Over 40 and Want to Look Natural? How to Combine Ultrasound, Radiofrequency, and Fillers

For those over 40 who want to look natural, the key lies in judging the layers and ensuring safety, not in blindly increasing the amount by following trends. At Alive Dermatology Clinic, when handling this kind of request, we first identify where the ligaments have loosened, then decide how to distribute energy and layers: ultrasound works deep to tighten the fascia, while radiofrequency works in the superficial layer to help lift the dermis. By dividing the work this way, precious fat is not left dented.

Is higher energy always better with ultrasound and radiofrequency?

No. Higher or lower energy is not the standard for judgment; the layers and safety are. Our clinic first pinpoints where the ligaments have loosened, then lets ultrasound and radiofrequency each do their own job.

• Ultrasound: works deep, tightening the fascia
• Radiofrequency: works in the superficial layer, helping lift the dermis

The point of dividing the work is to avoid the fat. Once fat is dented, the face does not look younger.

Why shouldn't those over 40 keep replenishing collagen?

Because the underlying problem for those over 40 is often loss of the skeletal frame, and simply plumping up the face does not address the cause. Our clinic only adds a tiny amount of rigid support at the periosteum, so that firmness appears naturally, rather than making the face look overly full.

How should tiredness under the eyes be treated?

Around the eyes, the cause must be identified first before discussing how to treat. The skin around the eyes is very thin, so our clinic first determines whether the issue is hollowing, loosening, or poor blood circulation, then uses a micro-amount, layer-by-layer approach while precisely avoiding blood vessels. Treated this way, the eyes look clean and bright.