Dermia
Secret note from Dr.scene
One face, many stories.
The same wrinkle can have different causes in different people. Select an area of the face, and Dr.scene's notes will walk you through the concerns commonly discussed there and the treatments that may be considered.
Dr.scene · Medical Director of Dermia Clinic
Over 10 years of clinical practice. Consultation, treatment, and aftercare — handled personally.
Diagnosis comes before recommendation
These notes are general guidance. An actual treatment plan starts with precise diagnosis.
Interactive Face Map
Hover over an area to preview; click (or tap on touch devices) to open the note.
Jump to an area
Forehead
Expression lines · static lines · volume loss
Dr.scene's note
Forehead lines usually come from two different sources — muscle movement and gradual volume loss — and each calls for a different tool. For expression lines I usually think of botulinum toxin first; when static lines or hollowness remain, filler or energy-based tightening can be discussed. What matters is identifying which source dominates before choosing anything.
Treatments to consider
- BotoxLearn moreBotulinum toxin that relaxes expression muscles. Lasts 3–4 months.
- FillerLearn moreHyaluronic acid to restore volume and contour. Lasts 8–12 months.
- Thermage FLXLearn moreMonopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
- XERFLearn moreDual radiofrequency reaching deeper layers, with relatively low discomfort.
Results and side effects vary from person to person.
Ask about this areaTemple · Eye area
Hollow temples · crow’s feet · early laxity
Dr.scene's note
The temple and eye area is where subtle changes read the most. Fine lines around the eyes, hollow temples, and early laxity each have different answers — from regenerative boosters to toxin and lifting energy. I prefer starting conservatively here; small, precise steps preserve natural expression.
Treatments to consider
- BotoxLearn moreBotulinum toxin that relaxes expression muscles. Lasts 3–4 months.
- RejuranLearn moreSalmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
- FillerLearn moreHyaluronic acid to restore volume and contour. Lasts 8–12 months.
- Ultherapy PrimeLearn moreNon-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
- Thermage FLXLearn moreMonopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
Results and side effects vary from person to person.
Ask about this areaUnder-eye
Hollowness · fine lines
Dr.scene's note
The under-eye is thin, mobile, and unforgiving of shortcuts — several volumizers are simply not designed for this area. That is why we separate under-eye-specific options from general volume treatments, and why diagnosis with imaging comes before any injection here.
Treatments to consider
- Juvelook EyeLearn moreA collagen-stimulating injectable designed for the under-eye area. Lasts about 2 years.
- FillerLearn moreHyaluronic acid to restore volume and contour. Lasts 8–12 months.
Results and side effects vary from person to person.
Ask about this areaCheeks
Volume loss · sagging · excess fullness
Dr.scene's note
Cheek concerns split into two opposite directions: volume loss that needs replenishing, and fullness or laxity that needs tightening. The right direction depends on your facial fat and skin structure, which we assess before recommending either.
Treatments to consider
- FillerLearn moreHyaluronic acid to restore volume and contour. Lasts 8–12 months.
- SculptraLearn morePLLA volume booster that stimulates your own collagen — suited to broader areas.
- ONDALearn moreMicrowave-based lifting that also addresses the fat layer — considered for fuller faces. Lasts 4–6 months.
Results and side effects vary from person to person.
Ask about this areaNasolabial · Mouth
Nasolabial folds · marionette lines
Dr.scene's note
Nasolabial folds are rarely just a line — they reflect how the mid-face supports itself. Sometimes softening the fold directly makes sense; sometimes lifting the structures above it is the better conversation. Both paths are on the table here.
Treatments to consider
- FillerLearn moreHyaluronic acid to restore volume and contour. Lasts 8–12 months.
- RadiesseLearn moreCaHA-based volume booster suited to linear folds such as nasolabial lines. Lasts about 2 years.
- Ultherapy PrimeLearn moreNon-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
- Thermage FLXLearn moreMonopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
- Shurink UniverseLearn moreHIFU lifting with low discomfort. Lasts 2–4 months.
Results and side effects vary from person to person.
Ask about this areaJawline · Chin
Jawline laxity · square jaw · chin definition
Dr.scene's note
A clean jawline is a balance of three things: skin laxity, muscle volume, and contour definition. Lifting energy, toxin, and filler each address a different one — most consultations here are about finding the right combination, not a single procedure.
Treatments to consider
- Ultherapy PrimeLearn moreNon-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
- Shurink UniverseLearn moreHIFU lifting with low discomfort. Lasts 2–4 months.
- BotoxLearn moreBotulinum toxin that relaxes expression muscles. Lasts 3–4 months.
- Skin BotoxLearn moreShallow dermal botulinum injections — used for pores, fine lines, and jawline tightening.
- FillerLearn moreHyaluronic acid to restore volume and contour. Lasts 8–12 months.
Results and side effects vary from person to person.
Ask about this areaNeck
Neckline laxity · loss of firmness
Dr.scene's note
The neck ages alongside the face but is treated far less often. Energy-based lifting can address early laxity along the neck and jaw border; the earlier the conversation starts, the simpler the plan tends to be.
Treatments to consider
- Ultherapy PrimeLearn moreNon-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
- Thermage FLXLearn moreMonopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
- XERFLearn moreDual radiofrequency reaching deeper layers, with relatively low discomfort.
- ONDALearn moreMicrowave-based lifting that also addresses the fat layer — considered for fuller faces. Lasts 4–6 months.
- Shurink UniverseLearn moreHIFU lifting with low discomfort. Lasts 2–4 months.
Results and side effects vary from person to person.
Ask about this areaThis is general reference information and does not replace individual diagnosis or prescription. An accurate assessment is provided through an in-person consultation.
When the concern is skin-wide, not one area
Concerns like pigment, pores, and redness are not tied to a single area — explore them here.
Melasma · age spots · freckles · moles
- Excel VLearn more532/1064nm laser for redness, visible vessels, and darker surface pigment.
- PicoPlusLearn morePicosecond laser — used for pigment such as melasma, and for pores and scars (pico fractional).
- Clarity IILearn moreDual-wavelength laser used for toning, vascular treatment, and calming acne.
- CO2 Laser (eCO2)Learn moreRemoval of moles and milia, plus fractional treatment for pores and scars.
- PotenzaLearn moreMicroneedle radiofrequency — used for pores, acne scars, and melasma.
Enlarged pores · depressed scars
- PicoPlusLearn morePicosecond laser — used for pigment such as melasma, and for pores and scars (pico fractional).
- CO2 Laser (eCO2)Learn moreRemoval of moles and milia, plus fractional treatment for pores and scars.
- PotenzaLearn moreMicroneedle radiofrequency — used for pores, acne scars, and melasma.
- SubcisionLearn moreReleases the fibrous bands beneath depressed scars to improve their appearance.
- Juvelook SkinLearn morePDLLA skin booster — collagen regeneration used for pores and scars.
Facial redness · dehydration · sensitivity
- Excel VLearn more532/1064nm laser for redness, visible vessels, and darker surface pigment.
- RejuranLearn moreSalmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
- Belotero ReviveLearn moreHA + glycerol hydration booster with relatively long-lasting moisture (4–6 months).
- Skin BotoxLearn moreShallow dermal botulinum injections — used for pores, fine lines, and jawline tightening.
- SkincareLearn moreAqua peel, LED, and LDM programs for overall skin conditioning.
Skin texture · fine lines · loss of elasticity
- Thermage FLXLearn moreMonopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
- XERFLearn moreDual radiofrequency reaching deeper layers, with relatively low discomfort.
- Re2oLearn moreA regenerative booster that replenishes the dermis with human-derived ECM components.
- Juvelook SkinLearn morePDLLA skin booster — collagen regeneration used for pores and scars.
- Skin BotoxLearn moreShallow dermal botulinum injections — used for pores, fine lines, and jawline tightening.
Results and side effects vary from person to person.
Your note is completed in the consultation room
The face map is only a starting point. An accurate diagnosis and plan come together in consultation.