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What it is, and why it happens
The face ages in layers, and not all of them at the same speed. Fat pads sitting in distinct compartments across the cheek, temple and jawline shrink and descend. The bone beneath remodels — the eye socket widens, the jaw angle softens, the midface loses projection. Ligaments tethering skin to deeper structures loosen. By the time someone notices a nasolabial fold or a hollow beneath the eye, the cause is usually several centimetres from where they are pointing.
That is why the most natural results often come from treating the area that lost the volume rather than the line that appeared because of it. Restoring modest support in the lateral cheek frequently softens a nasolabial fold more convincingly, and with less product, than injecting the fold directly.
We use hyaluronic-acid fillers of different densities according to the layer being treated: firmer gels deep on bone for structural support, softer gels superficially where skin needs hydration and light. For people who prefer gradual change, a collagen biostimulator works differently again — it prompts your own collagen to build over several months rather than adding volume on the day.
Assessment comes first. We look at the face in three dimensions, upright rather than reclined, and we photograph it. We will say plainly if we think the concern is better addressed by skin tightening, by weight stability, or by leaving it alone. Repeated treatment before previous filler has fully resorbed is how faces become overfilled without anyone deciding to overfill them, and declining to treat on the day is a normal part of our practice.
Hyaluronic-acid filler in the mid-face typically lasts twelve to eighteen months; in the lips, six to twelve. Biostimulators are given as a course of about three sessions six weeks apart, developing over three to six months.
Filler carries real risks, including bruising, swelling, nodules and rare vascular complications. Every treatment is performed by a trained injector under physician supervision, with hyaluronidase and an emergency protocol on site. We go through all of it with you before you decide.
How we treat it
Treatments that address this
Each of these is performed here under physician supervision. Which one is right depends on the assessment, and more than one may be combined over a course.
Dermal Fillers
Hyaluronic-acid filler for lips, cheeks and jawline with natural-looking results.
What to expect
How a course usually runs
The shape of a course is the same whichever treatment your plan settles on. What changes is how many appointments sit inside it and how long the result takes to appear.
Consultation and photographs
About 45 minutesWe take a medical history, assess the concern in good light — at rest and in animation where that matters — and take standardised photographs. You leave with a written plan carrying prices and timelines. Nothing is treated on the day unless you ask, you are medically suitable, and you have had time to read the consent form.
The treatment
45 min–1 h 30 minThe appointment itself is usually the shortest part. Treatments for this concern run between 45 min and 1 h 30 min. Consent is confirmed again before anything begins, and you can stop at any point.
Who it is for
What we check before treating
Suitability is decided at the consultation, not at booking. These are the things that most often change a plan — or postpone it — and every one of them is asked about before anything is treated.
In their words
From clients treated for this
Quotes are published with permission and shown with a first name and initial only.
Related
Other concerns people ask about
Fine Lines & Wrinkles
The first lines to appear are usually the ones you make on purpose. Softening them is a question of movement, not erasure.
Skin Texture & Scarring
Enlarged pores, roughness and the shallow craters left by acne are all scaffold problems, and the scaffold sits below where any cream can reach.
