Ultherapy uses focused ultrasound targeting the 4.5 mm SMAS layer for deep skin...
https://cruzinnp079.tearosediner.net/does-ultherapy-hurt-and-what-affects-comfort
Ultherapy uses focused ultrasound targeting the 4.5 mm SMAS layer for deep skin tightening, with results peaking around 3 to 6 months. RF heats the skin at 40 to 45°C to boost collagen more superficially and often requires multiple sessions