Facial Volume Loss

Facial volume loss occurs naturally as collagen, elastin, and facial fat diminish with age. The aging process involves multiple changes: fat pads atrophy and descend, collagen production decreases, and bone resorption alters underlying facial structure. Genetics, sun exposure, smoking, weight fluctuations, and lifestyle factors can accelerate this process. Over time, these changes create hollow areas, sagging, and deeper folds that contribute to an aged or tired appearance. Our board-certified dermatologists understand the complex anatomy of facial aging and can identify which factors are contributing to your specific concerns.

Fillers replace or stimulate volume where structural support has weakened. Hyaluronic acid fillers add immediate volume by integrating into tissue and attracting water molecules, creating natural fullness and smooth contours. Biostimulatory fillers like Sculptra work differently—they stimulate your own collagen production gradually over several months for longer-lasting improvement. Our board-certified dermatologists place fillers with precision using advanced injection techniques that maintain natural movement and expression while creating balanced, proportional enhancement.

Yes, though they work differently than fillers. Certain laser treatments support collagen remodeling, which enhances skin firmness and improves the foundation of facial structure. While lasers do not add volume directly, they complement injectable treatments by strengthening skin quality, improving tightness, and creating a better foundation for volumizing results. Our physicians often combine laser treatments with injectables for comprehensive facial rejuvenation that addresses both volume and skin quality.

Duration varies depending on the filler formula, treatment area, and your individual metabolism. Most hyaluronic acid fillers last six to eighteen months. Areas with more movement (like lips) metabolize filler faster, while areas with less movement (like cheeks) maintain results longer. Biostimulatory fillers can last two years or more as they stimulate ongoing collagen production. During your consultation, our physicians will discuss expected longevity for your specific treatment plan and recommend a maintenance schedule.

Absolutely. Our board-certified dermatologists focus on subtle refinement and balanced contouring rather than dramatic transformation. Results are designed to refresh your features and restore youthful proportions without changing the way you look or compromising natural expression. The goal is for people to notice you look refreshed and rested not to identify that you had work done. Our physicians have extensive experience creating results that look authentically you.

Most patients experience minimal discomfort during filler treatments. Many modern fillers contain lidocaine for built-in numbing. Our board-certified dermatologists also use advanced injection techniques, topical numbing options, and gentle approach to support a comfortable treatment experience. Laser treatments may cause mild warmth or brief discomfort. Our physicians adjust settings for sensitive skin and prioritize your comfort throughout every procedure.

Hyaluronic acid filler results are visible immediately, with continued enhancement as any minor swelling settles over the following days. Biostimulatory fillers like Sculptra work gradually—improvement develops over several weeks to months as collagen production increases. Laser-based collagen treatments also improve gradually over several weeks to months. During your consultation, our physicians will set realistic expectations for your timeline based on your specific treatment plan.

While natural aging cannot be stopped entirely, early intervention, collagen-supporting treatments, diligent sun protection, and healthy lifestyle habits can slow the process significantly. Many patients in their thirties and forties choose preventative treatments with biostimulator fillers or laser therapy to maintain their features proactively over time. Our dermatologists can recommend a preventative strategy tailored to your age and concerns.

Yes, and many patients achieve the most comprehensive, natural-looking results through strategic combination treatments. Pairing volumizing fillers with collagen stimulators and skin tightening devices creates multi-dimensional improvement—addressing both volume loss and skin quality simultaneously. Our board-certified dermatologists excel at creating comprehensive treatment plans that deliver superior results compared to single-modality approaches. This layered strategy supports natural-looking structure and long-term improvement.

During your DermDesigned™ Consultation, one of our board-certified dermatologists will evaluate the areas of concern, assess your skin quality, and determine the degree and pattern of volume loss. Your treatment plan is carefully designed to restore natural contours and maintain balanced, proportional appearance. We consider factors including your facial anatomy, the specific areas affected, your aesthetic goals, your desired timeline, and your preferences regarding treatment frequency. Our physicians will recommend the approach that delivers the most refined, natural-looking results for your unique facial structure.