What Is a Sunken Midface (Flat Paranasal Area)?

A sunken midface or flat paranasal area occurs when the region around the sides of the nose and upper cheeks (paranasal area) appears recessed or underdeveloped. This can create a hollow, aged, or tired appearance—even in young individuals—and lead to an unbalanced profile.

Key features of a flat paranasal area include:

• A hollow or sunken look around the nose and upper cheeks
• A flat, undefined facial profile
• Deep nasolabial folds (smile lines)
• A longer-looking philtrum (the area between the nose and lips)
• A facial expression that appears tired or gaunt

What Is Paranasal Augmentation?

Paranasal Augmentation is a facial contouring procedure that enhances the volume and projection of the paranasal area—restoring a fuller, more youthful midface contour.

At Seoul Cheil Plastic Surgery, paranasal augmentation is customized for each patient’s facial structure and desired look. The procedure options include:

1️⃣ Paranasal Implants

• Custom-shaped implants made of biocompatible materials (e.g., silicone)
• Placed under the skin to permanently add volume to the paranasal area
• Incisions made inside the mouth for scar-free results
• Best for moderate to severe paranasal depression

2️⃣ Fat Grafting

• Harvesting the patient’s own fat (from areas like the thighs or abdomen)
• Injecting purified fat into the paranasal area for a natural, soft enhancement
• May require touch-up sessions for long-term maintenance

3️⃣ Combination Approach

• For complex cases, combining implants and fat grafting creates an ideal blend of structure and softness.

Why Combine With Other Procedures?

Paranasal augmentation is often performed alongside other facial contouring procedures for a harmonious, balanced result:

• Cheekbone reduction for a refined midface
• Rhinoplasty for profile balance
• Nasolabial fold correction for a smoother lower face
• Chin or jawline reshaping for complete facial harmony

This holistic approach ensures natural, proportional results that look beautiful from every angle.

Key Characteristics of a Face That May Benefit From Paranasal Augmentation

• A flat or sunken area around the nose and cheeks
• Deep nasolabial folds or smile lines
• A longer philtrum with a weak midface
• Hollow, tired-looking eyes or expression
• Difficulty achieving a balanced, youthful facial profile

Can Fillers Replace Paranasal Augmentation?

Hyaluronic acid fillers can temporarily enhance the paranasal area but:

• Results last only 6–12 months
• May cause lumpiness or migration over time
• Do not provide the permanent structural support of implants or fat grafting

For lasting, natural results, paranasal augmentation surgery is the most effective solution.

Paranasal Augmentation at Seoul Cheil Plastic Surgery

Seoul Cheil Plastic Surgery is a trusted leader in facial bone contouring and volumization, offering safe, natural-looking results for over 20 years.

Why patients choose Seoul Cheil:

• Customized 3D facial analysis for precise planning
• Expertise in both implant and fat grafting techniques
• Scar-free intraoral incisions for a seamless result
• Comprehensive post-op care and swelling management
• Multilingual support for international patients



If you’re ready to achieve a fuller, more youthful midface, Paranasal Augmentation at Seoul Cheil Plastic Surgery can help you restore balance and confidence to your profile.

Book your consultation today and take the first step toward your ideal look!