Choosing

Does ONDA Cause Hollow Cheeks? Keep the Fat Under the Cheekbones?

Dr. Choi Wonhyuk Merz / Solta manufacturer-certified
Director · 16 years in clinical practice · Updated 2026-10-05

In general, fat reduction with ONDA can leave the cheeks hollow. With good treatment design and more careful technique, though, this can be avoided, and I work to keep the face from hollowing, so there is little need to worry. One key to avoiding it is not treating the whole face as one zone. The area under the cheekbones is one of the places where hollowing tends to show earlier. If there is not much fat there, I avoid reducing it too much and focus on the jowls and double chin. I treat it actively only when there really is a lot of fat under the cheekbones.

What I look at first isn’t whether your face has fat, but where the fat is

With ONDA microwave, what you want to reduce is the jowls, yet what you worry about is the area under the cheekbones going hollow. In general, fat-reduction treatment can leave the cheeks hollow. With good treatment design and more careful technique, though, this can be avoided; I put extra effort into keeping the face from hollowing, so there is little need to worry. The way to avoid it is to separate these two places and not handle them with the same answer.

The cheek just under the cheekbone is one of the places where hollowing tends to appear earlier. If there isn’t much fat there to begin with, I won’t reduce it actively just because the jowls or double chin look prominent. Improving the lower face doesn’t mean doing the same thing to every area that has fat.

Two fat patterns, two different approaches

If the fat is concentrated mainly in the jowls and double chin, with only a little under the cheekbones, I keep the area under the cheekbones and avoid reducing it too much. What really needs treatment in that case is the part of the lower face that carries more fat.

If there is already a lot of fat under the cheekbones, there is no need to preserve it by default. In that case the fat under the cheekbones can be reduced actively. It still has to be judged separately from the jowls and double chin, rather than making one decision for the whole face.

So whether you can slim the jowls and whether to reduce under the cheekbones are two different questions. If the lower face is your main concern, you can also read how I judge ONDA for a double chin. ONDA joules are the energy accumulated over the whole session; how to read the total and its allocation across areas is covered in how to read ONDA joules.

Fat distribution My judgment
More fat in the jowls and double chin, not much under the cheekbones
Mostly preserve the area under the cheekbones; do not over-reduce it
A lot of fat under the cheekbones too
Can be reduced actively, but judged separately from the other areas

FAQ

Can ONDA make the cheeks look hollow?
In general it can, but treatment design and careful technique can avoid it. For example, when there is not much fat under the cheekbones, I do not reduce that area actively.
If I have a lot of jowl fat, do I have to reduce under the cheekbones too?
Not necessarily. If the fat sits mainly in the jowls and double chin and there is not much under the cheekbones, I avoid over-reducing the fat under the cheekbones.
If there is a lot of fat under my cheekbones, can it be treated actively?
Yes. When there really is a lot of fat under the cheekbones it can be reduced actively. It is still judged separately from the jowls and double chin.
Dr. Choi Wonhyuk
Dr. Choi Wonhyuk Merz / Solta manufacturer-certified
Director · Dr. Designer Clinic · 16 years in clinical practice · Updated 2026-10-05

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