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Anatomical Understanding of Marionette
Hello.
I am Kim Ga-eul.
Nasolabial folds, Marionette lines
Why do they occur and how should we approach them?
Nasolabial folds occur due to
Loss of fat around the mouth
Drooping of nasolabial fat
Decreased skin elasticity
This is the appearance created by
various factors acting simultaneously.
So today, I will explain
how to use Sculptra for improvement of nasolabial folds and marionette lines
along with lifting
in the easiest way to understand.
Step 1: First, we organize the drooping fat
When the jowl fat drops down,
the wrinkles around the mouth and marionette lines
look much deeper.
At this time, the most basic equipment is
HIFU lifting.
🔸 Basic principle of HIFU lifting
It creates 'thermal coagulation points' in the deeper layer of the skin (SMAS) using ultrasound,
which contracts the tissue and lifts elasticity.
It has clear effects as its advantage.
It is a line of lifting equipment that is most commonly used in dermatology.
Ulthera: High intensity, verified results
Shrink: Good value option
We design according to the thickness of the fat, skin, and lines.
The key to HIFU is
'where and how you shoot.'
Many people think
"Just targeting the jowl fat is fine?" but
this is only half true.
If you continuously apply the laser to one area,
some improvement is possible,
but if the "design" goes wrong,
side effects occur immediately.
Especially the marionette lines are
a forbidden area for HIFU.
So, above the marionette lines,
you should avoid HIFU and undergo other treatments.
If you shoot exactly according to the guidelines,
there's a risk of indentation in the cheeks.
So how should we design it to
improve without side effects?
The faces of Asians
often have prominent cheekbones and
full sides.
So,
designing the cheekbones first will naturally soften
the nasolabial folds and marionette lines.
However, in practice,
this important cheekbone line is often omitted.
Then, only the lower part may appear hollow or
the overall contour may not connect smoothly.
The cheeks are not just a place with bones, but
the fat layer, fascia, and skin
are part of the structure, so
accurate design is very important.
Step 2: Directly fill in the hollow cheeks and wrinkle lines
Simply solving droopiness
will not erase the already deep marionette lines.
Now, filling the volume is necessary.
This is where Sculptra shines.
Reasons for Sculptra's effectiveness
Sculptra is a representative collagen booster injection that does not immediately add volume like fillers, but
slowly creates collagen in the skin
and naturally fills the volume.
🪄Sculptra effect timeline
🪄 6-9 weeks
Collagen production begins
🪄 3 months
Cheeks and marionette lines start to fill
🪄 1-2 years maintenance
Newly created collagen is held firmly
In other words,
the changes that become younger as time goes by,
and the long-lasting natural volume,
are the two characteristics that suit people.
Step 3: Wrinkles caused by muscles solved with Botox
If the DAO muscle that pulls down the corners of the mouth is strong,
the marionette line will be deeper.
By performing Botox on the corners of the mouth, it will be more naturally and neatly arranged.
When receiving facial Botox,
it’s best to manage it with a feeling of 'adding one more area.'
⭐ Marionette wrinkle treatment
must solve all three at once.
☝️ Solve drooping fat
HIFU + supplement treatments in forbidden areas
✌️ Restore volume
Sculptra
👌 Muscle control
Botox on the corners of the mouth
This composition is necessary to ensure
the jawline is not heavy and the
natural youthful line is completed.
💡 Additional Q&A
Q. Does Sculptra make my face unnaturally large?
A. Sculptra does not provide immediate volume like fillers.
As collagen is slowly produced over time,
the face does not suddenly grow or appear artificial.
Q. Can Sculptra reduce jowl fat itself?
A. Sculptra itself is not a treatment to reduce fat.
However, it has the effect of reorganizing the volume structure around the jowl
to lift the fallen line back up,
thereby reducing the impression of prominent jowl fat.
Q. When can I start wearing makeup after Sculptra?
A. You can do it as soon as bruises or needle marks disappear.
Usually, it’s okay after 1-2 days.
However, it's best to avoid hard pressure, strong massages, and saunas for
the first 3-5 days.
Thank you for reading.
I am Kim Ga-eul.
