I got Ulthera 400 shots mainly on the lower jaw. It's been about a month now. I only applied anesthetic cream and it was a bit difficult here and there, but it was bearable. From the first day of the procedure, my face seemed to have become slimmer, but the lifting effect didn't come out right away. Since it wasn't sagging much to begin with, it didn't seem to have a dramatic effect. I do n't have much facial fat, but my cheeks didn't sag.