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Loss of Volume
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Due to factors such as aging and sudden weight loss, the fat pads beneath the skin that help define facial contours may begin to erode. This loss can lead to asymmetry, sagging, and a sunken appearance in the face.
Fat Pads Exist in Two Layers:
- Deep Fat Pads
- Superficial Fat Pads
If fat pad reduction is age-related, restoring the necessary volume losses can effectively address the issue. However, if these losses appear prematurely, the underlying cause should be investigated, as early-stage depletion of facial fat layers could impact overall health and compromise skin integrity. In such cases, a holistic assessment is essential.
In particular, mid-face volume loss around the cheekbones may lead to:
- Increased lines around the mouth,
- Sagging along the jawline,
- Indentation in the mid-face, and
- Elongated facial appearance.
In these cases, attempting to address mouth lines with filler or treating sagging with thread lifts can further distort facial structure. Instead, restoring volume in areas affected by fat pad reduction helps to reshape the face.
Where Can Fillers Be Used?
With different filler types available, they can address a wide range of issues, including:
- Forehead creases,
- Glabellar (frown) lines,
- Temporal hollows,
- Eye area,
- Cheekbones,
- Under-eye hollows,
- Cheek and jawline contour,
- Nasolabial folds,
- Chin depressions,
- Lips, and
- Hands.
Losses in the superficial fat layers can also lead to the disruption of skin integrity. Before filler treatments, the skin should be thoroughly evaluated. If there are any existing skin issues, these should be addressed first. This is because certain procedures aimed at improving skin quality after filler treatments—such as fractional laser, focused ultrasound, or gold needle—can shorten the lifespan of the filler.
When addressing volume loss, hyaluronic acid-based fillers are the most reliable products. Different molecular weights of these fillers are available, tailored to specific problems and the areas of the face where they will be applied.