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What is cheek fat liposuction?
There are two types of cheek fat.
One is the subcutaneous fat layer beneath the skin,
and the other is the fat pad beneath the cheek muscles.
Among these, the subcutaneous fat that can be removed by liposuction
can be suctioned out using a thin ultrasound cannula,
allowing the cheek contour to be refined into a more elegant egg-shaped line.
A face that looks square due to obesity, rather than a square shape caused by bone structure, can be addressed with liposuction.
Candidates for cheek fat liposuction
○ If the cheeks below the cheekbones are chubby
○ If the lower face sags along the jawline and looks jowly
○ If the face has a square-jaw appearance due to subcutaneous fat
○ If the face looks uneven because of excess fat
○ If there is too much fat on the chin tip
○ If there is too much under-chin neck fat and the jawline is not visible
○ If the jawline folds into a double line
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Simple liposuction under local anesthesia
Cheek fat liposuction is performed under local anesthesia rather than general anesthesia.
When performed under local anesthesia,
a painless sedative anesthesia is used so that there is no pain during the procedure.
The amount of fat removed varies from person to person,
and approximately 20 cc to 50 cc may be suctioned from one side.
The procedure takes about 30 minutes to 1 hour.
Because the degree of facial obesity differs by individual, the amount of liposuction also varies.
Liposuction of facial areas such as the cheeks and neck requires delicate and precise suction.
Therefore, the operator’s skill and extensive experience are required.
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Procedure using an ultrasound liposuction device
An ultrasound liposuction device refers to a liposuction machine equipped with an ultrasound generator.
Compared with conventional mechanical liposuction devices, it allows gentler suction,
and has the advantage of causing less damage to blood vessels and nerves.
Ultrasound is generated at the tip of the cannula, melting the fat into liquid so it can be suctioned out,
allowing safe and effective liposuction.
In the first step, the fat is melted with the ultrasound liposuction device,
and in the second step, delicate liposuction is performed with a micro cannula fitted with a syringe.
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Ultrasound liposuction equipment and additional surgical instruments
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Precautions after cheek and jawline liposuction
Cheek fat liposuction should be performed after carefully determining the indication.
It is effective when the cheeks or jawline have a lot of subcutaneous fat,
but it is not effective when the jawbone is developed and spread outward, or when the muscles attached to the jawbone are developed.
Only when subcutaneous fat is confirmed through an accurate examination should the procedure be performed to achieve the desired result.
In other cases, if the chewing muscles are developed, Botox treatment may be needed for effectiveness.
Safety of cheek and jawline liposuction
Facial liposuction is one of the more delicate types of liposuction, so it is technically difficult and demanding.
However, when performed according to principles with skilled technique, it can be safe and effective.
Because only subcutaneous fat is suctioned, there is no damage to the facial motor nerves,
and because suction is performed with a micro cannula, the procedure can be done without damaging blood vessels or sensory nerves.
Simple cheek liposuction procedure process
○ The skin is marked to designate the liposuction area.
○ Painless sedative anesthesia is administered to eliminate pain during local anesthesia.
○ Local anesthesia is applied to the liposuction area.
○ The fat is melted using an ultrasound liposuction device.
○ The melted fat is suctioned out using a syringe.
○ After liposuction, the face band is used to apply effective compression to the liposuction area.
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Examples of cheek and jawline liposuction
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Post-liposuction care instructions
○ Go home immediately after the procedure.
○ There may be slight pain and a pulling sensation at the treatment site, but it does not significantly interfere with daily life.
○ Visit the clinic two days after the procedure to check the results and disinfect the liposuction area.
○ Starting from the fourth day after the procedure, apply warm compresses with a pack to help reduce swelling in the liposuction area quickly.
○ Wear the face band until the seventh day after the procedure. After seven days, wear the face band only while sleeping, and continue for about one month.
○ Remove the stitches from the liposuction area on the seventh day after the procedure.
Side effects of liposuction
○ Slight bruising and swelling may occur, and both usually subside almost completely within about a week.
○ Pain - only a mild pulling-type pain, and it does not interfere with daily life.
○ Uneven contour - cheek ultrasound liposuction uses a fine 3 mm cannula, so a smooth contour can be achieved.
Therefore, uneven irregularities do not occur.
○ Side effects from anesthesia - cheek ultrasound liposuction is performed with local anesthesia only.
Because the issue of pain, the biggest drawback of local anesthesia, is addressed with sedative anesthesia, the procedure can be performed safely without pain or concern about anesthesia-related side effects.
○ Eating-related issues - cheek ultrasound liposuction is not performed through the inside of the mouth, so it does not affect eating at all.
You may eat immediately after the procedure.
○ Facial nerve damage - there are no nerves running through the subcutaneous fat.
Nerves run deep between the fascia layer and muscle layer, so there is no risk of facial nerve damage, making it a safe procedure.
Other procedure methods
○ AccuSculpt laser procedure
It is similar to the SmartLipo laser procedure, and it is a device that appeared later after demand for the SmartLipo laser procedure disappeared due to its insufficient effect.
However, like the SmartLipo laser procedure, in most cases the effect is below expectations or almost nonexistent.
In addition, severe swelling occurs, and heat damage to the skin can also happen.
New procedures should be approached with caution, as their effectiveness and side effects have not been verified and they often mislead consumers with indiscriminate false and exaggerated advertising.
Also, necrotic tissue or inflamed tissue cannot achieve the desired result unless it is removed by directly inserting a cannula.
○ SmartLipo laser procedure
This method uses laser energy to melt and remove subcutaneous fat, but the treatment effect is weak, so there is almost no volume-reduction effect.
Fat must be removed from the desired location in the desired amount, so there is no procedure as precise as directly removing fat with a cannula.
The degree to which externally applied laser passes through the skin and melts the subcutaneous fat underneath is very weak or has almost no effect, so you should not assume that the desired contour can be achieved this way.
○ Lipolysis injection (PPC injection)
This method dissolves fat using injections, but depending on the drug, the effect is often minimal, and if aggressive drugs are used, side effects such as uneven skin texture can occur.
Once a drug is injected into the body, it spreads around the surrounding area.
It is impossible to know where and how deeply the drug will spread, and unwanted areas may collapse or develop pitted depressions in spots, so caution is needed.
Whatever the procedure, the desired result can only be achieved when the proper amount of fat is removed from the right place through accurate design.
Trying to perform contouring with fat-dissolving injections is a method with very little realistic expectation.
Do not be misled by false and exaggerated advertising whose effectiveness has not been proven.
○ Removal of the fat pad through an intraoral incision
This method removes the fat pad beneath the cheekbones in a lump through an incision inside the mouth.
Unlike subcutaneous fat, the fat pad is buried deep beneath the cheekbones, so it can only be removed through an intraoral incision.
However, the effect is only a slight localized reduction in volume beneath the cheekbones; it does not reduce the overall volume of an obese-looking face, so the effect is very local and limited.
General cheek and jawline fullness is caused by subcutaneous fat, so liposuction is effective. Removing the fat pad by incision is completely unsuitable for obese-looking faces with a lot of subcutaneous fat.
A correct understanding of cheek liposuction
The simplest and best way to remove body fat is to insert a cannula and suction it out directly.
Liposuction is completed only when an incision is made in the skin and a cannula is inserted to suction out the fat cells.
Whether it is mechanical, laser-based, or ultrasound-based, the fat must be expelled through the cannula,
so whichever method is used, the fat cells must be broken down and removed in the necessary amount to achieve the desired volume reduction.
In facial liposuction, the outcome is determined by the surgeon’s experience and know-how,
using a thin cannula of appropriate thickness,
how smoothly and effectively the suction is performed,
and whether the necessary amount is removed.
If there is a lot of subcutaneous fat in the cheeks, liposuction is the right choice.
The degree of subcutaneous fat can be assessed by pinching the cheek with your fingers and judging the thickness that can be grasped.
For cheek fat liposuction, we perform fine liposuction using a thin cannula and micro-needles.
By combining ultrasound and a mechanical micro cannula, both methods are used together to enable smooth and precise suction.
Because only the fat in the subcutaneous layer is suctioned, it is not dangerous at all, and there is no facial sagging.
Since this is not a surgery that cuts into the skin or melts fat with laser, you can feel at ease during the procedure.
After liposuction, you should wear the face band for about a week, and then only while sleeping for about one month.
Swelling and bruising are minimal.
The suction area is sutured with a single fine stitch, and the stitches are removed after 2–3 days if non-dissolving thread is used, or dissolving thread is used.
Cheek suction takes about one hour.
Whether jawline suction is performed is decided after consultation.
If fat is suctioned incorrectly, complications such as inflammation at the surgical site, asymmetry, unevenness, scar tissue formation, scarring, reduced sensation, and sagging skin can occur.
Any surgery carries a risk of side effects or a margin of error, but this depends on how precisely the surgeon performs the procedure.
Director Shin Duhan
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A simple procedure, faster results with
Shrink lifting
HIFU (High-Intensity Focused Ultrasound)
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Principle of Shrink ultrasound lifting - HIFU (High-Intensity Focused Ultrasound)
Just as a convex lens concentrates sunlight to start a fire, this works by using strong ultrasound output to create thermal coagulation points at a certain depth in the skin to achieve a lifting effect.
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Features of Shrink
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Treatment area
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Procedure method and principle
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Unlike Endotine lifting, HIFU lifting is a non-invasive method that requires no incision at all.
It is an innovative procedure that causes no swelling or bruising during treatment.
It can be performed without local anesthesia, and daily life is possible immediately after treatment.
For areas where Endotine lifting is difficult to apply, or for office workers who need to return to social life immediately, HIFU lifting can be an alternative to Endotine.
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The main treatment areas for HIFU lifting are sagging in the front cheeks and around the mouth.
It is also applied to sagging under-chin skin, fine wrinkles around the eyes, and fine forehead wrinkles, as well as correction of areas where too much fat has been retained after fat grafting.
However, if applied to sunken areas or areas that should not become sunken, it may make the face more hollow or cause fine wrinkles, so caution is needed when treating these areas.
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HIFU lifting is simple.
It is an innovative procedure with a short treatment time, quick results, no side effects, and rapid recovery, allowing daily life on the same day as treatment.
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The cartridges used for HIFU lifting are applied in three types, 1.5 mm, 3.0 mm, and 4.5 mm, depending on the focusing depth.
Because the depth of the fascia layer and the thickness of the fat layer differ by area of the face, the appropriate cartridge can be used accordingly, or two or more can be used together to improve results.
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What is important here in HIFU lifting is the peak power of the HIFU device.
The higher the peak power, the less damage is caused to surrounding tissue, allowing faster and more effective delivery with relatively less pain.
Even so, immediate results can be excellent. When demoing HIFU devices, some are quite painful, which suggests low peak power and lower efficiency, leading to lower patient satisfaction.
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A good HIFU lifting device depends on how well it can access the superficial fat layer.
Originally, treatment was somewhat limited across different patients using these three cartridges.
Currently, Shrink is characterized by adding cartridges so that it can more carefully and precisely access each layer within the skin and subcutaneous tissue.
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In the newly released MF2, the 5.5 MHz band was selected instead of a higher frequency band so that it can protect the dermis while accessing the reticular cutis layer within the dermis in greater detail and deliver more comprehensive thermal energy. The cartridge shape has also become much thinner, making it convenient for use around the eyes and under the eyes.
By choosing a different band from the existing 7 MHz or 10 MHz, it is a unique cartridge that can be safer while improving effectiveness.
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HIFU lifting can be performed without local anesthesia, and even with cream anesthesia or no anesthesia at all.
There may be a slight stinging sensation during treatment, but severe pain is rare.
Its greatest advantages are excellent results with no swelling or bruising, and immediate return to daily life.
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HIFU lifting works by delivering high-intensity focused ultrasound to the target tissue, breaking down excess fat tissue and contracting the skin and fascia layer, thereby improving fine wrinkles and lifting through tissue regeneration.
By delivering energy in multiple layers, it can achieve both volume reduction and lifting at the same time.
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HIFU lifting shrinks aged collagen in the treated area and breaks down fat. The fat tissue or remaining debris is then cleared by macrophage phagocytosis, while fibroblasts become activated to regenerate new collagen, rejuvenating the tissue.
This series of changes usually takes place over about 2 to 3 months.
The effects of HIFU lifting may appear immediately, but the clearly noticeable changes usually develop over at least 1 to 3 months, and the lasting effect varies by individual but is about 5 to 10 years.
Before-and-after photos
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Q&A
Where is Shrink used?
Shrink is good for skin lifting and tightening, and is especially effective for skin sagging and looseness.
Does it hurt a lot during treatment?
It depends on the patient’s condition, but most people undergo Shrink treatment without a separate anesthesia process.
How long does the treatment take?
Full-face treatment takes about 15 to 20 minutes; the speed of treatment is one of Shrink’s major advantages.
Does it interfere with daily life?
It is a safe procedure that allows return to work and daily life immediately after treatment.
When can I see the results?
Immediate effects can be seen after treatment, but depending on the individual, noticeable changes can be seen around 60 to 90 days.
Since HIFU treatment only removes fat from the subcutaneous layer, it is not dangerous at all, and there is no facial sagging.
The results of HIFU treatment require the residual fat to be absorbed and collagen to be remodeled, so the outcome can be assessed after 3 months.
If the recovery is fast, the effect may begin to appear around one month.
HIFU is a procedure designed so that high-intensity focused ultrasound is concentrated in the skin dermis and fibrous fascia layer to create thermal coagulation zones, and collagen regeneration becomes active through the natural wound-healing process at the center, producing a skin-lifting effect.
When HIFU is applied to the skin, the skin tissue coagulates and contracts, creating an upward pulling effect that results in lifting.
HIFU is very effective for skin lifting and sagging skin.
It does not interfere with daily life at all, and you can return to work and daily activities immediately after treatment.
For full-face treatment, it takes 15 to 20 minutes, and the short treatment time is a major advantage.
During treatment, ultrasound gel must be applied to the skin.
The energy is increased only to a power level that can be tolerated.
For a few days after treatment, the skin may temporarily feel sore or show slight marks.
After treatment, pay attention to sun protection, and it is good to take antioxidants such as vitamin C.
It is best to avoid saunas and alcohol for about one week after treatment.
Temporary pain, burns, scabbing, or nerve irregularities may occur after treatment.
Makeup can be applied immediately after treatment.
Director Shin Duhan
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