Ultherapy vs Sofwave: Key differences to consider in 2025

Deciding between Ultherapy and Sofwave remains one of the most common dilemmas for people seeking non-invasive skin-tightening treatments and rejuvenation in 2025. While both are non-invasive procedures that use ultrasound, the difference between these treatments is how they stimulate your skin. Ultherapy delivers focused ultrasound energy to penetrate deep beneath the skin's surface, targeting sagging tissue on your neck, chin, and brow. Sofwave, on the other hand, uses ultrasound waves to target only the mid-dermal layer, primarily addressing fine lines and wrinkles while stimulating collagen production.

For anyone considering these FDA-cleared treatments, understanding their unique approaches will help you make an informed decision. Each non-invasive procedure offers specific benefits, though one may align better with your skin type and aesthetic goals. Below we’ll look at each treatment in detail so you’ll know what to expect from each option.

Ultherapy and Sofwave trends and data

The popularity of non-surgical skin tightening treatments continues to rise, with both Ultherapy and Sofwave seeing significant growth. Recent industry data shows that over 3 million Ultherapy treatments have been performed worldwide, with a particularly strong presence in urban areas and among patients aged 35-65. The treatment has gained substantial traction among professionals seeking subtle yet effective anti-aging solutions without extended downtime.

Sofwave is newer to the market, with over 385,000 treatments performed to date. The technology attracts patients of all ages, particularly between the ages of 40 and 65, though younger patients use it to address signs of aging before they become more noticeable. The treatment's shorter duration and minimal discomfort have made it popular among busy professionals in metropolitan areas, though it provides less dramatic benefits. 

Understanding Ultherapy: what it is and who it's for

Ultherapy represents a breakthrough in non-invasive skin tightening, using micro-focused ultrasound energy to tighten and lift the skin. The technology penetrates the skin using ultrasound energy at depths up to 4.5mm. This triggers a natural regenerative response, so collagen production increases.

People typically choose Ultherapy when they notice their skin beginning to look less firm than it used to be. The treatment particularly appeals to those who want to address skin elasticity along the jawline, under the chin, and on the neck. The main benefits of Ultherapy also extend to improving the appearance of lines and wrinkles on the décolletage area, offering a comprehensive solution to tighten and lift skin.

Ultherapy stands out as an excellent option for individuals seeking to significantly lift and tighten the skin without surgery. The skin tightening treatment appeals to those who want natural-looking results that develop gradually over time, mimicking the natural aging process in reverse. It's particularly suitable for patients who are not ready for skin tightening treatments that require surgery but want more dramatic results than topical treatments can provide.

Understanding Sofwave: what it is and who benefits

Sofwave approaches skin rejuvenation through its Synchronous Ultrasound Parallel Beam SUPERB™ technology. This system delivers energy precisely to the mid-dermal layer at a depth of only 1.5mm, creating a controlled thermal injury that triggers the body's natural healing response and stimulates collagen production. Sofwave uses high-frequency ultrasound waves and gentle precision to help protect the outer skin layer while treating the underlying tissue.

Most people who use Sofwave are adults in their mid-30s and older who want to address mild to moderate skin laxity, facial lines, and wrinkles. The benefits of Sofwave include treating fine lines around the eyes, forehead wrinkles, and nasolabial folds, making it an option for those seeking overall skin rejuvenation without targeting deeper structural issues.

Most treatments take 30-45 minutes, significantly shorter than traditional skin-tightening procedures. The built-in cooling technology that protects the skin's surface and minimizes discomfort during treatment makes it a more comfortable option compared to other skin-tightening technologies.

How to decide between Ultherapy and Sofwave

Ultherapy offers an ideal solution for individuals dealing with noticeable skin laxity and sagging. The treatment uses ultrasound energy to penetrate deep into the skin to target deeper tissue layers making it particularly effective for those who see significant drooping along the jawline or neck area. Its focused energy delivery system can create more dramatic lifting effects, especially beneficial for patients who might otherwise consider surgical intervention.

The comprehensive approach of Ultherapy makes it well-suited for patients looking for long-term results and willing to invest in a treatment that addresses structural aging concerns. The technology's precision imaging allows practitioners to visualize the treatment area, ensuring energy is delivered exactly where it's needed for optimal results.

Sofwave presents an option for individuals primarily concerned with surface-level skin changes and early signs of aging. The treatment's technology offers modest improvements for those looking to maintain their skin's youthful appearance or address initial signs of aging before they become more pronounced by using ultrasound waves to heat targeted areas.

This treatment appeals to patients who don't want surgery or downtime, allowing them to maintain their regular activities. The gentler approach and shorter treatment time make it more accessible for first-time patients or those who prefer less intensive procedures.

Combining both treatments can provide comprehensive rejuvenation for some patients. While Ultherapy addresses deep structural changes, Sofwave can improve skin texture and tone. Working together, these treatments can deliver results for patients seeking both lifting and skin quality improvements. Both procedures are safe for all skin types and colors.

Cost differences between Ultherapy and Sofwave

In California, treatment costs vary significantly based on the provider's expertise and the specific areas being treated. Ultherapy typically ranges from $2,500 to $4,500 per session for areas like the face and neck, while Sofwave costs usually range from $2,000 to $4,000 depending on the treated area.

Is Sofwave cheaper than Ultherapy?

While Sofwave generally comes with a lower price point, it's important to consider the value of each treatment. Sofwave's lower cost reflects its focus on superficial skin improvements and shorter treatment times. However, Ultherapy's higher price point often justifies itself through its ability to create more dramatic lifting effects and its treatment of deeper tissue layers, which offers longer-lasting results for those with significant skin laxity.

Comparing technologies: Ultherapy vs Sofwave

Ultherapy technology

Ultherapy's sophisticated technology utilizes micro-focused ultrasound with visualization (MFU-V), allowing practitioners to see the exact layers of tissue being treated. This precision targeting ensures energy delivery deep into the skin layers for lifting and collagen stimulation, typically ranging from 1.5mm to 4.5mm.

The system's ability to deliver consistent energy at multiple depths creates a comprehensive treatment approach to address the firmness of your skin. This layered treatment strategy helps create immediate tightening effects and long-term collagen production, contributing to sustained improvements in skin appearance and structure.

Sofwave technology

Sofwave delivers ultrasound-based skin treatment through its SUPERB™ technology. Sofwave uses gentle high-frequency ultrasound waves to create an organized pattern of heat about 1.5mm beneath the surface, right in the middle layer of your skin. It uses seven parallel rows of ultrasound beams that deliver energy simultaneously for consistent and uniform treatment.

The technology incorporates an integrated cooling mechanism called Sofcool™, which actively protects the outer skin layer during treatment. The treatment works to promote some collagen production with minimal recovery time.

Comparing treatment processes

An Ultherapy session typically takes 60-90 minutes, beginning with careful mapping of the treatment area using the system's visualization technology. The practitioner systematically delivers ultrasound energy across the targeted regions, focusing on areas of concern. Various pain management options, such as lidocaine, help make the treatment comfortable for patients.

Sofwave’s treatment process lasts about 30-60 minutes. The procedure begins with numbing cream applied to the skin on the face, followed by systematic movement of the device across the treatment area. The device includes a cooling system to help manage comfort levels. 

Recovery and side effects: Ultherapy vs Sofwave

After Ultherapy, your skin may be sensitive. Patients also typically experience mild redness and swelling in the treated areas. These effects usually subside within a few days, though some patients might notice slight bruising or numbness that can last up to a week. Despite these temporary side effects, most people return to their normal activities immediately after treatment.

Sofwave offers minimal recovery time, with most patients experiencing slight redness and some swelling that typically resolves within a few hours. The treatment's approach and integrated cooling system help reduce post-procedure effects. Most patients can return immediately to daily activities.

Potential risks and complications

Ultherapy carries a slightly higher risk profile due to its deeper penetration. Potential risks of Ultherapy include temporary numbness, localized pain, or slight bruising. However, these effects are typically mild and resolve naturally with time. Choosing an experienced provider helps minimize these risks significantly.

Sofwave's more superficial approach results in fewer potential complications. The main risks include temporary redness and mild swelling, though these effects typically resolve quickly. The treatment's built-in safety features and controlled energy delivery help ensure consistent results with minimal risk.

Longevity of results and maintenance

Ultherapy results typically last 1-2 years, with gradual improvements appearing over the first few months after treatment. The deep-tissue targeting creates long-lasting effects, though natural aging continues. Most practitioners recommend maintenance treatments every 18 months to maintain optimal results.

Sofwave effects can last about a year, with some patients noticing continued improvements for several months after treatment. The more superficial nature of the treatment means that patients will need touch-up sessions every six to twelve months to help maintain the desired effect. 

Before & after results: Ultherapy vs Sofwave

The following comparison highlights the key differences between Ultherapy and Sofwave treatments:

How to choose the right provider for your treatment

Certification and expertise

Selecting a board-certified dermatologist or plastic surgeon with specific training in ultrasound-based treatments ensures you receive safe and effective care. These professionals understand facial anatomy and can determine the most appropriate treatment approach for your specific concerns.

Experience with Ultherapy and Sofwave

Look for providers who regularly perform non-surgical skin tightening treatments. Their experience with these radio-frequency and ultrasound technologies allows them to make informed recommendations based on your specific needs and desired outcomes, rather than simply promoting one option over another.

Reviewing before-and-after work

Take time to review your potential provider's portfolio of before-and-after photos. This review helps you understand their expertise and typical results, ensuring their work aligns with your aesthetic goals and expectations.

Consultation expectations

During your consultation, expect a thorough discussion of your concerns, goals, and treatment options. A qualified provider will examine your skin condition, discuss your medical history, and create a personalized treatment plan that addresses your specific needs and desired outcomes.

So which is better? Ultherapy or Sofwave?

For addressing deeper tissue layers and more noticeable signs of aging, Ultherapy stands out as the superior choice. Its ability to target foundational facial structures leads to more significant results, reducing the need for frequent maintenance treatments. In contrast, Sofwave's effects are limited to surface-level improvements and call for more regular touch-up sessions to maintain results.

When considering non-surgical skin rejuvenation options, consultation with a board-certified specialist can help determine the most appropriate treatment plan. Dr. Lowenstein at Montecito Plastic Surgery is certified by the American Board of Plastic Surgery and has extensive experience with Ultherapy treatments. Call 805-969-9004  to schedule your consultation.