Doublo: Long-Lasting Face Lift without Surgery

Skin and beauty treatment is all the rage in Asia and all over the world these days. Riding on the trend, Care to Bare Vanity Services is posting growth as it continuously brings the latest medical techniques and top-of-the-line equipment from Korea to make them within reach to Filipinos. It does not end there, since Care to Bare’s primary goal is client’s satisfaction, it consistently employs advanced aesthetic medical technology and expertise and personalized patient service and care – all with clinical results and all within competitive rates.

According to the book, Surgical Advances in Plastic Surgery: Clinics in Plastic Surgery by Marek Dobke, there is currently only one commercially available MFUS device approved by the FDA, the Ulthera system (by Ulthera Inc., Meso Arizona) alongside with another recently available in the Korean market, Doublo System (by Hironic Co LTD, Sungnam, South Korea) which integrate real time ultrasound imaging with focused ultrasound.

So here is more good news! Care to Bare joined partnership with Hironic Philippines, Inc. to bring the best proven, cutting-edge technology in the aesthetic industry.

To give you a brief background, Hironic Co LTD is a medical aesthetic equipment manufacturer in Korea that became one of the top companies to receive a grand prize at the KONEX (Korea New Exchange market/ stock market) in 2013. It has also received the highest honor of the 2014 Presidential Citation in Korea at the 15th Innovative Technology Show, a show aimed at awarding small- and mid-sized firms in recognition of their constant endeavors for technological innovation. Hironic is exporting equipment to some 50 different countries around the world, including the U.S. and Australia as well as those in Asia, Europe and South America. It has been able to build a substantial presence in the market by developing innovative products to catch up with the fast-changing trend in the skin and beauty care market and to meet the needs of consumers.

With this high safety profile along with very high patient satisfaction, Care to Bare’s partnership with Blue Solutions (Hironic Phils.) has major advantages.

Two of the much-talked-about, next-generation, top-notch machines being exported by Hironic – the DOUBLO and the MICOOL – are now, finally, available at Care to Bare!


doublo_caretobareThere are various medical devices aimed at helping tighten the skin and treat wrinkles as well as generating the effect of a facelift. Surgical operations as well as laser and high frequency therapies can be used for those purposes. But these methods have limitations in infiltrating deeply into the skin.

Among the many different evolving energy-based technologies currently being used in skin rejuvenation devices, ultrasound energy is considered the most safe and effective method in treating aging and sagging skin by many professionals. HIFU which was actually used for cancer treatment is considered to be one of the most effective modalities currently available.

Hironic’s flagship product, Doublo uses HIFU technology. HIFU stands for High Intensity Focused Ultrasound – this can deliver energy deep into the skin layers at 3.0 mm and 4.5 mm without irritating or damaging the skin’s surface. This is an effective innovative device and it has been awarded the certification of ‘World-Class Product’ because of this. Powered by state-of-the-art second generation HIFU technology, the Doublo has proven time and again to safely, efficaciously, and non-invasively achieve skin tightening and lifting results in the face and neck, while keeping side effects and downtime to a minimum.

Particularly compared to other skin rejuvenation devices and technologies like Ultherapy, Doublo can achieve good aesthetic outcomes while limiting unwanted side effects. Doublo delivers precise fractional HIFU energy to the epidermis, dermis, superficial adipose layer, Superficial Muscular Aponeurotic System (SMAS) and deep fascia, initiating a gradual skin tightening and lifting effect spanning several months via the continuing wound healing process. The thermal coagulation zones created by the ultrasonic energy delivered to the targeted area result in tissue contraction as well as collagen synthesis, ultimately tightening and lifting the skin and its deeper supporting structures.

To get a little bit more detailed, here are frequently asked questions (FAQs) regarding Doublo:

What is Doublo?
Doublo is a non-surgical treatment that uses HIFU (High Intensity Focused Ultrasound to actually lift and tone loose or sagging skin without any downtime by using the body’s own healing response.

What is so different about this procedure?
Doublo is the only non-invasive treatment that can specifically target the deep foundation below the skin (that is the SMAS layer), that is addressed in cosmetic surgery without cutting or any invasive procedure in the skin’s surface.

How does Doublo work?
Doublo deposits HIFU energy below the skin’s surface to stimulate the body’s creation of new collagen. As a result, skin will actually begin to lift and tone over time.

What areas can I treat?
Doublo can be used to lift the eyebrow, upper face, lower face, chin, neck or full face.

What does collagen do?
Collagen is a natural protein that gives skin its youthfulness by keeping it firmed, toned, and elastic. As we age, collagen loses its elasticity and its ability to stand up to the effects of gravity that pull the skin downward. Doublo jump starts a repair process that produces fresh, new collagen.

Is Doublo surgery?
No. Unlike a face lift, Doublo is a non-invasive procedure that addresses the skin and support layers below it, but doesn’t entail any surgical procedure like cuts or injections on the skin’s surface.

Can Doublo replace a face lift?
Doublo is an “uplift” not a “face lift.” While it is not a replacement for surgery, it is a worthwhile option for those not ready for a face lift or those looking to prolong the effects of cosmetic surgery.

How does Doublo procedure compared to Thermage?
Thermage uses what is known as bulk heating or monopolar RF to tighten sagging skin, smooth wrinkles and stimulate new collagen production. Doublo offers the similar benefits but uses focal heating or HIFU to concentrate deeper into the affected tissues.

How is Doublo different from lasers?
Lasers typically address issues in the superficial layers of the skin (e.g. fine lines, wrinkles, pigment changes). Doublo addresses the deep skin layer and the foundational layer addressed in cosmetic surgery that lift and lend support to the skin. Therefore, the laser and Doublo are quite complementary.

Is Doublo safe?
The procedure has been cleared by the FDA after demonstrating safety in clinical studies, and tens of thousands of treatments have been performed safely worldwide. In addition, ultrasound energy has a proven track record, with use in the field of medicine for more than 50 years.

Who is a good candidate for Doublo?
Some people want the dramatic results of surgery. Others want the more subtle, gradual results of a non-invasive treatment with no downtime. This is where Doublo succeeds, delivering improved skin appearance, and overall texture. When anti-aging products are not enough and surgery is too much, Doublo is an effective solution. It is not a filler nor a toxin, but safe Ultrasound!

A good candidate for Doublo is someone with skin that has “relaxed” to the point of looking, and often feeling, less firm. A lowered eyebrow line or sagging skin on the eyelids, for instance, is often the first sign of “maturing” skin. Typically, those in their thirties and older who have mild to moderate skin laxity are candidates.

While Doublo is not a replacement for a surgical face lift, there are many people who want some lifting but are not ready for surgery, either mentally, financially or logistically. There are also younger people who want to “stay ahead of the game” as well as those looking to prolong the effects of cosmetic surgery.

How long does the ultrasound treatment take?
Without any downtime, a full face treatment takes 45 minutes to 1 hour, and a partial face or brow lift treatment can take around 30 minutes.

What problem areas does Doublo target? What kind of results do you get?
Doublo addresses mild to moderate loose or sagging skin. Specifically, by reconditioning and renewing the skin from within, Doublo will lift the brow, which in turn reduces excess skin on the lids, opens up the eyes, and gives a more refreshed look overall.

How long until I see results?
Patients may enjoy some initial effect but the ultimate lifting and toning will take place over 2-3 months, as tired collagen is replaced with new, more elastic collagen. As this collagen-building process continues, further improvements can appear up to 6 months following a procedure.

How long do results last?
Patients treated with Doublo still have fresh young collagen after a year’s time following the procedure, but skin continues to age. Future touch-up treatments can help keep pace with the aging process, which varies by individual.

Will I need more than one treatment?
The majority of patients only need one treatment; however, some may benefit from more than one treatment (depending on how much laxity they have and their body’s own biological response to the ultrasound and collagen-building process).

Is there any downtime?
Doublo is an entirely non-invasive procedure and as such, there is no downtime. You are able to return right away to your normal activities or what we call as Activities of Daily Living (ADLs), and there are no special measures you need to take.

Will I feel the ultrasound during the treatment?
Yes. What you are feeling during the treatment is actually tiny amounts of HIFU energy being deposited below the skin’s surface.

What does it feel like?
Comfort thresholds vary from patient to patient, but there can be some discomfort while the ultrasound energy is being delivered. This is temporary and a positive signal that the collagen-building process has been initiated.

Your doctor will consult with you prior to your skin treatment to make your experience as pleasant as possible. Patients typically leave comfortable and excited about the benefits to come!

Are there any side effects?
There may be slight redness for up to an hour or so following the treatment, and a small percentage of patients may have slight swelling, tingling or tenderness to touch, but these are mild and temporary in nature. There is always the possibility for other less common post-procedural effects, which your doctor will review with you.

How much does it cost?
Prices can range anywhere between Php 20,000 – Php 60,000 per treatment.

What quality of treatment can I expect at Care to Bare?
Our experienced, board-licensed dermatologist, staff nurses, and high-tech facilities from Korea will provide you with unmatched clinical expertise.

What makes Doublo of Care to Bare better than other skin rejuvenation treatment of other clinics like radiofrequency (RF), laser, and Belo’s Ultherapy?

Reputable. Since the manufacturer of Doublo, Hironic, Co., Ltd is a company which received a grand prize at the KONEX (Korea stock market) in 2013, Doublo has a solid reputation in the rejuvenation field and will maintain this position for many years to come.

FDA Certified. Doublo firstly got certification from Korea Food & Drug Administration as Korean medical equipment, for ‘eyebrow lifting’.

Better Version. Doublo, as a second generation HIFU system, is of a higher version available in the aesthetic industry compared to other treatments. The technology that is being used for Doublo is significantly improved by comparison with the technology of the mid to late 1990s (“prototype” technology) and even over the technology first approved in the late 1990s (“first-generation” technology). Since Care to Bare is seriously committed to a better technology, it is now using Doublo with “second generation” HIFU technology.

Non-invasive. Doublo is performed non-surgically, meaning, without any incision.

No Downtime. An entirely non-invasive procedure, Doublo has no downtime. You are able to return right away to your normal activities or what we call as Activities of Daily Living (ADLs), and there are no special measures you need to take.

Safety. In stark contrast to other rejuvenation modalities such as radiofrequency (RF), laser devices, and Ultherapy that also stimulate the deep dermis, studies show that Doublo HIFU energy can help avoid damage to the epidermis, making it a uniquely safe treatment approach for skin rejuvenation.

Effectivity. Doublo is an effective equipment for fundamental ‘face lifting and tightening’ because it deeply delivers ultrasound energy into skin layer on 3.0mm, 4.5 mm. With only one session, patients can see a visible lifting effect.

Long-lasting. The lifting effect of Doublo lasts for 6 months up to 2 years.

Almost Painless. The pain from this procedure is relatively less than other laser procedures. You may experience discomfort during treatment. However, it is only temporary and treatable with simple pain management. Depending on skin areas and depth of treatment, you may experience redness or swelling, which disappears within 24 hours. Most can apply makeup after treatment. There is no downtime, no scars, and no risk of looking overdone.

Less Risks and Less Possibility of Side Effects. There may be slight redness for up to an hour or so following the treatment, and a small percentage of patients may have slight swelling, tingling or tenderness to touch, but these are mild and temporary in nature. There is always the possibility for other less common post-procedural effects, which will be explained by the doctor before the procedure.

Precision. Doublo, being a second generation HIFU device, has accurate focusing technology and broad dot size. As quoted from the clinical review by Doctor Choi, Wonwoo from Well’s Clinic in Korea (credits to “Reason for doublo having less possibilities of side effect than Ulthera is because of its precise and wider dot size. Ulthera dot is vertically larger and sharper which cause sharp pain when doublo isn’t.Despite this fact, doublo shows better effect because it causes larger thermal coagulative zone on the subQ layer and SMAS surrounding area.”

Specialized. HIFU technology is specialized for each area so clients can get outstanding lifting effect. By upgrading 10,000 shot cartridge, which became slim, it has enhanced dermatologist’s convenience. Furthermore, the cartridge specialized in eye rim is planned to release later, so Doublo will provide more convenient and safer performance. It can be applied to face lifting & tightening, double chin, glabella wrinkle, perioral wrinkle, nasolabial fold, frontal wrinkle, neck wrinkle, crow’s feet, etc.

More Economical and Quicker. The Doublo’s 10,000 shot cartridge has a larger tip – relative to other HIFU rejuvenation devices – this facilitates treatment and enables more economical and quicker procedures while minimizing the risk of complications such as burning and / or hyperpigmentation.

Functionality. Laser-based devices will only have an effect on the skin, whereas the Doublo delivers its energy deeper into the dermis and the SMAS layer, allowing the skin to tighten elementally, improving wrinkles and the visible signs of aging.

Two-in-One Purpose. This innovative HIFU device is not only useful for face-lifting, but can also address other aesthetic indications such as body shaping.

Reasonably-priced but Uncompromised Quality. Care to Bare sets Doublo to an all new high by pricing it at almost half-the-price compared to Belo’s Ultherapy. Despite the fact that Care to Bare provides affordable services to its clients, it doesn’t compromise the delivery of distinct quality care. The individual differences of clients are recognized so personalized plan of care based on client’s needs are always one of the top priorities.

Safer Alternative to Surgical Face Lift. Doublo is an option to patients who want a face lift but are not quite ready to go under the knife. Contrary to before, where only plastic surgeons are the ones who can perform face lift, dermatologists can now perform non-surgical face lift – Doublo. Both specialties have a great deal of experience with facial aging. Either a dermatologist or a plastic surgeon can discuss the benefits of Doublo versus surgical face/neck lift. The discussion of invasive vs non-invasive options to clients is significant before they make their decision on how the invest their time and resources to achieve their desired results. This is noteworthy especially that younger patients are now looking for more preventative options or non-invasive ways to mitigate the aging process.

Bottom Line
Doublo will tighten loose or wrinkled skin by using the body’s own healing response. Doublo will lift a sagging brow, for example, which in turn reduces the excess eyelid skin, giving the eyes a more reinvigorated appearance. Without any special preparation, results appear after one treatment. The ultimate lifting will take two to three months, as rejuvenated, stronger collagen replaces the old collagen in the skin.

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