Facial Volume Loss
The facial changes related to aging result from two simultaneous processes: decreased collagen resulting in sagging skin and decreased volume from loss of fat and bone.
Too often patients and physicians focus on the droopiness of the face and do not take into consideration the concomitant loss of facial volume. The most obvious features of facial volume loss include depressions of the areas just below the lower eyelids (tear trough), central cheek, temples, and the chin. Most patients seeking face lifts actually need both a lift and replacement of loss facial volume. Face lifts, especially of the vertical vector type, will increase cheek facial volume, however the will not replace lost tear trough or chin volume.
Fillers include a number of products to replace lost volume. Fat transfer surgery removes unwanted fat from one area and injects it into the facial region. Chin augmentation is a permanent correction of lost chin volume and creates a dramatic improvement for patients with a weak chin.