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Lifting

Which device lifting treatment should I really get?

Everything about device lifting

Chief Director Seo Min-hoEPISODE CLINICcheck 95great 1

In the previous post, we divided lifting into three types: facelift, thread lifting, and device lifting .

Today, I plan to separate and organize only device lifting from that.


What kind of device lifting should I get?


This is the very question most frequently asked during lifting consultations.

THERMAGE, ULTHERA, Shurink, Oligio, InMode..

The name sounds familiar, but no matter how many times I look at it, I get confused about what the difference is.


image.pngThe two giants of device lifting, also known as "Ul THERMAGE"


You do not need to memorize the names of various pieces of equipment one by one.

Purpose, target depth, and treatment interval. Knowing just these three things makes it possible to explain most equipment.

Then, let's get started.


1. Device lifting is divided starting from the purpose.

Device lifting can be divided into tightening or volume reduction depending on the purpose.


Two purposes of device lifting

Purpose 1

Tightening

It contracts loosened tissues to increase elasticity.

Sagging, loss of elasticity, blurred jawline

High frequency / Ultrasound / Electrical stimulation

Purpose 2

Volume reduction

It reduces unnecessary fat to improve facial lines.

Double chin, deep cheek fat, upper nasolabial folds

InMode FX / Tuneliner Prime


There is not just one reason why facial lines become blurred.

There are cases where it sags because the tissue has loosened , and cases where it looks heavy due to an excess of fat .


If your skin is sagging, you need to tighten it, and if there is excessive fat, you need to reduce it.

If you undergo repeated lifting procedures while having a lot of fat, your facial lines may not be sufficiently refined.

Conversely, if skin sagging is the problem, reducing fat may actually make the face look sunken.


So, before choosing equipment, I first identify what my biggest concern is right now .


2. Tightening - Which layer to target?

Tightening can be further divided into three types depending on the depth of energy penetration.

It consists of a shallow layer (epidermis to dermis), a middle layer (dermis to fascia), and a deep layer (muscle layer).


Tightening is divided into three layers.

epidermis

dermis

fat layer

fascia layer

SMAS

muscle layer

shallow layer

high frequency

middle layer

ultrasound

deep layer

electric stimulation

Three Layers of Tightening Viewed from a Skin Cross-Section


The shallow layer mainly uses heat .

Collagen heated by high frequency immediately contracts and is then regenerated over the next few months.

Therefore, the effects tend to develop over time rather than immediately after the procedure.


The middle layer primarily uses HIFU (High-Intensity Focused Ultrasound) technology, which focuses ultrasound waves to a single point.

The points where energy is concentrated cause the tissue to contract, thereby inducing a lifting effect.


The deep layer is a little different.

It directly contracts muscles using electrical stimulation rather than heat.


The target skin layer varies depending on your skin concerns.


The layer that comes to mind first for each concern

If you are concerned about skin texture, fine lines, or thinning skin

shallow layer

If you are worried about sagging jawline and chubby cheeks

middle layer

If you are worried about an overall slumped appearance

deep layer


3. Treatment intervals vary even on the same floor.

You can classify it one more time here.

Even among devices targeting the same layer, there are devices with long treatment intervals and devices with short intervals .


1 to 2 times a year

Equipment with long treatment intervals

Reliably deliver strong output in a single burst

Equipment with originality

vs

1~3 month intervals

Equipment with short treatment intervals

Divide low-burden output into multiple steps

Equipment that builds effects through repetition

Treatment interval standards recommended by the manufacturer based on clinical results


A long treatment interval means that the output delivered at once is that much stronger .

This equipment features originality and is characterized by its ability to stably deliver strong output.


Equipment with short treatment intervals is less burdensome when receiving treatment in a single session.

Instead, you need to build up the effects by receiving it multiple times.


For reference, this classification is not intended to recommend or discourage specific equipment.

We divided them based on the treatment interval recommended by the manufacturer based on clinical results .


4. Tightening Equipment by Layer


Now, I will explain the examples of actual equipment one by one.


shallow layer

Epidermis ~ Dermis | Radiofrequency

It protects the epidermis with cooling and fills the dermis with heat to improve elasticity.

THERMAGE FLX

long interval

Volneumer

Intermediate interval

Potenza

short intervals

long interval

1 to 2 times a year

THERMAGE FLX

Intermediate interval

2 to 4 times a year

Oligio, Volneumer

short intervals

1~3 months

Tune Face, Potenza DIA, Potenza DDR, InMode FORMA, GLX Lifting, Berluti

GLX Lifting and Veluti are laser and shockwave-based devices, not radio frequency.


High-frequency equipment primarily targets shallow layers.

It protects the epidermis with cooling while transferring heat to the dermis.


The treatment with the longer interval is usually THERMAGE . I receive it about 1 to 2 times a year.

Oligio and Volneumer are given 2 to 4 times a year, which is somewhere in between.

TuneFace, Potenza DIA, Potenza DDR, InMode FORMA, GLX Lifting, Belutti, etc. are devices used at intervals of 1 to 3 months.

(GLX Lifting and Veluti are laser and shockwave-based, not radiofrequency, but have been grouped together based on the treatment interval.)


middle layer

Dermis ~ Fascia Layer | Ultrasound (HIFU)

Ultrasonic energy is concentrated at a single point and acts on the superficial muscular aponeurotic system (SMAS).

Ultheraphy Prime

long interval

Shrink Universe

short intervals

long interval

1 to 2 times a year

Ultheraphy Prime

short intervals

Around 3 months

Shrink Universe, Linear G


The middle layer consists mostly of HIFU equipment.

It focuses ultrasound energy to a single point and delivers it from the fat layer to the fascia layer (SMAS).


Ulthera Prime has a long treatment interval, while Shurink and Linear G have a short interval.

image.pngThe penetration depth of the ultrasound varies depending on the tip (UltheraPrime 1.5mm, 3.0mm, 4.5mm).


Ulthera Prime performs the procedure while directly viewing the inside of the skin using ultrasound imaging, and

Shrink Universe performs treatments tailored to the area using two methods: dots and lines.


deep layer

Muscle layer | Electrical stimulation (HIFES)

It is a procedure that trains facial muscles, just like receiving personal training at a gym.

Equal intervals

Repeat at 1-week intervals

EMFACE(5-6 treatments at 1-week intervals are recommended.)


The muscle layer is EMFACE .

You can think of it as a procedure that exercises your facial muscles, just like getting personal training at a gym.


image.pngEMFACE, targeting the muscles on the forehead and the outer side of the nasolabial folds.


As we age, not only does the skin sag, but the volume and strength of the muscles also decrease; this strengthens those muscles.

The muscle layer is not yet divided into equipment with long and short treatment intervals.


5. Volume loss - When fat is the cause

For areas where the fat itself is the problem , such as a double chin or deep cheeks, tightening alone has its limitations.

The equipment used in such cases is the high-frequency InMode FX and the ultrasonic TuneLiner .


Two devices for reducing fat

Inmode FX

high frequency

It delivers high-frequency and high-voltage pulses to the fat layer lifted by negative pressure.

Red marks may remain for 3 to 7 days.

Tuneliner

ultrasound

3D ultrasound, in which longitudinal and transverse waves overlap, acts selectively on fat cell membranes.

No downtime


InMode FX lifts tissue with negative pressure, then heats the fat layer with high frequency and delivers short high-voltage pulses.

However, since it is a lifting method, red marks may remain for about 3 to 7 days.


TuneLiner uses ultrasound.

Longitudinal waves that generate heat and transverse waves that generate vibration overlap and act only on the fat cell membrane.

The advantage is that there is no downtime because it does not affect surrounding tissues.


TuneLiner 3D Ultrasound PrincipleTuneliner, which acts on fat cell membranes by overlapping longitudinal and transverse waves


Neither of them is a one-time procedure; rather, the effects accumulate through repetition.


6. So, what would be the best thing to receive?

So, let's go back to the first question.


In most cases, device lifting for tightening purposes,

If there are no constraints on procedure time and budget

It is best to use strong equipment for all layers, including the shallow, middle, and deep layers .

(Here, powerful equipment refers to equipment with a long duration, meaning equipment with long treatment intervals.)


shallow layer

high frequency

With equipment that has a long treatment interval

+

middle layer

ultrasound

With equipment that has a long treatment interval

+

deep layer

electric stimulation

Together up to the muscle layer

Tightening when there are no constraints on treatment time and budget


This is because sagging does not occur in only one layer.


Then won't the ball go out?


Of course, you may be concerned about sunken cheeks.

However, if you design it in detail according to your face shape and adjust the number of shots, it will not be a problem.

Areas prone to sagging are avoided or treated gently, while areas requiring tightening are treated with corresponding intensity.


EPISODE Lifting DesignWe design by dividing the area according to face shape.


7. However, time and budget are fixed.


However, in reality, both the procedure time and the budget are fixed.

So, it is good to set priorities within that.


Which floor to start with, and whether it is better to use one long piece of equipment or several short pieces of equipment.

I will continue writing about recommended lifting devices based on face shape in the next post !


8. In conclusion..

To summarize, it is as follows.


Device Lifting at a Glance

1

purpose

What is the desired result?

Tightening

Tighten loose tissues

Volume reduction

Reduce fat

2

If it's tightening

Select by layer and treatment interval

shallow layer

high frequency

middle layer

ultrasound

deep layer

electric stimulation

long interval

1 to 2 times a year

THERMAGE

Ultheraphy Prime

EMFACE

middle

2 to 4 times a year

Oligio, Volneumer

short intervals

1~3 months

TuneFace, Potenza, etc.

Shrink, Linear G

3

If it's a volume reduction

Equipment for reducing fat

Inmode FX

High frequency, redness for 3-7 days

Tuneliner

Ultrasound, no downtime

4

What would be good to do?

Time and budget criteria

If there are no restrictions

All layers with equipment with long treatment intervals

If it is fixed

Set priorities within it (Next post)


  1. Device lifting is divided into tightening and volume reduction .

  2. Tightening is divided into shallow, intermediate, and deep layers , and even within the same layer, it is divided into devices with long treatment intervals and devices with short treatment intervals.

  3. For volume reduction, there are the high-frequency InMode FX and the ultrasonic TuneLiner .


Rather than choosing the equipment name first,

I recommend that you first identify the cause and which layer of your face is the problem .


I hope this article helps answer the question , "Which device lifting should I get?"

This has been Seo Min-ho. Thank you for reading.