X-CAR Lifting

X-CAR Lifting

Reviewer Details

Medically reviewed by Dr. Choi deokho, Representative Director & Plastic Surgeon, Good-Line Plastic Surgery Clinic.

Registered as the clinic's legal representative in the Korean National Tax Service registry, Full Member of the Korean Society of Plastic and Reconstructive Surgeons · Last reviewed 2026-08-18 · Good-Line Plastic Surgery Clinic, Gangnam-gu, Seoul.

X-CAR Lifting at Good-Line Plastic Surgery Clinic is a minimally invasive treatment that uses a needle-based system to deliver controlled carbon dioxide (CO₂) gas into the skin. The CO₂ delivery is intended to support tissue remodeling and collagen-related responses that can improve the appearance of depressed scars, certain wrinkles, and skin texture, while the gas pocket it creates is also used to make some aesthetic procedures feel smoother and less uncomfortable for the patient. It is positioned as a non-surgical, needle-based option for patients who want gradual skin improvement without the recovery demands of surgery.

What Is X-CAR Lifting?

X-CAR Lifting is a CO₂-based, needle-delivered aesthetic treatment designed to stimulate the skin's own collagen and tissue-remodeling response rather than to reposition tissue surgically.

• Uses a dedicated system and needle to deliver controlled CO₂ gas beneath the skin surface at the intended treatment site.

• Aims to improve the appearance of depressed scars, certain wrinkles, and skin texture and elasticity through tissue remodeling.

• Works progressively, through collagen-related changes, rather than producing an immediate surgical-style lift.

• May be used to create a CO₂ treatment space that can be combined with filler or Botox for a potentially enhanced result.

• Is not equivalent to a surgical facelift and does not guarantee a permanent lifting effect.

Who Performs X-CAR Lifting at Good-Line Plastic Surgery Clinic

Dr. Choi deokho
Representative Director and plastic surgeon

Dr. Choi deokho is the Representative Director and plastic surgeon at Good-Line Plastic Surgery Clinic, with approximately 25 years associated with the clinic since its founding in 2001, and his stated core specializations include facial plastic surgery and facial rejuvenation alongside rhinoplasty and facial contouring. He holds full membership in the Korean Society of Plastic and Reconstructive Surgeons, the Korean Society for Microsurgery, the Korean Cleft Palate-Craniofacial Association, the Japan Society of Aesthetic Plastic Surgery, the American Society of Aesthetic Plastic Surgery, and the International Society of Aesthetic Plastic Surgery. Before recommending X-CAR Lifting, Dr. Choi deokho assesses each patient's skin laxity, wrinkles, facial contour, skin condition, medical history, medications, and allergies to confirm the treatment is genuinely appropriate for the concern in question, rather than assuming a needle-based CO₂ treatment is the right fit simply because a patient requests it by name. Because X-CAR sits alongside a number of other approaches to depressed scars and mild skin laxity — including subcision, thread lifting, HIFU or RF-based lifting, and, for more advanced cases, surgical facelift — part of the consultation is dedicated to explaining where X-CAR fits relative to these alternatives: it works through gradual tissue remodeling rather than the mechanical release that subcision provides for tethered scars, and it does not deliver the structural repositioning of a thread lift or a surgical facelift. A patient whose primary goal is a strong, immediate lift is generally guided toward those stronger alternatives, while a patient more interested in a minimally invasive option that supports gradual collagen-related improvement, with or without an accompanying filler or Botox treatment, is a more typical fit for X-CAR.

Who Is a Good Candidate for X-CAR Lifting?

• Adults with mild skin laxity, early facial aging, or fine lines who prefer a nonsurgical, minimally invasive approach.

• Patients interested in improvement of depressed scars, certain wrinkles, or skin texture and elasticity through a gradual, collagen-based response rather than an immediate surgical result.

• Patients who understand that X-CAR is not equivalent to a surgical facelift and does not guarantee a permanent lifting outcome.

• Patients who may also be considering combining the CO₂ treatment space created by X-CAR with filler or Botox for a potentially enhanced result.

• Generally healthy individuals without active skin infection or significant inflammation at the treatment site.

• Patients with certain bleeding disorders, significant healing problems, or other conditions that may increase procedural risk should be evaluated individually before proceeding.

What to Expect: Procedure, Recovery, and Results Timeline

A general X-CAR-based procedure begins with consultation and assessment of the treatment area, followed by cleansing and disinfection, pain control or local anesthesia if required, controlled CO₂ delivery using the X-CAR system, a physician assessment of the treated area, and post-treatment instructions. Because the treatment involves needle-based gas injection, some discomfort can occur, and the specific topical or local anesthesia approach depends on the clinic and the treatment area, so this is confirmed individually with the physician rather than assumed in advance.

Stage	What typically happens
Day 0	Consultation and treatment-area assessment; cleansing and disinfection; pain control or local anesthesia if required; controlled CO₂ delivered via the X-CAR system; physician assessment of the treated area
Day 1-3	Temporary swelling, redness, bruising, or tenderness at the injection sites is possible as the earliest tissue response develops
Day 5-10	Any initial swelling or redness generally continues to settle; most patients are able to resume routine activity, following the physician's individual guidance
Week 4-8	Tissue remodeling and collagen-related changes continue to develop; improvement in the treated concern may become more apparent progressively rather than all at once
Month 12+	Because X-CAR works through gradual remodeling rather than a permanent surgical correction, longer-term maintenance planning — including whether additional sessions are advisable — is reviewed individually based on how the treated area has responded

Treatment time and the number of sessions required depend on the treatment area and the severity or type of the concern being addressed, and some X-CAR protocols may call for more than one treatment to achieve the intended result. Because the proposed effect works through tissue remodeling and collagen-related changes rather than delivering an immediate surgical-style lift, patients are counseled that visible improvement is expected to build progressively rather than appearing instantly after a single session. Before treatment, patients are generally asked to disclose medications, allergies, previous procedures, and relevant medical conditions, and the treatment area should be free of active infection or significant inflammation at the time of the appointment. Aftercare specifics are confirmed individually with the treating physician, since the appropriate instructions depend on the treatment area, the intensity of the session, and how the patient's skin responds afterward.

For international patients weighing how many days to allow in Seoul, X-CAR Lifting is a non-surgical lifting procedure, so an extended stay is generally not expected, though the exact schedule for consultation, treatment, and any recommended early follow-up should be confirmed directly with the clinic before travel is booked. Patients undergoing this type of minimally invasive, non-surgical lifting treatment can often travel home relatively soon afterward provided there is no significant swelling or other complication and the physician has approved travel, though this determination is always made individually rather than assumed from a general guideline. Because X-CAR is one of several approaches the clinic offers for skin laxity, texture, and scar concerns, patients researching the procedure from outside Korea are encouraged to raise their specific concern, prior treatment history, and any previous cosmetic procedures during the initial consultation so the physician can confirm whether X-CAR, a combination approach, or a different treatment altogether is the better fit before any travel or scheduling decisions are finalized.

Combining X-CAR Lifting with Other Treatments

• X-CAR's CO₂-created treatment space is specifically described as combinable with filler or Botox for a potentially enhanced result, when the physician judges this appropriate for the patient's concern.

• Because X-CAR addresses tissue remodeling and depressed scars or texture rather than deeper structural laxity, patients with more significant sagging may discuss it alongside stronger lifting options rather than as a stand-alone substitute for them.

• Patients whose main interest is a more established energy-based lifting option, rather than a needle-based CO₂ approach, may also wish to review the clinic's 3D Ulthera Lift page, since both are discussed during the same consultation process when a patient is deciding which non-surgical route best matches their concern.

• The appropriate combination and sequencing of X-CAR with any other treatment is determined individually by the treating physician rather than offered as a fixed package, since safety and timing depend on the specific concern and the other treatments involved.

Safety, Precision, and Clinic Standards

Good-Line Plastic Surgery Clinic is a Registered Medical Institution for Attracting Foreign Patients, certified by Korea's Ministry of Health and Welfare under the Medical Overseas Expansion and Foreign Patients Attraction Act. Dr. Choi deokho is a full member of the Korean Society of Plastic and Reconstructive Surgeons. Because X-CAR involves needle insertion and CO₂ injection, temporary pain or discomfort, swelling, redness, bruising, and tenderness are possible, and infection, prolonged inflammation, or unintended tissue effects are recognized procedural risks. Patients are screened for active skin infection or significant inflammation at the treatment site before proceeding, along with a review of bleeding disorders and other conditions that may increase procedural risk. Correct patient selection is treated as central to safety: X-CAR should not be presented as equivalent to a surgical facelift or as guaranteeing a permanent lifting result, and patients whose concern genuinely requires stronger structural correction are guided toward alternatives such as thread lifting or surgical facelift rather than toward a treatment positioned outside its intended scope. Because some X-CAR protocols call for multiple sessions, follow-up is treated as part of the overall treatment plan rather than a single isolated visit, allowing the physician to assess how the treated area is responding and adjust the plan accordingly (see Cosmoderma — Carboxytherapy in Esthetic Medicine: A Review).

The Bottom Line

• X-CAR Lifting delivers controlled CO₂ gas beneath the skin through a needle-based system to support collagen remodeling and improvement in depressed scars, certain wrinkles, and skin texture.

• It works progressively through tissue remodeling rather than producing an immediate surgical-style lift, and it is not a substitute for a surgical facelift in patients with more advanced laxity.

• The CO₂ treatment space X-CAR creates can potentially be combined with filler or Botox for an enhanced result, when appropriate for the patient.

• Reviewed and performed under Dr. Choi deokho, an experienced plastic surgeon with roughly 25 years at Good-Line Plastic Surgery Clinic.

• Correct candidate selection — distinguishing X-CAR from subcision, thread lifting, HIFU/RF lifting, or surgical facelift — matters as much to the outcome as the treatment itself.

Frequently Asked Questions

What is X-CAR Lifting? X-CAR Lifting is a minimally invasive treatment that uses a needle-based system to deliver controlled CO₂ gas into the skin, aiming to support tissue remodeling and collagen-related responses that may improve depressed scars, certain wrinkles, and skin texture.

Is X-CAR Lifting the same as a surgical facelift? No. X-CAR works through gradual tissue remodeling and collagen-related changes rather than the direct tissue repositioning a surgical facelift provides, and it should not be presented as equivalent to surgery or as guaranteeing a permanent lifting result.

Is X-CAR Lifting painful? Because it involves needle-based gas injection, some discomfort can occur. The specific topical or local anesthesia used depends on the clinic and treatment area and is confirmed individually during consultation.

How long does an X-CAR Lifting session take? Non-surgical lifting procedures of this kind commonly take approximately 30 to 90 minutes, depending on the treatment area and protocol, though the exact time and number of sessions required depend on the severity and type of the concern being addressed.

What can I expect during recovery? Recovery is generally limited, though temporary swelling, redness, bruising, or tenderness at the injection sites is possible in the first few days. The exact duration varies according to the treatment area and the intensity of the session.

When will I see results, and how long do they last? Because X-CAR's proposed effect works through tissue remodeling and collagen-related changes, improvement tends to develop progressively over weeks rather than appearing as an instant lift. Some X-CAR protocols may require multiple sessions, and long-term maintenance needs are reviewed individually based on how the treated area responds.

Can X-CAR Lifting be combined with other treatments? Yes — the CO₂-created treatment space is specifically described as combinable with filler or Botox for a potentially enhanced result, and X-CAR is discussed alongside other lifting options such as 3D Ulthera Lift during consultation so patients understand which approach, or combination, best matches their concern.

Who should avoid or postpone X-CAR Lifting? Patients with active skin infection or significant inflammation at the treatment site, or with certain bleeding disorders or healing problems that may increase procedural risk, should be evaluated individually and may need to postpone treatment until these issues are addressed.

Book a Consultation at Good-Line Plastic Surgery Clinic

To find out whether X-CAR Lifting, or a combination of X-CAR with filler, Botox, or another lifting treatment, best fits your skin concerns, contact Good-Line Plastic Surgery Clinic in Gangnam-gu, Seoul at +82 2 543 1830 or through the clinic's online contact form. A consultation with Dr. Choi deokho is the most reliable way to confirm whether X-CAR Lifting is appropriate for your specific concern and goals.

Disclaimer

This page is for general informational purposes and does not constitute individualized medical advice. Candidacy, technique, and expected outcomes can only be determined through a consultation with a qualified physician.

Sources & Further Reading

• Carboxytherapy in Esthetic Medicine: A Review — Cosmoderma

• The Influence of Carboxytherapy on Scar Reduction — PMC