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03 / Concern
Facial Volume Loss
Volume changes are not simply about filling empty spaces.
As the face changes with age, some areas may look flatter, more hollow or less supported. Temples may become more concave, cheeks may lose projection, and transitions around the eyes or mouth may become more noticeable. This is commonly described as facial volume loss.
Why Facial Volume Changes
Ageing affects fat compartments, bone structure, ligaments and skin. Weight loss and natural facial anatomy also influence how much volume a person appears to have. This means two people of the same age may require very different approaches.
More Volume Is Not Always Better
A common mistake is treating every hollow by adding product. The face is three-dimensional; volume placed in the wrong area or in excessive amounts can blur natural contours and make the face look puffy or heavy.
The goal is not to replace every millilitre that has been lost. It is to restore proportion and support where it matters.
What We Assess
Assessment includes the temples, forehead, cheek structure, mid-face, under-eye transition, chin and lower-face proportions. We also consider existing filler, facial width, skin quality and how added volume would affect the face from different angles.
Possible Treatment Approaches
Dermal fillers
Hyaluronic acid fillers can provide targeted volume or structural support in selected areas, with product choice and placement depending on anatomy and treatment goals.
Ellansé and Aesthefill
Collagen-stimulating injectables may be considered when gradual structural improvement and collagen support are appropriate. These products behave differently from conventional hyaluronic acid fillers and require careful patient selection.
Skin and tissue quality
If the main issue is skin quality rather than true volume deficiency, Karisma, skin boosters, RF microneedling or other skin-focused approaches may be more relevant than adding volume.
Previous Filler Matters
Patients who have had repeated filler treatments may still have product present. Before adding more, we assess whether the face genuinely needs additional volume or whether existing volume is already affecting proportions.
Frequently Asked Questions
Will filler make my face bigger?
It can if too much is used or if it is placed without considering overall proportions. Conservative, strategically placed treatment is intended to improve balance rather than simply enlarge the face.
Which is better: filler, Ellansé or Aesthefill?
They have different properties and are not interchangeable. The appropriate option depends on anatomy, tissue quality, desired effect, treatment history and medical suitability.
Can facial volume loss be treated naturally?
The aesthetic objective can be natural, but treatment still involves medical procedures. The aim is to preserve recognisable facial identity rather than create exaggerated fullness.
Restore Structure Without Losing Character
Book a consultation with Dr. Joann to determine whether the concern is true volume loss, structural change, skin quality - or a combination of these.
Inquiry - Facial Volume Loss
