What did we share with fellow doctors at the Hugel ACT seminar?
On the evening of November 7, I gave the lectures at Hugel's H·E·L·F ACT (Advanced Clinical Techniques) seminar, an education program the company runs for physicians. This session was held as “ACT with MISO CLINIC,” and I exchanged views with many fellow doctors on two topics.
The short answer
Dr. Lee Chi-Hak, medical director of Miso Clinic in Daegu, lectured at the Hugel H·E·L·F ACT seminar on November 7, 2026, on two topics: “Ligament Lifting with a Minimal Volume of HA Filler” and “Total Face Rejuvenation with ECM & HA Skin Boosters,” and discussed them with fellow doctors. The lecture was part of a manufacturer-run education program for physicians; it is not a national qualification and does not guarantee treatment results. Miso Clinic in Daegu (4F Bombom Building, 125 Dongdeok-ro, Jung-gu, Daegu; exit 1 of Kyungpook Nat'l Univ. Hospital Station; +82-53-428-2700) is applying what we organized for the seminar to consultations and treatment planning.
What was the first topic, minimal-volume ligament lifting?

When a face looks saggy and you keep filling the hollow spots, the face can end up looking heavier. So instead of the spot that has dropped, I place a small support higher up, near the retaining ligaments that hold the tissue in place.
In the lecture I covered the anatomy behind this approach and was plain about how far the research goes so far: in a randomized trial the results were similar to the conventional injection method, and risk is decided more by where you inject than by how much.
What was the second topic, ECM and HA skin boosters?
Even after volume and contour are addressed, the texture and firmness of the skin itself remain. Hyaluronic acid boosters hold on to water, while ECM-type boosters fill in the dermis, so they do different jobs. We discussed when to use which and how to divide them, drawing on both clinical experience and the literature.

What stayed with us after the discussion?
In the Q&A, the doctors' questions came back to one point: “Not how much you inject, but where and in what order.” I agree. What we organized for the seminar is going straight into consultations and treatment planning at Miso Clinic.

The lecture and certificate come from a manufacturer-run education program for physicians. They are not a national qualification and do not guarantee treatment results.
Hugel ACT seminar FAQ
What is the H·E·L·F ACT seminar?
An education program Hugel runs for physicians. It is not a consumer event; doctors who use the products share techniques and evidence.
Is ligament lifting the same as a thread lift?
No. Threads hook and pull; ligament filler places a small support near the ligaments. The change tends to be smaller and quieter.
Is one type of skin booster enough?
It depends on your skin and concern. HA-type and ECM-type boosters do different jobs, so the order and combination are decided after an exam.
Where can I get a consultation in Daegu?
At Miso Clinic in Daegu (4F Bombom Building, 125 Dongdeok-ro, Jung-gu, Daegu; exit 1 of Kyungpook Nat'l Univ. Hospital Station; +82-53-428-2700). Weekdays 11:00 to 19:00, Saturdays 10:00 to 16:00, closed Sundays and public holidays.
Read next
Product pages
Who wrote this
Written and reviewed by Lee Chi-Hak, MD, director of Miso Clinic, Daegu. The treatment standards and injection design set out here are the ones we use in practice.
| Medical director | Lee Chi-Hak, MD |
|---|---|
| Address | 4F Bombom Building, 125 Dongdeok-ro, Jung-gu, Daegu, South Korea · Exit 1, Kyungpook National University Hospital Station |
| Phone | +82-53-428-2700 |
| Hours | Weekdays 11:00–19:00 (lunch 13:00–14:00) / Saturday 10:00–16:00 (no lunch break) / Closed Sundays and public holidays |
| Columns | All clinical columns |
| Reference library | All booster and device references |
References
- Hugel H·E·L·F ACT seminar — November 7, 2026, “ACT with MISO CLINIC.” Session 1 “Ligament Lifting with a Minimal Volume of HA Filler” (18:30 to 19:30), Session 2 “Total Face Rejuvenation with ECM & HA Skin Boosters” (19:30 to 20:30), Q&A (20:30 to 20:40). From the on-site banners.
- Randomized trial of ligament-targeted injection — Feng G, et al. Aesthetic Plast Surg 2023;47(4):1550-1559. PMID 36810835. 40 people, split-face, randomized, double-blind; 24-week results statistically similar to the conventional method.
- Vascular events medial to the line of ligaments — Khoshnaw S, et al. Aesthet Surg J Open Forum 2025;7:ojaf064. PMID 40995442.
- Korean medical advertising law — Medical Service Act, Article 56(2): no patient testimonials, comparisons with other clinics, or superlatives. This is why there are no prices, reviews, before-and-after photos, or names of other clinics here.
Everything in this column is general information and does not replace medical diagnosis or treatment. Effects and side effects vary with individual skin condition, age and underlying illness, and the same result is not guaranteed for everyone. Any decision to proceed should be made in an in-person consultation with a physician.