18th July 2023

Your Guide to Smooth Neck and Decolletage: Microneedling vs Ultherapy

Last Modified: July 19, 2023

The quest for a smooth neck and décolletage leads many to explore a variety of treatment options. Two popular non-invasive procedures that can help improve the appearance of the neck and décolletage area are microneedling and Ultherapy. Both of these treatments promote collagen production, which can lead to a more youthful look.

Microneedling involves creating tiny punctures in the skin with fine needles to stimulate the body's natural production of collagen and elastin. Ultherapy, on the other hand, uses focused ultrasound energy to tighten and lift the skin on the neck, upper chest, and face by stimulating collagen production in the deeper layers of the skin. While both treatments offer unique advantages, they differ in terms of procedure, recovery, and cost.

Key Takeaways

  • Microneedling and Ultherapy are popular treatments to improve the appearance of the neck and décolletage.
  • Both procedures stimulate collagen production, but through different methods, and may provide varied outcomes.
  • It is important to consider factors like procedure, recovery, and cost before making an informed decision on which treatment is best for you.

What Are Ultherapy and Microneedling


Ultherapy is a non-invasive, FDA-approved ultrasound therapy that works to gradually lift and tighten the skin on your face, neck, and chest, as well as drooping of the brow area. The treatment utilises high-focused, intense ultrasound energy to gently heat the tissue below the surface of your skin, which stimulates your body's natural collagen growth. Most patients need just a single treatment session to achieve natural-looking results that improve over time.


Microneedling is a skin repair and rejuvenation treatment using a mechanical device with multiple tiny needles to create controlled micro-injuries in the skin. The aim is to stimulate your body's natural collagen production and healing process to improve the appearance of wrinkles, fine lines, scars, and other skin imperfections. There are various types of microneedling treatments available, such as Morpheus8 and SkinPen Microneedling that patients can choose based on their specific needs and desired results.

Microneedling has evolved over time and has been used for centuries in various forms. Today's modern microneedling devices, like the ones mentioned above, have come a long way in terms of safety and effectiveness. You can learn more about the history and evolution of microneedling to understand how this treatment has improved and become a popular choice for skin rejuvenation.

The Differences Between Ultherapy and Microneedling

Depth of Treatment

Ultherapy uses ultrasound energy to target the deeper layers of the skin, specifically the dermis and the superficial muscular aponeurotic system (SMAS) layer. This allows for a non-surgical lifting effect, focusing on skin tightening and rejuvenation. On the other hand, microneedling involves the use of fine needles that create micro-injuries on the skin's surface, stimulating collagen production and treating concerns in the dermis.

Treatment Areas

Ultherapy is predominantly used for skin tightening on the face, neck, and chest areas. It is effective in reducing sagging and providing a subtle lift, particularly around the jawline and jowls. Microneedling is a versatile treatment that can be used on various body parts, including the face, neck, décolletage, and even hands. It addresses concerns like fine lines, wrinkles, scars, and uneven skin texture.

Versatility: Microneedling wins

Check out our No.1 recommended treatment for ageing hands

Pain and Downtime

In terms of discomfort, Ultherapy may be more painful due to the heat generated by ultrasound energy. It is common to experience temporary redness and swelling after the treatment. However, the downtime is minimal, allowing you to return to your daily activities quickly.

Microneedling, although causing some discomfort and redness during the procedure, generally has a shorter downtime, depending on the intensity of the treatment. Both procedures are considered safe when performed by a qualified dermatologist or aesthetician.

Downtime: Microneedling wins

Suitable Candidates and Current Health Conditions

Ultherapy Candidates

Ultherapy is a non-surgical skin tightening procedure that uses high-focused ultrasound energy to heat the tissue below the surface of your skin, stimulating natural collagen growth. Candidates for Ultherapy typically have mild to moderate skin laxity, with sagging or loose skin, wrinkles, or lines on the neck, chin, and jowls. This treatment is ideal for individuals seeking improvement in their "turkey neck" or sagging skin, without the need for invasive surgery.

It's essential to be aware of potential side effects, such as redness, swelling, and bruising, shortly after the treatment. Prior to undergoing Ultherapy, you should consult with a healthcare professional to ensure its safety and suitability for your individual needs, especially if you have any contraindicated medical conditions.

Microneedling Candidates

Microneedling is a minimally invasive procedure that uses thin needles to create tiny holes in the skin to stimulate your skin's healing process, promoting firmness and smoothness. This technique is particularly beneficial for those looking to improve scarring, skin texture, wrinkles, and fine lines on the neck and décolletage areas.

When considering microneedling, you should be aware of possible side effects such as redness, swelling, and mild bruising post-treatment. Be sure to consult with a healthcare professional before proceeding with microneedling, taking into account your current health conditions and any potential contraindications.

By choosing the right treatment for your needs, you can effectively promote collagen levels in your skin to improve and maintain a smooth and youthful neck and décolletage. Remember to always seek professional advice and select a reputable practitioner to ensure the safety and efficacy of your chosen treatment.

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Procedure and Recovery of Ultherapy and Microneedling

Ultherapy Procedure and Recovery

During the procedure, your plastic surgeon will apply ultrasound technology to heat the tissue below the surface layers of your skin, promoting collagen production and elastin. This results in tighter, firmer, and smoother skin, particularly in the neck, jawline, and décolletage areas.

Following an Ultherapy treatment, you may experience mild redness, tenderness, and numbness in the treated areas. However, there is generally no downtime associated with this non-invasive procedure. You likely need someone to drive you home after the procedure, but most times you can go about your day the same day as the procedure. The level of discomfort that may be experienced is different for each patient

Microneedling Procedure and Recovery

Microneedling is a minimally invasive treatment that uses tiny needles to puncture the skin, activating your skin's natural healing process to boost collagen regeneration. This procedure is designed to address skin concerns such as fine lines, wrinkles, acne scars, and hyperpigmentation. By enhancing overall skin texture and tone, microneedling is beneficial for both the neck and décolletage areas.

During a microneedling session, your provider will use a device with fine needles to make micro-injuries to the top layer of your skin, or the epidermis. Some may also combine microneedling with radiofrequency (RF) energy to further stimulate collagen and elastin production, such as in RF microneedling treatments like Morpheus8. Though at Dr Aesthetica we've opted for a slightly different (and more effective) approach.

After the microneedling treatment, your skin may appear red, swollen, and slightly tender. It is essential to follow the provided at-home aftercare guide to ensure optimal results. These will include things like avoiding wearing makeup for at least 24 hours after the procedure and use gentle skincare products that do not contain harsh ingredients. It is also a good idea to use a high-quality serum containing hydrating and soothing ingredients to enhance the benefits of microneedling. Downtime for microneedling is generally minimal, allowing you to resume your normal activities shortly after the treatment.

Cost and Value Comparison of Ultherapy and Microneedling

In this section, we will compare the costs and value of Ultherapy and Microneedling treatments to help you understand which might be more suitable for your needs.

Ultherapy Cost and Value

The average cost of Ultherapy is around £1,800, but the price can range from £365 to £2,920, depending on factors such as the treatment area, the clinic, and the expertise of the dermatologist. While the cost of Ultherapy might be higher than microneedling, it's important to consider the value of the treatment in terms of effectiveness and recovery time. Ultherapy is known for its long-lasting results, typically up to 2 years, and minimal recovery time—usually just a few days with mild side effects such as swelling or redness.

Microneedling Cost and Value

The cost of microneedling is generally more accessible compared to Ultherapy, with prices ranging from £110 to £770 per session. However, it's worth noting that microneedling may require multiple sessions for optimal results, thereby increasing the overall cost. In terms of value, this treatment may be better suited to those with mild to moderate skin concerns, not looking for an alternative to a facelift. However, if combined with radiofrequency skin tightening you get a combination treatment suitable for severe cases of skin sagging.

In summary, when considering the cost and value of Ultherapy and Microneedling, it's essential to evaluate your specific skin concerns and expectations. While Ultherapy might be more expensive, it could be the right choice for those seeking significant lifting and tightening effects. On the other hand, Microneedling might be a more cost-effective option for addressing mild to moderate skin concerns. Discuss your options with a qualified practitioner to determine the most suitable treatment for your needs.


In your quest for a smooth neck and décolletage, both microneedling and Ultherapy offer effective treatment options. Each method has its unique benefits and potential outcomes, so understanding the differences will help you determine the best choice for your specific needs.

It's essential to consult with an experienced and licensed medical professional to determine the most suitable treatment according to your skin type, age, and specific cosmetic goals. This way, you can confidently embark on your journey towards a more youthful-looking and smooth neck and décolletage.

Book Microneedling with Dr Aesthetica

As you weigh your options, you might be interested in booking a microneedling session with Dr Aesthetica, a renowned practitioner in this field.

Our team of experienced professionals is well-versed in the nuances of microneedling. By choosing to book a session with them, you can expect a personalised treatment plan tailored to address your specific concerns and desired results. They will assess your skin and determine the appropriate needle depth, treatment frequency, and any additional serums or products that must be incorporated to enhance the treatment's effectiveness.

Booking a microneedling appointment with Dr Aesthetica is a sound decision, as we have a proven track record and a wealth of expertise in this specialised treatment. By choosing a skilled professional like Dr Aesthetica, you can be confident that your neck and décolletage will be in good hands, and you'll be one step closer towards a smoother, rejuvenated appearance.

Book Your Treatment Today!

Post Reviewed by: Dr Baldeep Farmah
Medically Reviewed on: 18th July 2023
Dr Baldeep Farmah is the Medical Director and lead Doctor of Dr Aesthetica, a Medical Aesthetic Clinic.

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