Facial volume loss refers to the gradual reduction of soft tissue support in the face. Patients may notice sunken cheeks, hollow temples, deepened eye sockets or a more tired appearance.

Volume loss is not simply about looking thinner. It reflects structural changes beneath the skin involving fat compartments, collagen support and bone density. As these layers change over time, the face may appear less supported and less defined.

Unlike surface ageing, volume loss affects facial proportions and contour.

Why Does Volume Loss Occur?

Facial hollowing develops due to several biological changes:

Fat compartment reduction

With age, certain fat pads shrink or shift downward. This alters facial balance and support.

Collagen decline

Reduced collagen weakens the skin’s ability to hold structure.

Hormonal influences

Changes in oestrogen and growth factors affect tissue thickness and regeneration.

These processes may begin earlier than expected, often in the 30s, and progress gradually.

What Should Be Targeted in Volume Loss?

Effective treatment should focus on restoring structural support while preserving natural facial proportions. Key goals include:

• Replacing lost support without overfilling
• Improving collagen strength
• Maintaining facial harmony
• Supporting long-term tissue resilience

Excessive filling may create imbalance. Careful anatomical assessment is essential.