There is not much information of the ulthera laser in terms of results. THe only thing I have read is that it is very painful. I wanted your opinion on the "dot" fractionated laser versus the ulthera and what results you are seeing with both. I noticed that Dr Perry is now advocating for the ulthera. I am interested in delaying a face lift and am looking for a procedure that can tighten the skin. I am looking and investigating a fraxel restore --? treatments with little down time, vs the deka smartxide "dot", vs ulthera. Which would you recommend for fair skin 55 year old female with skin that is starting to give(could use subtle tightening) with fine wrinkling mostly around mouth and marionette lines. I would opt for the fraxel nonablative 2-3 treatments that is less downtime if I thought that would be worth it. Would appreciate your feedback. I could send you a picture or maybe go to Seatle for a vacation and come to see you. THanks so much Maggie