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Loss of volume

Loss of facial volume is a natural part of ageing and can affect balance and contour. Led by Medical Director Dr Joney De Souza, our medical team focuses on understanding these changes before considering treatment.

What Is Loss of Volume?

Loss of volume refers to a reduction in the soft tissue support that contributes to facial shape and contour. This can affect areas such as the cheeks, temples, jawline and under-eye region. Volume loss may lead to a flatter appearance, hollowing, or reduced structural support. These changes often occur alongside skin ageing rather than in isolation.

Profhilo is an injectable treatment used to address volume loss by improving skin quality rather than replacing lost volume directly. Volume loss occurs as skin becomes less hydrated and supportive over time, leading to a flatter or tired appearance. By delivering high concentrations of stabilised hyaluronic acid, Profhilo enhances hydration, firmness, and elasticity, helping the skin appear fresher, more supple, and subtly restored without altering natural facial shape.

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Why Does Facial Volume Change?

Facial volume changes develop due to a combination of structural and biological factors.

These may include:

  • Gradual loss of fat pads that support facial shape

  • Changes in bone structure over time

  • Reduced collagen and connective tissue support

  • Weight changes or general ageing processes

The pattern and pace of volume loss vary significantly between individuals. Dermal fillers are used to restore lost volume by replacing structural support that naturally diminishes with age. Volume loss occurs as fat pads and bone support reduce over time, leading to hollowing, flattening, or sagging in certain areas of the face. Carefully placed filler helps rebuild this support, restore facial contours, and improve balance and symmetry, resulting in a more refreshed and youthful appearance while maintaining natural proportions.

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How We Assess Loss of Volume

Assessment considers the face as a whole rather than focusing on isolated areas. Our medical team evaluates facial proportions, symmetry and structural support, alongside skin quality and ageing patterns.

This allows us to explain where volume changes are occurring and how they influence overall facial balance.

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Frequently Asked Questions

What is one of the most commonly discussed treatments for loss of volume?

Dermal fillers are often discussed where structural support or contour restoration is required. They are used carefully to maintain proportion and natural appearance, with suitability assessed individually.

How can loss of volume be improved?

Improvement depends on the area affected and the degree of volume change. Options discussed at our clinic may include dermal fillers for structural support, alongside treatments such as Profhilo, polynucleotides, UltraClear laser resurfacing and medical-grade skincare to support overall skin quality.

Is facial volume loss the same as skin laxity?

No. Volume loss relates to changes in underlying support, while laxity refers to skin looseness. They often occur together but are assessed separately.

Does volume loss happen evenly across the face?

Not usually. Some areas lose volume earlier than others, which is why whole-face assessment is important.

Can volume loss be prevented?

Volume loss cannot be fully prevented, but early assessment and skin health optimisation may help manage how changes appear over time.

Will treating volume change how my face looks?

The aim is subtle support and balance rather than visible alteration. Treatments are planned conservatively to respect facial anatomy.

Does everyone with volume loss need treatment?

No. Many people choose not to treat volume loss once they understand the changes and how they may progress.

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How can you find us?

Our clinic is located in Marylebone, London, in the heart of one of Central London’s most prestigious and renowned medical districts. Perfectly positioned for convenience and discretion, we are easily accessible from across the capital and beyond.

We welcome patients from Mayfair, Harley Street, Marylebone, Knightsbridge, Belgravia, Chelsea, Kensington, Fitzrovia and St John’s Wood, as well as international patients visiting London for specialist treatment.

Our location benefits from excellent transport connections, with close proximity to major Underground stations, mainline rail links and direct access to Heathrow, Gatwick and London City airports. Several secure parking facilities and convenient chauffeur drop-off points are available nearby, ensuring a seamless and comfortable visit.

Whether you are travelling from elsewhere in London, across the UK or internationally, our clinic offers a calm, private and exclusive setting in one of the world’s leading medical destinations.

Opening hours
Monday
9 am–6 pm
Tuesday
9 am–6 pm
Wednesday
9 am–6 pm
Thursday
9 am–6 pm
Friday
9 am–6 pm
Saturday
Closed
Sunday
Closed
Dr Joney De Souza
49 Blandford St, London W1U 7HH
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