Even if you have been diligent about caring for your skin, if you have noticed that your face somehow seems to be sagging, please pay attention to today's discussion. Many people explore lifting treatments to restore firmness, but insisting on just one method may mean that you do not experience as much change as you expected. This is because aging in our faces does not occur only on the surface. Today, I will explain in an easy-to-understand way why combined lifting, which uses several treatments together, may be necessary and what the retaining ligaments at its core are.
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The real reason the face loses its shape: the secret of the skin layers
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The pillars supporting the face: the role of the retaining ligaments
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The synergy of combined lifting that addresses both the surface and deeper layers
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Creating a plan suited to you
- The real reason the face loses its shape: the secret of the skin layers
It is a mistake to think of our skin as a single sheet of paper. The face is more like a multilayered cake or a thick bed mattress. Starting with the outermost epidermis, it consists of the dermis, fat layer, fascial layer (SMAS), and muscles arranged in layers. As aging begins, problems occur simultaneously across all of these layers.
The skin on the surface becomes rough, the fat in the middle sags downward, and the fascia in the deeper layers becomes loose. But what happens if you undergo a treatment that only smooths out surface wrinkles? The supporting structures underneath are collapsing, while only the outer wrapping is being pulled tight, so it will soon sag again. Conversely, if you tighten only the deeper layers without caring for the surface skin, the skin texture may look dry and lackluster. That is why we need to consider every layer of the face.
- The pillars supporting the face: the role of the retaining ligaments

This brings us to a very important concept: the retaining ligaments. The name may sound a little difficult, but it is easy to understand if you think of a tent while camping. For a tent to stand taut, it needs poles and stakes firmly anchored in the ground. Our faces also have tissues that act like pillars, firmly securing the area between the bones and the skin. These are the retaining ligaments. They function like anchors that hold the skin, fat, and muscles firmly in place.
However, as time passes and we age, these anchors also lose strength and become loose. Just as the entire tent collapses when its poles begin to wobble, weakened retaining ligaments make it difficult to prevent the entire face from sagging downward, no matter how much the skin is pulled. The development of jowls or puffiness under the eyes is also often related to weakened support from these retaining ligaments. Therefore, to achieve a true lifting effect, it is essential not only to pull the skin but also to stimulate the area around the retaining ligaments and rebuild the strength of these supporting pillars.
- The synergy of combined lifting that addresses both the surface and deeper layers
As explained above, facial aging occurs in combination across the surface, deeper layers, and the retaining ligaments that act as pillars. For this reason, using only one device or treatment inevitably has limitations. This is why combined lifting is receiving attention. For example, devices that use ultrasound energy deliver heat to the deeper fascial layer and the area around the retaining ligaments, helping to tighten the deeper structures. This can be viewed as a process of making loose supporting pillars firm again.
Radiofrequency devices, on the other hand, stimulate the superficial dermal layer, promoting collagen production and smoothing the skin texture. What happens when these two approaches are used together? The deeper layers are supported by strengthening the collapsed structures, while the surface is firmly enveloped by improving the skin, creating a synergistic effect. Rather than simply adding up to two, the treatments make up for each other's shortcomings, allowing you to expect more natural and longer-lasting results. It is a strategy for addressing aging comprehensively by using the appropriate tools for each layer.
- Creating a plan suited to you
Of course, simply combining as many supposedly beneficial treatments as possible is not necessarily the best approach. Just as everyone's facial features differ, the thickness of the skin, amount of fat, degree of sagging, and condition of the retaining ligaments also vary. For some people, reducing excess weight from a large amount of fat may be the priority, while for others, stimulation may need to be minimized because their skin is very thin. Therefore, it is of utmost importance to consult a medical professional who can accurately assess the anatomical structure of your face.
Rather than receiving identical treatments as if they were mass-produced, your face should be precisely evaluated layer by layer, followed by a customized combined-treatment plan suited to your condition. Aging does not happen overnight, but it is entirely possible to slow its progression and maintain healthy beauty depending on how you manage it. We need the wisdom to examine not only the surface but also the deeper layers carefully. 라리안청담의원 is always researching and working hard to help address your concerns. If you would like to know more about your current condition, please feel free to contact us at any time.
This post was
directly written by 라리안청담의원
for informational purposes,
in compliance with Article 56 of the Medical Service Act
and its Enforcement Decree.
All treatments and surgeries may result in
adverse reactions,
so please receive treatment
after having a sufficient consultation with a medical professional.
Director Kang Ji-yeon, 라리안청담의원