[Health Column] How to Restore a Peanut-Shaped Face in Middle Age with PRP Fat Grafting

 

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

 

As I entered middle age I hear people say, “My face looks wider from the side” or “My cheekbones look more prominent.”

 

This change is often called a "peanut face." 🥜

It's not just a change that comes from losing weight. Aging of facial structure It often appears as it progresses together.

 

today Facial shape restoration through PRP fat grafting About Let's summarize the key points you should know. ✨

 

 

Why do middle-aged people develop a 'peanut face'?

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

The face as a whole in youth Uniform volume and elasticity while maintaining soft Egg-shaped outline It is often seen.

 

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

 

🔸 Midfacial fat atrophy
🔸 Volume reduction in the center of the cheek and under the cheekbones
🔸 Lower face sagging due to ligament laxity
🔸 Loss of skin elasticity

 

As these changes overlap,

✔ The crown and the center of the ball are sunken
✔ The clown is relatively prominent
✔ The impression that the face is spread apart from side to side

 

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

 

 

📌 Important point!

This change is not simply due to weight changes. As a result of complex changes in facial structure That is the point.

 

 

 

What effects can I expect from PRP fat grafting?

🟢Helps complement 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.

 

Here are some changes you can expect when improving a middle-aged peanut-shaped face with PRP fat grafting:

 

🔸 Relieves sunken cheeks and forehead
🔸 Clown relief buffer
🔸 Restoring soft, oval contours
🔸 Relieves tired and sharp facial expressions
🔸 Improves skin texture and fine wrinkles (auxiliary effect)

 

 

But there is one important point.

 

⚠️ In case of severe sagging

 

Volume supplementation alone may not provide sufficient improvement.

 

In this case Consider a concurrent strategy with lifting treatment. You can expect more natural results.

 

What is the most important thing in PRP fat grafting?

🟢The key is not to put in too much, but to put in correctly.

 

A middle-aged face A condition in which skin elasticity and supporting ligaments are weakened no see.

 

So if you overfill the area under the cheekbones or cheekbones,

⚠️ Makes your face look bigger
⚠️ Sagging is more noticeable
⚠️ A peanut-shaped face can be further emphasized.

 

 

So there is one important principle.

 

✔ It's better to put it in accurately than to put in a lot

 

 

Especially in middle-aged faces

 

🔸 Restore central volume
🔸 Suppress excessive outer volume

 

This balance is important.

 

 

Why does it matter how deep you put the fat?

🟢 Layer selection determines natural results.

 

In PRP fat grafting, Fat Which layer do you inject into? is very important.

 

The balance between the following two layers is particularly important.

 

✔ Deep plane above the periosteum → Structural volume support role

 

✔ Subcutaneous layer → Naturally flowing volume formation

 

 

if

⚠️ If you inject only a shallow layer → it may look bumpy
⚠️ If only the deep layer is injected → artificial protrusion may occur.

 

so Layer-by-layer balanced injection This is an important point.

 

 

Is PRP fat grafting always a safe procedure?

🟢Because the facial area has complex blood vessels, skill is important.

 

On the face The vascular structure is very complexly distributed It is done.

 

The following areas in particular require attention:

🔸 Clown lower body
🔸 False face area
🔸 Temple area

 

These areas are Because there is a risk of vascular damage The surgeon's anatomical understanding and experience are important.

 

 

📌 Common misconceptions

❌ “Mixing PRP is absolutely safe.”
→ Actual safety is Anatomical proficiency of the surgeon It depends on.

 

 

 

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

🟢A step-by-step approach may look more natural on a middle-aged face.

 

In middle-aged faces, the following variables exist:

 

🔸 Fat engraftment rate
🔸 Difference in skin elasticity
🔸 Individual differences in absorption rate

 

So I forced myself to do it all at once Overcorrection Rather than doing

✔ Restore primary structure ✔ Secondary fine-tuning if necessary Same as Step-by-step approach strategy This may lead to more natural results.

 

What should I check before the procedure?

🟢When choosing a hospital, it is important to consider how they analyze and design your facial structure.

 

Here are some factors to consider when considering a procedure:

 

🔸 Understanding facial anatomy
🔸 Layer-by-layer injection experience
🔸 A design philosophy that avoids overcorrection
🔸 Whether or not an emergency response system is in place

 

 

You may also want to refer to the following checklist:

 

✔ How to prepare PRP
✔ Fat refining process
✔ Whether only one treatment is recommended
✔ Whether or not to explain the necessity of concurrent lifting

 

 

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

 

FAQ

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

A1. It is a structural aging phenomenon that occurs through the combined effects of atrophy of the temples and mid-face fat, relaxation of the retaining ligaments, and sagging of the lower face.

 

Q2. Is improvement possible with PRP fat grafting alone?

A2. If sagging is the main cause, it may help, but if the sagging is severe, a lifting treatment may be considered as well.

Q3. Will adding more fat produce better results?

A3. No. Excessive volume injection can actually make the face appear larger or unnatural, so precise placement and balance are important.

 

 

Conclusion ✨

✔ Middle-aged peanut-shaped face Structural aging, not just lack of volume no see.

✔ PRP fat grafting A method of restoring facial shape This could be it.

 

But the key that determines the outcome is

✨ Not putting in too much, but putting in just the right amount
✨ Central volume restoration + lateral resection
✨ Balanced design considering deflection

no see.

 

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

 

 

 

Garnet Plastic Surgery

Director Baek In-su

 

Graduated from Korea University College of Medicine

Graduated from Korea University Graduate School (Plastic Surgery major)

Korea University Medical Center Resident

Plastic Surgery Specialist at National Medical Center

Former 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 Contour Research Group of the Korean Society of Plastic and Reconstructive Surgeons

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

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

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



See more expert columns from Dr. Baek In-su of Garnet Plastic Surgery Clinic.
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