The invention discloses a focused ultrasonic firming and wrinkle-reducing beauty apparatus capable of realizing accurate positioning. The beauty apparatus includes an analysis host, an ultrasonic treatment head, a support rod and a fixed seat, wherein the ultrasonic treatment head is fixed on the fixed seat, the bottom of the fixed seat is welded to the top of the support rod, the ultrasonic treatment head includes an installation shell, the installation shell consists of two half shell assemblies with oppositely arranged openings, an installation cavity is formed between the two half shell assemblies, and a water inlet end is welded to the top of one end of the installation shell away from the analysis host. In the focused ultrasonic firming and wrinkle-reducing beauty apparatus provided by the invention, a synchronous movement effect of a concave ultrasonic transducer along a height direction and a width direction of the installation shell enables the acting area to be larger and an effect to be better, the ultrasonic treatment head is more accurate in positioning, ultrasonic waves have high penetrating power and can go deep into cells, temperature most suitable for effective of protein can be maintained, thereby achieving the purposes of causing no trauma, being safe, effectively stimulating collagen regeneration and skin tightening, removing wrinkles and eliminating redundant fat.