Sinking and sagging of the side cheekbone; the smile lines are important if you want to look younger!

Hi, I am Director Sin In Su from Jayjun Plastic Surgery. Today, we will talk about one of the key features that distinguishes a young-looking face from an older-looking face: the side cheekbone.

Director, I watched a YouTube video about the features that distinguish a young-looking face from an old-looking face.

According to that video, the side cheekbone is a key distinguishing feature!

Why does the side cheekbone have such a significant impact on whether a face looks young or old?

Basically, sagging and decreased volume are two of the most noticeable changes as we age.

And those changes happen most frequently in the mid-face. In this area, fat is divided into several sections,

and the first change is a decrease in volume.  Usually, you might think the mid-face looks sunken simply because of fat reduction,

but as we age, fat isn't the only thing that changes.  Bone is also absorbed.

The area where bone absorption is most rapid is the side cheekbone next to the nose. This is one of the areas where absorption happens most rapidly.

Therefore, this area and its bones are rapidly absorbed. As we age, and the volume of this area reduces, that area will sink,

and as the volume reduces, sagging tissue forms.

So, because the side cheekbone is the area that first begins to sink and sag as we age,

that's why we say that the side cheekbone is a factor that can make our face look younger.

To conclude, the areas we're discussing are the smile lines and marionette lines, correct?

Yes. If the side cheekbone sinks and sags, as the tissue above the smile line falls down,

the smile line will inevitably get deeper, and if the volume of this part reduces and sags,

this part will become bulging, and the marionette line will be more obvious.

Thomas PD)
Writer, you also have a lot of worries due to the smile line, don't you?

Now, when we look at your face, it seems that the sinking and sagging of the side cheekbone is quite serious.

Do you have any concerns?  Writer)
(Like she has been waiting for it) 
Director, the problem that I worry about most is the smile line.

When I had consultations with other doctors, they said, "Go do filler," "Go do fat grafting."

Here is being filled a little bit, but I am not very satisfied with it. The sagging and sinking parts—even if slightly improved—won't I look a bit younger?
That is my wish.

Can both the sinking and sagging problems be solved?
That is the question I want to ask.

For methods that can improve the smile line without large surgeries:
1. Filler

Filling the sinking area with filler is simple, so if you want to fill the sinking part without any large surgery,

we can say that filler is the best method. 
2. Fat grafting. There are people who don't want to inject foreign substances that aren't their own tissues,

fat grafting is recommended to those people! 
3. Silicon prosthesis. There is also a way in which we fill the sinking area by putting a silicon prosthesis into it.

For these methods, we need to discuss with the patients and fill the sinking area using the most suitable method.

For methods to improve sagging areas, there is only lifting surgery. If the patient's sagging is not that serious,

For people who don't want extensive surgery, they can choose approaches like thread lifting, which offers a quick recovery.

Especially for young people, since it lasts for a certain time, addressing the problem this simple way can be a good option.

However, if a patient's sagging is quite severe, we can perform thread lifting or endotine lifting through a temple incision.

For people with significant smile line sagging, as many also have sagging in lower areas,

if we want to improve both the smile lines and marionette lines simultaneously,

we may need a face lift and mid-face lift together. Writer) For a patient like this, was a face lift performed?

Yes. For this patient, the mid-face wasn't the only sagging area; the lip wrinkles and lower cheeks also sagged,

and since the patient wanted lifting in these areas, in this situation, a combined face lift is preferable.

In cases like this patient's, where the smile lines and marionette lines around the lips are deep,

if we don't perform a face lift and only improve the smile lines,

the facial balance will be off. To improve not only the smile lines but also the marionette lines,

a mid-face lift is performed concurrently with the face lift.

Writer) So... recommend just one surgery for me! (100% self-focused) Please recommend a surgery for me!

Since we need to address both volume loss and sagging, one surgery isn't enough.

Therefore, you basically need sagging improvement + volume filling. To reduce the volume deficit,

In order to reduce the volume of the upper part, 1. Liposuction on the upper part of the smile line; 2. Fat grafting on the lower part of the smile line.

And next, we need to lift the sagging parts, but as your cheekbone is a bit large,

among the three lifting methods I mentioned earlier, for a face lift or approach using the temples, as they pull the face in a superolateral axis,

the cheekbone may look more prominent. So, usually, it's better if we have a vector in the upper area (the pulling direction)

since you are at the age where you need lower eyelid surgery anyway, 3. Lower eyelid surgery. We need to lift the fat tissue on the cheek below the eyes.

Today, I've discussed the side cheekbone, one of the key features distinguishing a youthful face from an aging one,

and addressed concerns about the side cheekbone! I'm sure you also have many worries about the sinking, sagging, and smile lines of the side cheekbone.

Please visit our clinic, share your concerns with me, and let's find a solution. That's all for today.

내가 노안으로 보이는 이유! 중안면부의 팔자주름이 고민이신 분들 이 영상을 주목해주세요! (feat.실제 제작진의 고민 상담)

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