


7/6/2026
This is a procedure note for Why do we primarily recommend Cheekbone Botox and Shurink? at Beomgye(Opening Soon) KKEUT Korean Clinic.
If you searched for “zygoma botox”, you likely have concerns about your side profile looking unnecessarily wide or protruding.
However, this concern often cannot be resolved by botox alone, more frequently than you might think.

The prominent appearance of the side cheekbones (zygoma) is largely divided into two main causes. The first is a muscular cause, where the masseter muscle is overdeveloped, making the side of the face appear wider. The second is a structural cause, where sagging cheeks and reduced elasticity cause the cheek tissue to descend downwards, making the side cheekbone area relatively more prominent.
Botox is effective for muscular causes. By injecting botox into the masseter muscle to reduce muscle volume, you can achieve the effect of a narrower lower face.

If your side cheekbone concern is due to sagging and reduced elasticity, it’s Shrink, not Botox
The problem lies with structural causes. If your side cheekbones appear more prominent due to sagging cheeks, masseter botox will not be effective. This is because even if the muscle is reduced, line improvement will not occur if the sagging cheek tissue remains as is.
In such cases, Kkeut Clinic primarily recommends Shrink (HIFU ultrasound lifting). Shrink is a procedure that delivers concentrated ultrasound energy to the deep SMAS layer (fascia layer) of the skin, causing this layer to contract and lift.

The SMAS layer is a supporting structure located between the skin and muscle. If this layer loosens, the cheek tissue sags in the direction of gravity. When Shrink lifts the SMAS layer, the cheek tissue returns to its original position, and the phenomenon of prominent side cheekbones naturally improves.

Even if you searched for zygoma botox, if the actual cause is sagging, it will be difficult to achieve the desired results with botox alone. Accurate identification of the cause should come first.
When Botox is suitable vs. when Shrink is suitable
If the masseter muscle is actually overdeveloped and feels firm to the touch, Botox is suitable. On the other hand, if the masseter muscle size is normal but the cheeks have sagged, making the side profile appear wide, then Shrink is suitable. If both conditions are present, a combination of Botox and Shrink may be used.

The depth setting of Shrink is crucial. If energy is delivered only to shallow skin layers, the lifting effect will only be superficial. For actual contour changes to occur, energy must accurately reach the SMAS layer.

Kkeut Clinic's unique Shrink approach
Kkeut Clinic always performs design in a seated position before Shrink treatment. Designing while lying down can alter the direction of gravity, potentially leading to side effects like cheek hollowing. Confirming the actual position of cheek sagging while seated and setting the target area is a fundamental principle at Kkeut Clinic.
Kkeut Clinic uses a 4.5mm main tip along with interchangeable custom tips of 3.0mm, 2.0mm, and 1.5mm. This is a precise procedure that varies the depth according to the skin thickness and sagging position of each area, rather than treating the entire face with a single depth.

After the procedure, a lifting card is created and shared. The type of tip used, treatment area, and energy settings for the day are recorded and used as linked data for the next treatment. This is why consistent management is possible no matter which Kkeut Clinic branch you visit.

Frequently Asked Questions
Q. Which should I do first, zygoma botox or Shrink?
A. Which procedure is suitable depends on the cause. If the cause is muscular, with developed masseter muscles, botox is primary. If the cause is cheek sagging, Shrink is primary. Kkeut Clinic recommends the treatment direction after identifying the cause.
Q. Can the side cheekbone line change with just one Shrink session?
A. While changes can appear after one Shrink session, the effects accumulate with repeated treatments. Kkeut Clinic recommends a 1-month cycle and adjusts the timing of the next session based on the number of shots and individual condition. Unlike zygoma botox, Shrink is an approach that addresses both elasticity and contour.
Q. Which is stronger, Ulthera or Shrink?
A. Ulthera is a device that delivers higher energy. Kkeut Clinic also offers an option to perform Shrink at Ulthera-level intensity. Settings are varied depending on the degree of sagging and your goals.

Kkeut Clinic's Sincerity
Kkeut Clinic prevents side effects like cheek hollowing in advance through its seated design principle and provides Shrink treatments that accurately target the sagging position.
Kkeut Clinic improves the side cheekbone line by precisely treating the SMAS layer with customized tips ranging from 4.5mm to 1.5mm, adjusted for each area.
Kkeut Clinic records and shares lifting cards after treatment, ensuring consistent management regardless of which branch you visit for follow-up care.
A subtle difference, a different result — Experience it at Kkeut Clinic.