Facial Volume Loss

Dermal fillers
Facial fat loss correction

What is Facial Volume Loss?

In the normal course of aging, there is a natural loss of underlying bony support, facial fat, collagen, and hyaluronic acid. The process usually begins as early as age 20 as the skin’s natural supports begin to break down, producing a gradual loss of definition in the cheeks, eye sockets, temples, lips, jawline, and forehead. The skin loses much of its youthful elasticity as a result of normal aging. However, behavioral or environmental factors can contribute to and even speed up the process. These changes should be carefully evaluated before deciding the best option for correction. Dr. Shanthala believes that not all facial volume loss can be corrected by Dermal fillers. For example if the patients have excessive skin laxity that needs to be addressed by using EBDS such as lasers or RF microneedling or Ultherapy to tighten the skin before using fillers. In some cases Dr. Shanthala uses biostimulators such as sculptra or hyperdilute radiesse along with EBDS to stimulate collagen and the use Dermal fillers. 

Facial Volume Loss Treatments

Dermal fillers such as HA fillers are fully reversible when injected under the skin’s surface, dermal fillers can be used to plump lips, soften fine lines and wrinkles, and fill volume loss. We offer Biostimulating fillers such as Radiesse and Sculptra and temporary fillers such as Juvederm and Restylane to treat deep wrinkles, frown lines, smile lines, vertical lip lines, marionette lines, hollowed cheeks, and eyes, declining lip volume, and even acne scars. The most common areas for injectable fillers include under the hollows, sunken, and deflated cheeks, aged hands, chest and neck wrinkles, lip lines, chin augmentation, jawline contouring, and forehead hollows. All fillers are injected by our board-certified physician.
There are several other methods which can be used to replace the lost facial volume such as

The PDO threads are absorbable sutures and stimulate the collagen, barbed sutures can reposition the fat can result in temporary lifting of sagging skin. These results can be enhanced with the combination of any energy based procedures for enhanced skin tightening and improved luminoscity of the skin.

A cutting-edge form of regenerative medicine using the body’s own plasma to restore collagen in the skin. Dr. Shanthala believes in using your own growth factor loaded platelet rich plasma & Dermal fillers for both volume correction and dermal remodeling. The most popular procedure Vampire facial or Vampire facelift or PRP Facial for volume correction and to improve the quality of skin.

As facial volume diminishes the skin will have acquired lines or wrinkles due to collagen and facial fat depletion. There is a hallowing around the eye sockets along with sunken temples, flattened cheeks, and loose skin around the jawline, better known as jowls. Fine lines appear on the lips and around the nose and fold form around the corners of the nose and mouth. The skin appears drier, thinner, and less pliable and vibrant.

Heredity, hormones, smoking, sun exposure, the normal aging process, extreme dieting, and exercise are the main causes of facial volume loss. However, certain medications may hasten the condition, as well as emotional stress, lifestyle factors, numerous traumas, and extreme “yo-yo” dieting, and frequent weight gain and weight loss, which cause a stretching of the ligaments that support the soft tissues of the face. Facial volume loss is accompanied by the loss of blood vessels, fat layers, and collagen causing the skin to sink in from the lack of these natural supports. Smoking, prolonged sun exposure, and severe illness also contribute to a general loss of facial volume. Prolonged stress from the loss of a job, family illness or death, financial problems, and hormone changes only accelerate the process.

Dr. Shanthala Shivananjappa MD

Dr. Shanthala is a board-certified, Harvard trained anesthesiologist, assistant professor at Yale University, and staff at Massachusetts General Hospital prior to opening her cosmetic medicine clinic. Her extensive experience working with plastic surgical patients in the operating room for more than 25 years, paired with years of training in non-surgical cosmetic procedures, has enabled Dr. Shanthala to have a unique perspective on Anti-aging treatments.

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