Ulthera is a lifting device that delivers high-intensity focused ultrasound (HIFU) energy down to the SMAS layer. PO:VE Clinic plans the number of shots according to the area and skin condition, on top of its pain-relief protocol; options are divided by shot count. The PO:VE Ulthera Protocol combines Ulthera 600 shots with Alltite 200 shots and jaw Botox.