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What ligament-strengthening filler is, and why pairing it with a thread lift has a synergistic effect, explained through a real patient case. The key is a three-part approach: lift what’s sagging with threads, fill what’s hollow, and reinforce ligaments that have stretched.

흰 가운을 입은 의사가 진료실 책상에 앉아 두 손을 모은 채 이야기하고, 화면에 '환자분도 엄청 만족하는 결과'라는 자막이 떠 있습니다.

Hello from DAYONE Clinic. Many people come to us concerned about smile lines (nasolabial folds) and overall facial sagging, and some assume they have to choose between a thread lift and filler. Today we’ll walk through a real case to explain why combining ligament-strengthening filler with a thread lift gives better results.

What is ligament-strengthening filler?

피부층 단면 그림 두 개가 초록 화살표로 이어져, 지방층 볼륨이 빠지면서 피부 표면이 꺼지는 변화를 보여주는 일러스트입니다.

As we age, the tissue around the facial ligaments weakens and loses volume, and the ligaments begin to sag. Ligament-strengthening filler isn’t a new type of filler. Instead, we choose the existing filler whose properties best suit the ligaments and inject it precisely around them. Placing filler there increases the density of the surrounding tissue, which tightens and firms the ligaments.

의사가 두 손을 모아 설명하고, 화면에 '늘어진 인대들을 바로 세워 주면서 강화시키기'라는 자막이 떠 있습니다.

In other words, it straightens and reinforces stretched ligaments. As a result, sagging areas can improve in a way that looks much like a lift.

Some patients ask, “Shouldn’t I get it early, as prevention?” But ligament-strengthening filler is for people whose ligaments have already stretched. Younger patients whose ligaments haven’t started to sag don’t need it.

Why the two work better together

A thread lift alone can lift sagging skin. But if the ligaments themselves have already stretched, the results may not last long.

의사가 양손을 펼쳐 설명하고, 화면에 '늘어지고 힘빠진 인대를 강화하는 역할로 사용'이라는 자막이 떠 있습니다.

When the thread lift holds the sagging areas in place and ligament-strengthening filler reinforces the stretched ligaments, the two work synergistically for a much better result. Sagging lower cheeks and the jawline improve, and because the threads lift the tissue, the smile lines soften as well.

A real patient case

지난 영상 화면으로, 중년 여성 사진 옆에 가장 고민인 부분으로 피부 처짐과 팔자주름이 적혀 있습니다.

This patient came in concerned about smile lines and overall sagging. We combined a thread lift, filler in the marionette area, and ligament-strengthening filler.

  • Filling the hollow marionette area created a natural, continuous contour

  • The sagging jawline was pulled into a smooth line

  • The thread lift improved the smile lines

  • A face that had looked uneven and wide took on a smaller, smoother shape

모니터에 중년 여성 얼굴 측면의 시술 전후 사진이 나란히 떠 있고, '시너지 효과로 더 좋은 결과'라는 자막이 보입니다.

These results were possible because we didn’t rely on filler alone or a thread lift alone—we combined treatments matched to each underlying cause. The patient was very happy with the outcome.

The takeaway

The key is a three-part combination: lift sagging areas with a thread lift, restore volume where it’s hollow, and reinforce stretched ligaments with ligament-strengthening filler. We recommend coming in to DAYONE Clinic for a thorough consultation with your doctor, and feel free to reach out anytime with questions.

Related careThread Lift near Gangnam Station

This post is based on an interview from DAYONE Clinic’s YouTube channel, Face Design Lab.

This article is general information about the treatment and does not replace an individual diagnosis or treatment plan. Results and their duration vary from person to person.

Wondering what would suit you?

Whether a treatment suits you, and how to plan it, is best decided with a doctor.

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