[Duhan Plastic Surgery Wrinkle Improvement] - [Wrinkle Lifting]

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http://www.duhans.com

For women, the eternal task is to make their skin white and clean.

With the new concept of aqualifting - glow injection, you can solve these concerns!

Dr. Shin Duhan

Glow Injection (Hydration Lifting Whitening) - Aqualifting (Anti-aging) Program

● People worried about dark, wrinkled skin

● People worried about melasma and blemishes

● People who want clear, smooth skin

● People stressed by fine wrinkles on the neck

What is glow injection?

Glow injection is an anti-aging program developed from our clinic’s know-how, in which hyaluronic acid is injected into the dermal layer of the skin using a multi-injection method that applies negative pressure, helping maintain clear, firm, transparent skin.

When hyaluronic acid is injected into the skin tissue, it helps keep the skin more moisturized and elastic, and makes the skin tone brighter and more radiant.

Application areas and effects of glow injection

■ Face, neck wrinkles, chest, backs of the hands, lips

■ Melasma/dark circles, acne, pore reduction, atopic skin improvement

■ Improvement of eye-area wrinkles, dark circles, and nasolabial folds

■ Whitening, moisturizing, elasticity

■ Lifting for sagging cheeks/neck wrinkles/chest

Advantages of glow injection

① Non-surgical method

② Short procedure time (10–15 minutes for the full face) - use of multi-needles and automated equipment

③ Return to daily life immediately after the procedure

④ Drug injection into a consistent layer of the skin - lifting using a negative-pressure device

⑤ Accurate drug injection - simple control on an OLED screen

⑥ Less pain - use of a 31G multi-needle

Areas of wrinkles that can be corrected with glow injection

★ Shallow or deep wrinkles on the forehead

★ Frown lines or depressions between the eyebrows

★ Expressionless wrinkles or expression wrinkles around the eyes

★ Nasolabial folds around the mouth

★ Sunken wrinkles under the eyes

★ Other facial wrinkle lines

Wrinkles by area of the face

Forehead wrinkles, glabellar wrinkles, eye-area wrinkles, under-eye wrinkles, and mouth-area wrinkles can be corrected simply, naturally, and without side effects using glow injection, fillers, botox, fat grafting, and so on.

Four procedure principles to improve satisfaction with wrinkle correction

① Choose a procedure method that is simple and allows immediate return to daily life

② Choose a low-cost method

③ Choose a procedure method with no side effects or aftereffects

④ Choose a method with excellent effects that can maximize satisfaction

-> Wrinkle improvement and skin elasticity are customized by applying the following four treatment methods in combination according to the patient’s condition: glow injection, filler (Juvéderm), botulinum toxin (Botox), and fat grafting.

Precautions after glow injection

◎ After the procedure, slight redness (1%), swelling, or bruising may occur partially in the treated area, but it usually disappears within 1–2 days.

If these symptoms last for more than 3 days, you should contact your doctor.

◎ Do not combine the procedure with any other treatment on the day of the procedure, and if you are receiving any other treatment, consult your doctor.

◎ On the evening of the procedure day, wash your face gently.

◎ Activities that generate heat in the body, such as saunas and exercise, should be avoided for a while. (About 3–5 days depending on age)

In particular, patients with immune diseases (such as diabetes) should avoid them for about a week.

◎ After the procedure, keep makeup as light as possible, and you may do it as usual after 3 days.

◎ Alcohol, smoking, and similar habits can lead to poor results after skin procedures, so please stop temporarily. (3 weeks)

◎ After showering or washing your face, pat dry the moisture.

Frequently asked questions and answers about glow injection

Question) How many sessions are needed for glow injection, and what are the effects?

Answer) The treatment interval is every 2–3 months depending on the condition of the skin, and because the appropriate amount of HA drug is injected at the correct depth, it can produce better results than manual treatment methods.

The effects are excellent for improving facial wrinkles, neck wrinkles, and the wrinkles on the backs of the hands, as well as whitening, moisturizing, and elasticity.

Question) Is there pain during glow injection?

Answer) Because a very fine 31G multi-needle is used, the pain is tolerable, and since the procedure is performed using a vacuum device, it does not go deeper than a certain depth, making it safe.

Question) Can I wear makeup or wash my face after glow injection?

Answer) If you receive the procedure in the morning, washing your face late in the afternoon is possible.

If the procedure is done in the evening, it is better to wash your face the next morning.

Makeup is possible starting the day after the procedure, but keep it as light as possible, and you can return to your usual routine after 3 days.

As people age and reach their 30s and 40s, skin aging accelerates.

Dr. Shin Duhan

Endotine lifting for wrinkle correction

As people age and reach their 30s and 40s, skin aging accelerates.

The eyelids sag, and wrinkles form on the forehead.

Wrinkles make a person look tired and lacking energy, and because of the wrinkles between the eyebrows, the expression does not look pleasant, like an angry person.

Deep forehead wrinkles make the face look stuffy and older.

Endotine lifting is a surgery used for forehead wrinkles, sagging eyelids, eyebrows, and the midface, and because it is performed through an incision inside the scalp, surgical traces are barely visible.

It also allows for quick recovery and a rapid return to daily life.

The Endotine fixation plate is made of absorbable material and has protrusions at the ends to fix and lift the skin.

Because it is absorbable, it is absorbed by the body over time, so it is known as a relatively simple and safe procedure compared with other treatments.

Endotine received FDA approval in 2003, so its safety has already been verified, and it is currently gaining explosive popularity, especially in the United States.

The surgery is performed under sleep anesthesia, and because an endoscope is used, there are fewer incisions and less concern about pain and swelling.

Indications for Endotine lifting

Advantages of Endotine lifting

① It is safe.

Because it is performed under sleep anesthesia, there is less concern about pain.

Through a small incision in the scalp and using an endoscope, scarring is barely visible.

② It is simple.

It is a relatively simple surgery, and little scarring remains.

It has the advantage of a quick recovery period.

Because recovery is fast, returning to daily life is also fast.

③ The effect is lasting and good.

Because treatment is distributed in multiple directions, the effect is better than conventional surgical methods.

The fixation plate is absorbed into the skin, and its effect is lasting.

Types of Endotine for lifting

Endotine lifting for improving cheek sagging

Endoscopic Endotine lifting procedure for improving cheek sagging

① Design is made according to the precisely diagnosed surgical plan.

The incision area is marked, and the insertion position and length of the Endotine are measured.

Sleep anesthesia and local anesthesia are administered.

Because sleep anesthesia is used together, there is no pain at all.

② After a temporal incision, dissection is performed above the muscle.

Because the incision is small and located in the scalp, there is no scar or hair loss.

After the incision, dissection is performed above the fascia without bleeding using blunt-ended scissors.

③ After confirming with an endoscope, the Endotine is inserted.

After dissection, an endoscope is used to check the accuracy of the dissection and any bleeding.

After dissection, the Endotine is inserted to pull up the sagging cheek.

④ After the Endotine is fixed to the fascia, the incision is sutured.

The Endotine is firmly fixed to the fascia and the scalp is sutured.

An elastic bandage is applied to prevent swelling and sagging.

The bandage is removed after 2–3 days, and hair washing is possible from 4 days after surgery.

Stitches are removed after 7 days.

Examples of Endotine lifting surgery for cheek and neck fat

If skin elasticity has decreased, endoscopic Endotine lifting is effective depending on the sagging area.

Endoscopic Endotine plastic surgery removes fine wrinkles one week after the procedure, collagen regeneration begins three weeks later, and it takes an average of 6 months for the face to fully settle after the wrinkles are removed.

The procedure takes about 1 hour.

To quickly reduce swelling and bruising after surgery and prevent facial sagging, you should wear a face band and tightening strap for about a week, and then for about a month afterward only while sleeping.

Swelling and bruising are minimal.

Because the surgery involves making a roughly 1 cm incision in the scalp, inserting a spiked Endotine implant, pulling it in the desired direction, and fixing it in place, it is not dangerous at all, so you can receive the procedure with confidence.

You can go home immediately after the procedure; hospitalization is not necessary.

The incision is closed with fine sutures, and stitches are removed after 5–7 days.

There is no visible scar.

Simple procedure, faster results with HIFU ultrasound lifting, Shrink lifting

Dr. Shin Duhan

The principle of Shrink ultrasound lifting - HIFU (High-Intensity Focused Ultrasound)

Like focusing sunlight with a convex lens to start a fire, it works by creating thermal coagulation points at a certain depth inside the skin using high-output ultrasound, thereby achieving a lifting effect.

♥ Unlike Endotine lifting, HIFU lifting is a non-invasive method that requires no incision at all.

It is a groundbreaking procedure that does not cause swelling or bruising during treatment.

It can be performed without local anesthesia, and daily life can be resumed immediately after the procedure.

For areas where Endotine lifting is difficult to apply, or for office workers who need to return to social life right away, HIFU lifting can be a substitute for Endotine.

♥ The main treatment areas for HIFU lifting are sagging in the front cheeks and around the mouth.

It is applied to sagging neck fat, fine wrinkles around the eyes, and fine forehead wrinkles, and also to correct areas with excessive fat graft survival after fat grafting.

However, if it is used in sunken areas or areas that should not be sunken, it may make the face appear more sunken or create fine wrinkles, so caution is needed when applying it to such areas.

♥ HIFU lifting is a simple procedure.

It is an innovative method with short procedure time, fast results, no side effects, quick recovery, and the ability to return to daily life on the same day.

♥ The cartridges used in HIFU lifting are applied in three types depending on the focusing depth: 1.5 mm, 3.0 mm, and 4.5 mm.

Because the depth of the fascia layer and the thickness of the fat layer differ in each area of the face, the appropriate cartridge is used accordingly, or two or more can be combined to increase effectiveness.

♥ What is important in HIFU lifting is the peak power of the HIFU device.

The higher the peak power, the less damage to surrounding tissue, and the faster and more effective the irradiation can be, with relatively less pain.

Even so, immediate effects are excellent. When demoing HIFU devices, some have severe pain, which can be seen as having low peak power and poor efficiency, leading to lower patient satisfaction.

♥ A good HIFU lifting device is judged by how well it can access the shallow fat layer.

Initially, with these three types of cartridges, treatment for various patients was somewhat limited.

Currently, Shrink’s addition of extra cartridges is a feature that allows more delicate access to each layer within the skin and subcutaneous tissue.

♥ The newly released MF2 in HIFU lifting protects the dermal layer

The newly released MF2 in HIFU lifting protects the dermal layer while accessing the Retinacular cuits layer inside the dermis in detail. It selects a 5.5 MHz band instead of a higher-frequency band so that more comprehensive thermal energy can be delivered, and the cartridge shape has also become very thin, making it convenient for use around the eyes and under the eyes.

By choosing a different band from the existing 7 MHz or 10 MHz, it is an original cartridge that can increase safety while improving effectiveness.

♥ HIFU lifting can be performed without local anesthesia, and even with cream anesthesia or no anesthesia at all.

There may be a slight stinging pain during the procedure, but severe pain is rare.

Its greatest advantages are excellent results, no swelling or bruising at all, and the ability to return to daily life immediately.

♥ HIFU lifting provides both volume reduction and lifting at the same time

HIFU lifting works by irradiating the target tissue with focused ultrasound, breaking down excess fat tissue and contracting the skin and fascia layers, thereby improving fine wrinkles and producing a lifting effect through tissue regeneration.

By irradiating multiple layers, it can achieve both volume reduction and lifting at the same time.

♥ HIFU lifting regenerates new collagen, rejuvenating the tissue.

HIFU lifting contracts aged collagen in the treated area and breaks down fat. The fat tissue and residues are then removed through macrophage phagocytosis, and fibroblasts are activated in that area, regenerating new collagen and rejuvenating the tissue.

This series of changes usually takes place over 2–3 months.

The effects of HIFU lifting may appear immediately, but the clearly noticeable changes develop over at least 1 to 3 months, and the lasting effect varies by individual but is about 5 to 10 years.

♥ HIFU lifting has different indications from Endotine lifting.

It is applied to areas with a large volume of fat, areas where Endotine lifting is difficult to perform, or areas where fine wrinkles need to be smoothed out or where a small area lifting is needed.

Along with HIFU lifting, skin elasticity and wrinkle improvement may be more effective when the following four methods—glow injection, filler (Juvéderm), botulinum toxin (Botox), and fat grafting—are applied in combination according to the patient’s condition.

HIFU lifting procedure steps

Precautions after HIFU lifting

▷ It is recommended to apply sunscreen to protect the skin.

▷ For 2–3 days after the procedure, please rest until the skin calms down.

▷ Avoid saunas, smoking, alcohol, and other things that may put stress on the skin.

▷ Eating vegetables or vitamins is recommended to promote collagen regeneration.

▷ Daily activities such as washing your face and applying makeup are possible immediately after the procedure.

Examples of HIFU lifting procedures

Eye-area wrinkles

Expressionless wrinkles are sometimes corrected with fillers or Botox, but it is effective to combine HIFU lifting to add elasticity to the skin, improve fine wrinkles, and help prevent them.

Under-eye wrinkles

If there is a sunken wrinkle line under the eyes, correction with micro fat grafting is effective.

However, fine wrinkles are difficult to correct with micro fat grafting, and filler procedures often produce the opposite effect, so fillers should be avoided as much as possible.

Instead, by combining HIFU lifting for fine wrinkles, deep wrinkles can be corrected with fat grafting and fine wrinkles with HIFU lifting, allowing for more effective improvement of under-eye wrinkles.

Mouth-area wrinkles

For nasolabial folds around the mouth or wrinkle lines at the corners of the mouth, fine wrinkles are sometimes corrected with filler, but deep wrinkle lines are corrected with fat grafting.

Even after correcting nasolabial folds, if the lifting effect is reduced or the result looks insufficient because of sagging cheek fat outside the fold, combining HIFU lifting in the cheek area outside the nasolabial fold can lead to more effective improvement.

Wrinkles or sagging on the face are corrected using the appropriate procedure according to their depth and degree.

It is not possible to say that any one method is absolutely best.

Depending on age and the degree of tissue sagging, it is important to choose and apply the most appropriate method for the individual.

Sometimes, better results are achieved by combining two or more procedures.

Questions and answers about HIFU lifting

Question) Where is Shrink applied?

Answer) Shrink is good for skin lifting and tightening, and is especially effective for skin sagging and looseness.

Question) Does it hurt a lot during the procedure?

Answer) It depends on the patient’s condition, but most people receive the Shrink procedure without any separate anesthesia process.

Question) How long does the procedure take?

Answer) Full-face treatment takes about 15–20 minutes. The speed of the procedure is a major advantage of Shrink.

Question) Does it affect daily life?

Answer) It is a safe procedure that allows you to return to work and daily life immediately after treatment.

Question) When can the results be checked?

Answer) Immediate effects can be seen after the procedure, but noticeable changes can be observed around 60 to 90 days depending on the individual.

http://www.duhans.com

Four procedure principles to increase satisfaction with wrinkle correction

Choose a treatment method that is simple and allows immediate return to daily life
Choose a low-cost method
Choose a treatment method with no side effects or aftereffects
Choose a method with excellent effects that can maximize satisfaction

http://www.duhans.com