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Lift-up effect, sustainability and downtime of Dubro, a hyphen machine



Lift-up effect, sustainability and downtime of Dubro, a hyphen machine

Dubro is a medical hyphen (HIFU) machine that improves the sagging of the face line . It is a treatment method that contracts the fascia by heat by irradiating the fascia (SMAS layer) that covers the facial muscles with ultrasonic waves without performing face lift surgery using a scalpel, and pulls up the slack.

Dubro not only tightens the SMAS layer, which is the fascia that covers the facial muscles, to improve sagging, but also promotes the production of collagen and elastin , aiming for firm and elastic skin quality .

The Dubro developed in South Korea is said to have the feature of less pain during irradiation compared to many hyphen machines.

In order to receive the sagging treatment with Dubro with confidence, it is important to understand not only the effect and duration, but also the downtime and risks, and the difference from other sagging treatments.

Dubro is a sagging treatment machine using Hythe (High Intensity Focused Ultrasound)

Doublo is a sagging treatment machine developed by HIRONIC of South Korea that uses the energy of HIFU, which is called high-intensity focused ultrasound.

By irradiating the treated area with ultrasonic energy, the slack is increased and at the same time, the elasticity of the skin, which has decreased due to aging, is improved .

HYF is a technology that irradiates ultrasonic waves in a pinpoint manner.

HIFU is an abbreviation for High Intensity Focused Ultrasound, which is a technology that concentrates and irradiates powerful ultrasonic energy at one point .

For example, it is similar to the phenomenon that the object is cauterized by collecting sunlight at one point with a magnifying glass and applying strong light energy, but the heat energy of Hyf is deep in the skin without burning the skin surface. It acts on the SMAS layer that covers the muscles.

If you compare it to cooking, it is said that when you apply heat to meat (protein), it shrinks, and when you irradiate hyphen, the SMAS layer undergoes thermal protein denaturation by heat energy and tightens from the back of the skin, leading to improvement of sagging. ..

What is HYF

In the medical field, HYF is used for the treatment of benign prostatic hyperplasia, breast cancer and uterine fibroids, and is said to be a highly safe treatment method. Cosmetology medical hyphen machines such as Dubro have applied this mechanism.

Two beauty effects by HYF

Tightening due to heat shrinkage of SMAS layer

The skin consists of two layers, the epidermis layer and the dermis layer, from the outside, and below that are the subcutaneous tissue (mainly the fat layer), the SMAS layer (fascia), the muscles (facial muscles), and the bones.

The SMAS layer, which receives the ultrasonic energy of HYF, is a thin film located about 4.5 mm subcutaneously, which covers the facial muscles and connects the skin and muscles.

As the SMAS layer loosens and hangs down with age, it can no longer support the skin and begins to show age-sensitive aging signs such as wrinkles and sagging.

Until now, a surgical operation called face lift has been performed to raise the SMAS layer. Surgery to remove the skin, pull up the SMAS layer and ligaments, and remove excess skin after making an incision in the forehead and anterior ears can be expected to have a significant effect on improving sagging, but requires long-term downtime.

The treatment with Dubro aims at a lift-up effect by irradiating hyphen from above the skin to contract and improve the looseness of the SMAS layer without making an incision with a scalpel .

Long-term improvement of skin quality by stimulating the dermis layer

The firmness and elasticity of the skin is maintained by collagen, elastin, and hyaluronic acid in the dermis layer. However, as they age, their production decreases, and when the firmness and elasticity of the skin decreases, sagging progresses.

When the ultrasonic energy of HYF reaches the dermis layer, it turns into heat and stimulates and activates fibroblasts that produce collagen and elastin .

The activation of fibroblasts promotes the production of collagen and elastin, which has the effect of improving skin quality such as improving skin elasticity, firmness, and water retention .

Although there are individual differences in this skin quality improvement effect, it is generally said that it appears about 1 to 2 months after the treatment and lasts for about half a year.

Hyf machine dubro that has evolved through repeated improvements

The feature of Dubro is that it has a multi-layered structure called a transducer that converts an electric signal into ultrasonic waves. As a result, the area of the irradiation point is larger than that of other hyphen machines, and ultrasonic energy can be delivered uniformly.

Since the power of Dubro can be set in detail, it is possible to perform the treatment according to each person's skin type, how they feel pain, and the symptoms of sagging .

3 types of Dubro series

Since its release in 2011, Dubro has made various improvements such as making it possible to irradiate the body and increasing the irradiation speed.

From the Dubro S, which was born in 2013, it has become possible to approach four types of irradiation depths: 1.5 mm, 3 mm, 4.5 mm, and 13 mm.

Released in 2017, the Dubro Gold has improved handpiece performance and the irradiation speed is about twice as fast as the previous model Dubro S. By doubling the irradiation speed, the time required for the procedure is reduced by about half, and the pain during irradiation is also reduced .

The following are the release year, irradiation depth, and irradiation speed of the Dubro series.

Machine name Release year Irradiation depth Adaptation to the body Irradiation speed
Dubro 2011 3.0mm, 4.5mm Impossible 300 shots in about 17 minutes
Dubro S 2013 1.5mm, 3.0mm, 4.5mm, 13mm Yes 300 shots in about 17 minutes
Dubro Gold 2017 1.5mm, 3.0mm, 4.5mm, 13mm Yes 300 shots in about 8 minutes

Dubro irradiation depth and action

By switching to cartridges with different irradiation depths, Dubro can respond to various symptoms and sites .

There are individual differences in how pain is felt, but it is generally said that the deeper the irradiation depth, the easier it is to feel a tingling sensation, and the shallower the pain, the more hot it feels.

The irradiation depth and action of each are as follows.

Irradiation depth Target site Action Compatible models
1.5mm Face / neck Apply ultrasonic energy to the epidermis layer to tighten pores Dubro S, Dubro Gold
3.0mm Face / neck Promotes the production of collagen, elastin, and hyaluronic acid in the dermis layer Dubro, Dubro S, Dubro Gold
4.5mm Face / neck Tightens the SMAS fascia under the skin Dubro, Dubro S, Dubro Gold
13mm body Promotes the excretion of fat cells Dubro S, Dubro Gold

The main cause of sagging is changes (weakness) in the dermis layer, subcutaneous tissue, and muscles.

It is said that the cause of sagging is all from the skin to the muscle layer. Sagging of the face is manifested not only by the decrease in elasticity and elasticity due to the decrease in collagen and elastin in the dermis layer, but also by the decrease in the subcutaneous tissue and SMAS layer underneath.

By switching to cartridges with different irradiation depths, Dubro can deliver appropriate thermal energy to layers with different depths .

Changes in the dermis layer
  • Due to aging and external stimuli such as ultraviolet rays, collagen and elastin in the dermis layer decrease, the elasticity and elasticity are lost, and the skin sags.
Changes in the subcutaneous tissue (mainly the fat layer)
  • With aging, fat hangs down due to the influence of gravity, and the SMAS layer weakens and cannot support fat, resulting in sagging.
Muscle changes
  • With aging, the muscles (facial muscles) on the face weaken and cannot support the fat layer, causing sagging.

A lift-up effect can be expected by stimulating the dermis layer to promote the production of collagen and elastin and regaining the firmness of the skin, but by stimulating the SMAS layer below the dermis layer to heat shrink the protein. When prompted, the SMAS layer is said to have the effect of tightening and pulling up from under the skin.

In addition to HYF, the energy of cosmetological machines that can stimulate the dermis layer includes IPL (light), laser, and high frequency, but only HYF can stimulate the SMAS layer under the dermis layer except for face lift surgery . ..

Depth that can be irradiated with hyphen

Dubro also tightens the body line and improves cellulite

Dubro S and Dubro Gold can be applied not only to the face but also to the body .

By using a cartridge for the body (depth 13 mm), HYF's high-density ultrasonic waves promote fat burning without damaging the skin, so it exerts a tightening effect on the body line and leads to a slim body. ..

It can also be expected to improve partial thinning of the upper arm, abdomen, thighs, etc. and cellulite .

Dubro is a medical device not approved by the Ministry of Health, Labor and Welfare

Dubro is an unapproved medical device in Japan. Therefore, when considering the treatment, please be sure to receive sufficient explanation about the risks and side effects at the medical institution before receiving the treatment.

Dubro is an unapproved device from the Ministry of Health, Labor and Welfare.
Medical device acquisition route: The acquisition route is individual import from the manufacturer by the doctor of each medical institution.
Drugs to be aware of when importing personally (Ministry of Health, Labor and Welfare page)
Approval in Japan: No medical device has the same performance as Dubro and has been approved in Japan.
Information on safety in other countries: Dubro obtained the CE mark certifying safety and quality in Europe in 2012, and ANVISA (Brazilian National Health Supervision Agency) and TFDA (Taiwan Food and Drug Administration) in 2014. It is said that you have obtained the certification of. [* 1] In addition, it is said that the approval of MFDS (Ministry of Food and Drug Safety of Korea) was obtained in 2011.

The main risks and side effects include numbness, nerve paralysis, burns (blisters and scabs) caused by ultrasonic heat stimulation, and pigmentation.

In addition, Dubro Gold released in 2017 is said to have obtained the CE mark in 2017. [* 1]

[* 1] The History of Hironic (HIRONIC)

Those who are suitable for Dubro treatment

  • Those who want to improve the slack of the face line
  • Those who want to improve the slack in the eyes and mouth, double chin, nasolabial fold, and Golgo line naturally
  • Those who are resistant to face lift surgery using a scalpel
  • Those who want to receive sagging treatment with short downtime
  • Those who are worried about sagging pores
  • Those who feel firmness or lack of elasticity of the skin
  • Those who want to lose weight on their upper arms, abdomen, thighs, etc.
  • Those who want to improve cellulite

Differences between Dubro and other sagging machines

Ursera, said to be the original hyf machine

Ursera is a hyphen machine developed by Ursera (currently Meltz) in the United States in 2004, seven years before the release of Dubro, and is known as the originator of the sagging treatment machine using ultrasonic waves. In 2009, it was the first medical device in the world to be approved by the FDA (US agency corresponding to the Ministry of Health, Labor and Welfare of Japan ) for lift-up purposes .

Dubro has a larger area of irradiation points than Ursera, while Ursera has a smaller area of points and ultrasonic energy is concentrated, so it is said that Dubro has less pain during the procedure.

In addition, Ursera targets the area from the face to the neck, and the treatment is not applied to the part of the body below the neck.

Smassera with radio waves and vacuum

SMASTHERA is a hyphen machine developed by Z-TON GLOBAL of South Korea. The big difference from Dubro is that it has not only hyphen but also radio wave (high frequency) and vacuum (suction) functions .

Radio waves activate fibroblasts by applying heat stimulation to the dermis layer and promote the production of collagen and elastin in the dermis layer, which can be expected to have the effect of improving the firmness and water retention of the skin.

In addition, vacuum can be expected to improve lymphatic flow and promote the discharge of waste products.

Sono Queen that can irradiate small parts

The sonoQueen is a hyphen machine developed by Newpong of South Korea. The big difference from Dubro is that it is equipped with a mini cartridge that can approach the dermis layer of 2.0 mm under the skin, which is said to be closely related to facial wrinkles such as wrinkles at the corners of the eyes, and can irradiate even small areas .

By using a mini cartridge, there is an advantage that it can irradiate under the eyebrows and creases of the eyes, which was considered difficult with conventional hyphen machines.

Ultraformer 3 that acts on fine wrinkles and skin elasticity

Ultraformer 3 is a hyphen machine by CLASSYS of Korea. Also called shrink in Korea, you can set three irradiation depths (4.5mm, 3.0mm, 1.5mm). It is said that it not only lifts up the entire face, but also improves fine wrinkles and lack of elasticity of the skin .

You can also aim for partial slimming such as upper arms, thighs, and abdomen.

Thermacool that tightens the skin with high frequency

While Dubro irradiates ultrasonic waves, Thermacool is said to tighten the skin by irradiating high frequencies to heat-shrink the dermis layer.

However, since the stimulation does not reach the SMAS layer at high frequencies, Thermacool is said to be suitable for improving initial sagging such as tightening sagging pores and preventing sagging .

Side effects and risks of Dubro

Risk of side effects such as burns and nerve palsy

It is said that there are almost no risks or side effects because Dubro has a mechanism that does not exert a heat effect on the skin surface, but in rare cases, burns (blisters and scabs) and pigmentation due to ultrasonic heat stimulation occur. It may be. Please note that if you move during the procedure, you are more likely to get burned .

In addition, if a practitioner without knowledge of anatomy accidentally irradiates the nerve called the trigeminal nerve, which controls perception and movement , symptoms such as numbness and nerve paralysis may occur.

If you feel any abnormality on your skin, please contact a medical institution immediately. In order to receive a safe and effective treatment, it is important to have a doctor who is familiar with the structure of facial nerves and muscles at a medical institution.

Those who cannot receive treatment with Dubro / Parts that cannot receive treatment

  • Those who are pregnant, may become pregnant, or breastfeeding
  • Those with heart disease / Pacemaker users
  • Those who have skin diseases or scratches on the treatment site
  • Those with hernia or trauma at the treatment site
  • Those with serious liver / kidney disease
  • Those with venous inflammation, blood clots, or blood vessel diseases
  • Body parts with less than 2 cm of fat (neck, elbows, ankles, calves, chest, etc.)
  • Areas with large moles, warts, open wounds or skin disorders may be avoided from treatment

In addition, if there is a foreign substance in the treatment site (precious metal, silicon, collagen, hyaluronic acid, etc.), please consult a medical institution.

In addition, those who have undergone injection treatments such as hyaluronic acid injection and botulinum injection, and other treatments need to wait for a certain period of time. The required period depends on the type of treatment you have received, so please consult your doctor at a medical institution.

Risk of undergoing hyphen-like treatment at an esthetic salon

There are times when slimming and lift-up treatments called hyphens are performed at beauty salons, but the output is different between hyphens at medical institutions and hyphens at beauty salons.

Since beauty salons are non-medical institutions, output irradiation that acts and is effective on cells is not permitted by the Pharmaceutical Machinery Law, so it can be said that the effect is inferior to the treatment received at medical institutions.

According to a report released by the National Consumer Affairs Center of Japan under the jurisdiction of the Consumer Affairs Agency, some of the nerves in the face were damaged by hyphenation treatments other than medical institutions, and scars were left on the face due to burns. There are also cases . [* 1]

It is safe to receive hyphen treatment at a medical institution under the diagnosis of a well-proven doctor .

[* 1] Trouble occurs during treatment with HIFU equipment at beauty salons, etc.! (National Consumer Affairs Center of Japan homepage)

Pain and downtime during Dubro procedure

Dubro pain depends on site and output

Dubro is generally said to be pain that can be tolerated without anesthesia . However, depending on the part, you may feel dull pain or a feeling of heat in the back of the skin.

Especially near the bones such as the chin and areas with low fat, you may feel pain that resonates with the bones. It is also said that if you have silver teeth, you may feel pain that resonates with the silver teeth.

It is said that the higher the output, the stronger the pain, and some medical institutions offer anesthetic creams . If you are vulnerable to pain, please consult a medical institution before the procedure.

Redness and downtime after treatment

Dubro has almost no downtime and is said to be able to make up and go home immediately after the procedure.

Immediately after the procedure, redness, slight swelling, burning, and tingling may occur, but in most cases it is said to subside within 1 to 3 days .

In addition, pain such as muscle pain and discomfort may occur, but it is usually said that it gradually subsides in about 1 to 3 weeks .

A guideline for the sustainability of the effect of Dubro and the frequency of treatment

Lift-up effect lasts for about 3 to 6 months

There are individual differences in the lift-up effect of Dubro, but it is said that the effect begins to be felt immediately after the treatment and lasts for about 3 to 6 months .

In addition, with regard to the effects such as skin quality improvement that improves elasticity and elasticity by increasing collagen and elastin in the dermis layer, it is expected that the effect will continue for about 6 months after starting to realize the effect about 1 to 2 months after the treatment. I can do it.

Estimated treatment period is about once every six months

It is said that Dubro can maintain the lift-up effect by tightening the loosening of the SMAS layer and promoting the production of collagen and elastin in the dermis layer by undergoing regular treatment once every 3 to 6 months .

Dubro rates

Since the treatment of Dubro is a free medical treatment, the fee varies depending on the medical institution. The market price varies depending on the treatment site and the number of shots, but the guideline is as follows.

Irradiation site Estimated number of shots Price quote
All faces 300-500 shots 80,000-200,000 yen
Part of the face (neck, cheeks, forehead, eyes, etc.) 100-200 shots 50,000-100,000 yen

Some medical institutions offer discounts depending on the number of simultaneous treatments and the number of treatments for multiple sites.

Dubro's procedure and precautions after the procedure

Dubro's procedure

1) Counseling / Medical examination

Before the treatment, there is a doctor's diagnosis and counseling of the skin condition. If you have any concerns about the treatment, please check it carefully at the counseling stage.

2) Face wash

Remove makeup and wash your face to clean the treatment area.

3) Anesthesia (only when pain is anxious)

Dubro can be taken without anesthesia, but most medical institutions offer anesthesia, so if you are worried about pain, please consult in advance. If you use a surface anesthetic cream, wait about 30 minutes after applying it.

4) Apply gel

Apply gel to protect the surface of the skin and facilitate the transfer of ultrasonic energy.

5) Irradiation

Irradiate while adjusting the settings according to the symptom and site. No eye protection is required due to ultrasound.

6) Go home

Since there is almost no damage to the skin surface, makeup can be applied immediately after the procedure.

Precautions after Dubro treatment

You may feel hot after the treatment, but it may be difficult to get a firm feeling, so please do not cool it after the treatment as much as possible .

Because it is a treatment that gives a heat stimulus to the back of the skin, redness and burning may become stronger when the body temperature rises, such as bathing and strenuous exercise .

In addition, after the treatment, the skin becomes temporarily dry, so please take care of moisturizing and UV rays more carefully than usual. Photoaging caused by UV rays causes sagging, so please take measures against UV rays on a daily basis .

  • Makeup is possible from the day of the event, but it is recommended to wait until the redness and pain have subsided.
  • You can shower, wash your face, and wash your hair from the day of the event, but do not rub the treated area strongly.
  • You can take a bath from the next day.
  • Be careful of UV rays and strong stimuli as your skin is sensitive.
  • Moisturize well as it may become dry for about a week after the treatment.
  • Avoid hot drinks, saunas, long baths, and strenuous exercise.
  • Avoid massage and pressure while feeling uncomfortable, such as muscle aches.

To receive safe and effective treatment

Dubro gives the SMAS layer the thermal energy of ultrasonic waves, which can damage nerves when performed by a doctor who lacks anatomical knowledge and experience. It is important to carefully select a medical institution with a large number of cases in order to receive safe and effective treatment.

Dubro has a certified doctor system, and only doctors who have completed the curriculum to acquire the knowledge and skills necessary for Dubro's treatment are qualified as certified doctors . If you want to receive the treatment with more peace of mind , it is safe to choose a medical institution where a Dubro certified doctor is enrolled .