[Doctor's Column] Lifting Is Not a Procedure That 'Pulls Up': The Real Principle of Sagging Skin Firming Again

 

It is easy to think that sagging skin needs to be "pulled up." As a result, many people visit clinics with high expectations regarding the name "lifting." However, non-surgical lifting is not a procedure that physically pulls the skin. Rather, the collagen within the skin... 'Making again' It is close to the process.

 

▶ What is the real cause of facial sagging?

Facial sagging is not simply caused by the skin stretching. The real cause lies in structural changes deep within the skin.

・ As collagen and elastin fibers in the dermis decrease, skin elasticity declines.
・ As the fascial layer called the SMAS (Superficial Myofascial System) loosens, the strength supporting the tissues weakens.
・ As the subcutaneous fat layer moves downward, the contours of the cheeks and jawline change.

In other words, not the skin 'surface', but the skin 'inside' Sagging occurs because this collapses. This is also the reason why fundamental improvement is difficult by merely pulling the surface.

 

▶ What is the principle behind the effectiveness of non-surgical lifting?

Non-surgical lifting devices (radiofrequency, ultrasound, etc.) precisely deliver thermal energy to the deep layers of the skin. When this heat causes microscopic thermal damage to collagen fibers, the body heals the damaged areas while New collagen (new collagen) It produces.

・High frequency (RF) The device delivers heat uniformly from the dermis to the subcutaneous fibrous septum to induce collagen contraction and new collagen synthesis.
・High-intensity focused ultrasound (HIFU) The equipment focuses on the SMAS layer to a depth of 1.5 to 4.5 mm to form thermal coagulation points and promotes collagen and elastin synthesis through the caveolin-1 (Cav-1) pathway.
・Microneedle Radiofrequency (MNRF) It induces collagen remodeling by inserting micro-needles into the skin and directly delivering high-frequency energy into the dermis.

This process is better than immediately after the procedure. Over 4 to 6 weeks after the procedure It is characterized by a gradual tightening effect as collagen is rearranged. The degree of effectiveness may vary depending on individual skin condition, age, and lifestyle habits.

 

❙ Image: Produced by Maypure Doctor Column

 

▶ What lifting procedures are available at our Yeonsinnae branch?

Maypure Clinic Yeonsinnae Branch is equipped with energy devices suitable for each layer of the skin.

・Coolsonic / Shrink (HIFU) By acting on the SMAS layer with ultrasonic energy, you can expect a deep lifting effect. Dr. Sim Dong-gyu limits the use of the 4.5mm cartridge to the mandibular line and anchor zone, while primarily using the 3.0mm cartridge.
・Density (high frequency) It delivers high-frequency energy to the dermis layer and is used to improve elasticity.
・Inmode FX (High Frequency) It is a device that can manage facial fat and elasticity simultaneously.
・Quadsay (microneedle high frequency) It is used not only for pores and scars but also for collagen remodeling, and a simultaneous skin booster injection (Quad Fusion) option is also available.

While the energy device is used alone, it is frequently combined with Olidia (PLLA collagen stimulant). The standard protocol involves using the energy device first, followed by Olidia. The specific treatment type and combination will be provided after assessing your skin condition during the consultation.

 

▶ How to maintain the lifting effect for a long time?

Following the lifestyle habits below along with the procedure will help maintain collagen.

・UV protection Ultraviolet rays are a major cause of activation of collagen-degrading enzymes (MMPs). Please apply sunscreen with an SPF of 30 or higher thoroughly and reapply every 2 to 3 hours.
・Get enough sleep Growth hormone is secreted during sleep and is involved in collagen synthesis. At least 7 hours of sleep per day is recommended.
・Consume antioxidant foods Vitamin C is an essential coenzyme for collagen synthesis. Please consume it consistently through fruits and vegetables.
・No smoking Smoking is known to reduce blood flow to the skin and promote collagen breakdown.

 

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Chief Director Sim Dong-gyu of Maypure Clinic Yeonsinnae Branch
· Graduated from Korea University College of Medicine
· Master of Medicine, Korea University School of Medicine
· Full member of the International Society of Aesthetic Plastic Surgery
· Regular member of the Korean Society for the Study of Obesity
· Regular member of the Korean Society of Aesthetic Plastic Surgery and Laser Medicine
· Allegan Juvederm Expert Member

 

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Skin concerns vary from person to person. After a consultation, we will guide you to the most suitable treatment based on your records.

📍 Maypure Clinic Yeonsinnae Branch
3rd Floor, Metro Tower, Directly Connected to Yeonsinnae Station (856 Tongil-ro, Eunpyeong-gu, Seoul)
☎ 02-389-9980
Clinic Hours: Weekdays 10:30–20:30 / Saturdays 10:00–17:00 / Closed on Sundays and Public Holidays

 

※ This post is intended to provide general information about the procedure, and the effects and recovery period may vary depending on individual skin conditions.
※ Please be sure to consult thoroughly with medical staff before the procedure. Swelling, bruising, and redness may temporarily occur after the procedure.

 

References
1. El-Domyati M et al. “Radiofrequency facial rejuvenation: Evidence-based effect.” J Cosmet Dermatol, 2019. (PMC6541915)
2. Oh S et al. “High-Intensity Focused Ultrasound Increases Collagen and Elastin Fiber Synthesis by Modulating Caveolin-1 in Aging Skin.” Int J Mol Sci, 2023. (PMC10527789)
3. Goldberg DJ et al. “Neocollagenesis and Neoelastinogenesis: From the Laboratory to the Clinic.” J Cutan Aesthet Surg, 2016. (PMC5064677)
4.Wang Y et al. “Energy-Based Skin Rejuvenation: A Review of Mechanisms and Thermal Effects.” J Cosmet Dermatol, 2025. (PMC11837243)

 

#Yeonsinnae Dermatology #Yeonsinnae Lifting #Yeonsinnae Firming Treatment #Eunpyeong-gu Lifting #Yeonsinnae Coolsonic

 

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