First published: 2023-10-24 / Last reviewed: 2026-05-28
This is a guide to Botox compiled by Dr. Choi Byeong-geun of SHINE U Clinic Konkuk (3 minutes' walk from Konkuk Univ. Station, Exit 1).
Skin elasticity gradually declines from the mid-20s, but people often start to notice it in their 30s. As the understanding spreads that it's easier to manage elasticity proactively rather than trying to restore it after it has declined, more people are considering ultrasonic lifting and skin Botox together. Let's explain the principles of combining these two methods.
The Role of Ultrasonic Lifting
Lifting procedures that use ultrasonic energy target the SMAS layer, which is involved in elasticity. The SMAS layer has a mesh-like structure, and as aging begins, this mesh loosens, causing the skin to sag.
- Ultrasonic energy is delivered to the SMAS layer to promote elasticity.
- It is generally highly effective when preventive care is needed.
It is reported that a preventive approach, aiming to prevent sagging rather than trying to restore lost elasticity, is easier.
How Skin Botox Differs
Skin Botox is also known as dermatoxin. While regular Botox temporarily paralyzes muscles to address wrinkles, skin Botox differs in that it uses a concentration that does not paralyze the muscles. This helps reduce the concern of an unnatural facial expression.
- It promotes collagen production in the dermis layer, aiming for natural volume.
- It has a relatively wide range of application, including sensitive areas like around the eyes and mouth.
Consult us to find out which combination is right for your skin
The Synergy of the Two Methods
| Category | Ultrasonic Lifting | Skin Botox |
|---|---|---|
| Main Action | SMAS layer elasticity | Dermal collagen · fine wrinkles |
| Features | Stimulates deep layers | Low concentration with less concern for facial expression |
| Used together | Addresses elasticity + texture · wrinkles separately |
While ultrasonic lifting addresses deep-layer elasticity, skin Botox complements surface-level fine wrinkles and skin texture. Their points of action do not overlap, making them a complementary combination.
Who Should Consider This?
- If you are concerned about decreased skin elasticity.
- If fine wrinkles stress you every time you look in the mirror.
- If you want to refine your facial contour line to be smoother.
The number of shots or concentration varies depending on your skin condition, so it is safer to receive a diagnosis first rather than making your own judgment. Suitability and results may vary from person to person.
Feel free to ask us via chat if this combination is right for you
If you are more concerned about deep-layer elasticity, you can also find information on Ultherapy PRIME, and for complementing fine wrinkles, skin booster injections.
Authored 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 and Laser Medicine, the Korean Filler Society, etc.) Last reviewed: 2026-05-28
This article provides general information about procedures and does not replace diagnosis or treatment. The suitability and results of procedures may vary from person to person.