour, and the treated areas feel stiff inside, as if the muscles have had a fearsome workout.



I'm at Dr Rita Rakus's swish London clinic trying out something called Ulthera - the latest non-surgical face-lifting device that claims to 'shrink-wrap' your face from the inside, tightening sagging skin and kick-starting the growth of new collagen. health watchdog, the Food and Drug Administration, likes Ulthera, deeming it the only non-invasive procedure to lift the skin on the neck, chin and brow.It's loved by a host of stars including Friends actress Courteney Cox, and the before-and-after pictures on the company's website look impressive. Despite its efficacy - and its undoubted money-spinning potential - I know two cosmetic doctors who trialled the machine and decided they would never inflict that level of pain on their patients ('Everyone said it was horrific, excruciating,' says one). S., clinics routinely prescribe their patients Valium before the treatment or even sedate them.So you will understand my apprehension, despite Esther's reassurances that most people are 'fine' with the machine.Esther explains that unlike lasers, which zap the surface of the skin, Ulthera uses ultrasound waves to heat something called the SMAS (superficial muscular aponeurotic system), the muscle-like layer of tissue under the skin.

The whole treatment takes the best part of an hour - it would have been longer, but thanks to prominent veins in my forehead, that area can't be treated (alas, as I was hoping for a quick brow-lift into the bargain).And then I go home feeling a bit spaced out from all the endorphins (the feel-good chemicals that the body produces at times of stress or pain).



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