Ultherapy patient and model *Face refers to treatment of one or more of the FDA-cleared areas of the brow and under the chin. Ultherapy patient and model All fields are required. First Name Last Name Your email ZIP Code Mobile Phone Do you have an appointment with an Ultherapy provider? YesNo Merz North America & Crisalix SA Agreement Please check the boxes beside the item below to indicate that you have reviewed, understood and agreed to these terms: I am at least 18 years of age. I understand that I will receive confirmation emails to the email address disclosed. I allow Ultherapy and Merz North America to send me news and information about Merz products, including Ultherapy to this email address. I understand and agree that the simulator results are only an approximation of my post-procedural results and may differ from the results of an actual Ultherapy treatment, and I have read and understand the additional simulator terms of use, Merz North America, Inc. Terms of Use and Privacy Policy, and Crisalix SA Terms of Use.