Facial Volume Loss

Facial Volume Loss

Some degree of aging can be expected as we get older. Fine lines or wrinkles, sagging cheeks, and shrinking lips are just some of the ways volume loss can affect our appearance. With volume loss, it’s as though our face is losing its necessary support, causing our features to droop and sag. Fortunately, there are many advanced cosmetic treatments that can add more volume to your skin to restore a more youthful appearance.

How To Rejuvenate Your Facial Volume

Sophisticated aesthetics treatments can help replenish lost facial volume. The cosmetic dermatologists and skin experts at Nashville Skin are specialists in the latest anti-aging treatments to help you meet your aesthetic goals. Our expert practitioners create individualized plans to help each patient experience the refreshed, youthful look they desire.

What is Volume Loss?

Facial volume loss is caused by a lack of facial support due to the natural loss of fat layers and collagen in the skin over time. When the face loses volume, the skin can begin to show fine lines and wrinkles due to diminished collagen and reduction in facial fat. This may cause a hollowness under the eyes, a flattened look to the cheeks, sunken temples, and reduced lip size.

Additionally, there can be increased skin laxity causing loose skin around the jawline or jowls. To make matters worse, vertical lines may appear on the lips, around the nose, and down from the corners of the mouth, which are known as oral commissures. Volume loss can also make the skin appear drier, thinner, and less firm and vibrant.

The main areas of facial volume loss include:

  • Under the eyes
  • Lips
  • Cheeks
  • Jaw
  • Forehead
  • Temples

What Causes Volume Loss?

Aging is the number one culprit in facial volume loss. When we age, our bodies begin to lose their supply of essential collagen and elastin, two proteins that help maintain our skin’s firmness and hydration. Once these vital compounds begin to decrease, we experience skin that is tired-looking, dry, and saggy. There are a number of other factors that can contribute to a loss of facial volume and the breakdown of elastin and collagen, including:

  • Lifestyle
  • Stress
  • Heredity
  • Sun exposure
  • Weight loss
  • Smoking
  • Certain Medications

Facial Volume Loss Treatments

Our skin specialists at Nashville Skin have an array of cutting-edge cosmetic tools to help improve the fine lines, wrinkles, and volume loss caused by aging or other factors. While in the past, plastic surgery was needed to lift, tone, and tighten the skin, thankfully, innovations in non-surgical techniques like dermal fillers offer patients anti-aging alternatives that provide beautiful results without the downtime a surgical treatment would typically require. Though fillers aren’t permanent, they do offer long-lasting, natural-looking results that can last from six months to a year, if not more in some rare cases.

Dermal fillers can be used to improve lost volume and reshape specific elements of the face to achieve desired results. In addition to augmenting and sculpting the face, some dermal injectables are formulated to boost the skin’s ability to produce collagen and elastin, helping improve the long-term effects of aging.

At Nashville Skin, we work with Juvederm and Restylane dermal fillers to produce stunning results in improving facial volume.


Volbella was developed by Juvederm specifically for use in the lips and around the mouth area. Volbella can be used to improve lip fullness and soften the appearance of lines around the mouth. Volbella results can last up to one year.


Vollure is a great dermal filler to use for patients looking to improve the appearance of nasolabial folds, also known as laugh lines. Vollure has been shown to improve wrinkles for up to 18 months.

Juvederm Ultra Plus

Juvederm Ultra Plus is a dermal filler that is ideal for deep lines along the nasolabial folds and marionette lines. Juvederm Ultra Plus can last 6-12 months.


Juvederm Voluma is a wonderful filler for restoring lost facial volume to the cheeks and mid-face. Not only that, but Voluma is great for patients who want to augment their chin and profile. Voluma results can be long-lasting (18-24 months).

Juvederm Ultra XC

Looking to improve lip volume? Look no further than Juvederm Ultra XC! It’s the perfect facial filler to augment the lips and perioral area. Juvederm Ultra provides patients with beautiful, natural-looking lip volume for 9-12 months.

Restylane Defyne

Crafted with XpresHAn Technology™, Restylane® Defyne helps smooth out deep laugh lines (nasolabial folds and marionette lines) as well as enhance chin projection. Using innovative cross-linking technology, Restylane Defyne is a hyaluronic acid dermal filler that is able to help restore a more youthful, natural-looking appearance, while helping you maintain your natural expressions and movement.

Restylane Kysse

Restylane Kysse is the first lip filler designed with XpresHAn Technology for flexible movement and natural-looking volume proven to last for up to 1 year. Enhance texture and color of the lips while maintaining a full range of expressions.

Restylane Lyft

Help complete your aesthetic look with natural-looking volume in your cheeks and hands for a smoother, fuller appearance. Restylane® Lyft is a safe, effective and dissolvable HA filler. Treatment can be administered in your hands and face — and can result in a more youthful-looking appearance.

Restylane Refyne

Restylane® Refyne is designed with XpresHAn Technology to help soften laugh lines (nasolabial folds and marionette lines). This can help you restore a more natural look to your face while maintaining your facial expressions


Restylane-L® is a cosmetic product formulated to plump up and add volume to your skin. Not only is the dermal filler capable of adding fullness to your face, it is also able to resolve moderate-to-severe skin wrinkles and folds. Restylane can get rid of the lines that tend to form from the corners of your mouth to your nose, called nasolabial folds, and the lines that run from the corners of your mouth down to the jawline called marionette lines. In addition, if age is starting to steal the fullness and definition from your lips, then Restylane-L can return these youthful features to you.


Sculptra® Aesthetic is an excellent option for adding volume throughout the entire face. As you age, your body’s collagen production decreases, and you may begin to see wrinkles. Sculptra works to correct shallow to deep facial wrinkles and folds as it replaces lost collagen, which can help provide a refined, more youthful-looking appearance.

For patients looking for a facelift alternative, Botox or Dysport can be used in combination with dermal fillers to create a “liquid facelift” to rejuvenate the entire face without the downtime associated with a surgical procedure!


Q. When does facial volume loss begin to occur?

A. When exactly facial volume loss occurs can vary, but generally, it begins once a person enters their 20’s. While volume loss is gradual, facial definition can be lost in such facial areas such as the temples, lips, forehead, jawline, cheeks, and eye sockets.

Q. What is a facial filler procedure like?

A. The treatment times for dermal fillers can vary from 10 to 30 minutes, depending on the treatment area. Two of the main benefits of a dermal filler treatment is that all procedures can be done in the office and there is no anesthesia needed. Pain is minimal and we make every effort to make sure the treatment is as comfortable as possible. There is no downtime and you are free to resume your daily activities, however, we advise patients to avoid exercise for 24 hours. Side effects like bruising and/or swelling can occur, but these only last a few days.

The Nashville Skin Experience

At Nashville Skin, we believe that each patient’s needs are unique and require a customized treatment plan to ensure that realistic aesthetic goals are not only met, but exceeded. When you come in, our first step is determining the proper treatment options. Contact us today at one of our four convenient Nashville locations (21st Avenue S., Southern Hills Medical Center, Centennial Medical Center, and Ascension – Lennox Village), or our Clarksville office to schedule a formal evaluation for effective volume loss solutions.

Learn More About Our Cosmetic Dermatology Treatments