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
- 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.
| Area | Approved options here |
|---|---|
| Cheeks | Juvéderm Voluma XC, and Sculptra for cheek wrinkles |
| Temples | Juvéderm Voluma XC |
| Under the eyes | Juvéderm Volbella XC or Belotero Balance (+) |
| Nose to mouth | Juvéderm, Radiesse, Sculptra or Belotero |
| Backs of the hands | Radiesse |
You don’t need to pick. Your free consultation looks at where your volume has changed and matches each area to the right product.
Real results from patients
Voluma XC in the cheeks
Voluma XC in the cheeks and Volbella XC for lines around the lips
Juvéderm for cheeks, temples, smile lines and jawline
Juvéderm for cheeks, chin, under-eyes, smile lines and lips
Radiesse in the lower face
Sculptra for smile lines and facial wrinkles, 25 months
Sculptra in the cheeks, 6 months
Belotero for cheek volume
- 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.
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 areas | Cheeks, temples, under-eyes, smile lines, hands |
| Main cause | Fat that shrinks and shifts with age[1] |
| Treatments | Hyaluronic acid fillers, Radiesse, Sculptra |
| Results | Right away with fillers; gradual with Sculptra |
| Where | Our 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.
Juvéderm Voluma XC is approved for cheeks, and Sculptra for cheek wrinkles. Your consultation matches the product to your face.
It depends on the product and area. Cheek results with Voluma XC can last up to two years with optimal treatment.[3]
Yes. Small amounts in the right places read as rested, not treated.
Juvéderm Volbella XC and Belotero Balance (+) are both approved for under-eye hollows.
It’s a collagen stimulator. It rebuilds volume gradually over months rather than all at once.





