Older versions of Ultherapy were painful. However, the newer model, which we have at our clinic, does not produce that much pain. Multiple members of our staff have had this treatment, and were able to tolerate it with no pain killers or anesthetic. The pulses do produce a tingling sensation. And, there may be a few ‘zingers’ during your treatment. However, since the technician will be able to see under your skin with the ultrasound images, they can do their best to avoid sensitive areas, such as where nerves or blood vessels are appearing. Ultherapy is also pre-templated so as to avoid treating areas that are known to be painful. Plus, the few ‘zingers’ you may get go away very quickly. Afterwards, some residual, but mild, swelling or tingling sensations may remain for a few hours, to a few days. See below for more information on side effects. If you wish to take over-the-counter painkillers before your treatment to avoid pain, that is a possibility. However, we recommend speaking with our doctor about it first. Some medications should not be used, such as blood thinners.