V-OLET in Gangnam: Dr. Hyoseung Jang of Gangnam Pieobom Clinic Gives a Live Lecture at the Daewoong Pharmaceutical DEEP Symposium

In medical aesthetics today, the one-dimensional approach centered on a single device or a simple injection is giving way to custom combination treatment (Combination Therapy), which analyzes a patient's anatomy and areas of concern from several angles and treats them accordingly, as a key trend.

In actual practice, the body-shape and skin concerns patients raise are never limited to a single cause.

For the upper-body line, for example, most cases involve a combination of ① loss of texture and firmness on the skin surface, ② localized accumulation in the subcutaneous fat layer and ③ overdeveloped muscle tone (trapezius, deltoid, etc.).

A single treatment therefore has clear limits, and to achieve satisfying lifting and contouring results, a step-by-step treatment plan that considers the mechanism for each target layer, from the epidermis and dermis through the subcutaneous fat and fascia (SMAS) to the muscle layer, is essential.

Key summary of custom combination treatment with Nabota, V-OLET and ONDA

A layer-by-layer, custom approach that considers the skin surface, fat layer and muscle layer at the same time is essential.

Use Nabota (NABOTA) for superficial intradermal injection (Micro-Botox) and to refine overdeveloped body muscle tone.

Aim to maximize body-contouring synergy by combining the chemical fat-cell destruction of V-OLET (DCA) with the microwave lifting of ONDA.

The key to a successful clinical result is setting the treatment sequence and injection depth to match each person's anatomy.

1. Improving skin quality with Nabota: three-dimensional refinement of the dermis and muscle tone

The key to improving skin quality is to manage fine lines, texture, firmness and fine muscle tone at the same time. For this, a step-by-step combined protocol using the botulinum toxin product Nabota (NABOTA) is applied.

① Superficial intradermal injection (Micro-Botox) technique

Tiny doses are injected precisely into the skin's superficial layer (dermis) to help regulate sebum, minimize the look of pores and improve fine surface lines, creating a smoother skin texture.

② Refining the line by targeting muscle

By giving an appropriate dose to overdeveloped body muscles such as the trapezius or deltoid that disturb the line, overly tense muscle tone is eased and a smoother shoulder and neck line is formed.

2. Upper-body contouring: V-OLET (DCA) × ONDA synergy protocol

In upper-body contouring such as the upper trapezius, upper arms (triceps area), double chin and flanks, a natural, firm silhouette comes from 'destroying local fat cells' and 'promoting firmness in the target layer' at the same time.

① Chemical fat-cell destruction: V-OLET

V-OLET is a fat-destroying injection with DCA (deoxycholic acid), described as Korea's first domestically produced DCA product. Unlike ordinary contour injections that simply shrink fat cells, it physically disrupts the fat-cell membrane and induces irreversible cell death (apoptosis). By reducing the number of fat cells themselves, it is said to greatly lower the chance of rebound, and it supports collagen synthesis to increase tissue density. Individual results vary.

② Physical energy delivery (EBD): ONDA microwave lifting

To help prevent the skin laxity that can follow fat destruction, ONDA, a microwave-based device, is added. Special handpieces at 2.45 GHz and 12 GHz deliver selective thermal energy to the dermis and subcutaneous fat layer while minimizing epidermal damage, aiming for immediate tightening and lifting.

3. Comparing treatment protocols by target layer: Nabota, V-OLET and ONDA

The most important clinical factors when designing a combination protocol are the 'treatment sequence' and 'precise depth control'.

Key points to check for a custom combination treatment

A detailed consultation with your doctor for a refined line

Simply reducing only fat or only muscle has limits when it comes to shaping a three-dimensional body line from several angles.

We invite you to experience safer, more refined line improvement through a custom combination treatment solution that diagnoses and treats in three dimensions, from the dermis through the subcutaneous fat to the muscle layer.

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