Cheongdam Ulthera | Can Ulthera Manage Deep Cheek Sagging?

If the deep cheek is prominent, is Ulthera necessary?

If the cheek fat next to the mouth appears bulging or drooping downwards, it is commonly referred to as deep cheek sagging. However, in reality, factors such as skin elasticity, fat distribution, and changes in surrounding volume can all have an impact.

It is difficult to simply conclude that the reason for the appearance of a prominent deep cheek is due to excess deep cheek fat.

The volume in the front cheek may have decreased, making the lower part appear relatively more prominent, or the sagging of the skin may cause the boundary next to the mouth to look heavier. Since changes in actual fat volume, differences in surrounding volume, and decreased skin elasticity are different issues, the same treatment cannot be applied to the same appearance.

Therefore, it is necessary to first examine what structure is currently affecting the facial contour rather than simply saying, 'Since there is a deep cheek, let's get Ulthera.'

Is the prominence of the deep cheek all due to fat?

Just because the area around the mouth appears bulging does not always mean there is a lot of fat. The volume of the front or side cheeks may have decreased, emphasizing the lower part relatively. If these differences are not considered, it is easy to lose the overall balance of the face.

Ultherapy Prime delivers micro-focused ultrasound energy to a specific target depth. The name of this equipment does not imply that it is a treatment for eliminating deep cheek fat. It can be considered when concerns about the deep cheek are related to sagging skin and soft tissue, but it cannot be concluded that increasing the amount of treatment is appropriate solely because there is a lot of fat.

Especially in faces where hollowness under the cheekbone and deep cheeks appear together, it is important to distinguish between areas that need to maintain volume and those that require elasticity management.

If the volume of the front cheek decreases, the tissue next to the mouth may appear more bulging than it actually is. If the approach is to simply reduce the bulging part in such a face, the original volume imbalance may be emphasized, so it is better to consider both the upper cheek and lower contour together.

How does Ultherapy Prime approach the deep cheek?

The deep cheek refers to the fat tissue located deep inside the cheek, but not all of the bulging appearance of the lower part of the cheek is due to deep cheek fat. While the volume of fat itself may be large, sagging skin and supporting tissue can also make the lower jaw appear heavier.

Ultherapy Prime is a lifting treatment that delivers micro-focused ultrasound energy to the target depth in the skin, inducing thermal reactions in the tissue and collagen remodeling. Therefore, its approach is different from treatments that directly remove deep cheek fat or selectively reduce its volume.

For example, if the tissue under the cheek is sagging and the facial contour is blurred, improvements in elasticity of the skin and supporting tissue can lead to changes in contour. On the other hand, if the volume of deep fat tissue is the main cause, it may be difficult to expect the desired volume reduction with Ultherapy Prime alone.

Especially in faces where the area under the cheekbone already appears hollow, simply reducing the volume of the lower cheek may not be the solution. Considering the distribution of facial volume and the areas where sagging occurs is essential for planning a natural contour.

The ultrasound imaging of Ultherapy Prime is used during the procedure to check the tissue layers in the skin and set the appropriate target depth. Based on this, the areas that actually need elasticity improvement and the scope of application can be reviewed.

Therefore, AMRED approaches the deep cheek not merely as fat that needs to be reduced, but distinguishes the causes of volume and sagging, considers the overall balance of the face, and designs the areas where improvement can be expected through Ultherapy Prime and the appropriate scope of treatment.

If there is hollowness in the cheeks, what will change?

If there is already a lack of volume or the area under the cheekbone appears hollow, the balance with other areas should be evaluated before the treatment. When both the protrusion of the deep cheek and the hollowness under the cheekbone appear together, a treatment plan that considers the impact of both areas on the facial contour is necessary.

The boundary between the skin and fat layer varies from person to person and also differs across areas of the face. Checking ultrasound imaging is one way to reference these tissues, but the actual depth at which energy should be delivered must be judged based on the actual condition. If there is a history of volume loss in the front cheek, past fat reduction treatments, or filler use, that information can be helpful in determining the new treatment scope.

In faces where the area under the cheekbone already appears hollow, there may be a visual contrast that makes the area around the mouth appear more prominent. The treatment plan for such faces requires a process of examining the sagging areas while distinguishing the positions of volume that need to be maintained.

Improving skin elasticity and reducing volume are not the same goal. It is advisable not to use the appearance of a smaller face as the sole criterion for success after treatment.

How will the number of shots for deep cheek Ulthera change?

In deep cheek Ulthera, the number of shots does not mean 'how much can the deep cheek be reduced.' The treatment plan can vary even with the same number of shots depending on where and at what depth the energy is delivered.

For example, in faces where sagging next to the mouth is prominent, the surrounding volume and the boundary of the jawline must be considered together. Conversely, if the front cheek is already hollow, it may be more important to distinguish between areas that need to maintain the three-dimensionality of the cheek and those that require elasticity management.

For this reason, it is difficult to apply the numbers 300 shots or 600 shots as a formula for improving the deep cheek. First, the purpose and scope of the treatment are determined, and then the necessary amount of treatment is planned accordingly. It is especially important not to interpret the shape of the deep cheek simply as a matter of fat volume.

How does AMRED examine deep cheek sagging?

The expression that the deep cheek appears prominent includes different facial changes. A face where actual volume is concentrated next to the mouth and a face where the front cheek is hollowed out, making the lower part appear heavier, cannot be approached in the same way.

AMRED examines the density and volume of the cheeks and changes in facial contours based on 4D aging resolution. The focus is particularly on distinguishing between areas that need to maintain the three-dimensionality of the front cheek and those that require elasticity management.

When considering Ultherapy Prime, rather than uniformly distributing shots to the prominent deep cheek area, the necessary application scope is planned by considering the condition of the facial tissue and the target depth. The focus is on improving the facial contour in balance with the surrounding volume rather than simply making the deep cheek smaller.

4D is a proprietary aging analysis and treatment design perspective defined by AMRED and does not refer to an independent medical diagnostic classification or a single treatment name.

The actual treatment plan may vary based on the medical staff's examination and individual conditions.