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Gangnam Eonju Station Dermatology, Ulthermage for Treatment from the Inside to the Surface

강남이지함피부과 Leejiham Dermatology Clinic Gangnam · 강남이지함피부과 · April 20, 2026

[Dermatology Specialist Ryu Eui-deuk] From deep within the skin to the surface, A layered approach to lifting. At Easyham Dermatology, we will explain it in detail. ​ Among those w...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 강남이지함피부과 Leejiham Dermatology Clinic Gangnam

Original post date: April 20, 2026

Translated at: April 20, 2026 at 1:16 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Gangnam Eonju Station Dermatology, Ulthermage for Treatment from the Inside to the Surface image 1

[Dermatology Specialist Ryu Eui-deuk]

From deep within the skin to the surface,

A layered approach to lifting.

At Easyham Dermatology,

we will explain it in detail.

Among those who visit Gangnam Eonju Station Dermatology, many say that as skin elasticity gradually decreases, it feels as though the entire face can no longer support its own weight. The feeling of the cheeks descending, the jawline becoming less defined, and the texture of the skin seeming different from before is often not just a problem of the surface.

Skin sagging and loss of elasticity progress in a complex way, starting from the epidermis and extending to the dermis and even the deeper fascial layer, the SMAS layer. Because aging occurs across multiple layers like this, using only one type of energy creates limitations, as it tends to focus on just one layer.

This is precisely why a combined lifting approach that applies different energies by layer is meaningful. Today, let’s talk about how the Ulthermage method works and how each device acts on different layers of the skin.

It does not happen in just one layer

Skin aging

The skin consists of multiple layers,

including the epidermis, dermis, and the fascial layer

called the SMAS layer.

As aging progresses, each layer

undergoes gradual changes.

As collagen decreases and the fascia

loosens, the skin becomes affected by gravity

and slowly begins to sag downward.

Rather than simply an increase in

surface wrinkles,

the sensation of the entire skin

settling downward is linked to these

deep-layer changes.

Sagging and loss of elasticity appear

in a complex way from the epidermis

to the SMAS layer,

so energy that targets only one layer

has difficulty fully addressing

those changes.

To approach the skin step by step,

from the inside to the surface,

it is helpful to use energies suited

to each layer together.

This is why a method that combines

two different devices, like Ulthermage,

is chosen.

Gangnam Eonju Station Dermatology, Ulthermage for Treatment from the Inside to the Surface image 2

Ulthermage, a combined lifting method using two energies

Ulthermage is a combined lifting

method that applies Ultherapy Prime,

a ultrasound lifting device,

together with Thermage,

a radiofrequency device.

These two work on different

skin layers and use different

types of energy, so when used together,

they can be expected to address a broader range of skin changes.

The skin is made up of multiple layers,

including the epidermis, dermis, and SMAS layer,

and using only one type of energy

creates the limitation of focusing on just one layer.

Using both together allows a step-by-step

approach from the inside of the skin

to the outer surface.

At Gangnam Eonju Station Dermatology,

the direction of device application is adjusted

depending on the visitor’s skin condition,

the degree of sagging, and the areas of concern.

Gangnam Eonju Station Dermatology, Ulthermage for Treatment from the Inside to the Surface image 3

Ultherapy Prime – changes that begin in the deeper layers of the skin

Ultherapy Prime is based on

High-Intensity Focused Ultrasound,

or HIFU technology.

It precisely concentrates ultrasound energy

on a specific point inside the skin,

creating thermal coagulation points

and inducing collagen formation

and tissue contraction through that stimulation.

Like focusing sunlight to a single point

with a magnifying glass, it is characterized

by stimulating only the deeper internal layers

without affecting the skin surface.

In particular, because the energy reaches

the SMAS layer, it can stimulate the very structure

that supports the facial contour,

beyond simply refining skin texture.

Through cartridges of various depths,

the approach can be adjusted according to

skin thickness and the degree of sagging,

allowing a more precise application

based on the visitor’s skin condition.

The approach is centered on cartridges suited

to the depth of areas where sagging is felt,

such as the cheeks and jawline.

Gangnam Eonju Station Dermatology, Ulthermage for Treatment from the Inside to the Surface image 4

Thermage – gently caring for the dermis as a whole

Thermage is a device that uses

radiofrequency energy.

When radiofrequency is delivered to

skin tissue, water molecules within the tissue

vibrate and generate heat.

This heat contracts collagen in the dermis

and acts by promoting the formation of

new collagen.

If Ultherapy Prime focuses on structural

lifting in the deeper layers,

Thermage plays a role in helping the skin’s

elasticity and density change more evenly

across the dermis.

Because it refines skin texture in the layers

closer to the surface and adds an overall tightening effect,

applying it together with Ultherapy Prime

makes it possible to approach both

the inside and the surface of the skin.

At Gangnam Eonju Station Dermatology,

the energy intensity is carefully adjusted

and applied according to skin condition

and sensitivity.

Some people notice that the firmness

of the skin surface gradually feels different

after the procedure.

Gangnam Eonju Station Dermatology, Ulthermage for Treatment from the Inside to the Surface image 5

The meaning of using both energies together

The reason the Ulthermage method,

which applies both devices together,

is meaningful is that skin changes caused

by aging never occur in just one layer.

Sagging and loss of elasticity progress

in a complex way from the epidermis

to the SMAS layer.

Ultherapy Prime stimulates the fascia in the deeper layer,

creating a lifting-oriented change, while Thermage acts on collagen throughout the dermis, which can lead to positive changes

in the skin surface’s elasticity and texture as well.

Because the result of a lifting method

comes from the process of new collagen

forming inside the skin, many people

notice changes gradually over several weeks.

At Gangnam Eonju Station Dermatology,

we provide detailed guidance on the flow of changes

after the procedure and help you look at the natural

process of change inside the skin rather than

setting unrealistic expectations.

Gangnam Eonju Station Dermatology, Ulthermage for Treatment from the Inside to the Surface image 6

Gangnam Eonju Station Dermatology, Ulthermage for Treatment from the Inside to the Surface image 7

Daily care should go along with the procedure

After Ulthermage, the skin begins the process

of creating changes from within,

so managing your daily routine alongside it can be even more helpful.

For about one week after the procedure,

it is recommended to avoid environments

that apply direct heat to the skin, such as saunas or jjimjilbangs.

A rapid rise in body temperature

from excessive exercise

is also the same.

Sun protection is a basic habit for slowing

skin aging regardless of lifting procedures,

so it is important to consistently use

sunscreen with SPF 50 or higher.

Hydration and moisturizing care may also help

maintain a better skin environment during

the period when collagen formation is activated.

Above all, a lifting procedure is

a starting point of sorts,

and the lifestyle habits and skin care that follow

greatly affect how well those changes continue.

At Gangnam Eonju Station Dermatology,

we check your skin condition together before and after

the procedure and discuss a care direction

suited to your situation.

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