2026-09-03
Cheek Hollow Treatment: Which Method is Right for Me – Filler or Fat Grafting?
Discover the causes of sunken cheeks and compare filler and fat grafting treatments to find the best option for you.

※ This article was written for the purpose of providing medical information.
It is not subject to review under Articles 56(2) and 57 of the Medical Act,
and we inform you that it is not an advertising post unrelated to the review content.
Hello,
I am Dr. Park Jeong-geun,
Director of Faceplus Plastic Surgery Clinic.

If you look in the mirror and notice that the area below your cheekbones appears sunken,
or if you are told that your face looks tired
and older,
you might be experiencing sunken cheeks.
Many people who visit our clinic often say,
‘My face looks haggard even though I haven't lost weight’
or ‘My cheeks look more sunken when I smile’.

In such cases, the most common concern is
treatment for sunken cheeks.
However, simply opting for filler
or fat grafting is not always the right answer.
Today, I will explain the causes of sunken cheeks
and the differences between filler and fat grafting.
Table of Contents | ||
Reasons for Sunken Cheeks Characteristics of Cheek Fillers Characteristics of Fat Grafting Which Method is Right for Me? |
1. Reasons for Sunken Cheeks

The front cheek area is an important part
that creates facial dimensionality.
If this area is sunken,
the cheekbones may appear more prominent,
and nasolabial folds may look deeper.
Sunken cheeks can occur for various reasons.
Fat volume can decrease due to weight loss,
and the position of the fat layer can shift with age.
Some individuals also have naturally insufficient
front cheek volume.

The important point is that not all cases of sunken cheeks
are the same.
The appropriate improvement method varies
depending on skin thickness, fat volume, and bone structure.
Therefore, an accurate diagnosis is needed before treatment.
2. Characteristics of Cheek Fillers

Cheek filler is a method of adding volume
to sunken areas.
It has the advantage of a relatively short procedure time
and minimal recovery burden.
Additionally, it allows for selective correction of only the deficient areas,
making it one of the methods considered by those
who desire natural changes.
However, the type of filler product and
the injection site are very important.

Injecting more than the necessary amount
can make the face look swollen
or create an unnatural impression.
Since the front cheek area connects to the center of the face,
three-dimensional design is crucial.
Therefore, it's important not to just look at the sunken part,
but to also consider the balance of the cheekbones, nasolabial folds, and mid-face.
3. Characteristics of Fat Grafting

Fat grafting is a method of harvesting one's own fat
and transplanting it to the desired areas.
It can fill large areas
and allows for planning overall facial volume improvement
simultaneously.
It can be performed not only on the front cheeks
but also on the temples, cheeks, forehead, and other areas.

However, fat grafting requires consideration
of the engraftment process.
Since not all injected fat is maintained,
additional procedures may be planned depending on the condition.
Also, because it involves a harvesting process and a recovery period,
there are more aspects to prepare for compared to fillers.
4. Which Method is Right for Me?

There's a question patients ask most frequently:
‘Is filler better, or is fat grafting better?’
The answer is that it varies from person to person.
If you want to correct a localized sunken area,
filler may be suitable.
Conversely, if there is significant overall facial volume loss
and improvement is needed over a wide area,
fat grafting can be considered.
The important thing is not
which procedure is superior.
It's about choosing the method that suits your current facial condition.

The front cheek area is a key part that determines facial impression.
Therefore, when planning a procedure,
it's important not just to add volume
but to also consider the overall facial balance and proportions.
If you are considering treatment for sunken cheeks,
please fully understand the pros and cons of fillers and fat grafting,
and consult with medical staff
to choose the method that is right for you.
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Frequently Asked Questions
What are the main causes of sunken cheeks?
Sunken cheeks can result from various factors, including decreased fat volume due to weight loss, changes in the fat layer's position with age, and naturally insufficient front cheek volume.
What are the advantages of cheek filler treatment?
Cheek filler offers the advantages of a relatively short procedure time and minimal recovery burden. It's also suitable for those who desire natural changes by selectively correcting only the deficient areas.
In what cases can fat grafting be considered?
Fat grafting can be considered when there is significant overall facial volume loss and improvement is needed over a wide area. Using one's own fat, it can be planned for overall volume improvement not only in the front cheeks but also in the temples, forehead, and other areas.
Which treatment is better, filler or fat grafting?
It's not possible to definitively say which treatment is superior. Filler may be suitable for localized volume improvement, while fat grafting may be more appropriate for overall volume improvement over a wider area. The best method depends on the individual's facial condition, so a consultation with medical staff is necessary.
Are there any precautions for cheek filler treatment?
Yes, there are precautions. The type of filler product, injection site, and amount are very important. Injecting more than the necessary amount can lead to an unnatural appearance. A three-dimensional design that considers the overall facial balance is required.