I got Ulthera 300 shots mainly on the lower face. It's been 2.5 months and I only applied anesthetic cream and it was a bit difficult towards the end, but it was bearable. Because it hurt, I got it done on both sides at the same time and finished it quickly. A few days after the procedure, my skin became smooth and brighter, but the lifting effect didn't come out right away. Since it didn't sag much to begin with, it didn't seem to have a dramatic effect. I don't have much facial fat, but my cheeks didn't sag.