Dermatology Clinic in Seongdong-gu: Improving Nasolabial Folds and Marionette Lines with Ulthera and Juvelook

Nasolabial & Marionette Lines

Hello, this is Raon Dermatology Clinic in Seongdong-gu!

One of the biggest factors that shapes the impression of a face is the contour line. A smooth, firm contour makes the face look brighter and more vibrant! On the other hand, when the skin sags and wrinkles become deeper, the overall impression becomes duller and more aged. In particular, nasolabial folds and marionette lines tend to become noticeably deeper even with only a slight loss of elasticity, which is why many people worry about them. It is natural for elasticity to decrease and volume to diminish over time, but if you combine this with professional care at the right time, you can maintain a much more natural and healthy facial line :)

Nasolabial & Marionette Lines

The Importance of Facial Contours

A facial contour line is more than just an aesthetic element; it is a structural feature that determines overall expression and impression. When the cheekbones, cheeks, and jawline connect smoothly, the face looks more three-dimensional and lively! However, as gravity and aging take their toll, collagen in the dermis decreases and the SMAS layer loosens, causing the cheeks to sag downward and the contour line to start collapsing.

The first changes that appear at this time are hollowness around the mouth and a less defined jawline. The lower face begins to look heavier, and even without smiling, it can create the impression of shadows around the mouth. These changes can make you look much more tired than your actual age. That is why protecting the facial contour line is not simply about wrinkle care, but an essential process for maintaining a youthful-looking impression.

The Importance of Facial Contours

Nasolabial & Marionette Wrinkles

First, nasolabial folds are the wrinkles that run from the sides of the nose to the corners of the mouth, and they form as the midface fat and fascia sag. When repeated facial expressions are added on top of this, they become fixed more deeply into the skin surface and gradually become more pronounced. Meanwhile, marionette lines are the lines that run from the corners of the mouth down to the chin, and they form through a combination of movement in the muscles around the mouth and a decrease in dermal elasticity.

These two types of wrinkles may seem like simple skin issues, but in reality, they indicate a loss of elasticity in the central structure of the face. As the SMAS layer loosens, the skin is pulled downward and volume decreases, creating shadows. In the end, this makes the face look longer or feel heavier. To improve these changes, an approach that restores not only the surface but also the fascial and dermal layers is needed.

Nasolabial & Marionette Wrinkles

Ulthera Lifting

Ulthera lifting is a procedure that uses high-intensity focused ultrasound (HIFU) energy to deliver heat to the deepest SMAS layer inside the skin. Because this is the same layer that is pulled during plastic surgery through an incision, a non-surgical method can also produce an improvement in elasticity! During the procedure, the thermal energy creates microscopic coagulation points, causing the tissue to contract and tighten, and then collagen regenerates afterward.

Through this process, sagging tissue such as nasolabial folds and marionette areas is lifted upward, and the facial contour line becomes more defined again. In particular, Ulthera allows the treatment depth to be adjusted while viewing ultrasound images in real time, enabling safe and precise lifting. You may feel a tightening sensation immediately after the procedure, and over time, sagging and elasticity continue to improve.

<Ulthera Lifting>

• Uses high-intensity ultrasound

• Creates microscopic coagulation points to contract tissue

• Lifts sagging cheeks and the area around the mouth upward

• Strengthens the SMAS layer to restore elasticity

Ulthera Lifting

Juvelook Volume

When filling in sunken wrinkles directly, Juvelook Volume is useful. It is a collagen booster containing PDLLA and hyaluronic acid, and it induces new collagen production in the deeper layers of the skin to restore both elasticity and volume at the same time. The particles are larger and more uniform than before, so it can show a more focused improvement in deep wrinkles and hollow areas!

After injection, hyaluronic acid creates immediate hydration volume, while PDLLA slowly breaks down and collagen regenerates. With this dual action, the skin becomes firmer from within, and hollow nasolabial and mouth areas are naturally filled in. Over time, you can experience smoother skin texture and a more defined contour line. Juvelook Volume is not simply about “filling”; it is better understood as a treatment that strengthens the skin’s own regenerative ability.

<Juvelook Volume>

• PDLLA + hyaluronic acid collagen booster

• Larger and more uniform particles than existing Juvelook

• Hyaluronic acid fills in sunken areas

• Improves skin elasticity by inducing collagen production

Juvelook Volume

Treatments That Work Well Together

Lastly, Botox is a representative non-surgical treatment that reduces wrinkles by suppressing excessive muscle movement. It is used in areas where expression lines are likely to form, such as around the mouth, along the jawline, and in the marionette area, and it helps create a natural and softer impression by reducing the tension in facial muscles.

When sagging tissue is lifted with Ulthera lifting, sunken areas are filled with Juvelook Volume, and then muscle movement is stabilized with Botox, the synergy is maximized. With a triple approach that lifts sagging tissue, strengthens elasticity, and relaxes muscle tension, it is possible to complete a three-dimensional and balanced facial line. In particular, for those who are concerned about the contour of the lower face and wrinkles around the mouth, you can expect natural and lasting improvement :)

<Synergy with Botox>

• Relaxes tension in the facial muscles

• Improves wrinkles caused by muscles around the mouth and jawline

• Simultaneously improves the fascial, dermal, and muscle layers

• Increases longevity and helps prevent wrinkle recurrence

Treatments That Work Well Together

Nasolabial Folds and Marionette Lines