maypure Yeonsinnae

[Doctor's Column] Nasolabial Folds Are Not 'Wrinkles': Why You Should Not Inject Fillers into the Nasolabial Folds First

"My nasolabial folds have deepened, so I came to get fillers." This is one of the most frequently heard comments in the consultation room. However, quite a few people have experienced that even after getting fillers in their nasolabial folds, "my face looks heavier" or "it went back to how it was after a few months." The reason is simple. This is because nasolabial folds are mostly not 'wrinkles'. ▶ Q. If nasolabial folds are not wrinkles, what are they? ・ Here is a simple experiment. After checking your nasolabial folds in front of a mirror, Lie flat on your back looking at the ceiling Look. In most cases, one's fate fades or disappears. ・ As a result of a survey conducted by Japanese researchers on 108 women aged 20 to 60 ( Skin Research and Technology, 2012 ), when switching from a sitting position to a lying position, the nasolabial folds significantly decreased or disappeared, Only 13.8% of 'real wrinkles' remain even after changing posture. I did. ・ In other words, 86% of nasolabial folds are not lines etched into the skin The 'boundary' formed as the upper ball comes down and folds The problem is not at the corners of the mouth, but above them. ▶ Q. Then why does the upper ball come down? ・ Deep cheek fat is reduced. Facial fat is not a single mass but is divided into several compartments (sections). Plastic and Reconstructive Surgery, 2007 Among them, when the 'deep inner cheek fat' beneath the cheekbones decreases with age, the skin and superficial fat resting on top lose their support and sag downwards. The same research team calls this phenomenon 'pseudo-sagging,' and The nasolabial folds faded after replenishing deep fat. He reported ( 2008 ). ・ The provincial district moves down. A study comparing the faces of young and old people using CT ( Plastic and Reconstructive Surgery, 2012 It was confirmed that as one ages, the mid-facial fat compartment moves downward, and within the compartment, the volume shifts downward. ・ Dermal elasticity decreases. In the previously mentioned study, the severity of nasolabial folds was higher as skin elasticity levels decreased and the subcutaneous fat layer became thicker. This means that the loosened skin is unable to support the heavy cheeks. ❙ Image: Produced by Maypure Doctor Column ▶ Q. So, why shouldn't you get fillers into your nasolabial folds first? ・ Filling the nasolabial folds with filler is the folded line Filling from below This is the method. Since it essentially only covers the folds while leaving the cause of the cheeks sagging intact, they return to their original state once the volume is absorbed, and if too much is added, the area around the mouth may look heavy. ・ Nasolabial fold filler is not a wrong procedure. However, order This is important. If the cause is "sagging of the upper cheeks and loss of volume," the general approach is to address that area first and then finish the remaining grooves with a small amount. ▶ Q. How do you approach our Yeonsinnae branch? At Maypure Clinic Yeonsinnae Branch, we view nasolabial folds not merely as the "corners of the mouth" but as the "entire mid-face," and proceed according to the cause as follows. 1) Approach to raising a descending ball: Coolsonic · Density · Inmode FX ・ CoolSonic (HIFU) creates thermal coagulation points in the deep layers of the skin and fascia to contract tissues and induce collagen regeneration. A study conducted on 22 Koreans ( Dermatologic Surgery, 2011 After just one treatment, two evaluators confirmed that improvement in nasolabial folds and jawline was observed in all patients, and 77% reported feeling a noticeable improvement in nasolabial folds. ・ Density (high frequency) and InMode FX are devices that address both sagging fat and elasticity in the lower cheeks, and are selected based on the pattern of sagging. 2) Approach to replenish reduced deep fat: Olidia (PLLA) · Cheek filler Olidia is a volumizer that induces collagen production to gradually restore the support structure of the sunken area below the cheekbones. It is performed multiple times at intervals of at least 4 weeks, and changes become visible with each subsequent session. ・ When immediate support is needed, support the upper part first with anterior cheek filler (Neuramis). 3) Remaining furrows: Apply nasolabial fold filler last, in a small amount. ・ After trimming the upper area, fill only the necessary amount into the remaining folds. This reduces the amount of filler used and lowers the burden of the face looking heavy. ・ It is our Yeonsinnae branch's policy to administer heat-sensitive injectables (such as Olidia) after energy equipment procedures. Director Sim Dong-gyu will determine the order and combination based on the chart records during the consultation. ▶ Q. Do you have any habits in your daily life that deepen your fate? ・ The habit of sleeping on one's side. If one cheek is pressed against the pillow, that side of your face is prone to becoming more pronounced. If the depth of your facial folds differs between the left and right sides, check your sleeping posture first. ・ Rapid weight change. If you lose weight rapidly, the fat in the deep cheeks will decrease first, causing your nasolabial folds to suddenly become more prominent. It is better for your face to control your weight gradually. ・ UV protection. This is the most basic and affordable way to maintain dermal elasticity. ▶ Summary Most nasolabial folds are not etched wrinkles, but rather the boundary lines formed by the upper cheeks descending and folding. So, the order is "raise the ball and fill → add a small amount to the remaining grooves." ・ The effects and duration of the results may vary depending on individual skin condition. 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 📍 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 Skin concerns vary from person to person. After a consultation, we will guide you to the most suitable treatment based on your records. ※ 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. Ezure T, Amano S. Involvement of upper cheek sagging in nasolabial fold formation. Skin Res Technol. 2012;18(3):259-64. 2. Rohrich RJ, Pessa JE. The fat compartments of the face: anatomy and clinical implications for cosmetic surgery. Plast Reconstr Surg. 2007;119(7):2219-27. 3. Rohrich RJ, Pessa JE, Ristow B. The youthful cheek and the deep medial fat compartment. Plast Reconstr Surg. 2008;121(6):2107-12. 4. Gierloff M, et al. Aging changes of the midfacial fat compartments: a computed tomographic study. Plast Reconstr Surg. 2012;129(1):263-73. 5. Suh DH, et al. Intense focused ultrasound tightening in Asian skin: clinical and pathologic results. Dermatol Surg. 2011;37(11):1595-602. #Yeonsinnae Dermatology #Yeonsinnae Nasolabial Folds #Yeonsinnae Lifting #Yeonsinnae Coolsonic #Eunpyeong-gu Dermatology #Yeonsinnae Olidia #Yeonsinnae Nasolabial Fold Filler ▼Get a free real-time consultation with Maypure right now▼

[Doctor's Column] Pores Don't Shrink?

today Pores do not shrink I will summarize the true meaning of that phrase and the scientific principles for managing pores that look enlarged. ▶ Q. Why is it said that pores don't shrink? Pores are not physical 'holes,' but the openings of hair follicles (sacs from which hair grows). What is visible on the skin surface is the shadows around these openings, that is 'shadow' It is closer to that. Therefore, the hole itself cannot be eliminated, but the pores appear larger. Reduce the cause The key is to manage it in a way that is less noticeable. So why are some people's pores large while others' are barely visible? Dermatology explains the causes of enlarged pores in three main ways. ▶ Q. 3 Scientific Causes of Enlarged Pores ・ Cause 1: Increased sebum secretion The more active the sebaceous glands are, the more the pore openings expand. A study by Roh M et al. from the Department of Dermatology at Yonsei University ( British Journal of Dermatology, 2006 According to ), among various variables, sebum secretion volume showed the highest correlation with pore size. ・ Cause 2: Decreased skin elasticity (collagen) around pores A study by Kim BY et al. from the Department of Dermatology, Seoul National University ( Skin Research and Technology, 2013 It has been confirmed through objective measurements that pores widen as skin elasticity decreases. As collagen and elastic fibers decrease with age, the skin around the pores loosens, making them appear wider. ・ Cause 3: Increased hair follicle volume Comprehensive review by Lee SJ et al. ( Dermatologic Surgery, 2016 It suggests high sebum secretion, decreased elasticity around the pores, and increased follicle volume as the three major causes of enlarged pores. To summarize, among the younger generation, sebum is the main cause, but After the age of 40, 'loss of elasticity' is the key factor making pores appear larger. This is the reason why you feel that "your pores do not shrink even if you wash your face diligently." ❙ Image: Produced by Maypure Doctor Column ▶ Q. What dermatological procedures can help with pore management? Based on a comprehensive review of scientific research, there are two main principles of treatment that are effective for improving pores. ① Procedures that promote collagen regeneration By stimulating collagen in the dermis layer surrounding the pores to restore elasticity, you can expect a change in which the pore openings tighten. A review paper by Parvar et al. ( Journal of Cosmetic Dermatology, 2023 According to ), results were reported showing a significant reduction in pore size in 83% of patients using radio frequency (RF)-based equipment. ② Procedures to regulate sebum secretion It is based on the principle of reducing sebaceous gland activity to inhibit the expansion of pore openings. At Maypure Clinic Yeonsinnae Branch, you can receive the following treatments based on these principles. ・ Quadsay (MNRF, Microneedle Radiofrequency) High-frequency energy is delivered directly to the dermis layer using micro-needles to induce collagen regeneration. It is used not only for pores but also for scars and acne, and the number of sessions and intervals will be provided during the consultation. ・ PicoFraxel It uses the Fraxel handpiece of a pico laser to deliver minute thermal energy, inducing collagen regeneration during the natural healing process. It is used to improve pores, fine lines, and scars. ・ Skin Botox (Dermotoxin) This is a method of injecting a small amount of Botox into the shallow layer of the dermis to reduce sebaceous gland activity and refine skin texture and pores. While many patients experience noticeable improvement with each subsequent session, results may vary depending on individual skin conditions. Dr. Sim Dong-gyu will personally guide you on the treatment cycle and combination during your consultation. ▶ Q. Is it possible to manage pores through lifestyle habits without any procedures? While it is difficult to expect results as fast as those from cosmetic procedures, there are habits that can help prevent pores from widening. ・ UV protection Ultraviolet rays are a major cause of the breakdown of collagen and elastic fibers. It is recommended to consistently use sunscreen with an SPF of 30 or higher when going outdoors. ・ Avoid excessive oil removal Washing your face too harshly can actually stimulate sebum production. It is appropriate to wash your face morning and evening with a mild cleanser. ・ Use of retinoids (vitamin A derivatives) It is known to aid in collagen synthesis and promote skin turnover, but since it may cause irritation, please be sure to consult a medical professional before use. 📍 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 Skin concerns vary from person to person. After a consultation, we will guide you to the most suitable treatment based on your records. 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 ※ 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. #Yeonsinnae Dermatology #Yeonsinnae Pore Treatment #Yeonsinnae Quad Say #Eunpyeong-gu Dermatology #Yeonsinnae PicoFraxel ▼Get a free real-time consultation with Maypure right now▼

[Doctor's Column] There are wrinkles that remain even after getting Botox: The culprit is not facial expressions, but "collagen"

There are wrinkles that can never be resolved with Botox. This might be a bit surprising news for those who have been relying solely on Botox. Today, I will summarize the reasons along with the evidence. ▶ Q. I got Botox, but why are my wrinkles still the same? ・ Botox is muscles It is a drug that acts on [the area]. It temporarily blocks muscle contraction signals, softening the wrinkles (forehead, between the eyebrows, around the eyes) that form when making facial expressions. ・ However, there are two types of wrinkles. Those that are visible only when making facial expressions dynamic wrinkles and, remaining even if left alone static wrinkles no see. ・ According to a review in the Journal of the American Family Physician (2014), Botox shows distinct results in dynamic wrinkles, but its effectiveness is limited in static wrinkles that are visible even at rest. In other words, Wrinkles that have already remained on the skin as "folds" do not disappear even if you relax your muscles. ▶ Q. Then, what is the real cause of static wrinkles? ・ The answer is Collagen in the dermis layer When collagen, which supports the elasticity and thickness of the skin, decreases, areas that were repeatedly folded cannot be straightened out again and remain as marks. ・ A classic study in the British Journal of Dermatology (1975) confirmed that the amount of skin collagen decreases linearly with age, and that women have less than men across all age groups. There is also a follow-up study (Brincat et al., 1987) that showed the rate of decrease accelerates to 1–2% per year after menopause. ・ Ultraviolet rays are added to this. A study published in the journal Clinical, Cosmetic and Investigational Dermatology in 2013 About 80% of visible signs of facial aging are related to UV exposure I reported that it works. ・ To summarize, fine lines and static wrinkles are not caused by "making too many facial expressions," but "Because skin with reduced collagen cannot withstand the folding" It happens. ▶ Q. In that case, what procedure is necessary? If the cause is collagen, the approach must also be collagen. At Maypure Clinic Yeonsinnae Branch, we approach wrinkles by dividing them according to their type as follows. 1) Dynamic wrinkles: Wrinkle Botox ・ Botox remains the standard for wrinkles that fold when making facial expressions, such as on the forehead, between the eyebrows, and around the eyes. The key is to manage them before they harden into static wrinkles. 2) Static fine lines: Fine line filler (Belotero Soft) ・ For fine lines that remain even when at rest, such as around the eyes and mouth, we directly fill the folds using a hyaluronic acid filler specialized for fine lines. ・ In a study published in the Archives of Dermatology (2007), surrounding fibroblasts were stimulated after hyaluronic acid filler injection Promotes the production of new collagen The fact that this is possible has been confirmed through a biopsy. It goes beyond simply filling and effectively reinforces the skin's foundation. At our Yeonsinnae branch, we often proceed with fine wrinkle fillers along with Botox after explaining during the consultation, "These wrinkles cannot be treated with Botox." 3) Approaches to increase collagen itself: Olidia (PLLA), Rivicol, Juveluc Olidia is a volumizer containing PLLA (polylactic acid) that induces collagen production within the skin. Multiple laboratory studies have confirmed that PLLA increases the production of Type 1 collagen in fibroblasts. The procedure is performed multiple times at intervals of at least four weeks, and gradual changes become apparent with each subsequent session. ・ Livicol (Atelocollagen Booster) and Livishine (Hyaluronic Acid Skin Booster) are administered to reinforce the foundation of overall skin moisture and elasticity. ・ For reference, it is our Yeonsinnae branch's policy to administer heat-sensitive injectables like Ollydia after energy device treatments such as CoolSonic or Dencerty. ▶ Q. Is there anything I can do in my daily life besides the procedure? ・ UV protection is the top priority. As mentioned earlier, a significant portion of visible aging is related to ultraviolet rays. The habit of applying sunscreen even on cloudy days or by a window indoors is the most affordable way to protect collagen. ・ Sleeping posture also creates wrinkles. A review in the Aesthetic Surgery Journal (2016) explains that the pressure and friction applied to the face when sleeping on one's side or stomach create "sleep lines" in locations different from expression lines. If possible, we recommend the habit of sleeping on your back. ・ Try to reduce repetitive facial expression habits. The habit of furrowing your brow or squinting is a shortcut to turning dynamic wrinkles into static ones. If you squint because your vision is poor, I recommend starting by checking your eyeglass prescription. ▶ Summary ・ Botox works on "muscle" wrinkles, while fillers and collagen boosters work on "skin" wrinkles. Identifying which type of wrinkles you have comes before choosing a procedure. ・ The effects and duration of any procedure may vary depending on the individual's skin condition. 📍 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 Skin concerns vary from person to person. After a consultation, we will guide you to the most suitable treatment based on your records. ※ 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. Small R. Botulinum toxin injection for facial wrinkles. Am a Famous Physician. 2014;90(3):168-75. 2. Shuster S, et al. The influence of age and sex on skin thickness, skin collagen and density. Br J Dermatol. 1975;93(6):639-43. 3. Brincat M, et al. A study of the decrease of skin collagen content, skin thickness, and bone mass in the postmenopausal woman. Obstet Gynecol. 1987. 4. Flament F, et al. Effect of the sun on visible clinical signs of aging in Caucasian skin. Clin Cosmet Investig Dermatol. 2013;6:221-32. 5. Wang F, et al. In vivo stimulation of de novo collagen production caused by cross-linked hyaluronic acid dermal filler injections in photodamaged human skin. Arch Dermatol. 2007;143(2):155-63. 6. Anson G, Kane MA, Lambros V. Sleep wrinkles: facial aging and facial distortion during sleep. Aesthet Surg J. 2016;36(8):931-40. #Yeonsinnae Dermatology #Yeonsinnae Botox #Yeonsinnae Wrinkle Treatment