Neck laxity
Tightening of loose skin under the chin and along the neck.
Ultrasound Lifting · Bend flagship location
Ultherapy® PRIME is coming soon to Juniper. For the right candidate, this imaging-guided microfocused-ultrasound treatment provides a non-surgical approach to tightening the deep support layers beneath the chin, along the jawline, and on the neck — with no incisions and typically little to no downtime. It is best for mild to moderate laxity, not a substitute for surgery when there is significant excess skin, heavy fat, or prominent neck bands.
Available exclusively at our Bend flagship location.
Ultherapy® PRIME is coming soon to Juniper. Choose Aesthetics & Laser in our secure Bend scheduler for a candidacy assessment and arrival updates.
Reviewed October 6, 2026 by Karla Snider Pivik, DO, FAAD, FAOCD, board-certified dermatologist and founder.

Before & after
Actual Juniper Dermatology patients. Individual results vary; your plan is tailored during your visit.

Searching for a non-surgical neck lift in Bend?
Our new Ultherapy® PRIME system will use imaging-guided microfocused ultrasound to heat the deep support (SMAS) layer and build your own collagen — gradually lifting a softening jawline, under-chin, and neck with no incisions and typically little to no downtime. Care will be led by Karla Snider Pivik, DO, FAAD, FAOCD, a board-certified dermatologist who interprets the real-time imaging and tailors energy to your anatomy.
An honest starting point:Ultherapy PRIME tightens lax tissue. It does not remove significant excess skin, dissolve heavy under-chin fat, or correct prominent vertical neck bands on its own. We confirm candidacy first — and recommend a different treatment or a surgical opinion when that would serve you better.
Overview
Ultherapy® PRIME is the current-generation microfocused-ultrasound platform, FDA-cleared to lift skin on the neck, under the chin, and on the brow, and to improve lines and wrinkles on the décolletage. It delivers focused ultrasound energy to heat deep support layers beneath the skin, prompting a natural collagen response that gradually lifts and firms.
Patients often search for a non-surgical neck lift when they notice early jowling, a softening jawline, or loose skin beneath the chin. Ultherapy PRIME can be an excellent fit for mild to moderate laxity when the goal is gradual, natural tightening rather than the more dramatic repositioning of surgery. It tightens lax tissue — it does not remove significant excess skin, dissolve heavy under-chin fat, or correct prominent platysmal (vertical) neck bands on its own.
Because the PRIME system uses real-time ultrasound imaging, your provider can visualize tissue layers and place energy at the intended depth. Results develop over two to three months as new collagen builds and may continue to refine for up to six months, with no incisions and typically little to no downtime.
A closer look
Ultherapy® PRIME is the current-generation Ultherapy platform. Like earlier Ultherapy, it uses microfocused ultrasound to heat the deep support layers beneath the skin and trigger your body’s own collagen response — but PRIME pairs that energy with real-time ultrasound imaging, so your provider can visualize the tissue planes and place energy at the intended depth rather than treating blind.
It is FDA-cleared to lift skin on the brow, under the chin, and on the neck, and to improve lines and wrinkles on the décolletage. At Juniper, a board-certified dermatologist uses that imaging to tailor treatment to your anatomy and to confirm you are a good candidate in the first place.
For the right candidate, Ultherapy® PRIME is one of the established non-surgical answers for a softening neck and jawline. It reaches the deep SMAS layer — the same foundational tissue a surgeon addresses in a facelift — using focused ultrasound instead of a scalpel, prompting gradual lifting and firming over the following months.
You generally keep your normal schedule: there are no incisions and typically little to no downtime. It is a strong option for early jowling, a softening jawline, or mild to moderate neck laxity — but it tightens lax tissue rather than removing it. When there is significant excess or hanging skin, heavy under-chin fat, or prominent vertical (platysmal) neck bands, surgery or a different combination of treatments usually serves you better, and we will tell you so.
Patients often compare these because they all tighten without surgery, but they work at different depths and in different ways. Ultherapy® PRIME uses imaging-guided microfocused ultrasound to reach the deep SMAS layer for lifting. Sofwave uses ultrasound at a shallower mid-dermal depth. Thermage uses surface radiofrequency to tighten. Morpheus8 and other radiofrequency-microneedling devices remodel from the surface downward and also improve skin texture.
Because it treats a deeper plane, Ultherapy PRIME is often chosen when the goal is foundational lift rather than surface tightening — and it can be paired with radiofrequency microneedling or PDO threads when both lift and skin-quality improvement are wanted. Your dermatologist matches the technology to your anatomy and goals, not the other way around.
Ultherapy® PRIME is a patience treatment: some tightening may show in the first weeks, but the main result develops over two to six months as new collagen forms. It is a single-session treatment for most patients.
Results commonly last a year or more, and many patients choose a maintenance treatment over time to stay ahead of the natural aging process. Individual results vary.
There can be moments of deep warmth or discomfort during treatment as the ultrasound reaches the target layers — a sign energy is being delivered where it counts. We take steps to keep you comfortable. Afterward there is typically little to no downtime; mild redness, slight swelling, or tenderness is common, and less often brief bruising or temporary numbness that settles on its own.
The best candidates have mild to moderate laxity and realistic expectations. Ultherapy PRIME lifts and firms, but it does not remove significant excess skin, dissolve heavy fat, or correct prominent neck bands the way surgery or other procedures can. A board-certified dermatologist will be straight with you about what it can and cannot achieve for your face and neck.
Ready when you are
Ultherapy® PRIME is arriving soon. Open our secure Bend scheduler and choose Aesthetics & Laser for a candidacy assessment and arrival updates. We evaluate whether PRIME fits your neck and jawline, map the areas, and review the full investment before treatment is scheduled.
What to expect
Ultherapy PRIME typically involves little to no downtime - most people return to normal activities the same day. You may notice mild redness, slight swelling, tenderness, or a tingling sensation for a short time afterward, and less commonly brief bruising or temporary numbness that settles on its own.
Because Ultherapy PRIME stimulates your own collagen in the deep foundational layer, the lifting and tightening appear gradually over two to three months and continue to refine. It is a patience treatment rather than an instant change.
What it treats
Tightening of loose skin under the chin and along the neck.
Firmer, more defined contour along the lower face.
A subtle lift to a heavy or lowering brow.
Smoother, firmer skin on the chest.
Why patients choose it
Focused ultrasound targets the foundational tissue a surgeon addresses in a lift.
Typically a single session with most people back to routine the same day.
Your own collagen builds over months for a subtle result.
Real-time ultrasound lets us place energy at the intended depth.
Investment & financing
When Ultherapy PRIME arrives, treatment will be priced by the areas treated (brow, chin, neck, or chest) and will often be performed as one treatment rather than a routine series. At your visit, we assess whether laxity, under-chin fat, volume loss, neck bands, or a combination is softening the neck and jawline, then map the appropriate areas — and recommend an alternative or a surgical opinion when that would serve you better — before reviewing the full investment.
Exact pricing is personalized to your plan and confirmed at your visit. We accept major cards and offer CareCredit financing.
Why a dermatologist
Depth and candidacy are everything with microfocused ultrasound. A board-certified dermatologist interprets the imaging, confirms whether laxity (not excess skin, fat, or neck bands) is the real issue, and tailors energy to your anatomy — pursuing a natural lift while protecting nearby structures.
Call or text 541-585-7546Common questions
Ultherapy PRIME is the current-generation Ultherapy system. Like earlier Ultherapy, it uses imaging-guided microfocused ultrasound to heat the deep support layers and stimulate new collagen for a gradual non-surgical lift of the brow, under-chin, jawline, and neck, and to improve lines on the décolletage. The real-time ultrasound imaging helps your provider see the tissue layers and place energy at the intended depth.
Ultherapy PRIME can create a gradual, natural-looking lift for mild to moderate laxity beneath the chin, along the jawline, and on the neck. It stimulates new collagen rather than removing skin, so it does not reproduce the degree of change possible with surgery. We assess your anatomy honestly and recommend a surgical opinion when that would better match your goal.
The best candidates have mild to moderate skin laxity and realistic expectations. Ultherapy PRIME is less suited to significant excess or hanging skin, heavy under-chin fat, or prominent vertical neck bands, which often respond better to other treatments or surgery. A board-certified dermatologist confirms candidacy at your visit.
Yes. Ultherapy is FDA-cleared to lift skin on the neck, under the chin, and on the brow, and to improve lines and wrinkles on the décolletage.
Some lift may be visible early, but the main result develops over 2–3 months as your skin produces new collagen, with continued improvement up to six months. It is a patience treatment rather than an instant change.
Results can last a year or more. Because skin continues to age, some patients choose a maintenance treatment over time. Individual results vary.
You may feel heat and tingling during treatment as energy reaches the deep layers. Comfort settings are adjusted, and there is typically little to no downtime — mild redness, slight swelling, tenderness, or (less often) brief bruising or temporary numbness can occur and usually settle on their own.
Ultherapy PRIME uses focused ultrasound to stimulate collagen without incisions, and typically with little to no downtime. A surgical neck lift removes or repositions tissue and can produce a more dramatic change for advanced laxity, excess skin, or neck bands. Ultherapy PRIME is best suited to patients seeking gradual tightening with little interruption to daily life.
Ultherapy PRIME tightens lax tissue; it is not a fat-removal treatment. If under-chin fat is the main concern, Kybella or Agnes RF may be more appropriate. Many neck and jawline concerns involve more than one factor — laxity, fat, volume loss, or neck bands — which is why we diagnose the cause before choosing a device.
They're different tools. Ultherapy® PRIME lifts and firms mild to moderate laxity with no surgery and typically little to no downtime by reaching the deep SMAS layer; a facelift removes excess skin and repositions tissue for advanced sagging or neck bands. Ultherapy PRIME is often the right step before surgery is warranted — your dermatologist helps you decide.
Both use ultrasound, but Ultherapy® PRIME is imaging-guided and treats the deeper SMAS layer, while Sofwave works at a shallower mid-dermal depth. Ultherapy PRIME is generally favored when the goal is foundational lift rather than surface tightening; the right choice depends on your anatomy.
Most patients need just one session, with results developing over several months. Some choose a maintenance treatment over time to stay ahead of aging.
Typically little to none. You may have mild redness, slight swelling, or tenderness for a few hours to a few days, and less often brief bruising or temporary numbness. Most people return to normal activities the same day.
Yes. Ultherapy® PRIME lifts and tightens the foundation, while neuromodulators soften lines and filler or Sculptra® restores volume — together they can give a comprehensive, natural result your dermatologist can plan.
Independent & official references
Ultherapy delivers microfocused ultrasound (MFU) to the deep tissue layers. Independent reviews describe gradual tightening of mild to moderate laxity — and that it is not a replacement for surgery when laxity is advanced. Individual results vary.
Bend flagship · Central Oregon
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