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2025.07.20

High-frequency therapy that not only lifts but also increases collagen

葉山 愛弥
Supervising Physician
Aiya Hayama

As an Assistant Professor, Associate Ward Director, and Chief of Dermatopathology at the university hospital dermatology department, I deepened my expertise through academic presentations and paper publications both domestically and internationally. I have handled a wide range of treatments, from birthmark therapy in children to adult pigmentation concerns, utilizing various lasers and injection therapies, while also contributing to community healthcare. Through encountering numerous cases, I strongly felt the potential and necessity of aesthetic medicine, resolving to pursue further expertise. Building upon my solid dermatological knowledge and meticulous diagnostic skills, I value treatments that gently support each individual's skin while bringing out its inherent beauty.

A popular treatment for lifting and sagging skinHigh-frequency (RF)Treatment!!

Last night, I had a lively discussion with an academic professor about Type III collagen, which decreases with age.

With age-related changes, bones and fat atrophy, and volume loss diminishes the youthful impression...

In actual skin, Type III collagen decreases over time. While hyaluronic acid is good for compensating for volume loss, the conclusion is that it would be ideal if we could actually increase the collagen that diminishes.

※In that sense, I personally love the procedure where baby collagen is injected around the eyes!!

So how can you increase collagen? I remember it being trendy for a while to take supplements, and I myself drank collagen drinks back then.

It's not entirely meaningless, but the idea that large proteins are first digested and then reconstructed in the skin leaves some room for doubt.

The main focus now is stillA method of injecting amino acids, considered beneficial for skin health, directly into the dermis, andDevice (beauty appliance)This method uses heat to activate fibroblasts within the dermis and stimulate collagen production.

Continuing from yesterday, the treatment for sagging skin also provides a lifting effect and activates collagen production.I would like to introduce one type of high-frequency therapy: Borneuma.

This has been a long explanation, but I am Dr. Aya Hayama, a dermatologist.

 

Volnuma is a next-generation non-invasive radiofrequency (RF) treatment device designed to minimize discomfort. Radiofrequency therapy involves applying radio waves—a type of electromagnetic wave—to the skin. This method delivers heat deep within the skin while minimizing damage to the epidermis, producing a lifting effect to treat sagging. It is a treatment similar to HIFU, which we introduced recently. Volnuma delivers an exceptionally high thermal energy of 6.78 MHz, targeting the dermis to the mid-fat layer near the skin surface. The thermal stimulation causes water molecules within the body to vibrate, generating frictional heat that promotes skin renewal. As a result, the skin tightens from the fat layer inward, improving sagging, double chins, and wrinkles. Furthermore, it stimulates collagen production starting immediately after treatment, offering a rejuvenation effect that enhances skin firmness and elasticity.
Furthermore, by incorporating a water-cooled system with continuous water flow, vibration functionality, and specially designed rounded tips, it reduces the heat and pain that have been weaknesses of conventional high-frequency therapy.

 

⭐The Difference Between Voluma and Thermage

 
Both are monopolar high-frequency therapy devices capable of emitting the same 6.78 MHz high-frequency energy, but their major difference lies in the aforementioned...Reduction in the intensity of perceived painAdditionally, Voluma comes in cartridges of different sizes, making it suitable for areas such as under the eyes, from the corners of the mouth to the cheeks, and the jawline.Irradiation of small areasIt is also characterized by being easy to perform.
 
⭐The Difference Between Voluma and Hyaluronic Acid
 
Both are devices capable of treating sagging and performing lifts. The difference is that,The energy to be irradiated and the target layercan be cited.
 
【The Difference in Energy】
Volnuma emits high-frequency waves, while Hyaluronic acid emits high-density ultrasound.
 
【Differences in Target Audience】
Voluneuma is more effective than HIFU at targeting the skin's superficial layers. The skin consists of the epidermis, dermis, subcutaneous fat, and SMAS layer (fascia) from the surface down. Voluneuma targets the superficial layers of the skin—the dermis to the mid-fat layer—while HIFU targets the deeper SMAS layer.
 
Neither Voluma nor HIFU is inherently superior for treating sagging skin; it is important to select the appropriate treatment based on the cause of sagging and the condition of the skin. Furthermore, Voluma and HIFU, which target different layers, can be used in combination. Combination therapy using both Voluma and HIFU can yield synergistic effects.
However, if I had to choose, I believe HIFU delivers stronger tightening effects because it emits more intense energy to deeper layers. Conversely, it carries a higher risk of causing sunken areas, such as in the cheeks. On the other hand, Voluma lifts from below and stimulates collagen production, which actually plumps up sunken areas while simultaneously providing a lifting effect.
 
The effects of Volnuma typically begin to appear several days to about one month after treatment, with peak results generally observed between one and six months. Therefore, BIANCA CLINIC recommends continuing treatment every three to six months to maintain the effects of Volnuma.
We also offer combination therapy using Volnuma and Hyaluronic Acid, which target different layers of the skin. Other procedures for sagging skin include thread lifts, hyaluronic acid injections, Embrace RF, and facelifts. If you're unsure which treatment is right for you or have questions about any procedure, please feel free to discuss them during your consultation.

https://biancaclinic.jp/treatment/faceline/faceline_2/volnewmer/

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