Causes of Reduced Skin Elasticity by Age Group, and How to Choose the Right Lifting Device for Me

The moment you feel that your skin has changed,

you should first identify the reason behind it.

“Things used to be fine, but lately my face seems a bit saggy.” Many people in their mid-30s come in with this concern.

You may clearly feel that your skin’s elasticity has declined, but it can still feel unclear why that is happening and which device approach would be appropriate.

Today, we’ll look at the causes of reduced elasticity by age group from a dermatological perspective, and go over the criteria for choosing a device that matches those causes.

In your 30s, changes that begin

where they are not visible

In the early to mid-30s, the skin often still

looks firm on the outside.

But changes have already begun

inside the skin.

Collagen begins to decrease by about 1%

each year after the mid-20s,

and the elasticity of elastin fibers

also gradually declines.

The cause of reduced elasticity by age group

during this period is mainly the decrease

of collagen and elastin in the dermis,

and fine lines begin to appear first

around the eyes and forehead.

Even if there is no dramatic change

on the surface, dermal density is already

changing little by little.

In your 40s, when the effect reaches the fascia layer

When you enter your 40s, the pattern

changes.

In addition to changes in the dermis,

the fascial layer known as the SMAS

(superficial musculoaponeurotic system)

also begins to loosen.

The support ligaments that hold up the skin

also weaken, causing the midface to droop

downward,

and changes such as deeper nasolabial folds

or a less defined jawline appear.

The decline in elasticity during this period

goes beyond a simple reduction in

surface-level collagen;

it can be seen as the loosening of the

structural support system itself.

This is exactly why simple moisturizing or

epidermal stimulation alone is difficult

to fully address the issue.

In your 50s, a stage where volume loss and gravity work together

In your 50s, changes in the fat layer

are added as well.

As facial fat pads lose their position

and shift downward or decrease in volume,

the area below the cheekbones looks hollow,

and the area around the mouth looks saggy.

For women, after menopause,

a decrease in estrogen is also one factor,

as collagen synthesis declines more rapidly.

At this age,

the causes of reduced elasticity by age group

are a complex combination of three factors:

collagen, fascia, and volume.

This is why a single approach that targets

only one of these is less effective

than a comprehensive plan that considers

each layer.

Ultrasound and radiofrequency work at different depths

When choosing a lifting device,

the first thing you should understand is

that each device delivers energy to

a different layer.

Ultrasound-based devices such as Ulthera Prime,

Doublo Gold, V-ro, and Shurink deliver HIFU

(high-intensity focused ultrasound) energy

deep into the SMAS layer without irritating

the skin surface.

This is a particularly meaningful approach

after your 40s, when structural sagging

has begun.

By contrast, Thermage, a radiofrequency-based

device, uses electric current to apply heat

stimulation throughout the dermis,

inducing collagen synthesis and

skin tightening.

Although both are called “lifting,”

the layers they mainly stimulate are different.

The device name comes after my skin thickness and degree of sagging

Even at the same age, skin thickness and

the condition of the supporting tissue

vary from person to person.

If the skin is relatively thin and the main concern

is collagen loss rather than sagging,

a radiofrequency approach that stimulates

the full dermis evenly may be suitable.

If the main cause is loosening of the fascia layer,

an ultrasound approach that delivers focused energy

to deeper layers may be more appropriate.

Also, depending on skin thickness,

the most suitable model can differ even

among ultrasound devices.

Rather than choosing a device because it is well known,

the important order is to first identify where

the cause of reduced elasticity by age group lies,

and then discuss device selection.

About EZHUM’s approach to lifting

EZHUM Dermatology starts from the premise

that every skin is different.

Even among people in their 40s,

some experience fascia loosening first,

while others first show a decline in

skin density itself.

Rather than a simple comparison of which device

is better,

we first ask what this person’s skin needs now.

After lifting, sun protection is the most important,

and the dermis needs time

to synthesize collagen.

During this period, exposure to ultraviolet rays

can reduce its effectiveness,

and excessive heat stimulation

should be avoided.

By combining sufficient water intake

and moisturizing care,

consistent care builds up over time

and creates a more comfortable face.

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The cause of reduced elasticity by age group

will be considered together with the direction

that best fits each person’s skin,

and we will strive to be a clinic you can trust

for a long time.

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