What truly matters is identifying which fat should be removed and which fat should be preserved

When people hear “facial liposuction,” many imagine that it is simply a way to slim the cheeks or make the face look smaller.

In reality, however, facial liposuction is not just about reducing volume.

It is a procedure that requires careful design of the facial contour by deciding which fat should be removed and which fat should remain.

At AVAN TOKYO, we do not think of facial liposuction as a treatment whose goal is simply to make the face smaller.

We think of it as a procedure to bring out a beautiful and refined jawline.

To create a clear jawline, fat around the mandibular border beneath the ear is especially important

One area that should never be overlooked in facial liposuction is the fat around the mandibular border from below the ear toward the chin, including the submental area and lateral lower face.

This fat tends to blur the contour more as aging progresses.

Even if the cheeks or under-chin area are slightly reduced, if fat remains around the area beneath the ear and along the back part of the jawline, the side profile can still look soft and poorly defined.

That is why, at AVAN TOKYO, when the goal is to create a distinct facial line, we place great importance on carefully evaluating and treating the fat around the mandibular border under the ear.

Facial fat should not all be removed uniformly

At the same time, one of the greatest mistakes in facial liposuction is to think that removing more fat always creates a sharper face.

Some areas of the face contain fat that is important for maintaining softness, youthfulness, and natural volume.

This is especially true in the malar and midface area, including the front and central cheek.

If too much fat is removed there, the face may begin to look:

• hollow
• older
• more skeletal
• less natural

That is why facial liposuction requires balance.

At AVAN TOKYO, our approach is to:

• treat the fat that interferes with the facial line decisively
• avoid over-resection in areas that are important for long-term natural beauty

In the malar area, “not enough” is often better than “too much”

Some patients say that they want the malar area to be slimmer.

If the indication is appropriate, additional treatment may be considered.

However, from a medical and aesthetic standpoint, one very important point is that in the malar area, over-removal is usually worse than under-removal.

This is because the midface supports a youthful and soft facial appearance.

If too much is removed, the cheekbones can become overemphasized, and the face may appear tired or hollow.

At AVAN TOKYO, we therefore decide the treatment amount not only based on how slim the face looks in the short term, but also on whether it will still look natural several years later.

Thread lifting may be used not as a stand-alone lifting treatment, but as support for contour design

Thread lifting is sometimes used as an adjunctive treatment for the jawline and under-chin area.

However, thread lifting is not permanent, and it is not a universal solution by itself.

At AVAN TOKYO, when necessary, thread lifting may be considered as part of the contour design after liposuction.

In particular, when threads are inserted in the proper direction, they may help guide healing and tissue adhesion after liposuction, making it easier to refine the jawline during the healing process.

In other words, the purpose is not simply to pull upward temporarily, but to use the healing response itself to help shape the contour.

What changes the most after facial liposuction is not simply “face size,” but the impression of the contour

What most patients truly want is not just slimmer cheeks.

What many are really seeking is:

• a sharper jawline
• less fullness under the chin
• a cleaner side profile
• a lighter, less heavy lower face

To achieve this, it is not enough to make the entire face smaller.

What matters is to remove the fat that blunts the jawline while preserving the volume needed for a natural appearance.

At AVAN TOKYO, we design facial liposuction by evaluating not only the front view, but also the oblique view, side profile, and future aging changes.

In both the face and the body, liposuction should be based not only on what to remove, but also on what to preserve

This principle applies not only to the face.

Whether in facial or body liposuction, the goal is not to reduce everything evenly.

The goal is to create shape.

That means understanding:

• where decisive fat reduction improves refinement
• where preserving volume improves naturalness
• how those decisions affect long-term beauty and satisfaction

At AVAN TOKYO, we aim not for liposuction that simply removes more fat, but for liposuction that preserves beauty while revealing the facial line more clearly.

Conclusion

In facial liposuction, what matters most is not how much fat is removed, but how accurately the correct areas are chosen.

In particular, areas such as:

• beneath the ear along the mandibular border
• under the chin
• the outer lower face

are often worth treating carefully when the goal is to sharpen the facial line.

At the same time, the midface and malar area require restraint, because too much removal may create hollowness and an aged appearance.

At AVAN TOKYO, we value not simply making the face smaller, but creating a natural, refined jawline that also looks beautiful in profile.

For patients considering facial liposuction, it is essential to think not only about what to remove, but also about what should be preserved.