An ultrasound treatment system configured for noninvasive face lifts and deep tissue tightening, said ultrasound treatment system comprising: a probe system configured for both imaging and therapy, wherein said probe system comprises an imaging and therapy transducer configured for targeted delivery of ablative ultrasound within the superficial muscular aponeurosis system (SMAS) layer, and wherein the imaging and therapy transducer comprises an imaging element and a single therapy element, wherein the imaging element is configured to image a region of interest comprising the SMAS layer, wherein the single therapy element is composed of one individual single-element transducer, configured for single focus and for targeted delivery of ablative ultrasound energy into said SMAS layer at a depth of up to 15mm below the skin surface for thermal injury of tissue and to cause shrinkage of said SMAS layer; a control system coupled to said probe system, said control system controlling mechanical scanning of the imaging and therapy transducer and comprising a spatial control and a temporal control, said spatial control and said temporal control controlling said targeted delivery of ablative ultrasound energy to cause said shrinkage of said at least a portion of said SMAS layer; a motion mechanism for controllably creating multiple lesions, wherein the imaging and therapy transducer within the probe system is mechanically scanned in a direction to place treatment zones over an extended area formed as a line; and a display system coupled to said control system and to said imaging element of said probe system, said display system configured for displaying images of said region of interest. a probe system configured for both imaging and therapy, wherein said probe system comprises an imaging and therapy transducer configured for targeted delivery of ablative ultrasound within the superficial muscular aponeurosis system (SMAS) layer, and wherein the imaging and therapy transducer comprises an imaging element and a single therapy element, wherein the imaging element is configured to image a region of interest comprising the SMAS layer, wherein the single therapy element is composed of one individual single-element transducer, configured for single focus and for targeted delivery of ablative ultrasound energy into said SMAS layer at a depth of up to 15mm below the skin surface for thermal injury of tissue and to cause shrinkage of said SMAS layer; a control system coupled to said probe system, said control system controlling mechanical scanning of the imaging and therapy transducer and comprising a spatial control and a temporal control, said spatial control and said temporal control controlling said targeted delivery of ablative ultrasound energy to cause said shrinkage of said at least a portion of said SMAS layer; a motion mechanism for controllably creating multiple lesions, wherein the imaging and therapy transducer within the probe system is mechanically scanned in a direction to place treatment zones over an extended area formed as a line; and a display system coupled to said control system and to said imaging element of said probe system, said display system configured for displaying images of said region of interest.