Medical Tourism Blog
Midface Volume Loss Solutions in Korea: PRP Fat Grafting & Cheekbone Implant Procedures
Table of contents
- Common Pseudonyms for Midface Volume Loss
- Detailed Medical Procedures for Midface Volume Restoration
- Best Clinics in Korea for Midface Volume Loss
- Navigating Cosmetic Procedures in South Korea for Medical Tourists
- Cost Analysis: South Korea vs. Other Countries (Medical Tourist Perspective)
- Patient Outcomes and Experiences
- Conclusion
- References
Midface volume loss, often described as "deflated cheek tissue from aging," is a common concern that can dramatically affect facial appearance and self-confidence. This condition is marked by a sunken or hollow look in the central face, especially between the cheekbone and jawline (the buccal area). As facial volume and skin elasticity decrease, the face can appear tired, older, or even gaunt.
The main cause of midface volume loss is aging, which leads to a gradual reduction in subcutaneous fat and a decline in collagen and elastin production. Fat tends to shift from the upper face to the lower face, changing the youthful, inverted triangle shape into a more square and deflated look. Rapid weight loss, especially from medications like semaglutide-based drugs (such as Ozempic or Wegovy), can also cause facial hollowing, sometimes called "Ozempic face." While not medically dangerous, these changes can be emotionally challenging. Other factors like sun exposure, smoking, and pollution can speed up this process. People with midface volume loss often notice flatter cheeks and a less defined midface, making them look older or more fatigued. Treatments focus on restoring lost volume and improving skin quality.
Common Pseudonyms for Midface Volume Loss
Different terms are used to describe midface volume loss, which helps patients and healthcare providers communicate more clearly.
| Term | Description |
|---|---|
| Sunken Cheeks | Describes the inward, hollow look of the midface due to volume loss. |
Detailed Medical Procedures for Midface Volume Restoration
If you're looking to address midface volume loss, two main medical procedures stand out: PRP Fat Grafting and Cheekbone Implants. Each has its own approach, benefits, and considerations.
PRP Fat Grafting (Platelet-Rich Plasma Fat Grafting)
What is PRP Fat Grafting?
PRP Fat Grafting, also called Platelet-Rich Plasma Fat Grafting or Platelet-Rich Plasma Fat Transfer, is a cosmetic procedure that combines the regenerative power of platelet-rich plasma (PRP) with traditional fat grafting. Fat is taken from areas with excess (like the abdomen or thighs), while a blood sample is processed to isolate PRP, which is rich in growth factors. The PRP is mixed with the purified fat and injected into the face.
The growth factors in PRP help the transferred fat cells survive and integrate, leading to longer-lasting results than fat grafting alone. Since your own fat and blood are used, there's no risk of rejection or allergic reaction. PRP Fat Grafting not only restores facial volume but also improves skin quality, elasticity, and texture, offering a comprehensive facial rejuvenation.
The Procedure: Step-by-Step
- Consultation and Assessment: A certified plastic surgeon reviews your medical history and goals, using imaging to plan the treatment.
- Fat Harvesting: Fat is removed from donor sites (like the abdomen or thighs) using liposuction or syringe aspiration (Coleman Technique) to minimize cell damage.
- Fat Processing: The fat is purified by removing impurities using sedimentation, filtration, or centrifugation. Techniques like Microfat and Nanofat can be used for specific needs.
- Preparing Platelet-Rich Plasma: Blood is drawn and spun in a centrifuge to separate PRP, which is rich in growth factors.
- Combining PRP and Fat: The purified fat and PRP are mixed to create an advanced filler.
- Injection Process: The mixture is injected into target areas (cheeks, temples, jawline, under-eye hollows) using microinjections for even distribution and a natural look. Surgeons may slightly overcorrect the volume to account for some resorption.
- Post-Procedure Care: Patients are advised to avoid strenuous activities, use prescribed antibiotics, and attend follow-ups. Swelling and mild discomfort are common but usually resolve in one to two weeks.
Key Benefits and Considerations
PRP Fat Grafting offers natural, long-lasting results using your own fat, with no risk of rejection. It restores facial volume, removes unwanted fat from donor areas, and improves skin quality. It's effective for softening lines and refining facial contours.
However, not all transferred fat survives, so some may be reabsorbed, possibly requiring a second session. Results can vary depending on the provider's technique. Complications are rare but can include skin irregularities, prolonged swelling, graft overgrowth, fat necrosis, infection, acne, and spider veins. A very rare but serious risk is fat embolism, especially in certain facial areas, though the cheek is considered safer.
Cheekbone Implants
What are Cheekbone Implants?
Cheekbone implants are solid, artificial materials surgically placed to add volume to the cheek area, such as the malar (cheekbone) and sub-malar (mid-cheek) regions. They enhance facial contours and provide a more youthful, symmetrical look. Unlike temporary fillers, cheek implants offer a permanent solution and avoid the risk of migration or an overfilled appearance.
Implants are usually made from silicone or porous polyethylene (Medpor®) and are customized to fit each patient. They can be shaped to enhance cheekbone projection, round out sunken cheeks, or address both areas for balanced results.
Types of Cheek Implants
- Malar Implants: Placed over the cheekbones to increase projection and definition, popular among younger adults.
- Submalar Implants: Placed in the mid-cheek to correct a hollow appearance and add support.
- Combined Cheek Implants: Used when both malar and submalar augmentation is needed for comprehensive volume restoration.
The Surgical Process: Step-by-Step
- Pre-operative Preparation: Patients fast for 8 hours, shower, and avoid certain medications before surgery. Medical history is reviewed.
- Consultation and Marking: The surgeon marks the face and confirms readiness.
- Anesthesia: Sedative anesthesia is administered through a catheter.
- Incision: A small incision is made inside the upper lip or mouth (sometimes under the eyelid) to minimize visible scarring.
- Implant Placement: A pocket is created, and the implant is fitted and secured, often with a fixation screw.
- Closure: The incision is closed with stitches, and a compression bandage is applied.
- Recovery: Patients go home the same day. Swelling peaks in the first 1-2 days and subsides over a week. Light activities can resume within a week, but full recovery takes about six weeks.
Key Benefits and Considerations
Cheek implants provide a permanent solution for cheek volume loss, with minimal scarring and customizable results. They can be removed or adjusted if needed. Risks include bleeding, infection, numbness, chronic pain, or implant shifting, but these are rare with proper care and experienced surgeons.
PRP Fat Grafting vs. Cheekbone Implants: A Comparative Overview
| Factor | PRP Fat Grafting | Cheekbone Implants |
|---|---|---|
| Material Used | Patient's own fat and PRP | Silicone or porous polyethylene (Medpor®) |
| Longevity | Long-lasting, but some fat may be reabsorbed; touch-ups may be needed | Permanent, but removable if desired |
| Volume Loss Treatment | Restores overall facial volume, softer and more natural look | Adds defined projection and structural volume to cheeks |
| Skin Quality | Improves skin texture and elasticity | No direct skin benefits |
| Procedure Complexity | Multi-step: fat harvesting, processing, PRP prep, injection | Surgical insertion of implant; generally quicker |
| Allergic Reaction | None (autologous materials) | Possible, but rare with biocompatible implants |
| Recovery Time | Swelling/bruising for about two weeks; light activity after a week | Swelling/discomfort for weeks; light activity after a week |
Best Clinics in Korea for Midface Volume Loss
Listed below are the best clinics in Korea for midface volume loss:
| Clinic Name | Key Features | Special Techniques |
|---|---|---|
| Lydian Plastic Surgery Clinic | Located in Cheongdam, Gangnam; boutique, patient-centered approach; renowned VIP & celebrity destination; ultra-sterile cleanrooms (Clean Class 10,000 HEPA); led by Dr. An Kyung Chun—over 20 years’ experience, recognized among Korea’s Top 18 Aesthetic Plastic Surgery Experts and World’s Top 100 Doctors in Stem Cell Aesthetic Medicine; strict equipment upgrades; comprehensive 4-step aftercare; customized, anatomy-based design | Enhanced stem cell fat grafting (50-60% survival rate); optimal stem cell extraction with advanced 4°C centrifuge; Edinizer device for uniform fat cell grafting, reduced swelling & improved survival; 5D sculpting (high-definition liposuction); transformative stem cell therapy; exclusive methods managed by one expert physician |
| THEPLUS Plastic Surgery | Located in Garosu-gil, Gangnam; team of elite board-certified surgeons (Dr. Kim, Dr. Jeong, Dr. Lee); President of Korean Society of Plastic Surgeons on staff; academic engagement, publishes regularly; purpose-built 4-floors; reputation for safety, satisfaction, individualized, natural enhancement-focused care | Advanced 3D implant techniques; complex midface volume loss management; functional-aesthetic fusion in surgery; comprehensive consultation-to-postop care; research-driven innovations; anti-aging interventions with custom surgical and non-surgical solutions |
| Okay Plastic Surgery Clinic | Patient-centered journey; individualized, empathetic care; skilled female plastic surgeon; wide service range: body contouring, breast surgeries, facelifts, eyes, rhinoplasty; hairline, scar/keloid, and skin care specialty centers | Comprehensive midface volume restoration; fillers; thread lifting; bespoke non-surgical rejuvenation options; advanced, personalized surgical procedures with latest medical technology |
Lydian Plastic Surgery Clinic
Lydian Cosmetic Surgery & Dermatology Clinic, located in Seoul’s prestigious Cheongdam area of Gangnam, is a leading name in cosmetic medicine, particularly renowned for its advanced treatments of midface volume loss. Under the renowned leadership of Dr. An Kyung Chun—an internationally celebrated specialist with over 20 years of experience—the clinic combines innovative techniques, cutting-edge technology, and a boutique, patient-centered approach. Lydian’s personalized care, focus on safety, and commitment to visible, natural results have made it a destination of choice for VIPs, celebrities, and discerning patients seeking midface rejuvenation.
Why Lydian Plastic Surgery Clinic is the Best Choice for Midface Volume Loss:
- Enhanced Stem Cell Fat Grafting: Achieves superior fat graft survival rates (50-60%) by enriching harvested fat with highly concentrated stem cells, noticeably higher than typical rates (20-30%).
- Optimal Stem Cell Extraction: Employs advanced centrifuge technology at 4°C, preserving stem cell integrity and improving graft quality compared to standard room temperature processes.
- Ultra-Sterile Facilities: Features double-door sealed cleanrooms with Clean Class 10,000 HEPA-filtered air, certified by the Ministry of Health and Welfare, ensuring a contamination-free environment for all procedures.
- Edinizer Device for Even Results: Uses the Edinizer for uniformly sized fat cell grafting, which minimizes post-procedure surface irregularities, reduces swelling, and enhances fat survival rates.
- Renowned Expert Care: Directed by Dr. An Kyung Chun—named one of Korea’s Top 18 Aesthetic Plastic Surgery Experts and listed in the World’s Top 100 Doctors in Stem Cell Aesthetic Medicine—offering unmatched skill and experience.
- Advanced Equipment: Maintains a strict policy against outdated devices, continuously upgrading to the latest international technology for safe and effective treatments.
- Customized, Anatomy-Based Design: Prioritizes individualized planning, ensuring enhancements are tailored to each patient’s natural structure for harmonious, balanced results.
- Comprehensive Aftercare: Utilizes a 4-step program focused on reducing swelling, correcting irregularities, restoring skin elasticity, and refining final contours for optimal recovery.
- Exclusive Techniques: Pioneers advanced methods such as 5D sculpting (high-definition liposuction) and transformative stem cell therapy for facial rejuvenation, all managed under one expert physician for cohesive, superior outcomes.
Lydian Clinic is distinguished not only by its world-class treatments and remarkable outcomes in facial volume restoration but also by its unwavering dedication to patient safety, satisfaction, and lifelong beauty.
You can check out their website here: Lydian Plastic Surgery Clinic Website
THEPLUS Plastic Surgery
Located in the renowned Garosu-gil district of Gangnam, Seoul, THE PLUS Plastic Surgery clinic is recognized as a premier destination for advanced cosmetic and reconstructive procedures, including the management of midface volume loss. THE PLUS stands out with its team of elite board-certified surgeons—Dr. Kim, Dr. Jeong, and Dr. Lee—each with distinguished academic, research, and surgical credentials. Dr. Kim, an award-winning authority in facial contouring and rhinoplasty, has contributed significant advancements in 3D implants and frequently leads educational sessions for fellow surgeons internationally. Dr. Jeong, the current President of the Korean Society of Plastic Surgeons, is acclaimed for his innovative approaches in combining function and aesthetics, making him a sought-after presenter at global industry conferences. Dr. Lee, specializing in breast augmentation, brings unparalleled expertise from her tenure at Korea's top medical institutions, ensuring natural, enduring results for her patients.
The clinic operates across four purpose-built floors, offering comprehensive services from consultation to surgery and post-operative care. THE PLUS is well-known for its academic engagement and pioneering research, contributing regularly to international journals and textbooks. The clinic holds a reputation for patient safety, satisfaction, and customized care, blending state-of-the-art techniques with a philosophy focused on enhancing each patient's natural features. Whether addressing complex cases of midface volume loss or pursuing facial harmony through contouring and anti-aging interventions, THE PLUS Plastic Surgery delivers outstanding outcomes through a blend of surgical mastery, ongoing education, and a steadfast commitment to achieving the highest standards in aesthetic medicine.
You can check out their website here: THEPLUS Plastic Surgery Website
Okay Plastic Surgery Clinic
Okay Plastic Surgery Clinic sets itself apart with a transformative philosophy that prioritizes individualized and sincere care for every patient. Guided by a team of skilled professionals, including a distinguished female plastic surgeon, the clinic offers a patient-centered journey that goes beyond routine procedures. Their approach combines precision, empathy, and the latest advancements in medical technology to provide bespoke treatments tailored to each patient’s aesthetic goals.
The clinic boasts a comprehensive range of specialized services—ranging from advanced body contouring and breast surgeries to cutting-edge facelifts, eye enhancements, and rhinoplasty. Additionally, Okay Plastic Surgery Clinic features dedicated centers for hairline refinement, scar and keloid management, and medical skin care solutions. Their holistic menu of services includes effective non-surgical options like fillers and thread lifting, making it a trusted destination for those seeking midface volume restoration and overall facial rejuvenation in Korea.
You can check out their website here: Okay Plastic Surgery Clinic Website
Navigating Cosmetic Procedures in South Korea for Medical Tourists
South Korea is a top destination for cosmetic surgery, thanks to its advanced clinics, skilled surgeons, and competitive prices. International patients should understand the process for a smooth experience.
General Process for International Patients
Most journeys start with online research. Many clinics have multilingual websites and offer free initial consultations. Pre-operative tests are common to ensure safety. Medical tourism agencies like Bookimed can help with transparent pricing, verified clinics, and 24/7 support, including personal coordinators and multilingual staff. Visa requirements are straightforward for many nationalities, and travel costs should be included in your budget.
Getting PRP Fat Grafting in South Korea
- Consultation and Assessment: Meet with a certified surgeon to discuss goals and plan the procedure.
- Harvesting Fat: Fat is removed from donor sites and purified.
- Preparing Platelet-Rich Plasma: Blood is drawn and processed to isolate PRP.
- Combining PRP and Fat: The two are mixed to create the filler.
- Injection Process: The mixture is injected into the face with microinjections.
- Post-Procedure Care: Follow instructions for recovery, including avoiding strenuous activity and attending follow-ups.
Getting Cheekbone Implants in South Korea
- Initial Inquiry and Consultation: Submit photos and medical history online, then attend in-person consultations.
- Pre-Surgery Preparation: Follow pre-op instructions, including fasting and medication restrictions.
- Anesthesia and Incision: Sedative anesthesia is administered, and incisions are made inside the mouth.
- Implant Insertion and Securing: Implants are placed and fixed to the cheekbone.
- Suturing and Dressing: Incisions are closed and a compression dressing is applied.
- Recovery and Follow-up: Swelling peaks in the first days and subsides over a week. Stitches are removed around Day 14, and sensitivity returns within three months.
Cost Analysis: South Korea vs. Other Countries (Medical Tourist Perspective)
South Korea is known for high-quality cosmetic surgery at competitive prices, making it attractive for medical tourists.
Estimated Costs in South Korea
- PRP Fat Grafting: ₩5,000,000 to ₩16,000,000 ($3,500 to $11,300 USD). Standalone PRP sessions are much less.
- Cheekbone Implants: ₩5,500,000 to ₩10,000,000 ($3,790 to $6,890 USD).
Prices usually include surgeon fees, operating room, anesthesia, and some follow-up care. Additional costs may include pre-op tests ($100-$500), medications ($50-$200), extra follow-ups ($50-$150), and travel/accommodation.
Cost Comparison: South Korea vs. US, UK, Australia, and Turkey
| Procedure | South Korea (USD) | United States (USD) | United Kingdom (USD) | Australia (USD) | Turkey (USD) |
|---|---|---|---|---|---|
| PRP Fat Grafting | $3,500 - $11,300 | $2,500 - $7,000 | N/A | N/A | N/A |
| Cheekbone Implants | $3,790 - $6,890 | ~$4,000 | ~$6,400 | ~$4,300 | N/A |
| General Surgery Avg. | $4,000 - $10,500 | Up to $22,000 | N/A | N/A | N/A |
Note: Some countries lack specific data for these procedures; comparisons use similar surgeries where needed.
Factors Influencing Cost and Medical Tourism Advantages
Patients can save 40-65% by choosing South Korea, without sacrificing quality. Clinics offer state-of-the-art facilities, experienced surgeons, and transparent pricing. Many packages include consultations, tests, surgery, anesthesia, and aftercare, with some even covering accommodation and transfers. This comprehensive approach, combined with high standards and competitive pricing, makes South Korea a top choice for midface volume restoration.
Patient Outcomes and Experiences
Understanding real patient experiences helps set expectations for midface volume restoration.
Effectiveness in Addressing Midface Volume Loss
Both PRP Fat Grafting and Cheekbone Implants are effective for restoring youthful contours. Fat grafting softens lines and adds fullness, with results that can be long-lasting but may require touch-ups. Cheek implants offer a permanent solution for cheek definition and balance, unlike temporary fillers.
Reported Patient Satisfaction and Aesthetic Improvements
Satisfaction rates are high for both procedures when performed by skilled surgeons. For PRP Fat Grafting, studies show patient satisfaction rates of 78%-100%. Cheekbone Implants also receive high marks, with similar procedures like hyaluronic acid fillers showing 92.8% of patients reporting improved cheek volume at 6 months and 79% at 2 years. Patients often feel they look several years younger after treatment.
| Midfacial Region | Baseline (%) | Month 6 (%) | Month 12 (%) | Month 24 (%) |
|---|---|---|---|---|
| Outer/lower cheek areas | 59.0 | 97.6 | 93.1 | 89.8 |
| Cheekbone projection | 69.7 | 97.6 | 95.5 | 91.7 |
| Area beside nose | 53.6 | 95.7 | 94.0 | 91.0 |
| Tear troughs | 47.2 | 84.7 | 80.1 | 77.7 |
| Nasolabial folds | 31.2 | 73.6 | 69.0 | 56.7 |
Data from Juvéderm Voluma XC studies as a proxy for volume restoration satisfaction.
Common Side Effects and Potential Complications
Both procedures are generally safe, but side effects can occur.
For PRP Fat Grafting, common effects include tenderness, swelling, firmness, lumps, bruising, pain, redness, discoloration, and itching—usually mild and resolving within two weeks. Rare complications include skin irregularities, prolonged swelling, graft overgrowth, fat necrosis, infection, acne, and spider veins. The most serious risk is fat embolism, especially in certain facial areas, but the cheek is the safest zone.
For Cheekbone Implants, typical side effects are swelling, bruising, discomfort, and stiffness. Risks include bleeding, infection, numbness, chronic pain, or implant shifting, but these are rare with experienced surgeons.
| Complication Type | PRP Fat Grafting | Cheekbone Implants |
|---|---|---|
| Common Side Effects | Tenderness, swelling, lumps, bruising, pain, redness, itching | Swelling, bruising, discomfort |
| Moderate Complications | Skin irregularities, prolonged swelling, fat necrosis, etc. | Bleeding, infection, numbness |
| Severe Complications | Fat embolism, tissue necrosis, vision loss, stroke (rare) | Rare, usually related to above issues |
Conclusion
Midface volume loss can be effectively treated with PRP Fat Grafting or Cheekbone Implants, each offering unique benefits and considerations. South Korea provides high-quality care and significant cost savings for medical tourists. Choosing the right procedure depends on your goals, desired longevity, and willingness to undergo surgery or touch-ups—consulting with experienced surgeons and thorough planning are key to achieving the best results.
References
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