How to Get Peanut-Shaped Face Lifting Properly

Hello, I’m Dr. Jo Won-jin, and I’ve been seeing patients for 10 years.

If you have a peanut-shaped face, I’ve heard that getting the wrong lifting treatment can make cheek hollowness worse.

Many people feel stressed whenever they look in the mirror because of prominent outer cheekbones and the hollow lines above and below them.

This so-called peanut-shaped face line is difficult to improve by simply pulling up sagging skin.

If strong energy is applied without considering the anatomical structure,

the hollowness can become worse and the face may look sharper.

Today, under the topic of how to get peanut-shaped face lifting properly,

I’ll explain the causes of a peanut-shaped face and the lifting methods for each cause,

and I’ll also share what I pay attention to when performing lifting treatments in actual clinical practice.

Table of contents

• Causes of a peanut-shaped face

• How to get peanut-shaped face lifting properly

• Cases where volume improvement must be done together

• Frequently asked questions (FAQ)

• Key summary of lifting

1. Causes of a peanut-shaped face

The reasons a facial line becomes uneven and bumpy can be broadly summarized into three categories.

1. Temple hollowing:

When the volume in the temple area, above the outer cheekbone, is reduced,

the cheekbone appears more prominent by comparison and the peanut-shaped contour begins to form.

2. Cheek hollowness caused by indiscriminate procedures:

If Botox or high-intensity ultrasound-based laser treatments are performed excessively without considering the individual’s face shape,

the fat layer may atrophy or muscle volume may decrease too much, causing the center of the cheek to cave in.

3. Deep cheek fat and sagging lower face:

The “deep cheek” mentioned here does not simply refer to the bulging cheek area next to the mouth,

but to a large fat pad located deep within the face.

When this area can no longer resist gravity and starts to descend, it makes the lower face look heavy and disrupts the facial line.

2. How to get peanut-shaped face lifting properly

To smoothly refine an uneven line, the sagging areas should be lifted,

while the hollow areas are protected during lifting.

Sagging lower face First, for a sagging lower facial line, lifting devices such as Ulthera, Shurink, and Thermage are used.

These devices work by contracting the deep fascial layer and fat inside the skin and lifting them upward.

However, the area that requires the most caution during lifting is the cheek hollow area.

This area must be treated while avoiding energy delivery,

or with precise design that carefully adjusts the depth,

to prevent the face from looking even more gaunt.

Deep cheek sagging (midface)

To manage elasticity in the deep parts of the face, it is effective to combine this with Emface.

By strengthening the muscles around the cheekbones and lifting the position of the sagging upper cheeks, it can make the midface appear shorter.

If the degree of fat sagging is severe, this alone may not be enough.

In such cases, thread lifting may also be considered to directly lift the tissue and redistribute volume.

The appropriate tool should be chosen according to each person’s degree of sagging in order to achieve proper results.

This is a photo of me receiving Emface myself.

3. Cases where volume improvement must be done together

However, there are also peanut-shaped faces for which lifting alone is not enough.

If the area itself is deeply hollowed and the level difference is severe, it is essential to fill in the lacking volume.

Temple hollowing For hollow temples like the ones shown in the photo below, using filler

is the fastest way to soften the transition with the outer cheekbone and create a gentler impression.

Cheek hollowness For hollowness in the center of the cheek, collagen booster treatments such as Juvelook Volume or Sculptra are good options.

If you want a natural improvement, Juvelook Volume with its smooth particles is a good choice,

while Sculptra is more suitable when you want to firmly fill deeper hollows.

If there is a lack of volume to begin with, simply pulling the surface will never produce a smooth line.

You should not end up wondering, “I got all the lifting for a peanut-shaped face, so why does it look the same?”

To design it properly from the start, the consultation itself has to be done properly.^^

If you are curious about Juvelook Volume and Sculptra, just reading the article below should give you a sense of which one may be a better fit.

4. Frequently asked questions (FAQ)

Q. What is the difference between Ulthera, Shurink, and Thermage?

A. All three devices create contraction and provide lifting, but they differ in energy strength and precision.

Ulthera is a premium device with strong energy and a relatively long-lasting effect,

Shurink offers excellent value for money and is suitable for people starting lifting treatments for the first time.

Thermage helps improve elasticity while reducing discomfort.

Q. How do I know what is causing it?

A. It can actually be difficult to self-diagnose just by looking in the mirror.

Whether the cause is bone structure, sagging fat, or muscle movement,

a proper diagnosis is only possible when medical staff examine the face directly by touch and observe facial expressions.

The best approach is to consult with medical professionals who carefully examine patients and have extensive lifting experience.^^

5. Key summary of lifting

• Peanut-shaped face lifting is not just about pulling skin; the key is a three-dimensional design that calculates the distribution of fat and muscle strength by area.

• Sagging lower-face lines should be improved with ultrasound, but hollow cheek areas must be treated conservatively with a safe distance.

• If the temples and cheeks are already deeply hollow, satisfaction is higher when filler or collagen boosters are used together to flatten the area.

Ultimately, what matters is naturally enhancing your strengths without damaging your own unique balance.

I’ve written more details below about how to choose a clinic that helps reduce risks, so please be sure to read it.

Thank you. This was Jo Won-jin.