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Aging Happens Layer By Layer From Epidermis To Fascia

We have summarized the lifting approach based on an understanding of how aging progresses differently in the epidermis, dermis, and SMAS layer.

Aging Happens Layer By Layer From Epidermis To Fascia
Table of Contents

First published: 2022-10-19 / Last reviewed: 2026-05-28

This is a guide to TuneFace compiled by Dr. Choi Byeong-geun of SHINE U Clinic Konkuk (3 minutes walk from Konkuk Univ. Station Exit 1).

Aging does not occur in just one layer. It progresses simultaneously from visible wrinkles to the invisible dermis and SMAS layer. Understanding what changes occur in which layer can change the approach to lifting. Let's organize it by layer.

Layers where aging progresses

Aging, which begins in the mid-20s, appears simultaneously in several layers.

  • Epidermis: Wrinkles form and skin texture becomes rough.
  • Dermis: Collagen and elastin decrease, leading to loss of elasticity.
  • SMAS layer: It sags, leading to drooping and a double chin.

It is reported that aging progresses complexly in multiple layers, not just one.

How high-frequency waves work

High-frequency lifting is a method that stimulates the dermal layer, SMAS layer, and subcutaneous fat layer with thermal energy. It aims to restore elasticity to tired skin and simultaneously addresses fine wrinkles and enlarged pores.

Consult about which layer your aging problem is in

Reasons why a layer-by-layer approach is needed

LayerMain changesApproach
EpidermisTexture, fine wrinklesSurface stimulation
DermisDecreased elasticityInduce collagen regeneration
SMAS layerSaggingDeep layer stimulation

The speed of aging, skin condition, and fat/muscle distribution vary from person to person. Therefore, there is no single lifting approach. Understanding the progression by layer and designing a complex treatment plan is important.

Who is it considered for?

  • If you are concerned about wrinkles, sagging, and pores all at once
  • If you managed only one area but were disappointed with the overall change in your impression
  • If you are looking for a method with a fast recovery

If you approach aging, which occurs differently in each layer, with only one method, you are likely to be left with dissatisfaction. It can be helpful to undergo a diagnosis and design a treatment plan by layer. Results and suitability may vary depending on the individual.

If you are curious about the layer-by-layer approach, ask us via chat

If you are more concerned about deep layer elasticity, you can also find information on Ultherapy PRIME, and if you are concerned about your facial contour, you can also see information on TuneLiner.


Written by: Dr. Choi Byeong-geun (Chief Director of SHINE U Clinic Konkuk / Member of the Korean Academy of Laser Dermatology and Hair, the Korean Academy of Aesthetic and Plastic Surgery Laser Medicine, the Korean Academy of Filler, etc.) Last reviewed: 2026-05-28

This article is for general information about procedures and does not replace diagnosis or treatment. The suitability and results of the procedure may vary depending on the individual.

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