Berkshire Aesthetics
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Woman demonstrating skin laxity and elasticity on cheek

Volume Loss Treatments

Medical management of age-related facial volume atrophy

Facial volume deficit is a progressive consequence of age-related lipoatrophy, bony resorption and loss of structural collagen in key anatomical compartments. At Berkshire Aesthetics, our doctor-led assessment maps volumetric changes across the facial thirds before recommending a precise, layered restoration strategy using evidence-based injectable and biostimulatory modalities.

Doctor-Led
CQC Registered
Award-Recognised
Est. 2016

Aetiology & Contributing Factors

  • Age-related loss of subcutaneous fat in the face
  • Bone resorption and changes in facial skeletal structure with ageing
  • Decline in collagen and elastin production
  • Redistribution and descent of facial fat pads
  • Weight loss, particularly rapid or significant weight reduction
  • Genetic factors influencing the rate and pattern of facial ageing
  • Lifestyle factors including sun exposure, smoking and poor nutrition

Clinical Presentation

  • Hollowing in the temples, cheeks or under-eye area
  • Deepening of nasolabial folds (nose-to-mouth lines) and marionette lines
  • A gaunt, tired or aged appearance
  • Loss of definition in the jawline and chin
  • Thinning lips or loss of lip border definition
  • Skin laxity or sagging, particularly in the mid-face and lower face

Evidence-Based Treatment Modalities

Treatment selection is individualised following clinical assessment, taking into account disease severity, Fitzpatrick skin type, medical history and patient goals.

Dermal Fillers

Dermal fillers use hyaluronic acid to restore lost volume, improve facial contours and soften deep lines. Different filler types are selected based on the area being treated — from lifting and volumising products for the cheeks to softer formulations for fine lines and lips.

Profhilo

Profhilo is a skin-quality treatment that improves hydration, elasticity and firmness without adding volume. It is ideal for patients with early volume loss where improving skin quality provides a more natural result than adding filler.

SkinVive

SkinVive micro-droplet injections improve skin smoothness and hydration from within. It complements volumising treatments by enhancing overall skin quality and can soften the appearance of fine lines.

Why we start with a consultation

Every treatment begins with a medical assessment. We need to understand your medical history, current health, skin condition and concerns before prescribing any procedure. This protects your safety and ensures the treatment is clinically appropriate for you.

During your consultation, Dr Langdon will explain what the treatment can realistically achieve, any risks specific to you, and whether an alternative might be more appropriate.

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All bookings are subject to our Booking Conditions.

Clinical FAQs: Volume Loss

Volume loss is caused by the natural decline of fat, bone and collagen with ageing. It is influenced by genetics, lifestyle, sun exposure and overall health. It affects everyone differently.
Our approach prioritises natural results. We use high-quality products, advanced techniques and conservative dosing to restore what has been lost rather than creating an overdone appearance.
Duration varies by product and treatment area, typically 6–18 months. Lip fillers tend to metabolise faster, while cheek and jawline fillers often last longer. Longevity is discussed at consultation.
Most dermal fillers contain a local anaesthetic for comfort. Additional numbing can be applied if needed. Most patients describe mild, manageable discomfort during the procedure.
Mild swelling and bruising are common for 2–7 days after filler treatment. Profhilo and SkinVive may cause small injection-point bumps for 24–48 hours. Most patients return to normal activities quickly.
Hyaluronic acid fillers can be dissolved using an enzyme called hyaluronidase if needed. This provides a safety net and is one reason why HA fillers are widely considered the safest option.
Fillers add volume and structure to specific areas. Profhilo improves skin quality (hydration, firmness, elasticity) without adding volume. They address different concerns and are often complementary.
Volume loss typically becomes noticeable from the mid-30s onwards, though this varies. There is no fixed age — suitability depends on your facial anatomy, concerns and goals, assessed during consultation.
Clinically reviewed by

Dr Selena Langdon — Medical Director, MBBS

GMC 6159259

Last reviewed:

Clinical Summary

Expected Recovery PeriodMinimal — mild swelling and possible bruising for 2–7 days after filler treatment; Profhilo and SkinVive involve minimal downtime with small bumps settling within 48 hours
Therapeutic ResponseDermal filler results are visible immediately with final settling over 2–4 weeks; Profhilo and SkinVive improvements develop gradually over 4–8 weeks

Clinical Governance

  • Volume restoration is performed exclusively by experienced doctors trained in advanced facial anatomy and injection techniques
  • We take a whole-face approach — assessing proportions and planning strategically rather than treating individual areas in isolation
  • Natural-looking results are our priority; we aim to restore what has been lost rather than create an overfilled appearance

Book a Consultation

Request a medical assessment for your volume loss with our clinical team.

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Related Conditions

Further Reading & Clinical References

The following external resources provide independent clinical and regulatory information.

This content is for informational purposes only and does not constitute medical advice. Individual suitability for any treatment is assessed during a consultation. Always seek the guidance of a qualified medical professional with any questions regarding a medical condition or treatment.

Clinical governance

Page last reviewed: February 2026

Reviewed by Dr Selena Langdon, Medical Director (GMC 6159259) — Last reviewed: February 2026

Request a Clinical Assessment

Book a medical consultation to discuss diagnosis and an individualised treatment protocol.

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