---
title: "Facial Volume Loss"
---

## Why faces start to look tired

With time, some of the fat that gives the face its fullness shrinks or shifts lower. [1] Cheeks flatten, temples hollow, and the area under the eyes can cast a shadow. The skin itself may be fine; it's the support underneath that has changed.

That's why restoring volume can refresh a face more than any cream. It puts back the structure your features rest on.

### Signs of volume loss

- Cheeks that look flatter or lower than they used to
- Hollows at the temples
- Shadows or a sunken look under the eyes
- Deeper lines from nose to mouth

- 4 options Juvéderm, Radiesse, Sculptra and Belotero, each suited to different areas.

## Where volume goes

1. Fat shrinks and shifts Facial fat that once kept cheeks full can fall or disappear with age. [1]
2. Skin loses support As skin relaxes, what's left sits lower, and folds from nose to mouth deepen. [1]
3. Sun and smoking speed it up Sun and smoking both age skin faster, which makes volume loss show sooner. [2]

- Up to 2 years How long cheek results with Juvéderm Voluma XC can last with optimal treatment. [3]

## The right filler for each area

Every area has fillers approved for it. Here's how they line up.

AreaApproved options hereCheeksJuvéderm Voluma XC, and Sculptra for cheek wrinklesTemplesJuvéderm Voluma XCUnder the eyesJuvéderm Volbella XC or Belotero Balance (+)Nose to mouthJuvéderm, Radiesse, Sculptra or BeloteroBacks of the handsRadiesse

You don't need to pick. Your [free consultation](/cosmetic/consultation/) looks at where your volume has changed and matches each area to the right product.

## Where volume loss shows

AreaWhat you noticeCheeksFlatter, lower cheeks and a less lifted look. [1]TemplesHollowing at the sides of the forehead.Under the eyesA sunken look and shadow.Around the mouthDeeper folds from nose to mouth. [1]HandsVeins and tendons that show more.

## Real results from patients

- Right away How soon you see volume with a hyaluronic acid filler. Sculptra builds gradually instead.

The Paz difference

## Every filler, and the eye to use them well

With four volume treatments offered here, your plan is built around your face, not one product. The art is in proportion: a little in the right places, placed so you look refreshed and never filled.

## When to talk to us

### It's a good time if:

- You look more tired than you feel
- Your cheeks look flatter or lower than in older photos
- You notice hollows at your temples or under your eyes
- Makeup no longer hides shadows under your eyes

Volume loss is gradual, so small adjustments along the way keep results natural.

## Keeping your face fuller for longer

- Wear a broad-spectrum sunscreen, SPF 30 or higher, every day [2]
- If you smoke, stop [2]
- Keep up with touch-ups on the schedule your provider suggests
- Protect your skin's collagen with good daily skincare

## Services we offer

Each of these restores volume in its own way. Pick one to see how it works.

## What treatment costs

Cost depends on the areas and products in your plan. Your consultation is free, and you'll know your plan and its cost before anything happens.

Common areasCheeks, temples, under-eyes, smile lines, handsMain causeFat that shrinks and shifts with age [1]TreatmentsHyaluronic acid fillers, Radiesse, SculptraResultsRight away with fillers; gradual with SculptraWhereOur Fresno and Visalia offices

## Volume loss questions, answered

**Q: Will filler make my face look puffy?**

Not when it's placed with restraint. The goal is structure and lift, not fullness for its own sake.

**Q: Which filler is best for cheeks?**

Juvéderm Voluma XC is approved for cheeks, and Sculptra for cheek wrinkles. Your consultation matches the product to your face.

**Q: How long do results last?**

It depends on the product and area. Cheek results with Voluma XC can last up to two years with optimal treatment. [3]

**Q: Can I restore volume without looking done?**

Yes. Small amounts in the right places read as rested, not treated.

**Q: What about under-eye hollows?**

Juvéderm Volbella XC and Belotero Balance (+) are both approved for under-eye hollows.

**Q: Is Sculptra a filler?**

It's a collagen stimulator. It rebuilds volume gradually over months rather than all at once.

## References

[Facelift](https://www.plasticsurgery.org/cosmetic-procedures/facelift)

[11 ways to reduce premature skin aging](https://www.aad.org/public/everyday-care/skin-care-secrets/anti-aging/reduce-premature-aging-skin)

[Cheek Filler](https://www.juvederm.com/treatment-areas/cheek-filler)

Content on this page is for educational purposes and is not a substitute for professional medical advice. Each filler is approved for specific uses, and whether one suits you depends on your consultation. Results are temporary and vary from person to person. Injectable treatments carry side effects and risks, including rare injection into a blood vessel, explained on each treatment's page and at your consultation. Individual results may vary.


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