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Facial Volume Loss in Fresno & Visalia

A lot of what reads as "tired" or "older" in a face is really volume that's moved or gone: flatter cheeks, hollow temples, shadows under the eyes. Put a little of it back in the right places, and you look like yourself on a good day.

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Close-up of the lower face showing thinning lips, deep lines beside the mouth and flattened cheeks
AT A GLANCE

Facial volume loss is the thinning of fat and support in areas such as the cheeks, temples and under-eyes that comes with age. Paz Dermatology restores facial volume at its Fresno and Visalia, California offices with dermal fillers and collagen-stimulating injectables.

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 optionsJuvéderm, 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 yearsHow 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 here
CheeksJuvéderm Voluma XC, and Sculptra for cheek wrinkles
TemplesJuvéderm Voluma XC
Under the eyesJuvéderm Volbella XC or Belotero Balance (+)
Nose to mouthJuvéderm, Radiesse, Sculptra or Belotero
Backs of the handsRadiesse

You don’t need to pick. Your free consultation looks at where your volume has changed and matches each area to the right product.

Where volume loss shows

AreaWhat you notice
CheeksFlatter, 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.
  • Right awayHow 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, hands
Main causeFat that shrinks and shifts with age[1]
TreatmentsHyaluronic acid fillers, Radiesse, Sculptra
ResultsRight away with fillers; gradual with Sculptra
WhereOur Fresno and Visalia offices

Volume loss questions, answered

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

Fresno check-in desk and waiting area, gold pendant lights

Request an appointment

Let's talk about your goals

Call Fresno at (559) 233-3376 or Visalia at (559) 385-2133, or request an appointment online using the form below.

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References

  1. American Society of Plastic Surgeons. “Facelift.” https://www.plasticsurgery.org/cosmetic-procedures/facelift
  2. American Academy of Dermatology Association. “11 ways to reduce premature skin aging.” https://www.aad.org/public/everyday-care/skin-care-secrets/anti-aging/reduce-premature-aging-skin
  3. Allergan Aesthetics. “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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