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Why does a side cheek hollowing lifting procedure end up making you look like a peanut shape when done wrong?

Relieve Clinic · 무통 박원장이 직접쓰는 블로그 · February 6, 2025

Hello. This is Relive Clinic. As people enter their 30s and begin taking care of their skin, there is one common concern. That is, the issue of side cheek hollowing around the chee...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Relieve Clinic

Original post date: February 6, 2025

Translated at: April 20, 2026 at 6:38 PM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Why does a side cheek hollowing lifting procedure end up making you look like a peanut shape when done wrong? image 1

Hello. This is Relive Clinic.

As people enter their 30s and begin taking care of their skin, there is one common concern.

That is, the issue of side cheek hollowing around the cheekbones.

As we age, the amount of fat in the face decreases due to aging, and the pattern of muscle development also changes.

In particular, while the jaw muscle becomes more developed, the volume of the side cheeks decreases, changing the facial contour.

These changes make the face look longer and older.

The bigger problem is that cheek hollowing is difficult to recover naturally.

That is why many people consider various procedures to address it, and among them, the most widely known and commonly used method is ultrasound lifting such as Ulthera.

Using a lifting procedure to pull up the hollowed cheek line that has sagged downward with gravity can improve a smooth contour line.

Why does a side cheek hollowing lifting procedure end up making you look like a peanut shape when done wrong? image 2

However, there are also cases that are difficult to resolve with lifting alone.

For example, in people who are naturally prominent in the cheekbone area, undergoing HIFU lifting may reduce the fat beneath the cheekbone, making the hollowing look even more noticeable.

So, how should people in such cases address cheek hollowing?

There is also the option of surgery to address the underlying cheekbone issue,

but by injecting a small amount of filler into the side cheek line below the cheekbone to restore lost volume, a smoother facial contour can be created.

From here, I will organize the procedures suitable for each side-cheek hollowing case, so please check which procedure is right for you.

What procedures are suitable for side cheek hollowing cases?

Ultrasound HIFU lifting

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Cheek hollowing can occur not only when fat decreases, but also when the face sags downward due to reduced skin elasticity.

This applies to people whose cheek hollowness is not prominent in their 20s but becomes noticeable starting in their 30s, when aging begins.

In such cases, simply tightening the skin through ultrasound lifting can produce improvement.

However, the situation is different if cheek hollowing has already progressed noticeably.

This is because ultrasound lifting can affect the fat layer while delivering strong energy to deeper layers of the skin, creating a risk that the volume may become even more sunken.

In other words, if cheek hollowing is the main concern rather than sagging skin, filler procedures that restore volume may be a much more effective solution than ultrasound lifting.

In particular, the hollow area below the cheekbone is an important part that determines the three-dimensional appearance of the face.

When the volume in this area decreases, the cheekbones can look more prominent, and the face may seem sharper or more tired.

By using filler to naturally replenish the reduced volume, the facial contour can be improved to look softer and more dimensional.

Side cheek hollowing filler

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Filler is a procedure that fills in volume in sunken areas through injection.

It is popular because it offers immediate and semi-permanent effects after the procedure.

Some people worry that filling a hollow area with filler might make the face look wider.

So, what is the most important factor when using filler for the side cheek?

Filler is not simply an injection procedure; design that considers the harmony of the entire face is important.

By injecting filler into the correct location and adjusting the volume of the hollowed side cheek appropriately, the front cheek becomes more prominent, creating a smaller-looking face effect.

Next, I will explain in detail what should be checked for a satisfying filler procedure.

Filler also requires design.

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If filler is injected excessively just because the hollowing is severe, the face can look unnatural.

If too much product is injected, the face may look larger or feel foreign, so adjusting the proper amount is important.

In particular, for people with a lot of facial fat, even a 1cc difference can make both cheeks look overly prominent like a squirrel.

Therefore, it is essential for the medical staff to examine the facial structure and the degree of fat directly, then determine the filler amount that is appropriate for the individual.

At this time, along with the usual appearance, it is also necessary to check how the muscles are used when making various facial expressions so that the result looks natural without any foreign-body sensation.

If you are concerned about filler migration?

Why does a side cheek hollowing lifting procedure end up making you look like a peanut shape when done wrong? image 6

One of the biggest concerns for people considering side cheek hollowing filler is filler migration.

Many people worry that even if it is initially injected into the desired area, the position may change over time or the shape may become distorted.

In such cases, instead of simply injecting filler, you may consider using monothreads or volume threads made of PDO together.

The PDO component used in thread lifting helps promote collagen production within the skin.

In other words, inserting threads along with filler can help the surrounding tissue become firmer so that the filler settles in place better, and it may also help extend the duration of the effect.

In particular, after filler procedures to improve cheek hollowing, maintaining a natural-looking volume is important.

When threads are used together, they can help prevent the filler from shifting or clumping.

So far, I have explained the procedures suitable for each side cheek hollowing case, along with what should be considered when performing filler procedures.

Finally, I would like to emphasize again that everyone has different facial structure, skin thickness, fat amount, and degree of elasticity.

Therefore, by considering all of these factors and identifying the root cause, the procedure that is right for the individual must be performed in order to achieve satisfying results.

If you have not found the answer to which procedure is appropriate for you, it is best to receive a recommendation through a direct consultation with the medical staff.

That is all the content I prepared. Thank you for reading this long post. This was Relive Clinic.

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