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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.

Explore Profhilo treatment

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.

More on Dermal fillers
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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.

Ask us about loss of volume
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Loss Of Volume Treatments at Dr Joney De Souza

As collagen and fat pads decline with age, the face can look hollow and flat, with cheeks, temples and the mid-face losing their youthful lift. At our Marylebone clinic we restore volume by replacing lost structure and stimulating your own collagen, and a consultation matches you to the right option for your face.

Dermal Fillers
From £385
Instantly replaces lost volume in cheeks, temples and mid-face, restoring natural contour and lift in a single appointment.
Sculptra
From £720
Stimulates your own collagen over several months, gradually rebuilding facial volume for a subtle, long-lasting and natural-looking result.
8-Point Lift
Priced at consultation
Strategically places filler at eight key points to lift and re-volumise the whole face, countering sagging and hollowing together.

Book a consultation at our Marylebone clinic to find the volume-restoring treatment best suited to your face.

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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Kind words that made our day 🤍

We were so touched to receive this lovely feedback from a recent client following her PicoSure face treatment with Roma - this one’s for David, Roma, and Dr Joney.

“From the moment I arrived, David and Roma made me feel so welcome and completely at ease. Roma was caring, professional, and took the time to explain the treatment thoroughly, making sure I felt comfortable and reassured throughout. Even after just one session, my skin already feels smoother and looks much more refreshed.”

Moments like this are exactly why we do what we do. It’s not just about the results (although we’re so pleased with how her skin is already responding!), it’s about making every client feel genuinely cared for from the second they walk through the door.

Thank you to our amazing client for such kind words, and to David, Roma, and Dr Joney for the warmth and care you bring to every single appointment 🫶HydraFacial: the secret to that red-carpet glow ✨

Ever wondered what actually happens during a HydraFacial? Here’s a look inside the treatment, step by step, at Dr Joney De Souza.

It begins with a deep cleanse and exfoliation to clear away impurities and prepare the skin, followed by gentle extractions that refine congestion with complete comfort and precision. 

From there, targeted serums and boosters are infused into the skin, tailored entirely to your individual needs, before LED light therapy supports the skin’s long-term health and renewal. 

The treatment finishes with an antioxidant infusion, sealing in radiance for that lit-from-within finish.

This particular treatment was our Deluxe HydraFacial, though for those wanting to elevate the experience further, our Platinum HydraFacial also includes lymphatic drainage, perfect for extra de-puffing and detoxification alongside all the usual glow-boosting benefits.

The result is skin that looks cleansed, replenished, and effortlessly glowing, delivered with the precision and care that defines every treatment here.

📍 Marylebone, London | 020 7043 0748 📱Sculptra vs Juläine: which biostimulator is right for you? 💭

Both Sculptra and Juläine are poly-L-lactic acid (PLLA) biostimulators - meaning rather than simply adding volume, they work by encouraging your skin to produce its own natural collagen over time, for results that look and feel truly you.

Sculptra is the original PLLA injectable, with a long-established track record for stimulating collagen and improving skin structure and firmness gradually over several months, with results that can last up to two years.

Juläine is a newer generation PLLA treatment, using more uniform, highly purified microspheres engineered to mix more evenly, which can help reduce inflammation caused by treatment. Like Sculptra, results build gradually, with visible improvements from a few weeks in and full effects developing over a few months. 

Both are excellent options for restoring facial volume, improving skin quality, and softening lines. The right choice really depends on your skin, goals, and what your practitioner recommends for you.

Not sure which is best suited to your skin and goals? Get in touch with us today to book your consultation.

📍Marylebone, London | 020 7043 0748 📱Product Spotlight | Daily Power Defense ✨

ZO Skin Health’s Daily Power Defense is one of those products that quietly does a lot of the heavy lifting in a skincare routine, and it’s become a firm favourite of ours here at the clinic.

Formulated with Vitamins A and E, it helps protect the skin against environmental damage and free radicals, while supporting barrier restoration and long-lasting hydration.
Over time, this can mean fewer visible signs of premature ageing and a stronger, more resilient complexion.

It’s a lightweight daily step, but one that adds up - the kind of product that supports your skin quietly in the background, day after day.

If you’re curious whether it fits into your routine, drop us a DM, or ask at your next appointment 📅

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