2026-06-04
The Importance of Facial Volume Control to Enhance Lifting Effects | Precautions Before a Facelift
Simply pulling the skin during a facelift or lifting procedure can make the face look wider or unnatural. This post professionally covers the necessity of volume control considering the 3D structure of the face, the impact of pre-surgery dieting on the results, and what to consider when undergoing a facelift after a fat graft.

The Correlation Between Facial Sagging and Volume: Why Simply Pulling Isn't Enough
As we age or experience rapid weight changes, we notice our face sagging and losing elasticity. Many people think it is simply stretched skin and only consider lifting procedures that pull upwards, but for satisfactory results, an understanding of 'facial volume' must come first.

The face is a three-dimensional structure, not a flat surface. As aging progresses, the skin does not just sag vertically; it expands and stretches front-to-back. If it is simply pulled strongly upwards, the excess tissue gathers around the cheekbones, which can actually make the face look wider laterally or give a fierce impression. This is the exact cause of the 'prominent cheekbone' phenomenon frequently complained about after thread lifting.
The Impact of Pre-Surgery Dieting on Facelift Results
Many people plan to lose weight before undergoing plastic surgery. To get straight to the point, losing weight before a lifting surgery can be advantageous for expecting positive changes in terms of surgical prognosis and satisfaction.

- Clarification of the Correction Area: If the surgery is performed when sagging becomes more prominent due to weight loss, the medical team can more accurately identify the areas that need improvement, increasing the likelihood of distinct surgical effects.
- Maintaining the Longevity of the Effect: If you lose weight rapidly after a lifting surgery, additional sagging may occur due to the diet. In this case, the tightness achieved right after surgery may appear diminished, so if you have a weight loss plan, it is recommended to complete it before the surgery.

Facelift After Fat Grafting: Precautions to Keep in Mind
Those who have had fat grafting in the past can also undergo a facelift. However, a process of precisely diagnosing the location of the grafted fat and the current fat distribution is absolutely necessary.

Especially if your skin is on the thinner side, there is a concern that the grafted fat lumps may become prominent when the tissue is pulled during the lifting. Therefore, to achieve natural results, you must have a thorough consultation with a specialist before surgery to predict volume changes after pulling and, if necessary, establish a plan to delicately adjust unnecessary fat.
A Comprehensive Solution for Harmonious Facial Lines
A highly satisfying lift does not stop at simply 'raising' sagging tissues; it is a process of creating three-dimensional harmony in the face. At 345 Plastic Surgery, we implement a multi-angled approach tailored to each individual's facial structure.

- SMAS (Fascial Layer) Volume Lift: Restores elasticity by pulling not only the outer skin but also the deep fascial layer.
- Plus-Minus Lifting: A customized method that reduces unnecessary volume (Minus) through buccal fat removal or submental liposuction, and fills in sunken areas by repositioning (Plus).
- Individualized Custom Analysis: Helps maintain the most natural impression by considering the different skin thicknesses and fat distributions of each patient.

As lifting is a surgery that requires sophisticated surgical skills, please consult with an experienced medical team to minimize side effects and ensure a smooth recovery.




Frequently Asked Questions
Is it good to diet before a facelift?
Yes, it is advantageous to lose weight before surgery. If sagging becomes more prominent as you lose weight, the medical team can more accurately identify the areas to be improved. Also, if you lose weight rapidly after surgery, additional sagging may occur, so it is recommended to complete weight loss before surgery.
Why do cheekbones become more prominent after a lifting procedure?
This is because the skin was simply pulled strongly upwards without considering the three-dimensional structure of the face. If the skin and tissues that have widened and sagged due to aging are pulled upwards indiscriminately, the remaining tissues gather in the cheekbone area, making the face appear wider or giving a fierce impression.
I had facial fat grafting in the past, is a facelift still possible?
Yes, a facelift is possible even for those who have had fat grafting. However, the exact location and current distribution of the grafted fat must be precisely diagnosed. If the skin is thin, fat lumps may become prominent when pulled, so it is necessary to consult with a specialist to adjust unnecessary fat.
What is the PlusMinus Lifting surgical method?
It is a customized surgical method that reduces unnecessary volume and fills in sunken areas. By removing excessive fat through procedures such as deep cheek fat removal or submental liposuction, and by repositioning tissues to fill in sunken areas, it naturally creates a three-dimensional balance of the face.