Written by Dr. Anna Avaliani, MD
What is the difference between Ultherapy and TempSure Envi?
Ultherapy is the only HIFU (High Intensity Focused Ultrasound) system in the world. TempSure Envi is the latest and the gold standard RF (radiofrequency system) currently on the market. It is the most powerful at 300 Watts. It precisely delivers exact energy, at the desired level and keeps accurate timing of the tissue temperature to ensure accurate and complete treatment. Temperature is monitored throughout the treatment and there are never any pauses to make sure the tissue is heated. It is all done simultaneously while patient is getting the treatment and the focus is not if the treatment to be performed will be effective but rather whether the patient areas of concern are being addressed and if the patient is comfortable. The central focus of the treatment is patient comfort, not the laser. The best part is that there is NO PAIN and NO DOWNTINE and it feels RELAXING, just like a hot stone massage.
How does one choose if Ultherapy or TempSure Envi is better for them?
This can only be determined by IN-PERSON consultation. The answer depends on the concern, degree of skin laxity, patient time availability (once treatment vs multiple), their ethnicity and to some degree their previous experience with lasers and their pain level tolerance. Ethnicity is an important factor as with years of experience and having treated multiple patient from various ethnic backgrounds, I have noticed certain ethic groups have better results than others. This is definitely is discussed during inperson consultation.
Which areas does Ultherapy treat?
Ultherapy is FDA approved for Face and décolletage (chest) skin tightening.
- Around eyes (upper face protocol)
- Eyebrow lift
- Lower face protocol (mid cheek and under chin)
- Around the mouth
- Under chin and neck (full neck protocol)
- Decolletage (Chest wrinkles)
Ultherapy can be utilized in the hands of an experienced provider for treatment of an Off-Label areas such as arms, abdomen, above knees, under butt. Consultation is simply required.
Which areas can TempSure Envi Treat?
TempSure Envi is FDA approved for literally FULL face and body skin tightening. Any area can be treated including eyelids!
I love TempSure for Upper face treatment as I can be safely used to tighten forehead wrinkles, create eyebrow lift, improve eyelid hooding by tightening the skin above the eye. The best part is that it very comfortable for the patient and they want to come back monthly for treatments because they find them relaxing.
TempSure Envi RF Treatment areas:
- Forehead
- Eyebrows
- Upper eyelids
- Lower eyelids
- Crows feet
- Temples
- Midface/Cheeks
- Around mouth
- Lips for plumping
- Jowls
- Lower face/chin
- Under chin
- Neck
- Chest/Decolletage
- Arms
- Under arms
- Elbows
- Hands
- Abdomen
- Under butt
- Inner thighs
- Thighs
- Above knees
- Knees
Is Ultherapy or TempSure Envi treatment faster?
How long does Ultherapy treatment last and How long does TempSure Envi Treatment take?
Ultherapy is a single treatment which can be as little as 30 minutes for around the mouth area all the way up to 3 hours for full face + neck. TempSure Envi RF is a series of 5-8 sessions lasting between 10 min to 1.5 hours depending on the number of areas to be treated.
Body areas of concern and treatment options for them
| Body area of concern | TempSure Envi RF | Ultherapy |
| Forehead | Yes | No |
| Eyebrows | Yes | Yes |
| Upper eyelids | Yes | No |
| Lower eyelids | Yes | Yes |
| Crows feet | Yes | Yes |
| Temples | Yes | No |
| Midface/Cheeks | Yes | Yes |
| Around mouth | Yes | Yes |
| Jowls | Yes | Yes |
| Lips for plumping | Yes | No |
| Lower face/chin | Yes | Yes |
| Neck | Yes | Yes |
| Chest/Decolletage | Yes | Yes |
| Arms | Yes | Consultation required* |
| Underarms | Yes | Consultation required* |
| Elbows | Yes | Consultation required* |
| Hands | Yes | Consultation required* |
| Abdomen | Yes | Consultation required* |
| Under butt | Yes | Yes |
| Inner thighs | Yes | Consultation required* |
| Outer thighs | Yes | Consultation required* |
| Front of the thighs | Yes | Consultation required* |
| Full thighs | Yes | Consultation required* |
| Above knees | Yes | Consultation required* |
| Knees | Yes | Consultation required* |
*These areas are considered off-label and must only be performed by well qualified and trained practitioners. Consultation is required.
To determine which treatment is best for you, please call 212-673-8888 to schedule your consultation with Dr.Avaliani.