2026-09-03
If you're concerned about a peanut-shaped face, thread lifting can improve your facial contour in some cases
Learn how thread lifting can address a 'peanut-shaped' face, characterized by sunken cheekbones and sagging jowls, often due to aging and soft tissue descent.
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It is not subject to deliberation under Articles 56(2) and 57 of the Medical Service Act, and we inform you that it is not an advertisement unrelated to the content of deliberation.
Hello,
This is Dr. Park Jeong-geun,
Director of Faceplus Plastic Surgery Clinic,
specializing in thread lifting for peanut-shaped faces.
If you look in the mirror and notice that the areas next to your cheekbones are sunken while your lower cheeks have sagged, making your face appear uneven, you might have what is commonly referred to as a ‘peanut-shaped face’.
In consultations, I frequently hear concerns about the mid-face appearing hollow and the jawline looking plump, resulting in an uneven facial contour.
This appearance is often not simply due to bone structure but rather the downward migration of soft tissues in the mid-face.
As we age, the cheek tissues descend, and tissues accumulate around the jaw, which can lead to a change in facial shape.
The lower part of the face may appear wider, and the upper part narrower.
A peanut-shaped face can be a structural change due to aging.
A youthful face typically maintains volume in the cheekbones and mid-face, with a defined jawline, often presenting as a ‘triangle shape that is wide at the top and narrow at the bottom’.
However, over time, as mid-facial tissues migrate downwards, the lower face becomes heavier, and the jawline blurs.
At this point, the areas next to the cheekbones become sunken, and the lower cheek fat sags, making the facial line appear uneven.
These structural changes are the main cause of a peanut-shaped appearance.
Therefore, simply adding volume may not always be sufficient for significant improvement.
In reality, the soft tissues of the face consist of multiple layers, including skin, fat, and fascial layers, and changes occur as these layers move together.
It is often not just a problem in one area, but rather a complex interplay of structural changes that create the current facial shape.
Cases where facial contour can be changed with thread lifting
In such cases, lifting that repositions the sagging tissues upwards can be beneficial.
Especially if the mid-face and tissues around the jawline have descended, thread lifting can be considered to refine the lines by pulling them upwards from the outer side.
Thread lifting involves inserting threads along the SMAS layer or the spaces where tissues move, with an understanding of the anatomical structure of the face, to reposition sagging tissues upwards.
By utilizing this structure, one can expect results where the facial lines are naturally refined as they are pulled in the appropriate direction.
Characteristics of a facial shape suitable for thread lifting
Not all peanut-shaped faces are caused by the same factors.
The forms vary, including cases where there is insufficient volume below the cheekbones, where hollowing due to fat loss is central, or where skin laxity is the primary cause.
Among these, if the mid-face and cheek tissues have descended, making the lower face appear heavy, then an approach to refine the lines through thread lifting can lead to relatively natural changes.
Conversely, if a lack of volume is the primary cause, other methods such as fillers or fat grafting may be considered in conjunction.
Improving facial contour is not just a matter of pulling; it requires a precise understanding of the structure and underlying causes.
This is because even with the same peanut-shaped face, the approach can differ depending on the cause.
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Peanut-shaped face lifting
Frequently Asked Questions
What is a peanut-shaped face?
A peanut-shaped face refers to a facial contour where the areas next to the cheekbones are sunken and the lower cheek fat has sagged, making the facial line appear uneven. It often results from the downward migration of mid-facial soft tissues.
Why does a peanut-shaped face occur?
A peanut-shaped face is often not simply due to bone structure but rather occurs as mid-facial soft tissues migrate downwards with age, making the lower face appear heavier and blurring the jawline.
Can a peanut-shaped face be improved with thread lifting?
Yes, a peanut-shaped face can be improved with thread lifting in some cases. It can particularly help to refine uneven lines by pulling the mid-face and jawline tissues, which have descended, upwards from the outer side.
How does thread lifting improve facial contour?
Thread lifting involves inserting threads along the SMAS layer or the spaces where tissues move, with an understanding of the anatomical structure of the face, to reposition sagging tissues upwards. Through this, one can expect results where the facial lines are naturally refined.
Which peanut-shaped faces are suitable for thread lifting?
Thread lifting can bring relatively natural changes to peanut-shaped faces where the mid-face and cheek tissues have descended, making the lower face appear heavy. If a lack of volume is the primary cause, fillers or fat grafting may be considered in conjunction.
Is thread lifting the only solution for improving a peanut-shaped face?
No, thread lifting is not the only solution. The causes of a peanut-shaped face are diverse, so if a lack of volume is the primary cause, other methods such as fillers or fat grafting may be considered. Accurate identification of the cause is crucial.