service / Thermage
We adjust RF energy to suit thin neck skin
and care for neck lines and firmness.
Why Lisoom
Thermage for Neck Lines is a non-surgical lifting treatment that applies Thermage FLX, a monopolar radiofrequency (RF) device operating at about 6.78MHz, to neck skin, which is thinner than facial skin.
It heats the entire dermis uniformly over broad areas to induce immediate collagen contraction and new collagen synthesis, playing a supporting role in gradually improving horizontal lines and reduced dermal firmness.
Because neck skin is thin and lies close to the thyroid gland and nerves, the intensity is designed at least one step more conservatively than for the face; results vary between individuals, so the intensity and treatment area are determined during the consultation.
Conservative RF Lifting Designed for Thin Neck Skin
DESIGN PRINCIPLE
The neck is an area where the epidermis, dermis, platysma muscle, and deep fascia are gathered within a very thin layer. The thyroid gland and airway lie in the midline, and the carotid artery and branches of the facial nerve run along the sides. Carrying over facial intensity settings narrows the safety margin, so the treatment area and intensity must be redesigned.
Horizontal neck lines are creases etched by a combination of dermal collagen loss and repeated flexion. Thermage heats the entire dermis uniformly to induce immediate contraction and gradually reduces the depth of the lines through new collagen synthesis. Very deep horizontal lines often require a combination with fillers or skin boosters.
Vertical bands are caused by the thickness and activity of the platysma muscle itself. The RF energy of Thermage is effective for stimulating the superficial dermis, but it is not a treatment that reduces the muscle itself, so a combination with Botox is recommended for thick bands. We directly check the pattern of banding during the consultation and then decide on a suitable combination.
Submental sagging results from skin sagging and fat distribution acting together. Thermage contributes to refining the superficial contour and to dermal contraction, but it has limits for a double chin with substantial fat accumulation, where a fat-reduction treatment or facelift surgery should be considered as well. At RESUM, we assess the patient's submental structure component by component during the consultation and explain accordingly.
OUR PRINCIPLE
The neck is an area where carrying over facial settings as they are poses considerable risk. At RESUM, Dr. Jin-Young Kim, who performs the treatment, checks skin thickness, thyroid position, platysma thickness, and posture in a 1:1 consultation and then redesigns the treatment area and energy intensity. Our principle is to treat conservatively within an academically validated range.
Planning for Thin Skin
After directly assessing neck skin thickness during the consultation, we set the intensity at least one step more conservatively than the facial standard. Drawing on clinical experience accumulated in anti-aging dermatology, we decide how to distribute intensity by area. Even in the same patient, the midline, the sides, and the submental area are treated at different intensities.
Nerve & Thyroid Safety
The midline, where the thyroid gland lies, is excluded from the treatment area, and only a lateral approach is used. Along the mandibular border, where branches of the facial nerve pass, we use only short pulses at a conservative intensity and proceed while checking patient feedback in real time. Our principle is not to narrow the safety margin.
Honest Combination Advice
For deep horizontal lines, thick platysma bands, and a severe double chin that are difficult to address with Thermage alone, we honestly explain combinations with other treatments such as Botox, fillers, fat-reduction treatments, and facelift surgery. We do not tell patients that a single device can produce every change.
Neck skin is thinner on average than facial skin and lies close to nerves and blood vessels, so applying facial intensity as is can increase irritation and risk. After checking skin thickness during the consultation, we design the plan at least one step more conservatively than the facial standard.
Thermage helps refine firmness throughout the dermis, but for very deep horizontal lines or thick platysma bands, a combination with other treatments such as fillers or Botox is often more suitable. We check the pattern during the consultation and then explain the appropriate approach.
For posture-related sagging such as forward head posture, combining treatment with posture management and exercise helps stabilize the result. We explain separately what the treatment can address and what needs to be addressed through posture management; results vary between individuals.
Thermage delivers monopolar radiofrequency at about 6.78MHz throughout the dermis of the neck, heating it uniformly over broad areas. The heat generated raises the temperature of the dermis, causing immediate collagen contraction and then inducing new collagen synthesis, while the surface is protected by cooling. Because the neck has a thinner dermis than the face, the intensity is lowered even with the same RF. Broad-area heating of the entire dermis · Immediate collagen contraction + new collagen synthesis · Epidermal protection through surface cooling · Conservative intensity at least one step lower than for the face
The AccuREP algorithm measures tissue impedance in real time with every pulse and automatically adjusts the energy output for each area. CPT (Comfort Pulse Technology) adds vibration and cooling to reduce discomfort during treatment. On the neck, the midline where the thyroid gland lies is excluded, and a safety margin is secured by an approach that detours to the sides. Real-time impedance measurement and automatic energy adjustment · Treatment comfort through vibration and cooling · Thyroid midline excluded, lateral approach · Conservative treatment with short pulses over nerve branches
NOTICE
PROCEDURE DATA
Treatment Overview
FOR WHOM
Consider a Consultation If
05 Recommended Cases
Doctor's Note
The neck is thin and always in motion, and nerves and blood vessels lie close by. The intensity used on the face must not simply be carried over. The most important step is redesigning the plan within an academically validated, conservative intensity range. At RESUM, the director in charge of the treatment personally checks skin thickness and thyroid position in the consultation and then adjusts the intensity for each zone.
PROCEDURE FLOW
01
PHASE I
We assess neck skin thickness, the depth of horizontal lines, platysma banding, and whether posture-related sagging is present to define what the treatment will address.
02
PHASE II
We map lateral paths that exclude the thyroid midline, and for areas with nerve branches we set short pulses at a more conservative intensity than for the face.
03
PHASE III
After topical anesthesia, the entire dermis of the neck is heated over broad areas, and in thin areas the intensity is lowered to deliver heat uniformly.
04
PHASE IV
We explain combination options such as Botox and fillers if needed, along with posture management and the timing of the next treatment.
FREQUENTLY ASKED
We have compiled the questions patients ask most often before a consultation.
6F #601, 599-4 Sinsa-dong, Gangnam-gu, Seoul
(No lunch break on weekends and public holidays) *Dr. Won-Suk Kook is not available on the 1st and 3rd Saturdays of each month.
Parking Information Parking is available in the building. 1 hour of free parking
Subway 5-minute walk from Exit 3 of Apgujeong Station on Line 3 (right next to the 14-story CGV building at Exit 3)
