[Dr. Bellevue Column 79.] About Non-Disruptive Procedures That Are Good to Receive During Seasonal Changes

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Dr. Bellevue greets you warmly

and says hello again today.

During seasonal changes, when the skin barrier

needs more than just a regenerating cream,

let’s look at procedures that can help.

Bellevue Clinic, natural beauty

It was subtly hot and rainy through October, and then suddenly a cold wave advisory in early November? I think many of you may have had a skin flare-up and gone into emergency mode. The seasonal transition, when the temperature difference between indoors and outdoors widens sharply, is a time when the skin can’t help but sound the “alarm bell” often. After struggling with sweat and sebum all summer long, many people find their skin becoming dull, dry, itchy, and red at this time. If even a good regenerating cream or moisturizer doesn’t seem to restore your skin condition, it may be because the skin barrier has been broken and damaged.

"Today, we’ll look at the causes of why the skin barrier is easily damaged during seasonal changes,

and explain in detail which dermatologic procedures can help

restore skin health."

Two seasonal-change enemies that break down the skin barrier

The skin barrier literally refers to a very thin frontline defense barrier with a “brick and mortar” structure that protects the body and skin from harmful external substances and prevents internal moisture from evaporating outward. During seasonal changes, this barrier is especially easy to break down, because two environmental factors that attack the skin barrier act at the same time.

1. Sudden “temperature changes” and disturbance of the stratum corneum

A major cause is that the skin cannot adapt to the temperature difference between indoors and outdoors. In cold outdoor air and the warm, dry heater air indoors, moisture in the skin evaporates much faster. The skin becomes overworked trying to adapt, and as the cycle of keratinocyte production becomes unstable, the balance of oil and moisture on the skin surface breaks down. The mortar (ceramides, fatty acids, etc.) filling the spaces between the bricks (keratinocytes) begins to melt away, creating gaps in the barrier.

2. The vicious cycle of “dryness” and reduced elasticity

In fall and winter, the air itself is dry. As this environment continuously draws moisture from the skin surface, the skin becomes dry and loses elasticity, harming not only the barrier but also the dermal layer beneath the skin. If you step on a fallen leaf that has lost its moisture, it crumbles easily. Likewise, when the skin loses its moisture like dry fallen leaves, it loses its plump elasticity, fine lines begin to settle in, and signs of aging become more noticeable.

The scientific reason moisturizer alone is not enough

The real problem the skin faces is actually not just “dryness on the skin surface,” but “reduced regenerative ability” and “inflammation.” That is why the moisturizers and regenerating creams we apply so diligently are not enough. The main role of these products is to supply lipid components (ceramides, oils, etc.) from the outside and temporarily fill in the “gaps” in the barrier. But of course, it is difficult for them to solve every fundamental problem.

1> Deep internal dryness

Creams mainly act on the epidermis and make it difficult to supply moisture to the dermis.

2> Reduced self-regeneration

They cannot improve the state in which the skin cells themselves have weakened ability to produce ceramides or collagen on their own without external help.

3> Chronic inflammatory response

When the barrier is damaged, the skin enters a state of minor inflammation (chronic redness, itching), and it is difficult for ordinary regenerating creams to resolve this inflammation.

In the end, to truly restore the skin’s health, professional treatment is needed to “improve the environment within the skin and make it regenerate on its own.”

“Skin barrier reconstruction procedures” performed at dermatology clinics

There are ways to restore a damaged skin barrier and boost regenerative ability. Let’s look at representative dermatologic treatments with excellent results. These treatments help with fundamental recovery by delivering active ingredients and energy deep into the skin, where regenerating creams have difficulty reaching.

1. Promoting cell communication and reducing inflammation with LDM droplet lifting

LDM droplet lifting uses high-density ultrasound energy. Commonly, it is known simply as “droplet lifting.” By alternating ultrasound energy at different frequencies, it promotes cell-to-cell communication within the skin. In particular, it induces the production of GAG (glycosaminoglycan), which is important for the skin barrier, and can increase the barrier’s moisture absorption capacity. It has excellent effects in calming fine inflammation caused by damage, and it activates the cells that make up the skin barrier, promoting barrier reconstruction. Since there is no pain or downtime, it is also very good for sensitive skin or for care after laser procedures. It is one of those procedures that can be received often and has no side effects.

LDM is...

Local Dynamic Micro Massage

(High-density ultrasound massage)

It is short for.

It reduces the causes of skin problems and

activates collagen cells to create

young and healthy skin.

It is a new concept in skin treatment.

If you look up videos about the procedure on YouTube channels, you’ll quickly understand why it is often introduced as “a dermatologist’s favorite procedure.” That is because LDM droplet lifting offers good value, and it delivers results without pain, downtime, or side effects. In other words, there is no risk. It is also a comfortable care procedure for people with very sensitive skin or those sensitive to pain. It seems to have been named LDM droplet lifting because it makes the skin moist, hydrated, and plump like a “droplet,” and the name is catchy and pretty too. It has probably been introduced on this blog as well. Below is another blog from Bellevue Clinic, and we have linked it so you can read the related post.

2. Strengthening the skin’s basic condition with skin boosters

If we were to pick a procedure that is even more popular these days, it would be collagen boosters or skin boosters. This method directly injects active ingredients into the dermis to improve the skin’s basic condition and make it healthier. In terms of effect, it is top-notch! Because it improves the skin naturally and quickly, it has recently been receiving a lot of attention. Stem cell-derived substances such as exosomes deliver regenerative signals to damaged cells, offering strong anti-inflammatory and barrier-repair effects. They are excellent for improving inflammatory redness. Salmon DNA ingredients such as PN/PDRN activate fibroblasts to promote the regeneration of collagen and elastin and can help damaged tissue recover quickly. Also, in the case of high-concentration HA (high-purity hyaluronic acid), it injects moisture deep into the dermis to resolve internal dryness and increase the barrier’s elasticity.

3. Ionto/cryo care to increase absorption

After the LDM droplet lifting or skin booster procedures mentioned above, this is the process of allowing regenerating ampoules or peptides to penetrate deep into the skin. By using electrophoretic iontophoresis (ionto) or cryotherapy (cryo), the absorption rate of active ingredients can be maximized. It helps deliver high-molecular-weight regenerating ingredients that are difficult to absorb with simple application into the dermis, supporting faster skin barrier recovery.

☞Step 1.

Promote cell communication and reduce inflammation

with LDM droplet lifting

☞Step 2.

Strengthen the skin’s basic condition

with skin boosters

☞Step 3.

Maximize absorption of the active ingredients from Steps 1 and 2

with medical skin care (ionto/cryo care)

When external environmental changes attack the cells and regenerative ability within the skin, as they do during seasonal transitions, the skin barrier easily collapses. We said that the best approach is to strengthen the skin’s ability to repair and regenerate itself. The three dermatologic procedures that are excellent for restoring a damaged skin barrier and boosting regenerative ability are “droplet lifting, skin boosters, and medical absorption care.” Since they can adequately deliver active ingredients and energy deep into the skin, they are worth considering.

“Focused on specialized skin diagnosis”

Bellevue Clinic

The Mark-Vu skin diagnosis test can check, all at once, a variety of skin concerns that are difficult to identify with the naked eye, such as skin texture, pigmentation, pores, wrinkles, skin tone, dark circles, radiance, redness, melanin, sebum, and acne bacteria.

At Bellevue, based on this, we scientifically analyze your skin and determine the necessary procedures. Through detailed consultations, we will do our best to provide the most effective procedures for each patient.

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