Volume Loss & Facial Hollowing
Understanding Facial Volume Loss Facial volume loss is a natural part of the ageing process, contributing significantly to an older, more tired appearance. It occurs due to a combination of factors including the depletion and descent of facial fat pads, decreased collagen and elastin production, and even subtle changes in bone structure.
Content Author & Reviewer
PRP London Clinic Medical Team
GMC-Registered Medical Professionals
Our team of GMC-registered medical professionals collaboratively review all medical content to ensure clinical accuracy and provide evidence-based information for patient education.
Dr Mohammad Akbar
Founder & Medical Director
Dr Mohamed Nafei
GMC-Registered Aesthetic Doctor
Dr Severine Leonet
GMC-Registered Aesthetic Doctor
Dr Reem Nouri
GMC-Registered Aesthetic Doctor
Last reviewed: January 1, 2026
About Volume Loss & Facial Hollowing
Understanding Facial Volume Loss
Facial volume loss is a natural part of the ageing process, contributing significantly to an older, more tired appearance. It occurs due to a combination of factors including the depletion and descent of facial fat pads, decreased collagen and elastin production, and even subtle changes in bone structure. This loss of underlying support leads to visible signs like hollows under the eyes (tear troughs), flattened cheeks, sunken temples, and the deepening of lines around the nose and mouth (nasolabial folds and marionette lines).Restoring Youthful Contours
Addressing volume loss effectively requires restoring this lost structural support. At PRP London Clinic, we specialise in non-surgical facial rejuvenation using advanced dermal fillers and bio-stimulating treatments. Our goal is not to change your appearance drastically, but to subtly replenish lost volume in key areas, lifting the skin, softening shadows and folds, and recreating the smoother, more youthful contours associated with earlier years.Personalised Treatment Strategies
We utilise a range of premium hyaluronic acid-based dermal fillers (such as Juvederm, Restylane, Revolax) chosen for their specific properties and suitability for different facial areas – from providing lift in the cheeks to delicate correction in the tear troughs. Alongside direct volume replacement, we may incorporate skin boosters and biorevitalisers like Profhilo, Seventy Hyal, Sunekos, or Jalupro to improve overall skin hydration, elasticity, and health, complementing the volumising effects for truly natural-looking rejuvenation.Is This Treatment Right for You?
Ideal Candidates
- •Adults noticing flattened cheeks or mid-face sagging
- •Individuals with hollows under the eyes or at the temples
- •Those bothered by deep nasolabial folds or marionette lines
- •People seeking non-surgical facial rejuvenation
- •Individuals who have experienced volume loss due to ageing or weight loss
- •Those looking for a more refreshed and less tired appearance
Clinical Contraindications
- •Individuals with active skin infections or inflammation in the treatment area
- •Pregnant or breastfeeding women
- •People with known allergies to hyaluronic acid or lidocaine (often mixed in fillers)
- •Those with certain autoimmune diseases affecting the skin
- •Individuals with bleeding disorders or on blood-thinning medication (requires careful assessment)
Common Areas Treated for Volume Loss
We commonly address volume loss in the following facial areas:
- Mid-face/Cheeks: Restoring cheekbone definition and lifting sagging skin.
- Under Eyes (Tear Troughs): Reducing hollows and dark shadows.
- Temples: Filling sunken areas for a more balanced facial shape.
- Nasolabial Folds: Softening the lines running from the nose to the corners of the mouth.
- Marionette Lines: Reducing the lines running downwards from the corners of the mouth.
- Pre-jowl Sulcus: Smoothing the indentation along the jawline.
- Lips: Restoring subtle volume lost with age (using Lip Fillers).
Benefits of Volume Restoration Treatments
Addressing facial volume loss offers numerous aesthetic benefits:
- Restored youthful facial contours and shape
- Lifted and supported facial structures
- Reduction in hollows, shadows, and deep folds
- Smoother transition between facial areas
- More rested and rejuvenated appearance
- Natural-looking results enhancing your own features
- Non-surgical approach with minimal downtime
- Improved skin hydration and quality (with skin boosters)
Why Choose PRP London Clinic for Fillers?
Trust our experts for your facial volume restoration:
- Experienced Injectors: Deep understanding of facial anatomy and ageing.
- Premium Products: Use of leading, FDA-approved filler brands (Juvederm, Restylane, Revolax) and skin boosters (Profhilo, etc.).
- Personalised Assessment: Tailored treatment plans for individual needs.
- Focus on Natural Results: Aiming for subtle enhancement and rejuvenation.
- Safety First: Adherence to strict safety protocols.
- Comprehensive Options: Offering both fillers and complementary skin treatments.
Treatment Process
Treatment focuses on replenishing lost volume and stimulating skin rejuvenation:
1. Dermal Fillers: * Hyaluronic acid (HA) fillers (e.g., Juvederm, Restylane, Revolax) are the primary tool. * Different filler consistencies are used for various areas: firmer fillers for cheek lift and structure, softer fillers for tear troughs and fine lines. * Strategic placement in areas like cheeks, temples, tear troughs, nasolabial folds, and marionette lines restores support and smooths contours.
2. Biorevitalisers & Skin Boosters: * Profhilo, Seventy Hyal, Sunekos, Jalupro: These treatments use HA and/or amino acids to deeply hydrate the skin, improve elasticity, and stimulate collagen production, enhancing overall skin quality and complementing filler results.
3. Combination Approach: * Often, the best results are achieved by combining fillers for volume replacement with skin boosters for overall skin health and radiance. * Treatment is tailored, requiring careful assessment of the amount and type of product needed for each individual.
Diagnosis & Assessment
Volume loss is primarily diagnosed through a detailed facial assessment during your consultation. Our practitioners evaluate your facial anatomy, skin quality, and the specific areas exhibiting hollowness or sagging. We discuss your aesthetic concerns and goals, taking into account facial symmetry and proportions. Understanding the pattern and extent of volume loss allows us to develop a precise treatment plan using the appropriate fillers and techniques for natural-looking restoration.
Prevention & Management
Lifestyle Tips
- •Maintain a stable, healthy weight
- •Protect skin from excessive sun exposure (UV damage accelerates collagen loss)
- •Avoid smoking (damages collagen and elastin)
- •Stay well-hydrated
- •Follow a balanced diet rich in antioxidants
Home Care
- •Use high-quality skincare including hydration and sun protection
- •Avoid excessive pressure or massage on treated areas immediately after filler injections (follow specific aftercare advice)
- •Gentle cleansing and moisturizing routine
What Our Patients Say
The cheek filler treatment subtly lifted my whole face and made me look so much less tired. The result is incredibly natural.
Treating my tear troughs was the best decision. The hollows are gone, and I no longer need layers of concealer. So happy with the result.