Hongdae Ultherapy PRIME,
Should people with a
peanut-shaped face and hollowed cheeks
avoid it?

“Because my cheeks are hollow and my cheekbones are prominent,
will Ultherapy PRIME make my face look even more peanut-shaped?”
Many people come in after seeing posts online saying that “people with peanut-shaped faces should not undergo ultrasound lifting.”
When you look into Ultherapy PRIME, it is easy to find information about its lifting effects. However, there is little information beyond warnings not to undergo it if your cheeks are already hollow, and it can be difficult to find guidance on how the treatment can be performed safely in such cases.
Depending on why the cheeks are hollow, some people with what is called a peanut-shaped face may still be able to undergo Ultherapy.
Today, we will look at the causes of a peanut-shaped face, when Ultherapy PRIME may be appropriate, when it may be better to avoid it, and what to check if you decide to undergo the treatment.
Table of Contents
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The causes can differ even among people with the same peanut-shaped face
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Which peanut-shaped faces may benefit?
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What should you check before undergoing treatment for a peanut-shaped face?
Hongdae Ultherapy PRIME
The causes can differ even among people with the same peanut-shaped face
When the cheeks below the cheekbones appear hollow and the lower cheeks look relatively more prominent, the face is often described as peanut-shaped.
However, there is more than one reason why the face may look this way.

You may naturally have little fat or skeletal volume in the sides of your cheeks, or the volume of both the front and sides of your cheeks may have decreased due to weight loss or aging.
There are also cases in which the volume of the side cheeks has not decreased significantly, but the lower-cheek tissue has descended, increasing the contrast between the upper and lower parts of the face.
Although all of these cases may look like prominent cheekbones and hollowed cheeks, the first two are primarily related to insufficient volume, while the last is primarily related to sagging.
Therefore, rather than determining whether Ultherapy is appropriate based only on the face shape being peanut-shaped, it is important to first distinguish whether the issue is insufficient volume or sagging of the lower cheeks.
Hongdae Ultherapy PRIME
Which peanut-shaped faces may benefit?
If your side cheeks are hollow but you have clearly experienced a loss of definition along the jawline or descent of the lower cheeks compared with the past, you may see benefits from Ultherapy PRIME.
In front of a mirror, try gently lifting the lower cheeks with your fingers and see whether the jawline becomes more defined. If the hollowing of the side cheeks remains unchanged but the heaviness in the lower part of the face decreases, this suggests that sagging may also be present.
In this case, it may be appropriate to perform the treatment in a way that preserves the volume of the side cheeks while lifting only the sagging lower cheeks and jawline.

However, some people experience hollowing in both the side and front cheeks after losing weight, or have a generally thin face with hollowing extending from below the cheekbones.
Although these people may be described as having a peanut-shaped face, many also lack volume in the lower-cheek area.
In such cases, it may be better not to choose Ultherapy PRIME too quickly. This is because adding volume may be more necessary than lifting by pulling the tissues upward.
For these individuals, we more often recommend radiofrequency lifting treatments such as Oligio X.
Because this approach induces collagen regeneration without directly targeting the fat layer, it may be suitable for people with limited facial volume. If you would like to learn more about this, please refer to the article below.
Hongdae Ultherapy PRIME
What should you check before undergoing treatment for a peanut-shaped face?
If you have a sagging peanut-shaped face and decide to undergo Ultherapy PRIME, you should first distinguish which areas should be left untreated and which areas should receive treatment based on your volume distribution.
Ultherapy PRIME uses real-time ultrasound to examine the structures beneath the skin and determine the target depth.
This is similar to checking the internal structure and choosing the location before hammering a nail into a wall.
According to official information from the manufacturer, Merz, real-time imaging can help with lifting treatments by allowing the structures beneath the skin to be checked before and during treatment.

Rather than assessing the structures beneath the skin by guesswork alone, ultrasound makes it possible to examine the amount of fat and determine where treatment is needed.
However, the presence of an ultrasound screen does not automatically guarantee the result or safety.
It is also important how the cartridge depth, treatment range, energy, and shot placement are determined based on the structures identified on the screen.
Hongdae Ultherapy PRIME device
The result should also be assessed not by how much smaller the entire face looks, but by whether the lower cheeks and jawline have been refined while preserving the hollow area below the cheekbones.
Because swelling and tightness immediately after treatment can make the contours look different, the final result should not be judged based only on the appearance right away. In most cases, the results are checked again under the same conditions after two to three months.
It is helpful to compare the hollowing below the cheekbones, the lower cheeks and jawline, and the connection between the front and side cheeks using before-and-after photos taken under the same lighting and from the same angle.
If you are considering Hongdae Ultherapy PRIME because of a peanut-shaped face, first determine what caused your face to become peanut-shaped.
By distinguishing the cause, you can more specifically determine whether to undergo treatment, which areas to preserve, and what standards to use when evaluating the result.
We hope you receive the lifting treatment that is right for you based on a careful assessment.
Thank you. This was U&I Hongdae Sinchon^^
Q. Should people with a peanut-shaped face and hollowed cheeks avoid Ultherapy PRIME?
Even if the side cheeks are hollow, if sagging of the lower cheeks and jawline is clear, the hollowed areas can be preserved while only the sagging areas are treated. If the entire face has limited volume without sagging, it may be better to avoid it. Real-time ultrasound is a tool for checking the areas to preserve and the treatment depth; it does not automatically prevent hollowing of the cheeks.
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