Lifting Thermage® FLX Alltite

How to Restore Facial Elasticity?

Facial elasticity can be restored by combining lifting treatments (Thermage® FLX, Alltite, Ultherapy PRIME®) that induce collagen regeneration with boosters (REJURAN®, JUVELOOK) that replenish the dermal environment, tailored to your age and skin condition. Home care (sunscreen, moisturizing) alone is insufficient to reverse sagging that has already progressed, so it is recommended to use it as a preventive and maintenance measure alongside treatments.

What causes loss of elasticity (collagen decrease)?

The most fundamental cause of decreased facial elasticity is the reduction of collagen and elastic fibers in the dermal layer of the skin. Collagen forms a supporting network for the skin; as you age, the function of fibroblasts that produce it declines, and the activity of degrading enzymes (MMPs) increases, leading to a decrease in total collagen.

Generally, collagen gradually decreases by about 1% per year starting in your 20s, and skin thickness itself tends to become thinner with age. When ultraviolet radiation (photoaging), glycation (cross-linking from sugars), smoking, and oxidative stress are added, collagen damage accelerates. Women, in particular, often experience a faster decline in elasticity around menopause.

In other words, loss of elasticity results from a combination of natural aging and lifestyle factors, so understanding the cause is the foundation for managing it and choosing treatments.


How much can home care really improve?

Home care can help slow the loss of elasticity and improve the skin environment, but it has limitations in reversing sagging that has already progressed. Certain ingredients such as retinoids, vitamin C, and peptides may positively influence the collagen environment, and above all, sunscreen is the most basic and important measure to slow collagen damage from photoaging.

However, because topical products mainly act on the epidermis and upper dermis, it is difficult for them to lift sagging caused by loosening of the deep dermis or the layer beneath it (SMAS). Loss of elasticity at this level requires a procedural approach that delivers thermal or ultrasound energy deep into the dermis.

Therefore, we recommend using home care as a preventive and maintenance measure, but if you want noticeable improvement in sagging, combining home care with treatments is advisable.

Management MethodMain Layer of ActionExpected Role
Home Care (Sunscreen, Moisturizing)Epidermis to Upper DermisPrevention of Damage, Maintenance
Skin BoosterDermis (Moisture, Collagen Environment)Skin Texture, Superficial Elasticity
Lifting (RF, Ultrasound)Deep Dermis to SMASImprovement of Sagging, Tightening

Which treatments help restore elasticity?

For improving elasticity, lifting treatments that induce collagen regeneration and boosters that replenish the skin environment are commonly used. Lifting works by stimulating the dermis and deeper layers with radiofrequency (RF) or ultrasound energy to promote new collagen formation.

At Heal House, we use RF-based Thermage® FLX and Alltite, as well as Ultherapy PRIME® that targets the SMAS layer with ultrasound, tailored to your skin condition. Note that Alltite is an RF (radiofrequency) lifting method, not HIFU. Additionally, we can add REJURAN® to replenish moisture and collagen in the dermis, or JUVELOOK, which stimulates collagen, to target both superficial and deep layers. Effects typically appear gradually over 2 to 3 months as collagen remodels.

Which device and combination are right for you depends on the degree of sagging and skin thickness, so it is advisable to decide after evaluating your individual skin.


Does the approach differ by age?

Yes, it is effective to vary the goal and intensity of elasticity management by age group. In your 20s and 30s, when collagen begins to decrease by about 1% each year and sagging is not yet pronounced, the focus is on preventive care such as sunscreen and moisturizing, along with superficial boosters or low-intensity elasticity treatments to slow the rate of damage.

After your 40s, cumulative collagen loss often leads to noticeable sagging, so lifting treatments targeting the deep dermis and SMAS layer become more important. Around menopause, elasticity may decline rapidly, so combining lifting with boosters and adjusting the interval between sessions can be helpful.

However, the actual intensity needed depends more on your individual skin condition than your age, so it is recommended to use age as a reference and adjust the intensity based on your actual skin state.


How do you maintain results?

After restoring elasticity, the key is to maintain it through prevention and periodic management. Even if treatments increase collagen, damage from aging and UV exposure continues, so basic care—sunscreen, moisturizing, no smoking, and a regular lifestyle—forms the foundation of maintenance.

Additionally, the effects of lifting and boosters are not permanent. Repeating lifting about 1 to 2 times per year and boosters every 1 to 2 months can help preserve elasticity longer. Avoiding rapid weight changes and maintaining a balanced diet and sufficient sleep that support the collagen environment are also beneficial.

Since the frequency and method of maintenance vary depending on your skin condition and lifestyle, we recommend establishing a long-term elasticity management plan through consultation with a dermatologist.


References

Hyunjeong Byeon

Dermatologist · Heal House Pangyo Branch

Through in-depth communication and precise design, I will create beauty that is uniquely yours.