Table of contents

• Understanding Asymmetrical Cheekbones
• Cheekbone Reduction: A Detailed Medical Overview
• Best Clinics in Korea for Asymmetrical Cheekbones
• Conclusion
• References

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Understanding Asymmetrical Cheekbones

Definition and Common Pseudonyms

Facial asymmetry means that the right and left sides of your face don’t match perfectly in size, shape, or feature placement. While everyone has some degree of asymmetry—thanks to genetics, aging, or lifestyle—most of the time, it’s so subtle that no one notices. But when these differences become more obvious, especially in areas like the cheekbones, it can affect how you feel about your appearance and your confidence.

It’s important to recognize the difference between normal, minor asymmetry and more pronounced differences that cause distress. While a little asymmetry is completely natural, the way it’s perceived and the emotional impact it has are what often drive people to seek solutions. So, when talking about asymmetrical cheekbones, it’s essential to validate both the medical definition and the personal experience of those who feel affected.

You might hear asymmetrical cheekbones called “uneven cheeks.” Medically, the cheekbone is known as the zygomatic bone (or zygoma) and also as the malar bone. That’s why you’ll also see terms like “zygoma asymmetry” or “malar asymmetry” used to describe this condition.

Causes and Contributing Factors

Asymmetrical cheekbones can be caused by a variety of factors, which are generally grouped into those present from birth or early development, and those that develop later in life.

Congenital and Developmental Factors: Genetics play a big role in facial symmetry. Some people inherit bone and muscle shapes that make their faces look uneven. Certain genetic conditions, like cleft lip and palate, craniosynostosis (premature fusion of skull bones), hemifacial microsomia (underdevelopment of one side of the face), and Goldenhar syndrome (affecting eyes, ears, and jaw), can cause noticeable asymmetry. Even things like pressure in the womb or slight differences in bone growth can contribute.

Acquired Factors: These develop over time.

• Aging: As we age, our skin loses elasticity and collagen, and the underlying tissues change. This can cause uneven sagging or wrinkling, making asymmetry more noticeable. Bone density and muscle tone can also change unevenly, and cartilage keeps growing, which can alter the shape of the nose and ears.
• Trauma or Injury: Injuries like fractures, deep cuts, or nerve damage from accidents can physically change the shape and position of facial bones and tissues, leading to asymmetry.
• Lifestyle Habits: Sleeping on one side, poor posture (especially from phone use), chewing on one side, smoking, and uneven sun exposure can all subtly affect facial symmetry over time.
• Dental Issues: Misaligned teeth, uneven jaw growth, dentures, veneers, or tooth loss can shift the jaw and facial alignment, making the face look lopsided.
• Medical Conditions: Some health issues can cause sudden or worsening facial asymmetry. Bell’s Palsy causes temporary facial paralysis, often on one side. A stroke can cause sudden drooping. Torticollis (twisted neck) in infants, muscle weakness, multiple sclerosis, or tumors can also lead to facial asymmetry.

When to Seek Medical Advice: Distinguishing Normal from Concerning Asymmetry

Most people have some facial asymmetry, and if it’s always been there and isn’t getting worse, it’s usually nothing to worry about. But if you notice a sudden or new change in your facial symmetry—especially if it comes with other symptoms—it could be a sign of a serious medical issue. For example, sudden drooping on one side of the face can be a sign of a stroke or Bell’s Palsy. Other warning signs include fever or twitching on one side of the face. Any facial injury, even if it seems minor, should be checked by a doctor to prevent complications and ensure proper healing.

It’s important to distinguish between long-standing cosmetic concerns and sudden changes that could signal a medical emergency. Cosmetic procedures can help with appearance, but they’re not a substitute for medical care if there’s an underlying health issue. If you notice new or sudden facial asymmetry, see a healthcare provider right away before considering cosmetic treatments.

Non-Surgical Approaches to Addressing Facial Asymmetry

If your facial asymmetry is mild to moderate and caused by muscle imbalances, volume loss, or minor structural differences, there are several non-surgical and minimally invasive options to consider:

• Injectables:
  • Dermal Fillers: Hyaluronic acid-based fillers like Juvéderm or Restylane can add volume to sunken or uneven areas, helping to contour the face and create the illusion of symmetry.
  • Anti-Wrinkle Injections (Neuromodulators): Botox can relax overactive muscles that contribute to uneven facial movements, softening asymmetry.
• Facial Exercises and Massage: Techniques like “mewing” (correct tongue posture) and facial massage can help with muscle tone and circulation, potentially improving balance.
• Orthodontics: If misaligned teeth or jaw growth are the main issues, orthodontic treatment can realign the teeth and jaws, improving facial symmetry.
• Other Minimally Invasive Procedures:
  • Buccal Fat Removal: This surgery removes fat pads from the lower cheeks, creating a more contoured look and making cheekbones appear less prominent.
  • Facial Liposuction: Removing excess fat from the cheeks can highlight natural bone structure and improve facial definition.
  • Thread Lifting: Special threads are inserted under the skin to lift and tighten tissues, creating a more symmetrical appearance.

These non-surgical options can help achieve facial harmony by addressing soft tissue concerns, even if they don’t change the underlying bone structure. They’re less invasive than surgery and can be used alone or alongside surgical procedures for the best results.

Cheekbone Reduction: A Detailed Medical Overview

What is Cheekbone Reduction Surgery?

Cheekbone reduction surgery—also known as zygoma reduction plasty, malar reduction, or zygomatic reduction—is a cosmetic procedure designed to reduce the size and projection of prominent cheekbones. The goal is to create a more balanced, harmonious facial contour.

This surgery is popular among people who feel their cheekbones make their face look too wide, angular, or disproportionate. Many seek a softer, more oval, or feminine profile, which is especially valued in East Asian cultures. The procedure reshapes the underlying bone to address asymmetry and can enhance the appearance of other features, like the eyes. It’s often combined with other facial contouring surgeries, such as jaw reduction, for a complete transformation.

The popularity of cheekbone reduction in places like South Korea reflects cultural beauty standards that favor a slimmer, V-shaped face. If you’re considering this surgery, especially in a country with specific aesthetic ideals, it’s important to discuss your goals with your surgeon to ensure your expectations align with what’s possible.

Surgical Techniques Explained

Cheekbone reduction surgery involves removing or reshaping the zygomatic bones and surrounding tissues. Surgeons use precise techniques and place incisions strategically—often inside the mouth or along the hairline—to minimize visible scars.

The two main techniques are:

1. Cheekbone Shaving (Corticotomy): This simpler method is used when only a small amount of bone needs to be removed. Incisions are made inside the mouth, and a special tool shaves down the outer layer of the cheekbone to reduce its projection.
2. Cheekbone Osteotomy: This more complex procedure involves cutting the cheekbones and repositioning them. Excess bone may be removed, and the remaining bone is moved inward for a narrower profile. The bones are usually secured with plates and screws for stability. Variations include:
   • L-shaped Osteotomy: Incisions inside the mouth and near the sideburn allow the bone to be cut in an L-shape and moved closer to the center of the face.
   • Arched Osteotomy: A curved cut is made in the bone, which is then repositioned or partially removed.
   • Two-Site Osteotomy and Rotation Method: Two incisions (one inside the mouth, one near the ear) allow the bone to be cut, rotated inward, and fixed with mini-titanium plates and screws.
   • Other advanced techniques, like the M-shaped osteotomy, may be used depending on your anatomy and goals.

Some surgeons use plates and screws for fixation, while others rely on precise bone positioning and natural healing. Some clinics also use “natural adhesive fixation” and techniques to lift skin and muscle, aiming for a natural look and to prevent sagging.

Choosing the right technique depends on your unique facial structure, desired outcome, and the surgeon’s expertise. Surgeons with craniofacial experience are best equipped for these complex procedures. Advanced 3D imaging, like Vectra H1, helps with planning and simulating results, ensuring the best possible outcome and minimizing the risk of persistent asymmetry.

Best Clinics in Korea for Asymmetrical Cheekbones

Listed below are the best clinics in Korea for asymmetrical cheekbones:

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery	Located in Garosu-gil, Gangnam, Seoul; world-class expertise in facial contouring; team of award-winning, board-certified surgeons; commitment to safety and patient satisfaction; state-of-the-art facilities	Innovative rotation and repositioning technique for asymmetrical cheekbones preserving bone and skin firmness; customized procedures for larger bone structures
Made Young Plastic Surgery	Located in Gangnam, Seoul; blends traditional beauty ideals with latest advancements; team of skilled surgeons and anesthesiologists; patient-centered care and safety focus	Advanced face lifts, facial contouring, non-invasive lifting techniques; surgical options like cheekbone reduction and V-line surgery; non-surgical thread lifts and skin boosters tailored to individual facial structure
DM Plastic Surgery	Premier clinic in Korea; led by two board-certified surgeons with 10-20 years experience; alumni of Yonsei University Hospital; personalized 1:1 consultations; commitment to patient safety and ethical practice	Advanced scientific analysis for natural facial symmetry; comprehensive facial contouring including zygoma reduction and chin correction; tailored surgical plans for asymmetrical cheekbones

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery clinic, located in the vibrant Garosu-gil area of Gangnam, Seoul, is renowned for its world-class expertise in facial contouring and cosmetic surgery. Among its many specialties, the clinic offers an innovative approach to correcting asymmetrical cheekbones, led by Dr. Kim, a board-certified plastic surgeon and internationally recognized expert in facial bone surgery. Unlike traditional cheekbone reduction methods that involve cutting and removing bone—often resulting in unwanted sagging or “cheek drooping”—Dr. Kim utilizes a precise rotation and repositioning technique. This advanced, bone-preserving method brings the cheekbone slightly forward, creating a slimmer and more balanced facial contour while minimizing the risk of sagging and maintaining the skin’s natural firmness. For patients with larger bone structures, Dr. Kim carefully customizes the procedure to ensure optimal, natural-looking results.

THE PLUS Plastic Surgery is distinguished not only by its cutting-edge surgical techniques but also by its team of highly experienced and award-winning surgeons. Dr. Kim, Dr. Jeong, and Dr. Lee are all board-certified specialists who actively contribute to academic research, participate in international medical symposiums, and lead educational sessions for fellow surgeons. Their commitment to safety, patient satisfaction, and continuous advancement in the field is reflected in the clinic’s comprehensive services, state-of-the-art facilities, and personalized approach to each patient. Whether seeking facial contouring, rhinoplasty, or other cosmetic procedures, patients at THE PLUS can expect exceptional care and results from some of Korea’s most respected plastic surgeons.

You can check out their website here: THEPLUS Plastic Surgery Website

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in Seoul’s renowned Gangnam district, stands at the forefront of aesthetic innovation and patient-centered care. Renowned for its commitment to safety and excellence, the clinic seamlessly blends traditional beauty ideals with the latest advancements in plastic surgery. Whether patients seek to rejuvenate their appearance or address specific concerns such as asymmetrical cheekbones, Made Young offers a comprehensive suite of procedures, including advanced face lifts, facial contouring, and non-invasive lifting techniques. Each treatment is meticulously designed to enhance natural beauty while prioritizing patient safety and comfort.

The clinic’s team comprises highly skilled plastic surgeons, anesthesiologists, and dedicated medical staff, all united by a passion for delivering outstanding results and personalized care. From surgical options like cheekbone reduction and V-line surgery to non-surgical solutions such as thread lifts and skin boosters, Made Young tailors every procedure to the individual’s unique facial structure and aesthetic goals. With a holistic approach that goes beyond physical transformation, Made Young Plastic Surgery Clinic empowers patients to achieve renewed confidence and lasting satisfaction.

You can check out their website here: Made Young Plastic Surgery Website

DM Plastic Surgery

DM Plastic Surgery is a premier clinic in Korea renowned for its expertise in addressing facial asymmetry, particularly asymmetrical cheekbones. The clinic is led by two board-certified plastic surgeons, each specializing in their respective fields, and supported by a team of highly experienced specialists with over 10 to 20 years of clinical practice. The medical staff are distinguished alumni of Yonsei University Hospital and have held prestigious positions such as the head of the Department of Plastic Surgery at Gangnam Severance Hospital of Yonsei University. DM Plastic Surgery is committed to providing the highest standard of care, offering personalized 1:1 consultations, meticulous scientific analysis, and tailored surgical plans for every patient. As active members of the Association of Plastic Surgery Medical Doctors, the team continually strives to set benchmarks in the medical industry, ensuring patient safety, satisfaction, and natural aesthetic results.

Why DM Plastic Surgery is the best clinic for Asymmetrical Cheekbones:

• Surgeries are performed exclusively by board-certified plastic surgeons with decades of specialized experience.
• The clinic’s medical staff have trained at top institutions and held leadership roles in major university hospitals.
• Personalized 1:1 consultations ensure that each patient receives a treatment plan tailored to their unique facial structure and goals.
• Advanced scientific analysis and aesthetic expertise are applied to achieve natural, harmonious facial symmetry.
• Comprehensive facial contouring options, including zygoma reduction and chin correction, address all aspects of facial asymmetry.
• The clinic maintains a strong commitment to patient safety, ethical practice, and continuous professional development.
• DM Plastic Surgery is recognized for its leadership and innovation in the field of plastic surgery in Korea.

Find more about this clinic here: DM Plastic Surgery Website

The Process of Undergoing Cheekbone Reduction in South Korea (for Medical Tourists)

South Korea is a top destination for facial contouring surgeries, including cheekbone reduction, thanks to its advanced technology and skilled surgeons. Here’s what the process typically looks like for international patients:

1. Initial Consultation and Planning:
Start with an online consultation, often through a medical tourism agency. Your case is reviewed, and you’ll get recommendations on procedure types, recovery times, and pricing. You’ll also have a detailed consultation with a plastic surgeon, including 3D CT scans and imaging to assess your facial structure and simulate results.

2. Pre-Operative Preparation:
Once you decide to proceed, you’ll get pre-op instructions, including a medical history review, physical exam, blood tests, and possibly a chest X-ray or ECG (for those over 40). Avoid nicotine, alcohol, and certain medications before surgery. A deposit (about 10% of the total cost) is usually required to book your surgery.

3. Arrival and In-Person Consultation:
When you arrive in Korea, agencies help with airport transfers and accommodation. You’ll meet your surgeon in person to finalize the plan and ask any last questions. Translators are often provided to ensure clear communication.

4. The Surgical Procedure:
Cheekbone reduction is done under general anesthesia and takes 1–3 hours, depending on complexity. Incisions are usually inside the mouth, but sometimes small external incisions are made near the sideburn or ear. The surgeon performs the bone reduction and secures the bones as needed.

5. Post-Operative Care and Recovery:

• Immediate Post-Op: Expect discomfort, swelling, bruising, and tightness when opening your mouth. Pain is managed with medication, and antibiotics are given to prevent infection. A compressive dressing is applied for 3–5 days.
• Hospitalization and Diet: You may stay in the clinic for a day. A soft or liquid diet is recommended for 2–3 weeks, and good oral hygiene is essential if you have mouth incisions.
• Suture Removal and Follow-ups: External sutures (if any) are removed after 7–10 days. Regular follow-ups are important to monitor healing.
• Recovery Timeline: Most swelling and bruising fade in a few weeks, but full healing and final results can take 3–12 months. Light activities can resume in about a week, and you can return to work in 1–2 weeks. Avoid strenuous activity for 3–4 weeks.
• Travel Considerations: Plan for an extended stay in Korea for recovery. Agencies help with post-op care and accommodation.

Costs Associated with Cheekbone Reduction in South Korea and International Comparison

South Korea is known for expert care and competitive pricing for cosmetic surgery, making it a popular choice for medical tourists.

Cost Range in South Korea:
Cheekbone reduction surgery typically costs 5,500,000 KRW to 18,000,000 KRW (about $3,784 to $12,900 USD). The average is around 6,000,000 KRW ($4,600 USD). A 10% deposit is usually required to book your surgery.

Factors Influencing Cost:

• Surgeon’s Experience: More experienced surgeons may charge higher fees.
• Clinic Reputation: Well-known clinics often have higher prices.
• Surgery Complexity: The technique used, amount of reduction, and degree of asymmetry affect the cost.
• Package Inclusions: Many clinics offer packages that include the surgery, surgeon’s fees, anesthesia, hospitalization, consultations, translator services, airport transfers, and follow-ups. Some extras, like medications or caregiver fees, may not be included. Travel and accommodation are usually separate.

Cost Comparison with Other Countries:

Country	Estimated Cost Range (USD)	Notes
South Korea	$5,000 - $10,000	Often includes comprehensive care packages; high volume and efficiency keep costs down.

Korean clinics often offer all-inclusive pricing, while Western clinics may add fees for anesthesia, staff, and VAT. This transparency and value make Korea especially attractive for medical tourists.

Ways to Lower Costs in Korea:

• Paying in Full: Some clinics offer up to 10% off for full upfront payment.
• Modeling for the Clinic: Agreeing to use your before-and-after photos for promotion can get you up to 50% off.
• Tax Refund: Foreigners can get a VAT refund when leaving Korea—keep your receipts and ask about eligibility.

Patient Experiences and Outcomes: Addressing Asymmetrical Cheekbones

Many people choose cheekbone reduction surgery to correct asymmetrical cheekbones and achieve a more balanced look. The procedure smooths the transition from cheeks to jawline, enhancing overall symmetry.

Reported Outcomes:

• Softer, More Feminine Features: Reducing wide or angular cheekbones creates a more slender, refined appearance.
• Improved Balance and Harmony: The main goal is to correct unevenness, making the face look more symmetrical and enhancing other features.
• Increased Confidence: Many patients report feeling more confident and satisfied with their appearance after surgery.

While detailed testimonials about correcting uneven cheekbones are limited, overall satisfaction with zygoma reduction is high. Patients often praise the care, professionalism, and results, especially when working with experienced surgeons.

Recovery and Potential Risks: Recovery involves swelling, bruising, discomfort, and numbness, which are managed with medication and a soft diet. Most swelling goes down in a few weeks, but final results take several months. Risks include infection, bleeding, temporary or permanent numbness, contour irregularities, or persistent asymmetry that may require revision. Careful planning and skilled surgery are key to minimizing these risks.

Conclusion

Asymmetrical cheekbones are a common concern that can impact self-confidence, but a range of non-surgical and surgical solutions are available. Non-surgical options like fillers and buccal fat removal offer less invasive ways to improve facial balance, while cheekbone reduction surgery provides a permanent solution for more significant changes. South Korea stands out for its expertise, advanced technology, and competitive, all-inclusive pricing, making it a top choice for medical tourists. Ultimately, thorough research and consultation with qualified professionals are essential to achieving safe, satisfying results.

References

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