[Dr. Bellevue Column 75.] Emptying and Filling: A Pre- and Post-Procedure Checklist for Smoothing Out Uneven Face Shapes

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If you have a peanut-shaped face, you should not get lifting carelessly...

Many people are worried because a once egg-shaped face has, at some point, become a peanut-shaped face with prominent cheekbones and sunken side cheeks. In particular, for those with a lot of accumulated stress and fatigue, this collapse in facial contour often becomes a major cause of making the impression look more tired and sharper.

Many people insist on powerful lifting lasers without caution, but to smoothly refine an uneven face shape without side effects, a “smart design of emptying and filling” must come first—removing excess areas while firmly tightening the areas where elasticity has declined.

Also, to fully make a satisfying treatment result your own, there are safety rules that patients themselves must follow before and after the procedure, just as important as the precise technique inside the treatment room. Today, together with Bellevue Clinic, we will clearly organize the key pre- and post-treatment TO-DO list that you should check carefully—from the day of the procedure to daily care—to escape completely from a peanut-shaped face.

📌 PART 1. Pre-Procedure Checklist

"Finding a safe design that fits my face"

🔳 1. Have you first checked whether the contours of your face are due to the weight of fat?

The first principle to check when correcting a peanut-shaped face is whether there is unnecessary fat that weighs down the jawline and around the mouth. If lifting is performed while the cheeks and double chin are sagging, the weight of the fat trying to droop downward can reduce the effect, or even produce the opposite effect by making the side cheeks look more hollow. Therefore, before the procedure, you should check whether the process includes safely destroying heavy fat cells to lighten the overall weight of the face.

🔳 2. Is it a safe contour-injection formula without steroid ingredients?

The biggest cause of unwanted wide-area cheek hollowing or side effects such as menstrual irregularities after treatment is the hormone ingredient (steroids) commonly mixed into general contour injections. Bellevue Clinic’s signature contour injection uses a safe deoxycholic acid formulation (Bellacholin) for the human body, fundamentally blocking concerns about side effects while precisely sculpting only stubborn jowl fat and double-chin fat. For that reason, the safety of the ingredients must be carefully checked before treatment.

🔳 3. Is it a custom design plan that uses different tips for different skin layers?

The thickness of the skin and the direction of elasticity loss are completely different for each person. Check whether a “design lifting” approach is applied—using a tip that targets shallow layers for thin areas such as the side cheeks, and carefully switching to a tip that contracts deeper layers for thicker areas such as the double chin. Bellevue’s next-generation microwave [ONDA lifting] replaces the 3 mm and 7 mm handpieces in real time to smoothly connect uneven contours.

📌 PART 2. Post-Procedure Checklist

"Aftercare to keep a smooth line for a long time"

🔳 1. Have you properly preserved the “warm thermal energy” for at least one week after the procedure?

Onda lifting and ultrasound procedures work by creating powerful thermal coagulation points deep within the skin to induce collagen regeneration. Therefore, if your face feels a bit numb or warm right after the procedure, placing a cold ice pack on it or washing your face with cold water is a critical mistake that reduces the treatment effect. For at least one week, it is best to gently wash your face with lukewarm water and maintain the temperature so that the sticky thermal energy delivered inside the skin can fully fill the collagen.

🔳 2. Are you drinking enough water—at least 2 liters a day?

The fat cells broken down through Bellevue’s signature contour injection are naturally eliminated from the body through lymphatic circulation, via sweat or urine. If you do not drink water frequently after the procedure, the broken-down fat components remain in the body for longer, and swelling may last longer or the effect may appear more slowly. Instead of drinks that cause diuresis, such as coffee or green tea, drinking plain lukewarm water frequently to promote circulation is the fastest way to meet a smoother jawline.

🔳 3. Are you receiving soothing care and reassuring monitoring that protect the skin barrier?

No matter how smart a procedure with minimal downtime may be, skin that has been stimulated can temporarily become dry or develop mild swelling. At Bellevue Clinic, you can receive a program that combines [LDM water-drop ultrasound care] to rapidly boost cell regeneration, protect the skin barrier, and immediately calm swelling. If you get the procedure over the weekend and want to go to work on Monday looking flawless, it is a good idea to receive this kind of post-procedure regeneration program.

After one session of radiofrequency lifting, the difference in the contour has changed. Though subtle, you can see that the shadow along the side cheek line has disappeared.

In the end, the true secret to overcoming a peanut-shaped face and achieving a smooth V-line lies in the delicate art of moderation—letting go of excessive greed and reading the harmony of the face—and in a consistent routine that thoroughly follows the prescribed safety rules. Thank you.

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The Mark-Vu skin diagnostic test can identify, all at once, a variety of skin concerns that are difficult to detect with the naked eye, including skin texture, pigmentation, pores, wrinkles, skin tone, dark circles, radiance, redness, melanin, sebum, and acne-causing bacteria.

At Bellevue, we scientifically analyze your skin based on this and provide a final diagnosis for the necessary procedures. Through detailed consultations, we will do our best to perform the most effective treatment for each patient.

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