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Treatment for Volume Loss and Facial Definition in Marylebone, London

Treatment for volume loss and facial definition in Marylebone, London, to restore definition to the cheeks, temples, chin and jawline. Helena, a Registered Nurse, restores what has been lost with a light hand, so the result looks like you, refreshed.

Understanding volume loss & facial definition

Facial volume loss is the gradual deflation of the face as the fat pads beneath the skin shrink and shift, and as the bone that supports them slowly resorbs. It shows first in the mid-cheek and temples, then as a softer jawline, a weaker chin and deeper folds from the nose to the mouth. Skin that was once held up by structure starts to fall, which is why volume loss often reads as tiredness or sagging rather than as hollowness.

It typically begins in the mid-thirties and becomes more noticeable through the forties and fifties. Significant weight loss, intense training, menopause and genetics can all bring it forward. People often say they look drawn or tired in photos, or that their face has lost the definition it had.

Helena treats volume loss by restoring support where it has gone: hyaluronic acid dermal filler for defined areas such as the cheeks, chin, temples and jawline, and Sculptra where the whole face needs gradual, collagen-building support. Facial harmonisation combines areas so the face reads as balanced. Every plan is bespoke and results vary between individuals.

What causes volume loss & facial definition?

  • Shrinking and downward shift of the facial fat pads with age
  • Gradual bone resorption in the cheek, jaw and around the eye sockets
  • Loss of collagen and elastin, so the skin has less support
  • Significant or rapid weight loss, including from intensive exercise
  • Menopause and falling oestrogen
  • Genetics: some faces are naturally leaner with age

Common
questions

Which areas of the face lose volume first?

The mid-cheek and temples usually go first, often from the mid-thirties, followed by the area around the eyes and the chin and jawline. As the cheeks deflate, the skin above them drops, deepening the folds from the nose to the mouth. Where you notice it first depends on your face shape, weight and genetics.

Will filler make my face look bigger or puffy?

Not when it is placed to replace lost support rather than to add size. Helena's aim is natural-looking, so the face looks rested and defined. Over-treatment is avoided by working area by area and reviewing at 2 weeks. Hyaluronic acid filler can also be dissolved if a result does not feel right.

How long does volume restoration last?

Hyaluronic acid filler typically lasts 12 to 18 months in the cheeks, chin and jawline, and somewhat less in mobile areas. Sculptra builds gradually and its results can last up to 2 years after the course. Helena plans maintenance as part of your journey, and results vary between individuals depending on metabolism and lifestyle.

Is Sculptra or filler better for volume loss?

Filler gives an immediate result in a defined area, which suits a weak chin or flat cheek. Sculptra works slowly across the whole face by stimulating your own collagen, which suits generalised deflation and people who prefer gradual change. Many plans combine both. Helena will explain honestly which fits your face and budget.

What is the downtime after treatment?

Most people return to normal activity the same day. Expect some swelling for 2 to 3 days and possible bruising for up to a week, so avoid alcohol and strenuous exercise for 24 to 48 hours. Sculptra requires a few minutes of massage several times a day for 5 days, which Helena will show you.

Ready to begin?
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Novaderma Aesthetics • 1 Orchard Street, UNTIL Marylebone, London W1H 6HJ

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Appointments typically available within 1–2 weeks