Dermatology
Ilsan melasma and blemish removal: If the pigmentation darkened in summer is still there in autumn?
GU clinic Ilsan Branch
Timeless Mapo Main Branch
5.0(700+)
“Before, it only showed when I smiled or frowned, but these days I can see wrinkles even when my face is still.”
“They’re not very deep yet, but should I start thinking about treatment now?”
Wrinkles do not suddenly deepen overnight.
At first, the skin only folds when you make an expression and then smooths out again,
but as the same movement is repeated and skin elasticity declines, wrinkles begin to stand out even when the face is still.
At this point, it is important to determine whether simply controlling the movement of the facial muscles is enough,
whether sagging or changes in volume around the area are also affecting it,
or whether the dermis itself has already changed.
At Timeless Dermatology Clinic, Mapo Main Branch, when deep wrinkles begin to form in the skin like this,
we consider Juvegen autologous dermal regeneration therapy as one of the treatment options depending on the condition.
Some people think Juvegen is only used for long-standing nasolabial folds or deeply etched wrinkles.
But the timing of treatment does not have to be set only for when wrinkles become “very deep.”
If wrinkles that used to appear only when making expressions now remain even at rest,
and gradually become more distinct over time, it may be worth checking whether structural changes in the skin have begun.
If the area is strongly affected by muscle movement, such as the glabella or forehead, reducing repeated movement with Botox may be the priority.
On the other hand, if wrinkles remain even after movement is controlled, or
if they feel deep even when not making an expression, a treatment that specifically addresses the already formed wrinkle itself may be needed.
Nasolabial folds and mouth lines do not all arise from the same cause just because they share a similar name.
In some cases, they deepen because midface volume has decreased; in others, folding becomes more pronounced because of surrounding tissue sagging.
If deep wrinkles have formed in the skin itself apart from these changes, autologous dermal regeneration therapy may be considered.
Juvegen is not a preventive procedure used before wrinkles appear, but a treatment for carefully addressing wrinkles in which actual dermal changes have occurred.
Juvegen and standard hyaluronic acid fillers are both injected, but the way they produce results is different.
A filler is a treatment in which the injected hyaluronic acid gel itself creates volume and directly compensates for sunken areas.
That is why volume changes can be seen immediately after the procedure.
Juvegen is an autologous dermal regeneration therapy in which medical carbon dioxide and a very small amount of hyaluronic acid are alternately injected into the same area to stimulate the dermis,
and then induce tissue regeneration and collagen formation.
In other words, a filler is a treatment in which the injected substance itself creates volume,
while Juvegen is a treatment in which newly formed collagen in the skin becomes the basis for change.
Juvegen is designed so that the injection amount can be adjusted in 0.001cc increments.
This feature is used less for creating broad volume across the face and more for delicately treating localized areas with depth, such as nasolabial folds, glabellar lines,
and mouth lines.
So it is difficult to say that either fillers or Juvegen is simply the better treatment.
If the cheek area or midface lacks volume, a treatment that directly replenishes volume may be more suitable,
and if sagging of the surrounding tissue is deepening the wrinkle, lifting may be considered first.
Conversely, even after volume and sagging have been adjusted to some degree, if the deep wrinkle itself remains, or
if the main issue behind the wrinkle lies in dermal changes, Juvegen may be one option.
Juvegen is not a treatment applied in the same way to every wrinkle.
What is considered first is the location and depth of the wrinkle, and why that wrinkle is being maintained.
For wrinkles that are visible even at rest, such as nasolabial folds, glabellar lines, mouth lines, or marionette lines,
if repeated folding has persisted for a long time and created depth in the skin, autologous dermal regeneration therapy may be considered.
Localized sunken areas in the skin can also be approached from the perspective of dermal regeneration.
On the other hand, if they are early wrinkles that appear only when making an expression, treatment to control muscle movement may be more appropriate.
If the entire face looks sunken or broad volume loss is the main issue,
it is more natural to consider fillers or other volume treatments rather than trying to solve it with Juvegen alone.
The same is true when sagging of the surrounding tissue deepens the wrinkle.
In that case, sagging may need to be addressed before the deep wrinkle itself.
Ultimately, even for the same nasolabial fold or the same glabellar line, treatment can differ.
Juvegen is chosen not simply because a wrinkle exists, but by assessing whether that wrinkle is in a state that requires dermal regeneration.
Not necessarily.
It can be used for already deep wrinkles, but
if wrinkles that used to appear only when making expressions start to show even at rest
and gradually become more distinct, you can check the current condition of the wrinkle.
At this point, if the main causes are muscle movement, sagging, or volume loss, those issues can be treated first,
and if the deep wrinkle itself has formed in the dermis, Juvegen can be considered.
Yes.
Botox is a treatment that reduces the movement of the muscles that frown the glabella.
So while it helps reduce repeated folding,
it is not a treatment that directly regenerates an already formed deep wrinkle.
If wrinkles remain in the glabella even after muscle movement is controlled,
Juvegen autologous dermal regeneration therapy may be additionally considered after checking the wrinkle depth and skin condition.
The two treatments should not be seen as simple substitutes for each other.
When there is insufficient volume in a broad area such as the midface or cheeks,
a treatment that directly replenishes volume, like fillers, may be more appropriate.
Juvegen is closer to a treatment for handling deeply formed wrinkles in the skin or
localized depressions from the perspective of dermal regeneration, rather than for creating broad volume.
Therefore, rather than choosing Juvegen simply because fillers feel burdensome,
it is important first to distinguish whether what is needed now is volume restoration or treatment for deep wrinkles.
It is best to first separate the causes of nasolabial folds.
Cases in which they deepen as midface volume decreases, cases in which they fold due to sagging cheeks and surrounding tissue,
and cases in which deep wrinkles have formed in the skin itself are all different.
If volume loss or sagging is the bigger cause, that issue can be treated first,
and if the deep wrinkle itself remains, Juvegen can be considered afterward.
This is why treatment is not determined by the name “nasolabial fold” alone.
It is not necessary to start treatment immediately when wrinkles first appear.
However, if wrinkles that used to show only when making expressions are now visible even in everyday life,
and become more distinct over time, it may be the right time to take a closer look at the current condition of the wrinkles.
At Timeless Dermatology Clinic, Mapo Main Branch, a dermatologist examines the location and depth of the wrinkles,
the movement of the facial expression muscles, and the sagging and volume condition of the surrounding tissue to determine the treatment direction.
If it is judged during this process that deep wrinkles formed in the dermis should be addressed separately,
Juvegen autologous dermal regeneration therapy is considered as one treatment method.
What matters in wrinkle treatment is not starting early itself, but
accurately distinguishing what is causing the wrinkle to deepen and what stage it has reached.
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