volnema
"Does Volnuma really work for sagging?"
"I've started noticing sagging under my eyes and on my cheeks, and my nasolabial folds..."
"I want a natural lift without surgery, minimizing pain and downtime..."
Do you have any of these questions or concerns?
At Smart Skin Clinic, a cosmetic dermatology practice, we consider and provide the best treatment options for such concerns.
Our clinic has introduced Voluma, a painless treatment for sagging skin that is gaining attention.
We provide clear, expert explanations of Bolnuma's effects, how it works, how it differs from other devices, and the actual treatment process. If you have any questions, please feel free to consult with us.
※If you have specific topics you'd like to learn about, you can jump directly to them by selecting the relevant section from the table of contents below.
Chief Director of Smart Skin Clinic Group
stone Kouta
career
Graduated from Juntendo University School of Medicine
Tokyo Women's Medical University Hospital and related facilities
Worked at a major beauty clinic in Tokyo
Affiliation / Qualifications
Japan Surgical Society Specialist
Japanese Society of Anti-Aging Medicine
What is Borneuma?
Volnuma is a product developed by the South Korean company CLASSYS.RF (radiofrequency) skin tightening treatment with minimal pain and downtimeEquipment.
Generates heat in deep tissue using 6.78 MHz high-frequency energy without damaging the epidermis.It promotes collagen production in the dermis, tightens the fat layer, restores skin firmness, and is expected to improve sagging.
A paper published in 2024 demonstrated that monopolar radiofrequency therapy (Voluneuma) stimulates collagen production to tighten the skin, achieving improvement effects primarily for sagging in the mid-face and lower face.
(Translation) Fifty female patients aged 30 to 70 underwent RF treatment, with 34 patients responding to a questionnaire three months post-treatment.82% expressed satisfaction, reporting significant improvement primarily in the midface, lower face, and eyelids. Specific improvements noted were in sagging (52.9%), texture (17.6%), and skin tone (11.7%). 73.5% recognized changes within 1 to 2 months post-treatment, with peak effects observed at 1 to 2 months.
Treatment Cases (Before/After)
The treatment on the left side of the screen was performed. The entire area was lifted, resulting in a noticeable reduction in the nasolabial folds.
Technical Features of Borneuma
Monopolar RF
There are various types of high-frequency therapy devices,Volnuma is monopolar RFapplies.Its energy reaches a wide area, making it ideal for mild to moderate sagging.
The higher the frequency (vibration frequency of electromagnetic waves), the greater the frictional heat generated in cells, and the easier it is to transmit heat to deeper tissues.
| RF type | Monopolar RF | Bipolar RF | Multipolar RF | Microneedle RF |
| Frequency | 6.78 MHz | 1 MHz | 1 MHz | 2 MHz |
| Advantages | Heat penetrates deeply over a wide area. | Treatment depth can be specified | Energy converges at the center | Treatment depth can be specified |
| Demerit | Treatment depth cannot be specified | Treatment depth is shallow | Treatment depth cannot be specified | Downtime due to injury occurs |
| Effect | Tightening Promotes skin regenerationが期待できる | 輪郭補正が期待できる | 輪郭補正が期待できる | 肌の再生促進が期待できる |
This method involves passing high-frequency currents between the electrode applied to the treatment area and the electrode attached to the body (counter electrode), forming a closed circuit within the body to heat the target area.
Using different tips to handle various body parts
By utilizing four specialized tips with different heating depths and irradiation areas,From the entire face to detailed areas like the eyes and nose, we can address various treatment areas and conditions.It is.
| ITip | 0.25 cm² | Eyes, nose, marionette lines, and other fine details |
| FTip | 3.0 cm² | Exclusively for jawline and facial contouring |
| VTip | 4.0 cm² | Full-face lift |
| STip | 16.0 cm² | Body parts such as the abdomen, arms, and thighs |
Water-cooled cooling system for pain control
BornewmaThe continuous cooling system using vibration and water flow minimizes discomfort.It has been carefully designed.
During treatment, deep heating is performed while simultaneously circulating cooling water to continuously cool the interior.The tip of the device is always maintained at 12–16°C.Conventional methods that blow cooling gas onto the skin to instantly chill the surfaceCompared to "gas-based" methods, it causes less pain.is a feature of this product.
Additionally, by not cooling it excessively, heat energy can be reliably stored, ensuring the effect is not hindered.Maximize treatment effectivenessThere are also such benefits.
Safety Design (Hidden Edge Technology)
By positioning the electrode edge within the tip structure and avoiding contact with the skin, energy concentration at the tip is prevented. Furthermore, irradiation automatically stops if any part of the tip surface becomes detached from the skin.
The Effects of Bolnuma
With Borneuma, the following effects can be expected:
【Main Effects】
- Facelift and Sagging Improvement
- Skin tightening effect
- Improvement of Nasolabial Folds and Marionette Lines
- facelift
- Skin texture improvement and pore tightening effects
- Collagen Production Promotion
【Indications】 - Cheeks, face line, eye area, nose, brow area, under the chin, neck, décolletage
Causes of Sagging and the Mechanism of Volnuma
Causes of Sagging
【【【What is Sagging?】
It occurs due to structural changes throughout the skin.
Bones become thinner, facial muscles weaken, fat increases, skin loses firmness and elasticity, and the skin and fat can no longer be adequately supported, causing the entire face to sag.
The result is sagging in the jawline and cheeks, along with dark circles, nasolabial folds, marionette lines, and visible pores.
So why does skin sag?
【Main Causes of Sagging】 UV rays / Aging / Poor diet / Poor metabolism / Hormonal imbalance / Stress, etc.
Ultraviolet rays cause collagen and elastin deep within the skin to degrade, leading to sagging.
Additionally, as we age, metabolism and muscle strength throughout the body, including the skin, decline. Estrogen (a female hormone) that enhances skin firmness and elasticity begins to decrease rapidly starting in our 40s.
Furthermore, when you feel stressed, the hormone cortisol is secreted excessively, leading to a decrease in collagen levels.
Volnuma improves sagging with 6.78 MHz radiofrequency energy.
ボルニューマの6.78MHz高周波による加熱は、緩んだ線維構造に熱収縮を起こしひきしめ効果が期待できます。また、適度な熱ダメージが加わると、人体に備わっている傷を元に戻そうとする力（創傷治癒機構）が働き、新しくコラーゲンやエラスチンが生成され、より強固な線維構造の形成が期待できます.
The 6.78 MHz high-frequency wave most efficiently generates heat at a depth of 2 to 4 mm below the skin surface.
This depth corresponds to tissues responsible for sagging, such as the boundary between the dermis—where supporting ligaments that anchor skin to bone and muscle, as well as collagen providing firmness and elasticity, are located—and the subcutaneous tissue.
期待できる効果のあらわれかたと持続期間
| period | What is happening |
| Day of treatment | Heat shrinkage |
| 2 weeks to 1 month after surgery | コラーゲンの生成が活発化が期待できる |
| 1 to 3 months after surgery | コラーゲンの生成のピークが期待できる |
| 3 to 6 months after surgery | The rate of collagen breakdown exceeds that of collagen production, causing the effects to fade out. |
期待できる効果のあらわれかたは2段階
- 施術直後：肌のハリ感や軽度の引き締めが期待できる
- 2週間〜1ヶ月後：リフト効果が期待できる
Immediately after the Volnuma treatment, temporary tissue contraction due to heat causesMild tightening effectYou may experience a sense of relief. However, this is a temporary effect and differs from the true therapeutic effect.
メインとなる治療効果が期待できるのは、施術後2週間から1ヶ月頃です。これは熱ダメージを受けた組織の創傷治癒機構が働き、Production of new collagen and elastincoincides with the timing when it becomes active.
期待できる効果のピークと持続期間
- Peak effect: 1 to 3 months
- Duration of Effect: 3 to 6 months
The peak effect is around 1 to 3 months after the procedure.This period is when the tightening effects are most noticeable, with many people experiencing significant changes in their facial contours and a noticeable improvement in skin firmness.
After that, the effects gradually become milder, butおおよそ3〜6ヶ月間は効果の持続が期待できるとされています。ただし、効果のあらわれ方や持続期間にはIndividual differences based on age, skin type, collagen regeneration capacity, etc.There are
Tips for Making Bolnuma Last Longer
To maintain the effectiveness of Volnuma, regular maintenance and proper aftercare are key.
Recommended Maintenance Frequency
- Recommended treatment frequency: Once every 3 to 6 months
The effects of Volnuma are not permanent. Maintenance is essential to sustain the results. Regular treatments can prevent the deterioration of fibrous tissue caused by aging.
Bolnuma: Downtime, Risks, and Side Effects
Down time
Volnuma has virtually no downtime.However, because high-frequency energy delivers heat deep into the skin, the following reactions occur:
Downtime Symptoms
- Redness: Several hours to one day
- Mild swelling: 1 to 2 days
- Fever: Several hours
Mild redness or warmth may occur for a few hours immediately after treatment. This is a normal reaction and will improve over time.
Makeup and bathing are possible starting on the day of treatment. This minimizes the impact on your work and daily life.
Symptoms to watch for
In very rare cases, if you experience any of the following symptoms, please contact the clinic immediately.
- Increased pain, swelling, and redness
- Burns and blister formation
- Nerve damage (such as decreased skin sensation, weakened muscle movement, etc.)
Aftercare｜Advice for daily life after treatment
First, we will list the "things you must not do," followed by a detailed explanation of the reasons.
【Things to Avoid Within 24 Hours】
- strenuous exercise
- sauna
- Bathing in hot temperatures
- excessive drinking
- Use of retinol and hydroquinone cream
[What to avoid in the next 24 hours]. - motion
- drinking alcohol (sake)
[What you may do in the next 24 hours. - Washing face｜Please do so gently so as not to cause friction.
- Skin care｜Please use non-irritating cosmetics and moisturize mainly.
- Make
[To be avoided within a week. - Massage around the treatment area
- Sauna and Hot Stone Bath
- Use of retinol and hydroquinone cream
- smoking
Next, I will briefly explain the reasons why it should not be done.
The area exposed to high-frequency waves attempts to restore the heat-contracted tissue by increasing collagen and elastin.
Common to "things you should not do within 24 hours" is "excessive blood flow or the application of heat." Applying excessive heat to an area that is already warm may slow down the healing process.
Additionally, smoking impairs blood flow, making it harder to deliver the oxygen and nutrients needed for recovery. Therefore, we recommend quitting smoking regardless of whether you are undergoing treatment.
Improve lifestyle habits to enhance treatment effectiveness and prevent new sagging.
By adopting the following skincare routines and lifestyle habits, you can promote skin regeneration and prevent new sagging.
【Actions to Take】
- Moisturizing Care
- Measures against ultraviolet rays
- Supplementation of antioxidant components
- Adequate sleep
To enhance wound healing, it is essential to maintain healthy skin. Moisturizing is the fundamental step. Furthermore, it is believed that 80% of skin aging is caused by ultraviolet rays. Be sure to reapply sunscreen regularly and make good use of sun umbrellas and sunglasses.
Ingredients with antioxidant properties, such as vitamins C and E and polyphenols, help improve sagging by suppressing the action of free radicals and protecting collagen and elastin. We recommend not only incorporating them into your skincare routine, but also consuming them through your diet.
No matter how much care you take with skincare and diet, your efforts won't pay off if you're sleep-deprived. Ensuring quality sleep makes it easier for growth hormone—essential for tissue repair—to be secreted.
Volnuma・HIFU・Thermage｜Comparison with Other Devices
Differences from HIFU
First, we've created a comparison chart highlighting the differences with HIFU, a leading device for sagging skin treatment.
Both are classified as treatments for sagging,The depth, temperature, and manner of heat transfer vary, resulting in differences in pain intensity and effectiveness..
| (data) item | volnema | HIFU |
| Energy | Monopolar RF | High-intensity focused ultrasound |
| Heat penetration depth | 2–4 mm | 1.5 to 4.5 mm |
| target | Dermis to mid-fat layer | Deep fat layer ~ SMAS layer |
| How Heat Transfers | extensively and evenly | pinpoint |
| Heating temperature | around 55°C | around 60°C |
| Pain Level | Mild | Moderate A sharp, stinging pain; the closer to the bone, the more sensitive to pain |
| Down time | almost never | almost never |
| Effect | 肌の内側からの引き締めが期待できる | From the fascia that forms the foundation of the skin たるみを引き上げる効果が期待できる |
| Effect Duration | 3-6 months | 6-12 months |
超音波は皮膚の土台となるSMAS層を中心に、ボルニューマよりもより深い層へピンポイントで60℃程度の熱損傷を起こします。真皮から脂肪上層まで広範囲に熱を入れるボルニューマとはアプローチする層が異なるため、併用も効果が期待できます。
If you have little facial fat or sagging, there is a risk of sunken cheeks. The areas around the eyes, mouth (philtrum), and nose cannot be treated due to this risk. Note that heating above 60°C is known to cause pain, and you may feel a prickling sensation during the procedure.
The Difference from Thermacool
サーマクールは、ボルニューマが参考にしたアメリカのThermage社製RFたるみ治療機器です。ボルニューマと同じ6.78MHzの単極高周波により、真皮から皮下組織の広範囲を加熱します。期待できる効果の持続期間が長い点がメリットです。
The system is equipped with a cooling system that discharges cooling gas at temperatures below -20°C during irradiation and immediately before and after. However, the cooling and the resulting temperature changes can cause pain.
Due to consumable costs, the fees are set on the higher side.
People for whom Volnuma is recommended / People for whom Volnuma is not recommended
Recommended for people like this
- For those concerned about early signs of sagging
- Individuals seeking lift-up treatments with minimal discomfort
- Those who want to minimize downtime
- For those seeking a natural finish
- Individuals considering periodic maintenance treatment
軽度から中等度のたるみに最も効果が期待できます。重度のたるみの場合は、他の治療法との併用をお勧めする場合があります。継続的な治療により、加齢による変化を予防・改善したい方におすすめです。
People who should not be recommended
- Individuals with severe sagging
- Those who strongly desire immediate results
- Those seeking dramatic change
In cases of significant excess skin or deep sagging, Voluma alone may not provide sufficient results.
It takes approximately 2 weeks to 1 month to notice the effects. This product is not suitable for those expecting immediate results.
This treatment aims for natural improvement and is not suitable for those seeking dramatic changes.
Precautions and Contraindications for Bolnuma
Contraindications
- Individuals with pacemakersHigh-frequency waves may interfere with medical devices, so the procedure cannot be performed.
- Metal ImplantIf metal sutures or plates are present at the treatment site, abnormal heat accumulation may occur.
- Pregnant or nursingTreatment during this period should be avoided as the effects on fetuses and infants are not clearly understood.
- Individuals with serious illnessesIf you have an immune system disorder, are undergoing treatment for malignant tumors, or have a serious heart condition, please consult us beforehand.
Pre-Treatment Precautions
- Avoiding sunburnPlease avoid sun exposure starting one month prior to your treatment.
- Health ManagementTreatment will be postponed if you are feeling unwell.
Smart Skin Clinic Fees
| Shot/Range | Price |
|---|---|
| 200Shot (cheek + face line) | 49,800 yen |
| 300Shot (full face + under the chin) | 59,800 yen |
| 400Shot (full face + under the chin) | 69,800 yen |
| 500Shot (full face + under the chin + neck) | 79,800 yen |
FAQ
- When can I start wearing makeup?
-
Available starting the same day.
- How many treatments are needed before I see results?
-
1回でも効果が期待できますが、効果を維持するには3〜6ヶ月ごとのメンテナンスを推奨します。
- Can I receive treatment even if I have sensitive skin?
-
It is generally possible. Please discuss this during your consultation.
- At what age can I receive it?
-
Some individuals begin preventive treatment in their late twenties to early thirties.
There is no specific upper limit, but we will make a comprehensive assessment based on your skin condition and overall health.
- I am hoping to become pregnant. Is treatment possible?
-
Treatment is available before pregnancy. Please refrain from treatment during pregnancy and breastfeeding.
- What happens if I experience severe pain during treatment?
-
If you experience significant pain during treatment, we will adjust the output accordingly. Enduring pain does not enhance the effectiveness of the treatment. To avoid the risk of burns, please let us know immediately if you feel discomfort.
- Can it be used in combination with HIFU?
-
HIFUとボルニューマは、最低1ヶ月以上の間隔をあけることをお勧めします。
- Origio X and Potenza Diamond Chip are also RF devices, but what's the difference?
-
Origio X also uses monopolar RF, primarily delivering heat to the dermis. Volnuma reaches down to the subcutaneous tissue.
ポテンツァダイヤモンドチップはモノポーラとバイポーラを同時に出力します。周波数が1～2MHzで熱が届く範囲が浅いため、たるみよりも小じわやハリへの効果が期待できます。
- Can it be used in combination with other cosmetic treatments?
-
Yes, it can be combined with many cosmetic treatments such as Botox injections and thread lifts. Please consult your physician regarding treatment intervals and sequence.
Flow of treatment
You can easily make reservations with your mobile phone.
This is a "smart" and easy receptionist service that can be completed immediately by the clinic's IT system by simply providing your name.
Please feel free to discuss any concerns you may have during the counseling session. Please be assured that there is no pushy sales.
After attaching the electrode pads, gel is applied to the treatment area, and irradiation is performed while communicating with you. The output is adjusted according to your skin condition and pain tolerance. During irradiation, you should feel a gentle warmth; there is almost no significant pain.
We will explain in detail about the care of the treated area and precautions for daily life. We also suggest appropriate home care from the viewpoint of prevention and maintenance, such as oral medicines and skin care cosmetics that can be expected to improve your problems.
summary
ボルニューマは、6.78MHz単極式高周波技術を用いたたるみ治療機器です。皮膚深部2〜4mmを中心とした線維組織に55℃前後の穏やかな加熱を行うことで、痛みを最小限に抑えながら自然なリフトアップ効果が期待できます。
If you are interested in Volnuma, please start with a free consultation. A physician will personally examine your skin condition and propose the optimal treatment plan.
治療の詳細、効果、リスク、費用について詳しくご説明し、ご納得いただいた上で治療を開始いたします。
More Information
| Treatment Time | Approximately 30 to 60 minutes for the entire face (excluding consultation) |
| Recommended number and frequency of treatments | Implementation is recommended at intervals of approximately 3 to 6 months. |
| Down time | almost none |
| Treatment on the day of counseling | Possible |
| Make | Possible immediately after the treatment |
| Skin care | Possible immediately after the treatment |
| Shower | Possible from the same day |
| Pain | Mild |
*There are individual differences.
Legal Notice (Caution Regarding Unapproved Medical Devices)
Volnuma is a medical device approved by the U.S. FDA and South Korea's MFDS, which are equivalent to Japan's Ministry of Health, Labour and Welfare. However, it is not approved under Japan's Pharmaceuticals and Medical Devices Act. Therefore, physicians import it personally and use it under their own responsibility.
国内の承認医薬品等の有無の明示：ボルニューマは国内での未承認医薬品にあたります。
そのため、日本国内で実施されている「医薬品副作用被害救済制度」の救済対象にはなりません。
本施術に使用する医薬品・医療機器は、日本国内において承認されたものではなく、諸外国における使用実績や安全性に関する情報をもとにご提供しております。具体的に、ボルニューマは、電極のエッジを先端構造内部に配置し、皮膚との接触を回避することで、先端部でのエネルギー集中を防ぎます。また、皮膚からチップ表面が一部でも離れると、照射が自動停止される安全性に配慮した設計です。
Reference・Quote
- CLASSYS Inc.
- Yousun Hwang, Smith Arayaskul, Vasanop Vachiramon, Kyu-Ho Yi. Subjective evaluation of monopolar radiofrequency treatment by patients in aesthetic rejuvenation. Skin Research and Technology: Official Journal of the International Society for Bioengineering and the Skin (ISBS), the International Society for Digital Imaging of Skin (ISDIS), and the International Society for Skin Imaging (ISSI). 2024
- National Consumer Affairs Center of Japan "Basic Knowledge of Cosmetic Medical Treatments" April 2024 Issue
About the physician supervision of this site
This site is operated under the supervision of a physician supervised by Smart Skin Clinic.
This page was revised and enacted in June 2018. Medical Advertising Guidelines We produce and provide information based on
- Scope of supervision: treatment description, risks and side effects, price labeling
- Last supervision date: June 26, 2025