What Causes Prominent Cheekbones?
Prominent or high cheekbones can stem from two causes: skeletal bone structure (genetic), or overdeveloped zygomaticus muscle. For muscle-related cheekbone prominence, botulinum toxin injections can effectively reduce muscle volume, softening facial contours without surgery. Bone-type prominence requires an assessment of whether adjacent areas can be harmonized with hyaluronic acid contouring.
📍 Rappoel Dermatology Clinic · 5F, 77 Seocho-daero, Seocho-gu, Seoul · 3-min walk from Gangnam Station Exit 10
Cheekbone Reduction Options at Rappoel Clinic
① Zygomaticus Botox Injection (Primary for Muscle-Type)
Botulinum toxin precisely injected into the zygomaticus muscle causes it to relax and gradually reduce in volume, naturally softening facial contours. Effects appear 2–4 weeks after injection and last 4–6 months. With repeated treatments, the muscle gradually atrophies and duration extends.
② Hyaluronic Acid Contour Balancing (Supplementary for Bone-Type)
For bone-type cheekbone prominence, volume can be strategically added to adjacent areas (temples, cheeks) to visually balance facial proportions — no bone surgery required.
Treatment Details and Results
Zygomaticus botox injection takes approximately 15–20 minutes. No anesthesia required — walk in, walk out.
Effects become progressively visible over 2–4 weeks as muscle volume reduces and facial lines soften. Duration: 4–6 months. Maintenance injections every 4–6 months are recommended.
Botox vs. Surgical Zygoma Reduction
Botox approach: non-invasive, no downtime, natural results — but only effective for muscle-type prominence and requires ongoing maintenance. Surgical zygoma reduction: one-time permanent structural change, but involves higher risk, long recovery (4–6 weeks), and significant cost. Rappoel doctors recommend trying the non-surgical approach first before considering surgery.
Frequently Asked Questions
Book a Cheekbone Reduction Consultation
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