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.
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.
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.
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.
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.
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.
No. Volume loss relates to changes in underlying support, while laxity refers to skin looseness. They often occur together but are assessed separately.
Not usually. Some areas lose volume earlier than others, which is why whole-face assessment is important.
Volume loss cannot be fully prevented, but early assessment and skin health optimisation may help manage how changes appear over time.
The aim is subtle support and balance rather than visible alteration. Treatments are planned conservatively to respect facial anatomy.
No. Many people choose not to treat volume loss once they understand the changes and how they may progress.
Our team would love to hear from you. Whether you have questions, need guidance, or simply want to explore your treatment options, we’re here to support you every step of the way. If you would like to place an online booking you can do this via our online booking system.
Dr Joney De Souza Skin and Laser Clinic is located in central Marylebone and is easily accessible by public transport or car, with Bond Street, Oxford Circus and Baker Street Underground stations all just a short walk away. For those driving, paid on-street parking and nearby public car parks are available, making the clinic convenient to reach from across London, including Mayfair and Soho.
