An aesthetic ultrasound treatment system for creating multiple focus points with an ultrasound transducer, comprising: an ultrasonic probe comprising an ultrasound transducer, which has a single ultrasound transduction element comprising a piezoelectrically active material having a plurality of portions configured to apply ultrasonic therapy to tissue at a plurality of locations at a focal depth with at least one of the group consisting of amplitude modulation, poling, and phase shifting; and a control module coupled to the ultrasonic probe for controlling the ultrasound transducer, wherein the plurality of locations are positioned in a substantially linear sequence within a cosmetic treatment zone, the ultrasound transducer being configured to create multiple thermal coagulation points in the tissue substantially simultaneously by application of the therapeutic ultrasound with each individual thermal coagulation point separated from neighboring thermal coagulation points by a treatment spacing, wherein, for creating the multiple thermal coagulation points substantially simultaneously by amplitude modulation, the plurality of portions are configured to emit ultrasonic therapy at a plurality of amplitudes of acoustic intensity, wherein a first amplitude is different than a second amplitude, wherein, for creating the multiple thermal coagulation points substantially simultaneously by phase shifting, the plurality of portions are configured to emit ultrasonic therapy at a plurality of phases of acoustic intensity, wherein a first phase is different than a second phase, and wherein the plurality of portions are configured to create a plurality of corresponding piezoelectric material variations in response to an electric field applied to the ultrasound transducer. an ultrasonic probe comprising an ultrasound transducer, which has a single ultrasound transduction element comprising a piezoelectrically active material having a plurality of portions configured to apply ultrasonic therapy to tissue at a plurality of locations at a focal depth with at least one of the group consisting of amplitude modulation, poling, and phase shifting; and a control module coupled to the ultrasonic probe for controlling the ultrasound transducer, wherein the plurality of locations are positioned in a substantially linear sequence within a cosmetic treatment zone, the ultrasound transducer being configured to create multiple thermal coagulation points in the tissue substantially simultaneously by application of the therapeutic ultrasound with each individual thermal coagulation point separated from neighboring thermal coagulation points by a treatment spacing, wherein, for creating the multiple thermal coagulation points substantially simultaneously by amplitude modulation, the plurality of portions are configured to emit ultrasonic therapy at a plurality of amplitudes of acoustic intensity, wherein a first amplitude is different than a second amplitude, wherein, for creating the multiple thermal coagulation points substantially simultaneously by phase shifting, the plurality of portions are configured to emit ultrasonic therapy at a plurality of phases of acoustic intensity, wherein a first phase is different than a second phase, and wherein the plurality of portions are configured to create a plurality of corresponding piezoelectric material variations in response to an electric field applied to the ultrasound transducer.