Long-Face Fat Grafting: Satisfaction Depends on Considering Facial Proportions

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Hello,

I am Seong Hyeon-ju, director of Cheongdam OK Clinic.

▶ Full Member of the Korean Academy of Cosmetic Surgery (KACS)
▶ Full Member of the Korean Society for the Study of Obesity (KSSO)
▶ Full Member of the Korean Academy of Aesthetic Medicine (KAAM)
▶ Full Member of the Korean Society of Liposuction (KSSL)
▶ Full Member of the Korean Society of Aesthetic Surgery (KSAS)

The concern that the face looks long

is not simply due to the length of the face.

When there is insufficient volume in the front cheek, temples, or midface,

the face may appear longer and thinner than it actually is.

Therefore, when considering fat grafting for a long face,

it is important to examine the proportions of the entire face rather than simply filling only the areas that lack volume.

Today, we will look at what should be checked when planning fat grafting for a long face in order to expect natural-looking changes.

Contents
1. Causes of a Long Face 2. Importance of Volume Placement 3. Facial Proportions and Design 4. Points to Check Before the Procedure

1. Causes of a Long Face

Not everyone with a long face

has the same characteristics.

Some people have a vertically long bone structure, while others appear to have a relatively longer face because of insufficient volume in the temples, front cheeks, or side cheeks.

In particular, if the area below the cheekbones is hollow or the face is narrow in width, the midface and jawline may appear more pronounced.

For this reason, before fat grafting for a long face, the contours of the face should be examined not only from the front but also from the side and at a 45-degree angle.

Rather than simply increasing the amount of fat,

it is important to identify exactly which areas lack volume.

2. Volume Placement

You may think that a large amount of fat needs to be added

to make the face look shorter, but placement is more important than the amount injected.

When an appropriate amount of volume is added to the temples and front cheeks,

the horizontal flow of the face may be balanced, softening a long and thin appearance.

Conversely, if excessive volume is added to areas that emphasize vertical lines,

such as the forehead or chin tip, the face may actually appear longer.

Therefore, fat grafting for a long face should be designed by distinguishing between areas to fill and areas to preserve.

Rather than making one area stand out by filling it excessively, it is better to consider a naturally connected curve extending from the temples to the front and side cheeks.

3. Proportional Design

The impression of the face is determined by the combined harmony of the lengths of the forehead, midface, and lower face, the width of the face, and the positions of the facial features.

Fat grafting for a long face does not reduce the actual length of the face; rather, it helps the overall proportions look harmonious through the placement of volume.

For example, hollow temples can make the upper part of the face look narrow, while flat front cheeks can make the midface feel long and plain.

Adding three-dimensionality to areas that lack volume in such cases may help create a smoother connection through the center of the face.

However, having more volume

does not necessarily make the face look shorter.

The plan should be tailored to an appropriate range for the individual, taking into account the degree of cheekbone prominence, the jawline, and the existing facial features.

4. Points to Check Before the Procedure

Fat grafting involves purifying fat harvested from the body and then injecting it into the areas where it is needed.

The plan may vary depending on the condition of the fat, skin thickness, and existing fat volume, and there may be individual differences in the degree of fat retention.

Injecting a large amount from the outset may make the face look swollen or may not suit the existing appearance.

It is also necessary to distinguish whether an area that appears hollow, such as a sunken cheek, is actually due to insufficient volume or is affected by skin sagging or the bone structure.

Therefore, before fat grafting for a long face, it is important to examine asymmetry between the left and right sides, skin elasticity, and the connections between the different areas of the face.

Fat grafting for a long face is not simply a procedure to make the face fuller; the key is to balance the facial proportions by adjusting volume where it is needed.

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