The invention discloses an ultrasonic fat reduction and body shaping machine that includes a treatment head (1), a wave source carrying apparatus (15), a mechanical arm (2), a treatment bed, a lift cylinder body, a touch screen (6) and control circuits (8). A menu for user selection operation is provided on the touch screen (6). The treatment head (1) is clamped in the wave source carrying apparatus (15 s as to be fixedly connected to the mechanical arm (2) as a whole. The mechanical arm (2) is fixedly connected to the lift cylinder body that is fastened on the treatment bed-base (5). The invention is to provide an ultrasonic fat reduction and body shaping machine that facilitates assembling and disassembling of a treatment head, elevates and descends a mechanical arm freely. The ultrasonic fat reduction and body shaping machine has an ultrasonic frequency of 1 MHz to 3 MHz using an ultrasonic emission mode with high intensity, narrow pulse width and low duty cycle.