How to Restore an Oval Face to a Middle-Aged Peanut-Shaped Face Using PRP Fat Grafting

 

hello, Director Baek In-soo of Garnet Plastic Surgery no see.

 

As I enter middle age There are people who hear comments such as, “Your face looks wide,” or “Your cheekbones seem to protrude more.”

 

This change is commonly referred to as a 'peanut face.' 🥜

It is not simply a change caused by weight loss. Aging of facial structure It often appears as they proceed together.

 

today Facial contour restoration through PRP fat grafting About Let's summarize the key points that are good to know. ✨

 

 

Why do people develop a 'peanut face' when they reach middle age?

In middle-aged faces, changes in fat, ligaments, and skin occur simultaneously.

The face in the younger period overall Even volume and elasticity While maintaining soft Oval contour There are many cases where it is shown.

 

However, after middle age, the following changes occur simultaneously.

 

🔸 Mid-facial fat atrophy
🔸 Reduction of volume in the center of the cheeks and below the cheekbones
🔸 Lower facial sagging due to laxity of retaining ligaments
🔸 Decreased skin elasticity

 

As these changes overlap

✔ The temples and the center of the cheeks are sunken
✔ The cheekbones are relatively prominent and
✔ An impression that the face is spread wide to the sides

 

in other words, 'Peanut-shaped face' may appear.

 

 

📌 Important point!

This change is not simply due to weight change. The result of complex changes in facial structure The point is that

 

 

 

What effects can be expected from PRP fat grafting?

🟢 It helps restore lost volume and create soft facial contours.

 

PRP fat grafting is a procedure that uses PRP (platelet-rich plasma) together with your own fat to supplement facial volume.

 

The changes you can expect when improving a middle-aged peanut-shaped face through PRP fat grafting are as follows:

 

🔸 Relieves hollowness in the temples and cheeks
🔸 Buffering for cheekbone emphasis
🔸 Restoring a soft oval contour
🔸 Relieves a tired and sharp impression
🔸 Improvement of skin texture and fine lines (auxiliary effect)

 

 

However, there is an important point.

 

⚠️ In cases of severe sagging

 

It may be difficult to achieve sufficient improvement with volume supplementation alone.

 

In this case A strategy combining lifting treatments should be considered. You can expect more natural results.

 

What is the most important thing in PRP fat grafting?

The key is not putting in a lot, but putting in the right amount.

 

A middle-aged face A state where skin elasticity and retaining ligaments are weakened no see.

 

So if you overfill the cheeks or under the cheekbones

⚠️ Makes your face look bigger or
⚠️ Sagging becomes more prominent or
⚠️ Peanut-shaped face may be further emphasized.

 

 

So, there is only one important principle.

 

✔ Putting in the right amount is better than putting in a lot.

 

 

Especially in middle-aged faces

 

🔸 Restore Center Volume
🔸 Suppression of excessive lateral volume

 

This balance is important.

 

 

Why is the depth at which the fat is injected important?

🟢The choice of layer determines the natural result.

 

In PRP fat grafting fat Which layer to inject into is very important.

 

Typically, the balance of the following two layers is important.

 

✔ Deep plane above the periosteum → Structural volume support role

 

✔ Subcutaneous fat layer → Formation of naturally flowing volume

 

 

if

⚠️ If only a shallow layer is injected → it may look bumpy and
⚠️ If only the deep layer is injected → artificial protrusions may occur.

 

so Layered Balanced Injection This is the important point.

 

 

Is PRP fat grafting always a safe procedure?

Skill is important because the blood vessels in the face are complex.

 

On the face The vascular structure is distributed in a very complex manner. It is done.

 

The following areas require particular attention.

🔸 Lower cheekbone
🔸 Nasolabial folds
🔸 Scallop area

 

These areas Because there is a risk of blood vessel damage The practitioner's anatomical understanding and experience are important.

 

 

📌 Common Misunderstandings

❌ “Mixing PRP is unconditionally safe”
→ Actual safety is The operator's anatomical proficiency It depends on.

 

 

 

Is it better to complete the PRP fat grafting in one session?

🟢 A gradual approach may be more natural for middle-aged faces.

 

The following variables exist in middle-aged faces.

 

🔸 Fat survival rate
🔸 Difference in skin elasticity
🔸 Differences in absorption rates by individual

 

So, forcing it all at once Overcorrection Rather than doing

✔ Primary structural restoration ✔ Secondary fine-tuning if necessary like Step-by-step approach strategy This can lead to a more natural result.

 

What should I check before the procedure?

When choosing a hospital, it is important how the facial structure is analyzed and designed.

 

The following are factors worth checking when considering a procedure.

 

🔸 Understanding of Facial Anatomy
🔸 Layered Injection Experience
🔸 A design philosophy that avoids overcorrection
🔸 Availability of emergency response system

 

 

You can also refer to the following checklist.

 

✔ PRP Preparation Method
✔ Fat purification process
✔ Whether only a single treatment is recommended
✔ Explanation of the necessity of concurrent lifting

 

 

📌 Important Points
What is more important than cost How to analyze and design facial structure no see.

 

FAQ

Q1. What are the causes of a peanut-shaped face in middle age?

A1. It is a structural aging phenomenon resulting from the combined action of temporal and mid-facial fat atrophy, retaining ligament laxity, and lower facial sagging.

 

Q2. Is improvement possible with PRP fat grafting alone?

A2. If hollowness is the primary cause, it can be helpful, but if the sagging is severe, lifting treatment may be considered as well.

Q3. Does adding more fat yield better results?

A3. That is not the case. Excessive volume injection can actually make the face look larger or unnatural, so precise placement and balance are important.

 

 

Conclusion ✨

✔ A middle-aged peanut-shaped face is Structural aging, not just a lack of volume no see.

✔ PRP fat grafting A method of restoring facial shape This can be

 

However, the key factor determining the result is

✨ It's not about putting in a lot, but putting in the right amount
✨ Central volume restoration + lateral resection
✨ Balanced design considering sagging

no see.

 

Because facial structure and the degree of aging vary from person to person  It is important to determine the right method through accurate diagnosis and consultation.

 

 

 

Garnet Plastic Surgery Clinic

Director Baek In-soo

 

Graduated from Korea University College of Medicine

Graduated from Korea University Graduate School (Major in Plastic Surgery)

Korea University Medical Center Resident

Plastic surgeon at the National Medical Center

(Former) Chief Director of Jewelry Plastic Surgery

Regular member of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Korean Society of Aesthetic Plastic Surgery

Regular member of the Korean Craniofacial Society

Regular member of the Facial Contouring Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Oculoplastic Surgery Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Rhinoplasty Research Group of the Korean Society of Plastic and Reconstructive Surgeons

Regular member of the Anti-Aging Plastic Surgery Research Group of the Korean Society of Plastic and Reconstructive Surgeons



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