Wrinkles, pores, and other imperfections are becoming more pronounced, cheeks are sagging, and nasolabial folds are more prominent, especially from the age of 40. As collagen production decreases by 30% over five years from around the age of 30, protecting skin elasticity becomes the most important [music] thing. Hello, I'm Model Skin Clinic's Seo Guwon. Hello, I'm Model Skin Clinic's Jung Hwa. Today, focusing on the 450s, we will talk about the aging process in the 450s, what becomes more prominent, and what suitable procedures can be done. When you reach your 450s, three significant changes become more noticeable. Firstly, elasticity decreases as collagen formation decreases, and existing collagen diminishes due to photoaging, causing a loss of skin elasticity. Consequently, wrinkles become more pronounced, pores become more visible, and...

It seems like there is a widening phenomenon happening. Secondly, there is a sagging and dullness phenomenon that stands out. From the 40s, the cheeks sag, the jawline becomes more prominent, and the nasolabial folds appear deeper. Additionally, now the nasolabial folds deepen, the eyebrows droop, and such signs become more prominent, causing the face to become uneven. Lastly, there will be changes in skin tone, with freckles and blemishes becoming darker, overall leading to a slightly darker skin tone change. Overall, it seems that from the 40s onwards, there is a noticeable change. Regarding the decrease in skin elasticity, especially related to hormonal changes in women, there have been reports on that. Yes, I think typically from around 45 to 55 years old, it is considered menopausal period, so various changes in the skin due to hormonal changes start to appear.

Among them, the most representative factor is now the decrease of collagen. From the late 20s, collagen decreases roughly by 1% on average. Although it is seen this way, specifically, before the age of 35, it drops sharply for the first time, and after menopause starts, it decreases by 2%, which is twice as much, each year, not 1%. And now, as menopause begins, during the first 5 years, the amount of collagen drops by 30%. Therefore, it is most important to defend against the generation of collagen at this time. Secondly, the skin thickness decreases by 1% every year after menopause starts. Decreasing thickness also means that the barrier function decreases accordingly, so it is necessary to defend against it through procedures or various treatments. For those in their late 40s and 50s, when you look at people with thin skin, their skin may appear a bit loose, and even the neck may feel saggy.

Wrinkles appear because of that, right? For example, thirdly, now, various environmental factors such as sunlight, smoking, fine dust, and environmental pollution cause oxidative stress. The ability to defend against such oxidative stress significantly decreases with menopause. First, let's talk about wrinkles. When we talk about wrinkles, it's Botox, isn't it? Yes, Botox is a special treatment for expression wrinkles. Director Jung, is there anything special about giving more Botox to people in their 40s and 50s? Usually, in their 30s, if they are concerned about wrinkles between the eyebrows, they get a lot of treatment there. In their 40s and 50s, they mostly get treatment for wrinkles between the eyebrows, forehead, and around the eyes. Yes, I have a similar concern. Additionally, there are forehead wrinkles, also known as crow's feet wrinkles.

If you give a lot, the impression of the forehead becomes like this, the front chin is pulled forward, making the chin look short and the line uneven, which makes it look a bit saggy, so we tend to administer a lot of botox up to that point. Botox has become synonymous with wrinkle treatment, so some people misunderstand that all wrinkles can be treated with botox, or even severe wrinkles can be treated. The most effective wrinkles are expression wrinkles that occur when smiling or frowning in their 30s, and as you reach your 40s and 50s, you need to also do fillers for deep wrinkles that have settled in place. Mainly, for wrinkles like forehead lines, nasolabial folds, and crow's feet, fillers are usually needed. What about the parts you most want to improve in your 40s and 50s? When people in their 30s get fillers, they...

If you are concerned about dark circles, or if you want your face to look younger, you might be leaning towards procedures done at a dermatology clinic. In your 40s and 50s, you may start worrying about nasolabial folds or marionette lines around the mouth, so it seems like many people are getting those areas treated as well. Yes, as you age, the area around the mouth starts to droop and sag, causing deepening of nasolabial folds and wrinkles around the mouth. Additionally, for people in their late 40s and 50s with thin skin, they may notice wrinkles forming around the mouth. For example, when actor Ahn Sung-ki smiles, you can see wrinkles forming around his temples, which are not expression lines that can be treated with Botox. In those cases, instead of Botox, hyaluronic acid fillers are injected into the skin around the mouth. This can improve wrinkles on the cheeks that appear when smiling by at least 50-60%, and enhance skin elasticity, making it firmer to the touch.

It seems to come out. Although treating wrinkles is important, the fundamental reason for wrinkles is actually due to the loss of elasticity, so how to improve skin elasticity seems to be an important part, right? Please tell us the secret tips, Director. Preventing collagen loss is now the most important thing, so perform Thermage, which stimulates collagen production once a year or every six months, and increase elasticity with a skin booster procedure. If you do the Secret Mirage procedure, it can stimulate collagen production and prevent collagen loss. Could you briefly explain what that is? Secret Mirage is a procedure that uses threads without needles and includes PDO threads and hyaluronic acid. So, it's a bit different for people in their 40s and 50s compared to those in their 60s and 70s.

Some people need whitening or different treatments, so we do it accordingly. For those who have pores or wrinkles, we do it a bit differently. When the laser is fired, it injects substances with laser energy. As you can see on the screen, the injection is clearly proven to be effective. When the laser makes tiny holes, it triggers skin regeneration, increasing vitality. This treatment is quite effective, and most people are satisfied with it when done repeatedly. In the photo, the whitish substance with a slight purple hue is hyaluronic acid. So, the tissue test is only for hyaluronic acid, but in reality, substances like Juvederm or Restylane are used together.

What can be done is that the laser does not directly touch the skin, it's not like turning off the laser TV, nothing like that at all. Therefore, there is almost no damage to the epidermis, so there is no downtime. You can just go out and put on makeup right away. I heard that there might be some bruising or it might turn a bit red for about a day, depending on the skin type. For those who easily get redness, it may last about a day, but for most people, it gets better after a few hours. Regarding skin elasticity, as you mentioned earlier, Thermage is the best, targeting depths of 4mm and 5mm. There, it targets the subcutaneous fat layer, the loose layer, and the muscle layer, so it doesn't matter about skin elasticity. I explained it like this. For those who have a little sagging around the mouth, in fact, we usually recommend Ultherapy first. Because it goes in at 4.5mm, 3mm, and 1.5mm, it is more effective.

For treatments like sagging, we usually use 4.5, but heat can spread, sticking to the flesh, affecting skin elasticity. For skin elasticity, do you mainly use 1.5? In fact, when doing an ultrasound treatment, for areas like around the eyes, thin skin, or around the lips, we usually use a tip of 3mm or more. Using a 1.5 tip can help with shallow wrinkles or loose skin, so we use it a lot. Oh, so using a 1.5 tip can also slightly improve skin elasticity. I will make some adjustments then. There are three main ways to solve sagging skin: laser, injections, and surgery. Surgery is usually recommended around the age of 6th grade, which is about 5th grade of elementary school. This is non-invasive.

Using methods won't solve it. Among lasers, I personally think the most powerful one is ultherapy. Are you going to do that or choose thread lifting? It's a dilemma. Please tell me based on what criteria. Most people with sagging jawlines prefer ultherapy. However, for those who cannot see the effects immediately or need to see them right away, I recommend thread lifting. Most importantly, for those with upcoming events or needing quick results, getting thread lifting will show effects quickly and it's good. Besides, even if you get thread lifting, you still need ultherapy to maintain the results because it's hard to keep adding threads. Ultherapy also has immediate effects, but the maximum effect is said to be after 6 months. How do you see it? Normally, the effects start to show after one month.

It starts to appear, and after about six months, it reaches its peak. Then, the effect decreases after six months, and it is recommended to have the procedure done every year. However, nowadays, there seems to be quite an immediate effect. Even for those who don't have much elasticity, the effect of immediate firmness seems to be visible. Also, for those who have a little sagging, they seem to suddenly look slimmer, as if they have lost weight. You can see these effects quite immediately as the fat breaks down. In fact, for those who want such immediate effects, I intentionally target the fat layer, so you can see a significant immediate effect. Therefore, at the beginning, there is almost no swelling, and you can see the immediate effect. In the case of thread lifting, we insert threads and lift them, so you can see the immediate effect right away.

I can immediately check what is going up like this and because of swelling or these aspects, about two weeks before, I recommend doing something important. However, in the case of Ulthera, if it overlaps, it's not a completely pulled feeling like Sil lifting, there is no drastic change, it just slightly improves the gap, tightening slightly. After Ulthera, I recommend filling in the remaining gap. When you see it, the effect of Ulthera lifting is special, and these two can vary depending on the customer's needs. Surgery is scary, of course, and I hope it improves a little. In that case, Ulthera is more suitable, but I tried Ulthera, and it's not that fun, and I want a dramatic, immediate change right after.

When you want to have a more perfect appearance at that time, don't you think thread is better? We have that Bro equipment at our hospital, right? It's also using the same ultrasound. Could you compare those for us? Yes, that Bro is originally the same as Sera. But now, when done once, the power is slightly lower, about 70% of it. Yes, about that much. Even if I try both now, it seems to show that level. And then, isn't there a problem with the duration? Yes, the duration is a bit short. It seems like it should be done more frequently. Right, you should do it more often in that area. Instead, in terms of pain, there seems to be a difference of more than 50%. Yes, so in the case of Sera, it's good to do it about once every 6 months or once a year.

If you do it continuously, the interval is about a month, or maybe two to three months. If you do it like that regularly, yes, that's a good way to think about it. Also, even if you do lifting, it's good to do things like Botox and fillers to maintain it. What cannot be solved with lifting now needs to be filled with fillers. In fact, I think this is very important even for lifting. As you age, the volume decreases, especially in areas like cheeks, under the eyes, and the sides, causing the face to look uneven. Even if you improve only the sunken parts, without the lifting that causes sagging, you can achieve a lifted appearance.

I recommend a lot and provide a lot of advice. The method to solve this sagging phenomenon actually includes fat transplantation and collagen stimulating agents. However, I personally prefer hyaluronic acid fillers because even though fat transplantation involves surgery, and even if it's well done, the fillers can solve it exactly as we want all at once. However, when people in their 40s and 50s experience sagging and wrinkling around the lips, it becomes severe. In such cases, if you just fill in with fillers, it may end up looking too puffy or unnatural. So, in those cases, collagen stimulating agents like Juvederm have a tightening effect, which might be better. Anyway, I prefer hyaluronic fillers for a simple sagging solution.

So, as we age, things dim, sag, and bunch up, right? Among them, there are those who not only dim but also appear more saggy, so actually, by resolving the dimming, it significantly reduces the sagging, you know. That's why I think we should definitely work together to solve this dimming issue as we age. In fact, it is proven that things actually dim as we age, right, Director? So, now, the fat in the forehead actually dims, the temples sag, then the cheekbones and under the eyes actually dim and bunch up, causing these changes to happen to everyone. Therefore, in order to restore one's youthful appearance, we have no choice but to fill it up with fillers, as I always explain when I finish my consultations. Because most of the dimming here can be resolved through this lift procedure.

Because you have expectations, I must explain in advance for you to understand. So when the wrinkles are improved by lifting, everything will get better. It's not just about going up like this. That's why I'm telling you this. Therefore, it is essential to solve the turned-off parts with fillers. Oh, that seems very important. Let's talk about the change in skin tone. In fact, I thought it was the main culprit, but recently, we need to catch it together to address the problem of freckles.

40대~50대분들은 '이걸' 가장 많이한대요! 단한번으로 엄청난 효과를 보는 시술은? ( feat. 서울대 피부과 전문의 )

Scripts