Table of contents

• Eyelid Fat Grafting: A Potential Solution
• Best Clinics in Korea for Hollow Cheekbones
• Navigating Eyelid Fat Grafting in South Korea
• Patient Perspectives: Eyelid Fat Grafting for Hollow Cheekbones
• Conclusion: Empowering Patients with Knowledge
• References

Hollow cheekbones refer to a facial feature where the area between the cheekbones and jawbone appears sunken. This look mainly results from a loss of fat volume in the midface. Online, you might find this condition described with terms like sunken cheeks, hollow cheeks, gaunt cheeks, or thin cheeks.

Medically, hollow cheekbones happen when the natural fat pads over the cheekbones shrink or shift. These fat pads give the midface its volume and shape. As they diminish, the cheeks look hollow or sunken, often giving the face a gaunt, aged appearance. While some people may desire hollow cheeks for aesthetic reasons, in most cases, sunken cheeks are linked to aging or health issues.

What Causes Hollow Cheekbones? Exploring Various Factors

Hollow cheekbones can develop due to several reasons, and understanding these is key to finding the right treatment.

Natural aging is a major cause. Over time, collagen and fat production decrease, reducing skin elasticity and facial volume. Fat pads also tend to move downward, making cheeks look sunken.

Significant weight loss can also cause hollow cheeks. Losing a lot of body fat often means losing facial fat, which reduces cheek volume.

Genetics influence facial structure and fat distribution. Some people naturally have less cheek fat or more prominent cheekbones, leading to a hollow look even without weight loss or aging.

Certain medical conditions contribute to hollow cheeks. Chronic illnesses like autoimmune diseases, cancer, and infections can cause fat loss. Eating disorders such as anorexia and bulimia also reduce subcutaneous fat. Conditions like vascular Ehlers-Danlos syndrome, lipoatrophy (often linked to HIV), and advanced tuberculosis may cause sunken cheeks due to their effects on fat and tissue health.

Lifestyle factors play a role too. Smoking and excessive sun exposure break down collagen and speed up fat loss. Poor nutrition, dehydration, lack of sleep, and extreme exercise can also lead to hollow cheeks.

Lastly, stress and hormonal changes affect skin proteins and fat distribution, potentially causing midface fat loss.

Because many factors can cause hollow cheekbones, a thorough evaluation is important to identify the specific cause and guide effective treatment.

Eyelid Fat Grafting: A Potential Solution

Detailed Explanation of the Eyelid Fat Grafting Procedure

Eyelid fat grafting, also called under-eye fat transfer or lipotransfer, offers a way to restore volume under the eyes and indirectly improve the upper cheeks. This procedure involves taking fat from the patient’s own body and injecting it beneath the lower eyelids to act as a natural filler.

Fat Harvesting: Identifying Donor Sites

The first step is selecting donor sites for fat removal. Common areas include the abdomen (especially around the belly button), inner and outer thighs, flanks ("love handles"), and buttocks. Surgeons use liposuction with thin cannulas to gently extract fat while preserving cell integrity.

Low-trauma liposuction methods, like manual techniques and small-hole cannulas, are preferred to protect fat cells. Ultrasonic or laser-assisted liposuction is usually avoided as it can damage fat cells. Before liposuction, a tumescent fluid containing saline, a local anesthetic (like dilute lidocaine), and epinephrine is injected to reduce bleeding and ease fat removal. The amount of fat taken for eyelid fat grafting is typically small, around 10 to 100 cubic centimeters (ccs).

Fat Processing and Purification Techniques

After harvesting, the fat must be purified to remove blood, oil, excess fluids, dead cells, and debris. Common purification methods include centrifugation (spinning fat to separate layers), decanting (letting fat settle naturally), washing with sterile saline, and filtration through strainers or gauze. Some clinics use commercial kits or advanced systems like Puregraft for better purification. Once cleaned, the fat is loaded into small syringes for injection.

Injection Methods for Facial Volume Restoration

The final step is carefully injecting the purified fat under the lower eyelids using fine needles or blunt cannulas. The surgeon injects small droplets in a grid pattern to ensure even distribution and good blood supply, which is vital for fat survival. Often, slightly more fat is injected than needed to compensate for natural reabsorption, which can be 30 to 50 percent.

The success of eyelid fat grafting depends on careful harvesting, thorough purification, and precise injection techniques to maximize fat survival and achieve natural-looking results.

Benefits of Eyelid Fat Grafting for Facial Rejuvenation

Eyelid fat grafting offers many benefits for facial rejuvenation, especially around the eyes and midface. It restores volume to hollow areas under the eyes, reducing dark circles and tired appearances.

Using the patient’s own fat provides a natural look and feel with minimal risk of allergic reactions or rejection. Results tend to last longer than temporary fillers, often for several years or even permanently.

Besides adding volume, the fat’s stem cells may improve skin texture and quality. The procedure is minimally invasive, involving small incisions and a shorter recovery than more extensive surgeries. It can also be combined with other treatments like blepharoplasty (eyelid surgery) or facelift for a more complete rejuvenation.

Overall, eyelid fat grafting not only fills hollows but also rejuvenates skin naturally and offers long-lasting improvements, making it an attractive option for facial enhancement.

Potential Risks and Complications Associated with the Procedure

Though generally safe, eyelid fat grafting carries some risks. Common side effects include swelling, bruising, temporary numbness, and mild discomfort at donor and injection sites, usually resolving within days or weeks.

More serious but rare complications include infection, bleeding, scarring, lumps or bumps, asymmetry, and fat necrosis (death of fat cells). Over- or under-correction and prolonged swelling can occur. Very rarely, fat embolism (fat entering the bloodstream) may cause severe issues like vision loss or stroke.

Specific to eyelid fat grafting, patients might experience prolonged swelling, nodules or bulges under the skin, scarring or darkening at injection sites, contour irregularities, and in rare cases, eyelid ptosis (drooping). Fat survival varies, so multiple sessions may be needed.

Choosing an experienced surgeon is crucial to minimize risks and optimize results. Patients should have realistic expectations and understand that more than one treatment might be necessary.

Best Clinics in Korea for Hollow Cheekbones

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

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery"{data-slug:"theplus-plastic-surgery" data-position: "1"}	Premier clinic for hollow cheekbones in Korea, globally recognized board-certified surgeons, harmonious facial aesthetic results, led by Dr. Kim (3D facial implant research), Dr. Jeong (President of Korean Society of Plastic Surgeons), Dr. Lee (top hospital experience), state-of-the-art Gangnam facility, strong post-op care, ongoing research and training	3D facial implants, advanced facial contouring, individualized approach, most advanced and effective surgical techniques
Made Young Plastic Surgery"{data-slug:"made-young-plastic-surgery" data-position: "2"}	Leader in facial contouring and anti-aging, Gangnam location, Dr. Park Byung-Chan with 15+ years' eye surgery experience, patient-centered consultations, customized procedure details, strict safety protocols, board-certified anesthesiologists, dedicated aftercare, 2022 Korea No.1 Award, member of top plastic surgery societies	Custom double eyelid surgery, precision incision and eyelid design, tailored surgical approaches for hollow cheekbones and rejuvenation
Okay Plastic Surgery Clinic"{data-slug:"okay-plastic-surgery-clinic" data-position: "3"}	Personalized treatment, renowned female plastic surgeon, focus on facial anatomy and balance, attentive aftercare, cutting-edge and minimally invasive techniques, trusted by international patients, holistic facial harmony approach	Filler injections, fat grafting, surgical augmentation, advanced facial contouring, minimally invasive and advanced surgical treatments

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery stands out as the premier clinic for the correction of hollow cheekbones in Korea, bringing together a distinguished team of board-certified plastic surgeons with global recognition and decades of expertise. Dr. Kim, renowned for his award-winning research on 3D facial implants and international leadership in facial contouring, emphasizes a harmonious approach to facial aesthetics, ensuring results that accentuate natural beauty. Dr. Jeong, President of the Korean Society of Plastic Surgeons, combines advanced surgical techniques with a strong commitment to functional and aesthetic excellence, sharing his insights at major conferences worldwide. Alongside them, Dr. Lee applies rigorous standards for natural and lasting outcomes, shaped by her extensive experience at Korea’s top hospitals. Situated in the heart of Gangnam, THE PLUS clinic features state-of-the-art facilities dedicated to comprehensive care and safety at every stage, from consultation to post-operative recovery. Their surgeons’ commitment to ongoing education, global research engagement, and peer training ensures that patients benefit from the most advanced and effective techniques available. For patients seeking expert hollow cheekbone correction, THE PLUS Plastic Surgery’s multidisciplinary approach, internationally acclaimed surgeons, and personalized care make it the top choice in Korea.

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

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic in Seoul’s coveted Gangnam district is a leader in facial contouring and anti-aging procedures, garnering a reputation for meticulous safety and natural aesthetic results. Under the guidance of medical experts like Dr. Park Byung-Chan—who brings over 15 years of dedicated experience in eye surgery and is celebrated for his genuine, patient-centered approach—the clinic has established itself as a top destination for those seeking refined, harmonious facial features. Dr. Park is renowned for customizing every aspect of his procedures, tailoring incision lines, double eyelid height, and eyelid thickness to each individual for the most beautiful, natural outcomes—even visible on the day of surgery.

Made Young’s approach to care combines artistry, advanced medical expertise, and strict safety protocols. The team consists of highly skilled doctors with more than a decade of clinical experience, providing direct consultation and diagnosis for every patient. With a comprehensive safety system—including full-time, board-certified anesthesiologists and a dedicated aftercare center—patients can enjoy peace of mind throughout their journey. The clinic’s excellence is also reflected in prestigious recognitions, such as the 2022 Korea No.1 Award and membership in leading plastic surgery societies, making it a trusted choice for those seeking to rejuvenate their appearance, including addressing concerns such as hollow cheekbones, with world-class expertise.

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

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic stands out in Korea as a premier destination for those seeking a truly transformative approach to aesthetic medicine, particularly for concerns such as hollow cheekbones. At Okay Plastic Surgery Clinic, every patient receives a deeply personalized treatment plan crafted with sincerity, precision, and genuine care. Guided by a team of specialized professionals—including a highly experienced and renowned female plastic surgeon—we are committed to blending individualized aesthetic goals with the highest standards of safety and artistry. Through a seamless fusion of empathy, advanced medical techniques, and a broad spectrum of specialized services, Okay Plastic Surgery Clinic supports patients at every step of their personal transformation journey.

Why choose Okay Plastic Surgery Clinic for Hollow Cheekbones?

• Expertise You Can Trust: Our plastic surgeons, including a renowned female practitioner, combine years of specialized training with a deep understanding of facial anatomy, ensuring natural-looking and beautifully balanced cheekbone enhancement.
• Customized Treatment Plans: We listen carefully to your unique needs and aspirations, delivering tailored procedures—such as filler injections, fat grafting, or surgical augmentation—to effectively address hollow cheekbones.
• Cutting-Edge Techniques: We employ the latest minimally invasive and advanced surgical treatments, resulting in safe, precise, and long-lasting outcomes for facial contouring.
• Comprehensive Aftercare: From your initial consultation through post-procedure follow-ups, our team provides attentive, compassionate support to optimize healing and satisfaction.
• Reputation for Excellence: Our extensive range of aesthetic treatments, meticulous attention to detail, and transformative approach have made us a trusted leader for both domestic and international patients seeking solutions for facial volume loss and hollow cheekbones.
• Holistic Transformation: Beyond addressing isolated concerns, we aim to enhance your overall facial harmony and confidence, reflecting your best self.

With Okay Plastic Surgery Clinic, patients are empowered to achieve their aesthetic vision in a safe, supportive, and expert-driven environment—making it the ideal choice for anyone hoping to restore fullness and youthful vitality to their cheekbones.

You can check out their website here: Okay Plastic Surgery Clinic Website

Navigating Eyelid Fat Grafting in South Korea

Step-by-Step Process for International Patients

South Korea is a popular destination for eyelid fat grafting due to its cosmetic surgery expertise. Here’s a guide for international patients:

• Research and Select a Clinic: Look for reputable South Korean clinics and surgeons specializing in fat grafting. Check reviews, before-and-after photos, and certifications. Many clinics offer online consultations for international patients.
• Initial Consultation and Planning: Schedule a consultation (online or in person) to discuss goals, medical history, and suitability. Clarify how the procedure can address cheek hollowness.
• Pre-operative Evaluation and Preparation: Undergo necessary medical tests in South Korea or provide recent records from home. Follow pre-op instructions on medications, diet, and lifestyle.
• The Surgical Procedure: Usually done under local anesthesia with sedation or general anesthesia, the surgery involves fat harvesting, purification, and injection under the lower eyelids. It takes about one to two hours.
• Post-operative Care and Recovery: Follow care instructions like applying ice, keeping the head elevated, and taking prescribed medications. Expect swelling and bruising for one to two weeks. Plan to stay in Seoul for 5–7 days for recovery and follow-ups.
• Follow-up and Aftercare: Attend all follow-ups to monitor healing. Some clinics provide ongoing support after returning home. Final results may take months as swelling subsides and fat settles.

Advantages of Choosing South Korea for Eyelid Fat Grafting

South Korea offers several benefits for eyelid fat grafting:

• High Expertise of Surgeons: The country has many skilled plastic surgeons experienced in fat grafting.
• Advanced Technology: Clinics use state-of-the-art medical equipment and techniques.
• Cost-Effectiveness: Procedures are often more affordable than in Western countries, with some clinics offering medical tourism packages.
• Comprehensive Medical Tourism Support: Services include online consultations, travel assistance, airport pick-up, accommodation, multilingual staff, and post-op care.
• High Patient Satisfaction Rates: Many patients report natural-looking results and positive experiences.

These factors make South Korea a top choice for international patients seeking eyelid fat grafting.

Patient Perspectives: Eyelid Fat Grafting for Hollow Cheekbones

How Eyelid Fat Grafting Addresses Volume Loss in the Midface

While eyelid fat grafting mainly targets under-eye hollows, it can also improve midface volume, especially in the upper cheeks. The grafted fat blends into surrounding areas, smoothing the transition between the lower eyelid and cheek, enhancing overall facial harmony.

Some surgeons may inject fat into the cheeks and jawline along with the eyelids to balance facial features. This approach improves the lid-cheek junction, creating a rejuvenated, less tired look beyond just the eyes. Though not a direct treatment like cheek fillers or implants, eyelid fat grafting’s subtle volumizing effect benefits those concerned about hollow cheekbones.

Insights from Patient Testimonials and Reviews

Patients often share positive experiences with eyelid fat grafting, highlighting its effectiveness in reducing under-eye hollows and refreshing the midface appearance. Many appreciate the natural look and longer-lasting results compared to synthetic fillers.

Before-and-after photos show restored volume under the eyes and in the cheeks. Patients report increased confidence and a more youthful look, indicating that even when focused on the under-eye area, eyelid fat grafting can improve midface volume relevant to hollow cheek concerns.

Considerations for Expected Outcomes and Longevity of Results

Eyelid fat grafting offers long-lasting results, often lasting years or permanently. However, fat survival varies between 30 to 70 percent, so multiple sessions might be needed for optimal volume.

Factors affecting longevity include age, lifestyle, metabolism, surgical technique, and maintaining stable weight. Patients should have realistic expectations and understand that touch-ups may be necessary to maintain results.

Conclusion: Empowering Patients with Knowledge

Hollow cheekbones can result from aging, weight loss, genetics, medical conditions, lifestyle, and hormonal factors. Eyelid fat grafting offers a natural, long-lasting way to restore volume under the eyes and improve midface contours. While generally safe, the procedure carries some risks and may require multiple sessions. South Korea stands out as a leading destination for this treatment due to its expert surgeons, advanced technology, cost-effectiveness, and strong support for international patients.

Cause	Description
Natural Aging	Reduction in collagen and fat, downward movement of fat pads, loss of skin elasticity.
Significant Weight Loss	Reduction in overall body fat, including facial fat.
Genetics	Predisposition to less fat in cheeks or naturally prominent cheekbones.
Medical Conditions	Illnesses like autoimmune diseases, cancer, eating disorders, vascular EDS, lipoatrophy, tuberculosis.
Lifestyle Factors	Smoking, excessive sun exposure, poor nutrition, dehydration, lack of sleep, extreme exercise.
Stress and Hormonal Factors	Stress affecting skin proteins; hormonal changes leading to fat redistribution.

Benefit	Description
Restores Volume	Fills hollow or sunken areas beneath the eyes.
Natural-Looking Results	Uses patient's own fat for a natural appearance and feel.
Long-Lasting Effects	Results can last for years, longer than temporary fillers.
Improves Skin Texture	Stem cells in fat may enhance skin quality.
Minimally Invasive	Less invasive than surgical options with shorter recovery.
Combination with Other Procedures	Can be combined with eyelid surgery or facelift for comprehensive rejuvenation.

Risk	Description
Swelling and Bruising	Common and temporary side effects.
Infection	Rare but possible.
Scarring	Minimal, typically from small incisions.
Irregularities (Lumps, Bumps, Asymmetry)	Can occur, but proper technique minimizes risk.
Fat Necrosis	Death of fat cells, may lead to lumps.
Over or Under Correction	Possible, may require additional sessions.
Prolonged Swelling	May occur in some individuals.
Fat Embolism	Very rare, but serious risk of fat entering blood vessels.
Eyelid Ptosis (Drooping)	Rare complication specific to eyelid grafting.
Need for Multiple Sessions	Fat survival varies, potentially requiring more than one treatment.

Advantage	Description
High Expertise of Surgeons	South Korea has a high concentration of skilled and experienced plastic surgeons.
Advanced Technology	Korean clinics are equipped with the latest medical technology.
Cost-Effectiveness	Procedures are often more affordable than in Western countries.
Comprehensive Medical Tourism Support	Many clinics offer services tailored to international patients.
High Patient Satisfaction Rates	Patients frequently report positive outcomes and experiences.

References

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