Comparison

FaceTite vs Ultherapy

FaceTite puts a heated cannula under the skin through a small entry point, under local anaesthesia; Ultherapy sends focused ultrasound through skin that is never broken. That gap decides recovery, candidacy and what each is cleared to treat.
Written & medically reviewed by the Dermapedia team
At a Glance

One of these breaks the skin and the other does not. FaceTite is a minimally invasive procedure: a thin tube called a cannula is passed under the skin through a small entry point, and radiofrequency energy flows between that internal tube and an electrode riding on the surface above it. Ultherapy sends focused ultrasound through skin that is never opened. Nothing is inserted.

That is why they ask completely different things of you. FaceTite belongs on the surgical side of aesthetics — the published case series of this technique describe it being performed under local anaesthesia. Ultherapy is a walk-in, walk-out appointment where the main patient complaint is discomfort during the treatment rather than recovery afterwards.

The regulatory gap is just as wide. Ultherapy holds a De Novo authorisation (DEN080006, granted 11 September 2009) and its clearance names real lifting claims: lift the eyebrow, lift lax tissue beneath the chin and on the neck, and improve lines and wrinkles of the décolleté (K180623, 2018). FaceTite is not the name on any FDA clearance. It is a handpiece sold under InMode's general "InMode RF System" clearances, whose wording is electrocoagulation and hemostasis — surgical language for sealing tissue and stopping bleeding — and, since July 2024, procedures where coagulation or contraction of soft tissue is needed. Skin tightening, jowls and body contouring appear in none of them.

Neither position is proof that a treatment works. A De Novo is a more demanding route than a 510(k), and Ultherapy's indications name both an effect and a body area, which FaceTite's do not. But both are marketing authorisations, not verdicts on results.

FaceTite
InMode, radiofrequency delivered under the skin
Ultherapy
Merz, focused ultrasound delivered through the skin

What it is

A minimally invasive radiofrequency procedure with an entry point and local anaesthesia

A cannula travels under the skin while an electrode rides on the surface.

A completely non-invasive focused ultrasound treatment

Nothing penetrates the skin at any point.

Both
Everything else on this page follows from this row. One is a procedure; the other is an appointment.

How it works

Current passes between the internal cannula and the external skin electrode, coagulating the fibrous network under the skin

The system tracks temperature and tissue resistance and adjusts energy as it goes. In the manufacturer-aligned technical account, the internal cut-off is 69 to 70 °C and the skin-surface cut-off 38 to 40 °C.

Ultrasound is focused to a point below the surface, the way a lens focuses sunlight

At that focus tissue reaches coagulation temperatures of roughly 60 to 70 °C and forms small columns of denatured collagen. The layers above the focus are spared, and the body remodels those points over two to six months.

Both
InMode and the clinical literature describe the FaceTite arrangement as bipolar. The FDA's own 2026 summary of the same handpieces classifies them as monopolar, because the external electrode acts as a return. The label is disputed; the physical setup is not.

How deep it goes

Into the subcutaneous plane — the fatty layer beneath the skin, where the cannula travels

No cannula length or gauge for FaceTite is published, so none is quoted.

Focused at set depths — the transducers are named 10-1.5, 7-3.0 and 4-4.5, meaning 1.5, 3.0 and 4.5 mm

At 4.5 mm the focus reaches the SMAS, the fibrous layer surgeons lift in a facelift.

Both
Those millimetre figures come from standard transducer naming rather than from the wording of the FDA indication. Separately, Ultherapy's imaging is cleared to visualise up to 8 mm below the surface, which lets the operator see the tissue plane before firing.

What it is cleared to treat

Electrocoagulation and hemostasis — sealing tissue and stopping bleeding

Since a July 2024 clearance the wording also covers procedures where coagulation or contraction of soft tissue is needed (K240780). There is no 510(k) under the name FaceTite at all; it is a handpiece under InMode's general RF System clearances.

Lift the eyebrow; lift lax tissue beneath the chin and on the neck; improve lines and wrinkles of the décolleté

A February 2025 clearance (K243035) added the appearance of skin laxity on the abdomen and the front and back of the arms.

Both
Ultherapy's indications name an effect and a body area. FaceTite's name a surgical function. That is a real difference in what a regulator reviewed — and it is still not evidence of benefit, because clearance is mainly a finding that a device resembles one already on the market.

Downtime

Not documented in the published literature

No published trial gives a recovery figure for FaceTite, so none is quoted here. What can be said is structural: there is an entry point, an anaesthetic and a procedure, which is a different order of event from a non-invasive treatment. Ask the clinic for their own figures.

Described as essentially none — passing redness, swelling and tenderness, occasionally bruising or temporary numbness

That is the conventional clinical description, not a labelled claim. No recovery time or session count appears in the FDA wording for either treatment.

Comfort

Local anaesthesia is part of the procedure — that is how the published case series describe it
Discomfort during the treatment is the main patient complaint
Both
No study has compared the two for pain, so this is clinical description rather than a measured result.

Who tends to be happy with it

Best for
Someone already willing to have a procedure, often at the same time as liposuction, who wants work done in the layer beneath the skin and accepts an entry point, an anaesthetic and a real recovery.
The mindset
One larger event, planned around.
Best for
Someone who wants nothing to break the skin, whose target is brow, jawline, neck or décolleté, and who can tolerate an uncomfortable session in exchange for no recovery.
The mindset
No wound, and a slow change over months.

What the published evidence looks like

Thin on the FaceTite side. A PubMed search for BodyTite, FaceTite or AccuTite returns about 32 records, and no randomised controlled trial was identified. Most of it is case series and technique papers, several written by paid InMode consultants. A prospective safety and feasibility study published in 2010 treated 23 patients and reported no severe complications — but skin tightening was judged by the operating surgeon, who was not blinded, and the authors themselves said a larger sample was needed.

Ultherapy's strength here is regulatory rather than something a trial can settle. No published study compares the two treatments, so no result figures are given. What can be said is that its indications were reviewed by name, which is unusual in this field.

Risks that belong to each

FaceTite's family: a 2020 case report documents deep skin burns after BodyTite, the body version of the same technology. A 2026 clinical observation paper describes fibrosis, fat loss and added surgical difficulty when a neck lift follows earlier non-surgical treatments — worth knowing if surgery is a possible later step.

Ultherapy's: rare but documented events include transient motor nerve injury, affecting the nerve branches to the lower lip or the forehead, and subcutaneous fat atrophy — loss of fat under the skin.

Neither list is long, and neither treatment has a published incidence rate for these events.

Before you book

If you get cold sores, say so when you book — not on the day. Antiviral medicine is started in advance, so it has to be prescribed before the appointment. There is no published data on cold-sore reactivation after these treatments specifically; the precaution is carried over from laser resurfacing, where reactivation is well documented and prophylaxis is standard.

Also disclose a pacemaker or an implantable defibrillator, and any metal implant near the treatment area. These are labelled contraindications for radiofrequency devices generally. They are precautionary rather than tested — no published study has treated patients with cardiac implants — so the people to advise you are your cardiology team, not the clinic's front desk.

Say too if you have an active skin infection in the area, a history of raised or thickened scarring, or any current or past skin cancer where you are being treated.

Get emergency help now

  • A fever, or redness that keeps spreading outward from the treated area
  • Pus, or an area that becomes hot, hard and increasingly painful

These are signs of an infection that is spreading, and they need urgent care rather than a wait-and-see appointment.

Call your provider if

  • Redness, swelling or pain increases after day three instead of settling
  • A blister, crust or open area appears where you were treated
  • An area starts to look hollow or deflated compared with the other side
  • New numbness, or weakness moving one side of your mouth or forehead
  • A cluster of small painful blisters appears — this can be a cold sore flare

Related

Questions people ask+
Is FaceTite surgery?It is usually described as minimally invasive rather than surgical, but a cannula is inserted under the skin through a small entry point and the published case series describe it being done under local anaesthesia. Ultherapy involves nothing entering the skin at all.
Which one actually lifts?Ultherapy is the one whose FDA clearance uses lifting language — lift the eyebrow, lift lax tissue beneath the chin and on the neck — and it reaches 4.5 mm, the depth of the SMAS layer. That is a statement about what was reviewed, not a promise about your result. FaceTite's clearance names no cosmetic effect at all.
Is FaceTite FDA cleared for skin tightening?No. There is no FDA clearance under the name FaceTite. The handpiece sits under InMode's general RF System clearances, which read electrocoagulation and hemostasis and, since July 2024, coagulation or contraction of soft tissue. Treating for tightening is off-label, which is legal and routine — it simply means no regulator reviewed the device for that purpose.
Which has more downtime?Almost certainly FaceTite, because it involves an entry point and an anaesthetic, while Ultherapy is described as having essentially none. No published trial gives a FaceTite recovery figure, so no number is quoted here — ask the clinic for theirs.
Which hurts more?They are uncomfortable in different ways. FaceTite is done under local anaesthetic, so the discomfort is mostly afterwards. Ultherapy has no anaesthetic and discomfort during the appointment is its main complaint. No study has compared them.
Can I have both?No published study tests that combination, so there is no evidence either way. They target different layers, which is the argument clinics make for pairing them — treat it as a plan, not a finding.
Which is better value?There is no reliable published price for either treatment, and no professional body publishes a figure, so no cost comparison is offered here. Ask for the total course price rather than the per-session price, and ask what happens if the result is disappointing.