멜로우피부과의원ㅣ피부과 전문의 권형일

Nasolabial Fold · Volume Loss · Mellow Dermatology (Yeongdeungpo)

Nasolabial folds and cheek volume loss
aren't just about age

Deepened nasolabial folds and hollow cheeks are usually the combined result of "volume loss" and "skin sagging." Discover the Mellow Dermatology approach — diagnosing each cause separately, then designing filling and lifting together.

Distinguishing volume loss vs. sagging Combined filling + lifting design Specialist-led diagnosis & treatment

Why It Happens

Why do nasolabial folds and
cheek volume loss appear together?

It isn't simply a wrinkle "carving in" — it's a change in which the structures that once filled and supported the face collapse together. Different causes call for different solutions.

Cheek volume loss and deepening nasolabial folds caused by reduced mid-face fat and bone volume

Cause 01 · Volume Loss

Loss of fat pad & bone volume

When the mid-face fat pads shrink and bone volume decreases, the cheeks hollow out. Hollow cheeks cast a shadow above the nasolabial fold, making the wrinkle look even deeper.

Illustration of skin losing elasticity as dermal collagen and moisture matrix decline

Cause 02 · Loss of Elasticity

Declining dermal collagen

As collagen and hyaluronic acid in the dermis decrease, the skin thins and loses elasticity. Its ability to hold volume in place weakens, accelerating the sagging.

Illustration of cheek tissue sagging downward as facial fascia and retaining ligaments loosen

Cause 03 · Sagging (SMAS)

Loosened fascia & ligaments

When the fascial layer and ligaments supporting the face loosen, cheek tissue is pushed downward. As this tissue folds into the nasolabial groove, the wrinkle becomes more pronounced.

How repeated smiling expressions and sleeping on your side affect nasolabial folds

Cause 04 · Expression & Habits

Repeated expressions & postures

Repeated use of the muscles that smile or frown, plus habits like sleeping on your side, gradually turn a once-shallow line into a fixed, deep wrinkle.

Our Approach

We fill, and we lift
why we approach from two directions

Hollow cheeks need to be filled, and sagging tissue needs to be lifted. Solving only one won't last. Here are the three principles behind how Mellow Dermatology designs treatment for nasolabial folds and cheek volume loss.

01

Diagnosis that identifies the cause first

We first determine whether it's lost volume, sagging tissue, or both. Only by reading the cause precisely can we balance the emphasis between filling and lifting.

02

Combining filling + lifting

We restore lost volume with fillers and collagen boosters, and lift sagging tissue with radiofrequency and ultrasound lifting. Combining both directions restores the balance of the entire contour.

03

Designed & performed by a specialist

From material to depth to dosage, a specialist designs everything to match your facial structure. Standardized protocols raise both natural results and safety together.

The Key to Filling

In filling, "design" makes the result
more than the material does

Even with the same filler, where, how much, and at what depth you fill completely changes both the result and the safety. Here are three things we always consider when restoring volume.

Comparing the properties of hyaluronic acid, collagen boosters, and calcium-based materials

Point 01

Material selection

Depending on whether you need immediate volume or a natural fill that stimulates collagen production, we choose different materials — hyaluronic acid fillers, collagen boosters, CaHA, and more.

Designing filler injection depth and position with facial vessels and fat layers in mind

Point 02

Injection depth & position

Even for the same nasolabial fold, the point that needs volume support differs from the point where filler goes directly into the line. Choosing the exact depth and position determines both natural results and safety.

Medical staff measuring precise dosage and dilution ratio with a syringe and vial

Point 03

Dosage & dilution ratio

We adjust dosage and dilution ratio to the area and skin thickness. Not too much, not too little — balanced volume creates results that don't look "done."

Recommended Treatments

Filling and lifting
our signature treatments

We combine fillers and boosters that restore lost volume with lifting devices that lift sagging tissue, tailored to your concern.

① Filling · Volume Restoration

Radiesse CaHA filler

Radiesse · CaHA

Radiesse

Filling · Volume + Collagen

A calcium-based (CaHA) filler that restores immediate volume while stimulating collagen production. Over time the skin fills itself in for a lifted feel, making it widely used for hollow cheeks and deep nasolabial folds.

#CheekVolumeLoss#NasolabialFolds#CollagenBoosting#NaturalVolume
Juvelook Volume collagen booster

Juvelook Volume · PDLLA

Juvelook Volume

Filling · Collagen Booster

A collagen booster combining biodegradable PDLLA with hyaluronic acid — rather than instant volume at injection, it fills in gradually through collagen your skin creates itself. It adds natural volume and elasticity together to thin, hollowed skin.

#VolumeBooster#CollagenRegeneration#SkinTexture#NaturalLook
Belotero hyaluronic acid filler

Belotero · HA Filler

Belotero Filler

Filling · Instant Volume

A hyaluronic acid filler that blends smoothly into the skin, instantly filling nasolabial lines and hollow areas. Its excellent tissue integration lets it treat everything from shallow wrinkles to delicate areas naturally.

#InstantVolume#NasolabialFolds#MouthWrinkles#DelicateAreas

② Lifting · Sagging Improvement

Ultherapy HIFU lifting device

Ultherapy · HIFU

Ultherapy

Lifting · Fascial Layer (SMAS)

High-Intensity Focused Ultrasound (HIFU) delivers energy precisely down to the fascial layer (SMAS), the root cause of sagging. It contracts the stretched support structure to lift descended cheek tissue and ease the fold of the nasolabial line.

#CheekSagging#NasolabialFolds#FacialContour#DeepLifting
Thermage radiofrequency lifting device

Thermage · RF

Thermage

Lifting · Dermal Layer

Radiofrequency (RF) energy heats and contracts dermal collagen for both immediate tightening and lasting elasticity improvement. It tightens the skin itself without reducing volume, so it can add firmness even to hollow cheeks without worry.

#ElasticityLoss#FineLines#SkinTexture#Tightening
Density 6.78MHz radiofrequency lifting device

Density · 6.78MHz RF

Density

Lifting · Dermal Layer

Delivering 6.78MHz radiofrequency evenly through the dermal layer, it contracts aged collagen and induces new collagen production. Along with improved elasticity, you can expect softening of nasolabial folds and fine lines, rounding out the lifting combination.

#Elasticity#NasolabialFolds#FineLines#SkinFirmness

At a Glance

Recommended treatments at a glance

TreatmentDirectionHow It WorksKey Concern
RadiesseFillingCaHA volume + collagen stimulationCheek volume loss · deep nasolabial folds
Juvelook VolumeFillingPDLLA collagen boosterThin skin · natural volume
Belotero FillerFillingHyaluronic acid instant volumeNasolabial & mouth · delicate areas
UltherapyLiftingHigh-Intensity Focused Ultrasound (HIFU)Cheek sagging · facial contour
ThermageLiftingRadiofrequency (RF) heating & contractionElasticity · fine lines · skin texture
DensityLifting6.78MHz radiofrequencyElasticity · nasolabial folds

Where to Care

Same face, different areas
each needs a different delicacy

Nasolabial folds and cheek volume loss aren't the problem of a single area. The mid-face, wrinkle lines, and jawline are all interconnected, so we design a different balance of filling and lifting for each area.

Mid-face · Cheeks · Cheekbones

The key area that supports lost volume. Centered on volume restoration, with deep-layer lifting added when sagging accompanies it.

Nasolabial · Mouth area

The area where shadows stand out the most. Rather than filling the wrinkle line directly, it's important to design around restoring the volume above it to soften the fold naturally.

Marionette · Jawline

The area where sagging continues downward. We refine the line with lifting and, when needed, balance it with volume to sharpen the facial contour.

Dr. Kwon Hyung-il, Director of Mellow Dermatology (Yeongdeungpo), board-certified dermatologist

Expert Care

Filling and lifting —
"balance" is the key

Dr. Kwon Hyung-il · Board-Certified Dermatologist · Thermage TTT Master Trainer

Nasolabial folds and cheek volume loss won't last if you only fill volume or only lift. Carefully diagnosing the facial structure and balancing the emphasis between filling and lifting is the key to natural, lasting results.

Even with the same filler and the same device, the result changes greatly depending on diagnosis and design. When a specialist who teaches other doctors diagnoses and performs the treatment personally, it leads to safer, more natural results.

★ Thermage TTT Certified

  • Manufacturer-certified TTT (Train-the-Trainer) Master Trainer
  • Personally conducts specialized Thermage training for medical professionals
  • Thermage TTT-certified clinic · applying standardized protocols

Safety First

With skilled medical professionals,
side effects go down and natural results go up

Filler and booster treatments may involve temporary reactions such as swelling, bruising, or slight asymmetry, and lifting may be followed by redness and swelling. However, precise diagnosis, meticulous design, and the practitioner's skill can minimize these. A deep understanding of facial structure and abundant clinical experience create safer, more natural results.

Find the nasolabial fold & cheek volume loss solution
that's right for you — through a consultation

At Mellow Dermatology (Yeongdeungpo), with extensive consultation and treatment experience, find your answer through a personalized one-on-one consultation.

See consultation reviews →