Concerns We Treat
Volume Loss & Facial Hollows
A softening of the face's natural fullness, the gentle hollows that arrive as fat pads thin and bone begins to read more strongly.
A softening of the face's natural fullness, the gentle hollows that arrive as fat pads thin and bone begins to read more strongly.
Volume loss is the slow thinning of the soft tissue that gives the face its youthful fullness. The face you carried at twenty-five sat on a generous foundation of fat pads, supportive bone, and resilient skin. Across the decades, each of these contributes a little less, and the surface that once draped smoothly across full underlying tissue begins to draw closer to the bone beneath it.
The result is the appearance of hollows: at the cheek, at the temple, beneath the eye, at the lower face. These are not signs of weight loss or illness. They are the ordinary signature of time on the face, and they answer most honestly to restoration rather than to surgery.
Treatment for volume loss suits patients whose face has begun to read drawn or tired compared with their own earlier photographs, and who are ready to commit to gradual restoration. The work is conservative by approach: small amounts placed carefully, refined across visits, with the face never asked to take more than it can carry naturally.
It also suits those willing to think about the face as a whole rather than as separate regions. Restoring only the cheek while ignoring the temple, or only the midface while ignoring the jawline, leaves the face out of balance. We treat in context.
Three intertwined causes. The fat pads of the face thin steadily across the decades, especially after forty. The bone beneath the soft tissue resorbs subtly, particularly at the chin, the jaw, and the orbital rim around the eyes. And the skin loses collagen and elastin, becoming less able to span the structural changes happening beneath it.
Hormonal shifts accelerate the loss, particularly the changes that arrive with menopause. Significant weight loss can dramatize the appearance of hollows, sometimes adding ten years to a face that was healthy and full a few months before. Genetics decide how visible the changes will be, and the same age may show very differently across two faces.
You may notice:
Volume loss is a long, gradual story. It accumulates quietly through the thirties and becomes visible across the forties, and continues to progress through the rest of life. The arc is steeper at certain moments, particularly the years surrounding menopause and any period of significant weight change.
The face often shows volume loss earlier than the skin itself shows aging. A face with beautiful, unlined skin can still read tired if the underlying volume has thinned, because what we read as a youthful face is in large part what we read as a full, well-supported one.
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