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[Supervised by a Doctor] Causes of Prominent Cheekbones and How to Fundamentally Fix Them | Limitations of Self-Care Explained

cheekbones protruding causes

"Every time I look in the mirror, I can't help but notice my prominent cheekbones."

Have you ever tried massaging them to reduce the protrusion, only to feel that "I just can't see any real results"?

In fact, prominent cheekbones involve a complex interplay of factors, including bone structure and age-related loss of facial volume.

In this article, a board-certified plastic surgeon explains in detail the causes of prominent cheekbones.

If you are looking to improve your prominent cheekbones and achieve "beauty that is uniquely yours," please use this as a reference.

Causes of Prominent Cheekbones

When cheekbones are prominent, the following two causes can be identified.

  • Congenital bone structure
  • Sunken cheeks due to aging or dieting

Congenital Bone Structure

One cause of prominent cheekbones is a congenital bone structure influenced by genetics and other factors.

Facial bone structure varies from person to person, and some individuals naturally have cheekbones that protrude "forward" or flare out "laterally."

Sunken Cheeks Due to Aging or Dieting

If you feel that "my cheekbones were never noticeable before, but lately they've suddenly become more prominent," the cause may not be the bone structure itself, but rather a loss of volume around the cheekbones.

Factors such as sagging cheeks due to aging and loss of muscle and fat from excessive dieting can cause the underlying cheekbones to appear relatively more pronounced, giving a bony impression.

Can Prominent Cheekbones Be Fixed with Self-Care?

Since prominent cheekbones are largely determined by bone structure, it is not possible to change the position of the bones through massage or self-care.

When the cause is age-related volume loss, injection treatments can help soften the appearance, but if the bone structure itself is the cause, specialized treatment is required.

[Non-Surgical Treatment] Methods to Make Prominent Cheekbones Less Noticeable

By injecting hyaluronic acid not directly onto the cheekbones, but into the "temples" or "sunken cheek areas," you can expect an effect that creates smoother lines and makes the cheekbones less noticeable.

However, it is important to understand that hyaluronic acid injections are not a fundamental correction of bone structure, but rather a way to "fill the surrounding area and make it less conspicuous."

Learn more about hyaluronic acid injections

[Small Face / Facial Contouring] Surgical Approaches at Kai Clinic Tokyo for Prominent Cheekbones

When the cause of prominent cheekbones lies in the bone structure, a surgical approach is effective.

Kai Clinic Tokyo offers small face and facial contouring procedures through osteotomy.

  • Facial contouring via osteotomy:
    The cheekbone body and arch are cut and moved toward the center of the face. Any gaps created by the movement are carefully smoothed down and securely fixed with plates.
    While taking into account post-operative sagging, the procedure achieves a smooth and natural facial line.
  • Cheekbone setback:
    This procedure involves making multiple osteotomy cuts in the cheekbone and moving the entire bone inward and backward (setback), thereby improving cheek protrusion and width to achieve a smooth small-face effect.

[Recovery, Downtime, and Precautions]

Swelling and bruisingSwelling and bruising are most noticeable in the 2–3 days after surgery, but gradually subside over about 2 weeks, at which point you will be able to appear in public.
It takes approximately 3 months to fully settle.
Daily activitiesRegarding meals, you will be asked to choose soft foods for about 1 month after surgery to reduce the burden on the jaw.
Risks and side effectsPossible complications include swelling, asymmetry, bruising, infection, scarring, hyperpigmentation, foreign body reaction, pain, numbness, sensory abnormalities, hair loss, tissue necrosis, visual impairment, facial nerve damage, allergic reactions, and anaphylactic shock.

※The way symptoms appear, their progression, and the recovery process vary among individuals.

For more details about small face and facial contouring via osteotomy at Kai Clinic Tokyo, please see the page below.

Learn more about small face and facial contouring via osteotomy

If You're Concerned About Prominent Cheekbones, Consult KAI Clinic Tokyo

Protruding cheekbones are a deep concern that cannot be fully resolved with makeup or hairstyles alone.

At KAI Clinic Tokyo, we have staff members who have personally undergone cheekbone reduction surgery. We value counseling that stands alongside each patient, sharing the same perspective on their anxieties and hopes.

Our goal is not an obvious "I had work done" appearance, but a natural facial contour—as if subtly refined by a filter, yet feeling completely natural, as if you were born with it.

Based on the precise calculations of our board-certified plastic surgeon, we bring out the true beauty hidden within your bone structure.

If you are considering improving prominent cheekbones and achieving "your ideal beauty," please feel free to consult KAI Clinic Tokyo.

Summary

The causes of prominent cheekbones vary from person to person, but when bone structure is the cause, a surgical approach is necessary for improvement.

At KAI Clinic Tokyo, we begin with thorough counseling and propose treatments suited to each individual patient's condition, then make full use of the latest techniques and knowledge to realize the beauty you envision.

If you are considering improving cheekbones that have been a source of insecurity and gaining even greater confidence in your appearance, please feel free to consult KAI Clinic Tokyo.

Supervisor of This Article

Director Mitsunori Harima

Director Mitsunori Harima

Academic Memberships

Japan Society of Plastic and Reconstructive Surgery
Japan Society of Aesthetic Plastic Surgery (JSAPS)

Titles & Qualifications

Board-Certified Member, Japan Society of Plastic and Reconstructive Surgery
Board-Certified Member, Japan Society of Aesthetic Plastic Surgery (JSAPS)

Career

  • Graduated from the Faculty of Medicine, University of Tokyo

  • Nadogaya Hospital – Initial Resident Physician

  • University of Tokyo Hospital – Department of Plastic & Aesthetic Surgery, Special Clinical Physician

  • University of Tokyo Hospital – Department of Plastic & Aesthetic Surgery, Assistant Professor

  • Kanto Chuo Hospital – Department of Plastic Surgery

  • Tokyo Metropolitan Police Hospital – Department of Plastic & Aesthetic Surgery

  • Kato Clinic ANNEX – Appointed Director

  • KAI Clinic Tokyo – Appointed Director

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