When can I expect to see the results?

You will notice the effects of Botox in 1 to 2 weeks, Ulthera in 2 to 3 months, and Sculptra gradually taking effect over 1 to 3 months. The 2 to 3-month mark, when all three treatments come together, is when your beautifully smooth V-line is fully realized.

Who is this treatment best suited for?

If you have a classic "peanut-shaped" face where the cheekbones flare outwards while the temples and lower cheeks are sunken, this combination is the most natural solution for you. However, if your cheekbones themselves are heavily prominent or your face is on the chubbier side, a different approach might be more suitable. We encourage you to schedule a consultation to find the perfect fit for you.

Hongdae Beauty Doctor Beauty Stone Clinic

Have You Suddenly Developed a "Peanut-Shaped" Face?

Everything seemed perfectly fine until yesterday, but today you look in the mirror and notice your cheekbones protruding outwards, with the temples above them looking slightly hollowed. Although the side profile of your face is relatively slim, the front looks flat and wide—a look commonly referred to as a "peanut-shaped" face. Simply reducing the cheekbones won't solve the issue; you need to fill in both the temples and the back of the cheeks to reveal a soft, smooth V-line contour. Today, we'll introduce a combination of three treatments that provide the perfect answer: Double Slim, Cheekbone Ultherapy, and Sculptra.

If the Cheekbones in the Mirror Look Particularly Prominent

A peanut-shaped face is characterized by three main features: cheekbones that flare outwards, hollowed temples above them, and a slight loss of volume in the back of the cheeks (the area in front of the ears and behind the cheekbones). This breaks the smooth curve that should flow from the upper, middle, and lower areas of the face, making the cheekbone area stand out aggressively.

In many cases, this type of face looks prominent not because of the cheekbones themselves, but because the surrounding bony structures have lost volume and dimension. That's why simply reducing the cheekbones still leaves you with a wide, flat front profile. The cheekbones will blend in naturally only when the upper temples and the outer cheeks are filled in. If your side profile looks completely fine but your photos from the front look frustratingly wide, you likely fall into this category.

Why We Must Combine Contour Reduction with Volume Filling

If you only focus on treatments that reduce the cheekbones, a specific side effect can occur. As the temporalis muscle* next to the cheekbones shrinks, the hollowed temples above them can look even deeper. That's why some people feel that while their cheekbones look narrower after a treatment, the upper part of their face looks more hollowed out, giving them a tired appearance.

Conversely, what happens if you only fill in the volume? While the temples and outer cheeks are filled, the cheekbones still flare outward, so the width of the face from the front doesn't decrease. You get more dimension, but your front profile still looks wide.

The solution is to combine contour reduction with volume filling. This setup reduces the cheekbone muscles and the sagging skin below them while simultaneously filling the temples and outer cheeks. These two approaches must go hand-in-hand to reveal a soft V-line from the front.

Comparing the Three Treatments

Treatment	Role	Target Area	Sessions	Duration	Price Range
Double Slim (Cheekbone + Temporalis Botox)	Reduction — Shrinks muscle volume	Cheekbones, temporalis muscle above temples	1 session / every 4–6 months	4–6 months	300,000 to 500,000 KRW range
Cheekbone Ultherapy (Ultherapy)	Reduction — SMAS lifting	Sagging skin under cheekbones	1 session / approx. once a year	12–18 months	500,000 to 1,500,000 KRW range (depends on line count)
Sculptra (Sculptra)	Filling — Stimulates collagen production	Temples, outer cheeks	2–3 sessions / 2–4 week intervals	Over 2 years	700,000 to 1,200,000 KRW per vial

Double Slim is a dual treatment that administers Botox to both the cheekbone muscles and the temporalis muscle. It doesn't just reduce the cheekbones; it slims the temporalis muscle as well, creating a dimensional upper facial contour.

Cheekbone Ultherapy is not a surgical bone-shaving procedure. Although its official KFDA-approved indications include brow, jawline, and neckline lifting, it is widely used in clinical practice to pull up the sagging SMAS layer* under the cheekbones to soften their prominence.

Sculptra is a collagen booster made of PLLA* that naturally and gradually stimulates your skin to produce its own collagen from within. It beautifully restores natural volume to hollow areas like the temples and outer cheeks. The price ranges are indicated in the table, but they can vary depending on the number of lines or vials used, so please confirm during your consultation.

Timeline: From Treatment Day to Seeing Results

These three treatments can be performed on the same day. The typical sequence is Botox (Double Slim) → Ultherapy → Sculptra, taking about 1 to 2 hours in total. Botox is administered first to relax the cheekbone muscles, then Ultherapy lifts the sagging areas below the cheekbones, and finally, Sculptra fills in the temples and outer cheeks.

The downtime is minimal. While some minor bruising may occur at the Botox injection sites, it usually subsides within a day. Ultherapy causes only slight swelling immediately after, allowing you to return to daily activities right away. Sculptra may cause the injection areas to look puffy for a few days, but this typically settles in 2 to 3 days.

The timing of the visible results varies by treatment. Botox relaxes the cheekbone muscles over 1 to 2 weeks, slimming the facial width. Ultherapy provides a gradual lifting effect over 2 to 3 months as collagen regenerates. Sculptra gently fills out the temples and outer cheeks as collagen builds up over 1 to 3 months. When all three treatments come together at the 2-to-3-month mark, you will see your beautifully completed, soft V-line contour.

Key Points to Discuss During Your Consultation

This combination is ideal for those with a classic peanut-shaped face, where the cheekbones flare outwards while the temples and outer cheeks are hollowed. If your cheekbones are prominent due to bone structure (which requires surgical reduction) or if your entire face is quite plump and doesn't need volume, another approach may be more appropriate.

Here are three things to check during your consultation. First, the size of your temporalis muscle. If the temporalis muscle is thick, the Double Slim treatment will be highly effective. If it is thin, the Botox dosage can be reduced, or we may bypass the temporalis and focus only on the cheekbones. Second, the number of Sculptra vials. Depending on whether you choose to fill just the temples or include the outer cheeks, you'll need between 1 and 3 vials. Third, your recovery timeline. It is best to complete the treatments 3 to 4 weeks before weddings or major events, allowing the swelling to subside so your contour looks perfectly natural.

A peanut-shaped face cannot be resolved with just one type of treatment. Softening the contour with Double Slim and Ultherapy, while replenishing volume in the temples and outer cheeks with Sculptra, is the key to achieving a smooth, beautiful V-line.

* PLLA: Poly-L-Lactic Acid. It is a synthetic substance that stimulates natural collagen production deep within the skin, serving as the main ingredient in collagen boosters like Sculptra.

* SMAS Layer: Superficial Muscular Aponeurotic System. This is a layer of tissue located approximately 4.5mm beneath the skin's surface, which Ultherapy targets by focusing ultrasound energy.

* Temporalis Muscle: The chewing muscle located above the temples. Reducing its volume with Botox slims the width of the upper face and softens the overall contour.

Frequently Asked Questions

Q. Can I receive all three treatments on the same day?

Yes, they are commonly performed together in a single visit. The typical sequence is Botox → Ultherapy → Sculptra, taking about 1 to 2 hours. Downtime is minimal, so you can expect to return to your normal routine the very next day.

Q. When will I start seeing results?

You will see gradual improvements: 1 to 2 weeks for Botox, 2 to 3 months for Ultherapy, and 1 to 3 months for Sculptra. The synergistic effect peaks at the 2-to-3-month mark, which is when your smooth V-line is beautifully realized.

Q. Who is the ideal candidate for this combination?

If you have a classic peanut-shaped face—where the cheekbones flare laterally while the temples and outer cheeks are hollow—this combination offers the most natural, harmonious solution. If your cheekbones are physically very large due to bone structure, or if your face has substantial overall fullness, other treatments might serve you better. We highly recommend a personalized consultation to find your best path.

Have You Suddenly Developed a "Peanut-Shaped" Face?

Everything seemed perfectly fine until yesterday, but today you look in the mirror and notice your cheekbones protruding outwards, with the temples above them looking slightly hollowed. Although the side profile of your face is relatively slim, the front looks flat and wide—a look commonly referred to as a "peanut-shaped" face. Simply reducing the cheekbones won't solve the issue; you need to fill in both the temples and the back of the cheeks to reveal a soft, smooth V-line contour. Today, we'll introduce a combination of three treatments that provide the perfect answer: Double Slim, Cheekbone Ultherapy, and Sculptra.

If the Cheekbones in the Mirror Look Particularly Prominent

A peanut-shaped face is characterized by three main features: cheekbones that flare outwards, hollowed temples above them, and a slight loss of volume in the back of the cheeks (the area in front of the ears and behind the cheekbones). This breaks the smooth curve that should flow from the upper, middle, and lower areas of the face, making the cheekbone area stand out aggressively.

In many cases, this type of face looks prominent not because of the cheekbones themselves, but because the surrounding bony structures have lost volume and dimension. That's why simply reducing the cheekbones still leaves you with a wide, flat front profile. The cheekbones will blend in naturally only when the upper temples and the outer cheeks are filled in. If your side profile looks completely fine but your photos from the front look frustratingly wide, you likely fall into this category.

Why We Must Combine Contour Reduction with Volume Filling

If you only focus on treatments that reduce the cheekbones, a specific side effect can occur. As the temporalis muscle* next to the cheekbones shrinks, the hollowed temples above them can look even deeper. That's why some people feel that while their cheekbones look narrower after a treatment, the upper part of their face looks more hollowed out, giving them a tired appearance.

Conversely, what happens if you only fill in the volume? While the temples and outer cheeks are filled, the cheekbones still flare outward, so the width of the face from the front doesn't decrease. You get more dimension, but your front profile still looks wide.

The solution is to combine contour reduction with volume filling. This setup reduces the cheekbone muscles and the sagging skin below them while simultaneously filling the temples and outer cheeks. These two approaches must go hand-in-hand to reveal a soft V-line from the front.

Comparing the Three Treatments

Treatment	Role	Target Area	Sessions	Duration	Price Range
Double Slim (Cheekbone + Temporalis Botox)	Reduction — Shrinks muscle volume	Cheekbones, temporalis muscle above temples	1 session / every 4–6 months	4–6 months	300,000 to 500,000 KRW range
Cheekbone Ultherapy (Ultherapy)	Reduction — SMAS lifting	Sagging skin under cheekbones	1 session / approx. once a year	12–18 months	500,000 to 1,500,000 KRW range (depends on line count)
Sculptra (Sculptra)	Filling — Stimulates collagen production	Temples, outer cheeks	2–3 sessions / 2–4 week intervals	Over 2 years	700,000 to 1,200,000 KRW per vial

Double Slim is a dual treatment that administers Botox to both the cheekbone muscles and the temporalis muscle. It doesn't just reduce the cheekbones; it slims the temporalis muscle as well, creating a dimensional upper facial contour.

Cheekbone Ultherapy is not a surgical bone-shaving procedure. Although its official KFDA-approved indications include brow, jawline, and neckline lifting, it is widely used in clinical practice to pull up the sagging SMAS layer* under the cheekbones to soften their prominence.

Sculptra is a collagen booster made of PLLA* that naturally and gradually stimulates your skin to produce its own collagen from within. It beautifully restores natural volume to hollow areas like the temples and outer cheeks. The price ranges are indicated in the table, but they can vary depending on the number of lines or vials used, so please confirm during your consultation.

Timeline: From Treatment Day to Seeing Results

These three treatments can be performed on the same day. The typical sequence is Botox (Double Slim) → Ultherapy → Sculptra, taking about 1 to 2 hours in total. Botox is administered first to relax the cheekbone muscles, then Ultherapy lifts the sagging areas below the cheekbones, and finally, Sculptra fills in the temples and outer cheeks.

The downtime is minimal. While some minor bruising may occur at the Botox injection sites, it usually subsides within a day. Ultherapy causes only slight swelling immediately after, allowing you to return to daily activities right away. Sculptra may cause the injection areas to look puffy for a few days, but this typically settles in 2 to 3 days.

The timing of the visible results varies by treatment. Botox relaxes the cheekbone muscles over 1 to 2 weeks, slimming the facial width. Ultherapy provides a gradual lifting effect over 2 to 3 months as collagen regenerates. Sculptra gently fills out the temples and outer cheeks as collagen builds up over 1 to 3 months. When all three treatments come together at the 2-to-3-month mark, you will see your beautifully completed, soft V-line contour.

Key Points to Discuss During Your Consultation

This combination is ideal for those with a classic peanut-shaped face, where the cheekbones flare outwards while the temples and outer cheeks are hollowed. If your cheekbones are prominent due to bone structure (which requires surgical reduction) or if your entire face is quite plump and doesn't need volume, another approach may be more appropriate.

Here are three things to check during your consultation. First, the size of your temporalis muscle. If the temporalis muscle is thick, the Double Slim treatment will be highly effective. If it is thin, the Botox dosage can be reduced, or we may bypass the temporalis and focus only on the cheekbones. Second, the number of Sculptra vials. Depending on whether you choose to fill just the temples or include the outer cheeks, you'll need between 1 and 3 vials. Third, your recovery timeline. It is best to complete the treatments 3 to 4 weeks before weddings or major events, allowing the swelling to subside so your contour looks perfectly natural.

A peanut-shaped face cannot be resolved with just one type of treatment. Softening the contour with Double Slim and Ultherapy, while replenishing volume in the temples and outer cheeks with Sculptra, is the key to achieving a smooth, beautiful V-line.

* PLLA: Poly-L-Lactic Acid. It is a synthetic substance that stimulates natural collagen production deep within the skin, serving as the main ingredient in collagen boosters like Sculptra.

* SMAS Layer: Superficial Muscular Aponeurotic System. This is a layer of tissue located approximately 4.5mm beneath the skin's surface, which Ultherapy targets by focusing ultrasound energy.

* Temporalis Muscle: The chewing muscle located above the temples. Reducing its volume with Botox slims the width of the upper face and softens the overall contour.

Frequently Asked Questions

Q. Can I receive all three treatments on the same day?

Yes, they are commonly performed together in a single visit. The typical sequence is Botox → Ultherapy → Sculptra, taking about 1 to 2 hours. Downtime is minimal, so you can expect to return to your normal routine the very next day.

Q. When will I start seeing results?

You will see gradual improvements: 1 to 2 weeks for Botox, 2 to 3 months for Ultherapy, and 1 to 3 months for Sculptra. The synergistic effect peaks at the 2-to-3-month mark, which is when your smooth V-line is beautifully realized.

Q. Who is the ideal candidate for this combination?

If you have a classic peanut-shaped face—where the cheekbones flare laterally while the temples and outer cheeks are hollow—this combination offers the most natural, harmonious solution. If your cheekbones are physically very large due to bone structure, or if your face has substantial overall fullness, other treatments might serve you better. We highly recommend a personalized consultation to find your best path.