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
Click (or tap on touch devices) an area to open its concerns; choose a concern and the treatments below change.
Jump to an area
Scalp
Dr.scene's note
The scalp is an extension of the skin, but it is approached differently. Whether the cause is patterned hair loss or temporary shedding changes the direction, so we assess the scalp first and then decide what comes first — injections or medication.
What is the concern?
Treatments to consider
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaForehead · Glabella
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.
What is the concern?
Treatments to consider
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Skin Botox
Shallow dermal botulinum injections — used for pores, fine lines, and jawline tightening.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
Juvelook Skin
PDLLA skin booster — collagen regeneration used for pores and scars.
Botox
Botulinum toxin that relaxes expression muscles. Lasts 3–4 months.
Laser hair removal (Clarity II)
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaTemple
Dr.scene's note
When the temples hollow, the upper face reads narrower and the whole impression shifts. This area also carries vessels and nerves, so judging depth matters especially here; we confirm the structure before adding volume.
What is the concern?
Treatments to consider
Collagen volume booster
A volume category that stimulates your own collagen. The product differs by area.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Botox
Botulinum toxin that relaxes expression muscles. Lasts 3–4 months.
Laser hair removal (Clarity II)
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaUpper eyelid
Dr.scene's note
The upper eyelid often shows hollowing and heaviness at the same time, so the direction splits between replenishing and lifting. I prefer starting conservatively here — small, precise steps preserve the natural shape of the eye.
What is the concern?
Treatments to consider
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Botox
Botulinum toxin that relaxes expression muscles. Lasts 3–4 months.
Retaining ligament lifting
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaOuter eye
Dr.scene's note
The outer eye is where subtle changes read the most. Fine lines created by expression and lines created by laxity call for different answers, so we look at the area both smiling and at rest.
What is the concern?
Treatments to consider
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Botox
Botulinum toxin that relaxes expression muscles. Lasts 3–4 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaUnder-eye
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.
What is the concern?
Treatments to consider
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Botox
Botulinum toxin that relaxes expression muscles. Lasts 3–4 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
Juvelook Eye
A collagen-stimulating injectable designed for the under-eye area. Lasts about 2 years.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Rejuran Eye
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Rejuran Eye
Re2o Fine
Juvelook Eye
A collagen-stimulating injectable designed for the under-eye area. Lasts about 2 years.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Pico toning
Vascular laser
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaNose
Dr.scene's note
On the nose a small difference in amount changes the whole impression. A low bridge, the tip, and the alae are separate problems, so rather than treating them as one we first decide which bothers you most.
What is the concern?
Treatments to consider
Filler (Restylane)
Thread lifting
Slim cut injection (GPC · DCA)
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaAnterior cheek
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.
What is the concern?
Treatments to consider
Collagen volume booster
A volume category that stimulates your own collagen. The product differs by area.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Slim cut injection (GPC · DCA)
Collagen volume booster
A volume category that stimulates your own collagen. The product differs by area.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Subcision
Releases the fibrous bands beneath depressed scars to improve their appearance.
Volume thread
PTT
Genesis (Clarity II)
Pimple extraction
Triamcinolone injection
Prescription for acne
Vascular laser
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Pico fractional
CO2 fractional
Re2o
A regenerative booster that replenishes the dermis with human-derived ECM components.
Juvelook Skin
PDLLA skin booster — collagen regeneration used for pores and scars.
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Pico fractional
CO2 fractional
Re2o
A regenerative booster that replenishes the dermis with human-derived ECM components.
Juvelook Skin
PDLLA skin booster — collagen regeneration used for pores and scars.
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Subcision
Releases the fibrous bands beneath depressed scars to improve their appearance.
Triamcinolone injection
Ultherapy Prime
Non-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
ONDA
Microwave-based lifting that also addresses the fat layer — considered for fuller faces. Lasts 4–6 months.
Shurink Universe
HIFU lifting with low discomfort. Lasts 2–4 months.
Retaining ligament lifting
Thread lifting
Slim cut injection (GPC · DCA)
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaSide cheek 1
Dr.scene's note
The side cheek shares concerns with the anterior cheek, but fat thickness and the direction of sagging differ, so the same treatment produces a different result. That is why we look at them separately.
What is the concern?
Treatments to consider
Collagen volume booster
A volume category that stimulates your own collagen. The product differs by area.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Slim cut injection (GPC · DCA)
PTT
Genesis (Clarity II)
Pimple extraction
Triamcinolone injection
Prescription for acne
Vascular laser
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Pico fractional
CO2 fractional
Re2o
A regenerative booster that replenishes the dermis with human-derived ECM components.
Juvelook Skin
PDLLA skin booster — collagen regeneration used for pores and scars.
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Pico fractional
CO2 fractional
Re2o
A regenerative booster that replenishes the dermis with human-derived ECM components.
Juvelook Skin
PDLLA skin booster — collagen regeneration used for pores and scars.
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Subcision
Releases the fibrous bands beneath depressed scars to improve their appearance.
Triamcinolone injection
Ultherapy Prime
Non-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
ONDA
Microwave-based lifting that also addresses the fat layer — considered for fuller faces. Lasts 4–6 months.
Shurink Universe
HIFU lifting with low discomfort. Lasts 2–4 months.
Retaining ligament lifting
Thread lifting
Slim cut injection (GPC · DCA)
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaSide cheek 2
Dr.scene's note
The lower side cheek is the path along which sagging continues into the jawline. Whether we treat this stretch as cheek or as jawline changes the direction and depth of lifting.
What is the concern?
Treatments to consider
Collagen volume booster
A volume category that stimulates your own collagen. The product differs by area.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Slim cut injection (GPC · DCA)
PTT
Genesis (Clarity II)
Pimple extraction
Triamcinolone injection
Prescription for acne
Vascular laser
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Pico fractional
CO2 fractional
Re2o
A regenerative booster that replenishes the dermis with human-derived ECM components.
Juvelook Skin
PDLLA skin booster — collagen regeneration used for pores and scars.
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Pico fractional
CO2 fractional
Re2o
A regenerative booster that replenishes the dermis with human-derived ECM components.
Juvelook Skin
PDLLA skin booster — collagen regeneration used for pores and scars.
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Subcision
Releases the fibrous bands beneath depressed scars to improve their appearance.
Triamcinolone injection
Ultherapy Prime
Non-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
ONDA
Microwave-based lifting that also addresses the fat layer — considered for fuller faces. Lasts 4–6 months.
Shurink Universe
HIFU lifting with low discomfort. Lasts 2–4 months.
Retaining ligament lifting
Thread lifting
Slim cut injection (GPC · DCA)
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaNasolabial fold
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.
What is the concern?
Treatments to consider
Collagen volume booster
A volume category that stimulates your own collagen. The product differs by area.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Volume thread
Ultherapy Prime
Non-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
ONDA
Microwave-based lifting that also addresses the fat layer — considered for fuller faces. Lasts 4–6 months.
Shurink Universe
HIFU lifting with low discomfort. Lasts 2–4 months.
Retaining ligament lifting
Thread lifting
Slim cut injection (GPC · DCA)
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaMarionette line
Dr.scene's note
The line running from the corner of the mouth toward the chin comes from volume loss and sagging together. Filling only this line easily looks unnatural, so we first consider whether to treat it alongside the cheek above.
What is the concern?
Treatments to consider
Collagen volume booster
A volume category that stimulates your own collagen. The product differs by area.
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
Ultherapy Prime
Non-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
ONDA
Microwave-based lifting that also addresses the fat layer — considered for fuller faces. Lasts 4–6 months.
Shurink Universe
HIFU lifting with low discomfort. Lasts 2–4 months.
Retaining ligament lifting
Thread lifting
Slim cut injection (GPC · DCA)
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaPhiltrum
Dr.scene's note
Philtrum length governs the proportions of the lower face. What muscle can shorten and what it cannot differ, so aligning expectations first matters.
What is the concern?
Treatments to consider
Philtrum botox
Lip filler
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaLips
Dr.scene's note
With lips, shape decides the impression more than volume. Whether we add volume or change the direction of the mouth corners makes the approach completely different.
What is the concern?
Treatments to consider
Lip botox
Lip filler
Botox
Botulinum toxin that relaxes expression muscles. Lasts 3–4 months.
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaChin
Dr.scene's note
When the chin sits back, the whole profile reads blurred. Even a little projection changes the impression, so the point is finding an amount that is not excessive.
What is the concern?
Treatments to consider
Filler
Hyaluronic acid to restore volume and contour. Lasts 8–12 months.
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaDouble chin
Dr.scene's note
A double chin is created by fat, skin laxity, and muscle position together. Which one dominates decides whether we address the fat or tighten.
Treatments to consider
Ultherapy Prime
Non-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
ONDA
Microwave-based lifting that also addresses the fat layer — considered for fuller faces. Lasts 4–6 months.
Shurink Universe
HIFU lifting with low discomfort. Lasts 2–4 months.
Slim cut injection (GPC · DCA)
Thread lifting
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaJawline
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.
What is the concern?
Treatments to consider
Ultherapy Prime
Non-surgical lifting with focused ultrasound (MFU-V) on the deeper layers. Lasts 8–12 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
ONDA
Microwave-based lifting that also addresses the fat layer — considered for fuller faces. Lasts 4–6 months.
Shurink Universe
HIFU lifting with low discomfort. Lasts 2–4 months.
Retaining ligament lifting
Thread lifting
Slim cut injection (GPC · DCA)
Jaw botox
Parotid gland botox
Jawline skin botox
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaNeck
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.
What is the concern?
Treatments to consider
Neck line filler
Radiesse
CaHA-based volume booster suited to linear folds such as nasolabial lines. Lasts about 2 years.
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Turkey neck botox
What to choose is decided together in consultation. 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.
Interactive Body Map
Same as the face map. Choose an area to open its concerns and treatments.
Jump to an area
Shoulder line
What is the concern?
Treatments to consider
Trapezius botox
Shoulder filler
Clavicle filler
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaArm · Accessory breast
What is the concern?
Treatments to consider
ONDA Body
Microwave treatment addressing the body’s fat layer for contouring.
Slim cut injection (GPC · DCA)
Botox
Botulinum toxin that relaxes expression muscles. Lasts 3–4 months.
Prescription for weight management
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaHands
What is the concern?
Treatments to consider
Radiesse
CaHA-based volume booster suited to linear folds such as nasolabial lines. Lasts about 2 years.
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaAbdomen
Treatments to consider
ONDA Body
Microwave treatment addressing the body’s fat layer for contouring.
Slim cut injection (GPC · DCA)
Prescription for weight management
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaThighs
Treatments to consider
ONDA Body
Microwave treatment addressing the body’s fat layer for contouring.
Slim cut injection (GPC · DCA)
Botox
Botulinum toxin that relaxes expression muscles. Lasts 3–4 months.
Prescription for weight management
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaCalves
Treatments to consider
Botox
Botulinum toxin that relaxes expression muscles. Lasts 3–4 months.
Slim cut injection (GPC · DCA)
Prescription for weight management
What to choose is decided together in consultation. Results and side effects vary from person to person.
Ask about this areaWhen the concern is not tied to one area
Concerns like pigment, pores, redness, and hair removal are not tied to a single area — explore them here.
Melasma · age spots · freckles · moles
Pico toning
Long-pulse toning (Clarity II)
Genesis (Clarity II)
Scabbing laser (Excel V)
Mole removal (CO2)
Excel V
532/1064nm laser for redness, visible vessels, and darker surface pigment.
PicoPlus
Picosecond laser — used for pigment such as melasma, and for pores and scars (pico fractional).
Clarity II
Dual-wavelength laser used for toning, vascular treatment, and calming acne.
CO2 Laser (eCO2)
Removal of moles and milia, plus fractional treatment for pores and scars.
Enlarged pores · depressed scars
PicoPlus
Picosecond laser — used for pigment such as melasma, and for pores and scars (pico fractional).
CO2 Laser (eCO2)
Removal of moles and milia, plus fractional treatment for pores and scars.
Potenza
Microneedle radiofrequency — used for pores, acne scars, and melasma.
Subcision
Releases the fibrous bands beneath depressed scars to improve their appearance.
Juvelook Skin
PDLLA skin booster — collagen regeneration used for pores and scars.
Facial redness · dehydration · sensitivity
Excel V
532/1064nm laser for redness, visible vessels, and darker surface pigment.
Rejuran
Salmon-DNA (PN) regenerative booster — used for eye-area fine lines and skin barrier.
Belotero Revive
HA + glycerol hydration booster with relatively long-lasting moisture (4–6 months).
Skin Botox
Shallow dermal botulinum injections — used for pores, fine lines, and jawline tightening.
Skincare
Aqua peel, LED, and LDM programs for overall skin conditioning.
Skin texture · fine lines · loss of elasticity
Thermage FLX
Monopolar radiofrequency that stimulates dermal collagen — lifting and texture. Lasts 6–12 months.
XERF
Dual radiofrequency reaching deeper layers, with relatively low discomfort.
Re2o
A regenerative booster that replenishes the dermis with human-derived ECM components.
Juvelook Skin
PDLLA skin booster — collagen regeneration used for pores and scars.
Skin Botox
Shallow dermal botulinum injections — used for pores, fine lines, and jawline tightening.
Face and body laser hair removal
Laser hair removal (Clarity II)
Condition · fatigue · nutrient support
Vitamin D
Discussed where sunlight exposure is limited and for bone health. At three-month intervals.
Arginine
An amino acid.
Laennec (placenta)
Placental extract.
Glutathione
An antioxidant.
Vitamin C
A vitamin used in collagen synthesis.
Alpha-lipoic acid
An antioxidant, also called thioctic acid.
Fursultiamine
A vitamin B1 derivative. It has a distinctive smell.
Thymosin α1
A peptide.
Glycyrrhizin
Derived from licorice root.
NAD+
A coenzyme.
Sweating · bruxism
Botox for sweating
Botox for teeth grinding
What to choose is decided together in consultation. 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.