
Hello.
This is Kim Gaeul from a skin clinic near Hapjeong Station.
Marionette lines, deep cheek fat (jowl fat), and sagging cheeks
are not simply a problem of one layer of skin.
They are a complex concern caused by multiple factors acting at the same time,
including fat, skin elasticity, volume loss, and muscle direction.
So today,
with the effects of Sculptra,
I’ll organize the basic treatment flow for improving
marionette lines and deep cheek fat
in the easiest way to understand.
If you are searching for a skin clinic near Hapjeong Station,
I recommend finding a place that plans for all three factors! Haha
Step 1: First, address the sagging fat
When the jowl fat drops downward,
the mouth area and marionette lines
look much deeper.
At this point, the most basic device used is
HIFU lifting.
🔸 Basic principle of HIFU lifting
Using ultrasound, a “thermal coagulation point”
is created in the deep layer of the skin (SMAS),
causing the tissue to contract and increasing elasticity.
A clear effect is its main advantage.
It is also one of the most commonly used lifting device lines
at skin clinics near Hapjeong Station.
Ulthera: high-intensity, proven results
Shrink: a cost-effective option
It is designed according to fat thickness,
skin thickness, and facial line.
The key to HIFU is
“where and how you fire it.”
Many people think,
“Can’t you just target the jowl fat?” but
that is only half correct.
If you precisely and continuously target one area,
improvement in jowl fat is certainly possible.
However, if the “design” is wrong,
side effects can occur right away.
The marionette line area
is a no-HIFU zone.
If you fire according to the guidelines as they are,
there is a risk of hollowing in the cheeks.
So the area just above the marionette line
should avoid HIFU and instead be treated in combination with other procedures.
If you are searching for a skin clinic near Hapjeong Station,
please look for a place that does not fire strongly above the marionette line.
Asians have prominent cheekbones
→ so cheekbone design is essential

Asian faces often have
prominent cheekbones
and thicker side cheeks.
So,
you need to start with the cheekbone design
in order for the deep cheek and marionette line areas
also to fall into a natural balance.
But in actual practice,
this important cheekbone line
is often omitted.
Then only the lower area looks sunken,
or the overall contour does not connect smoothly.
The cheekbone area is not just bone;
it is a region where the fat layer, fascia, and skin
all work together to form the structure,
so accurate design is very important.
Supplementary options for no-HIFU zones
Around the marionette line, where HIFU cannot be used,
the procedures below are much safer and more effective.
Double Slim Injection: gently reduces fat
Onda lifting: selectively targets fat with microwaves
Results are stable in improving deep cheek and marionette lines.
Step 2: Directly fill in sunken cheeks and wrinkle lines

Solving only the sagging problem
will not make already deep marionette lines disappear.
Now, volume restoration is needed.
This is where the true value of Sculptra comes in.
Why Sculptra is effective
Sculptra is a representative collagen booster injection.
Unlike filler, it does not rise immediately,
but slowly creates collagen inside the skin
to naturally restore volume.
Sculptra effect timeline
🪄 6–9 weeks
Collagen production begins
🪄 3 months
The cheek and marionette line area starts to fill in
🪄 1–2 years of maintenance
The newly created collagen is maintained firmly
In other words,
for those who want the change of looking younger over time,
and natural volume that lasts,
this is the procedure that fits best.
Step 3: Wrinkles caused by muscle should be
resolved with Botox

If the DAO muscle that pulls the corners of the mouth downward is strong,
the marionette line becomes deeper.
If mouth-corner Botox is done together,
it can be arranged more naturally and neatly.
When getting expression Botox,
it is best to manage it with the feeling of adding
“one more area.”
⭐ Marionette line treatment
must address three things at the same time
Resolving sagging fat
HIFU + supplementary procedures for no-HIFU zones
Restoring volume
Sculptra
Muscle control
Mouth-corner Botox
Only when structured this way
will the jawline not feel heavy,
and a naturally youthful line will be completed.
💡 Additional Q&A
Q. If I get Sculptra,
doesn’t my face become unnaturally larger?
A. Sculptra does not create a sudden volume change
like filler does.
Because collagen is created
slowly over time,
the face does not suddenly become larger
or look artificial.
Q. Can Sculptra reduce the jowl fat itself?
A. Sculptra itself
is not a treatment that reduces fat.
However, by reorganizing the volume structure
around the jowl fat
it has the effect of lifting back up
a collapsed line,
so it can ease the impression
that the jowl fat looks more prominent.
Q. When can I wear makeup after Sculptra?
A. Once bruising or needle marks
have disappeared, it is possible right away.
Usually, 1–2 days is fine.
However,
a hard press, strong massage, and saunas
should be avoided for the initial 3–5 days.
Thank you for reading.
This was Kim Gaeul from a skin clinic near Hapjeong Station.


Skin clinic near Hapjeong Station