Volume Loss & Facial Ageing Treatment in Soho
Facial volume loss treatment in Soho, London, restoring structure softly and gradually. Our nurse-led team rebuilds what time has taken, without changing the face you know.
Overview
Understanding facial volume loss
Facial volume loss is the gradual deflation of the deep fat pads and bone that support the face, which flattens the cheeks, hollows the temples and deepens the folds around the mouth. From the mid thirties onwards the fat compartments of the mid-face slowly shrink and drift downwards, while the bone of the cheek, jaw and eye socket gently remodels. The overlying skin has less to rest on, so shadows form where light used to sit. The result is often read as tiredness or sadness, even when you feel neither.
Restoring volume well is a matter of proportion, not plumpness. Our nurse-led team uses Stylage and Belotero dermal fillers to rebuild support where it has genuinely been lost, guided by facial analysis at a face-to-face consultation in Soho. Skin boosters restore the hydration and quality of the skin itself, and for most patients the best result comes from a staged, bespoke plan built over 3 to 12 months rather than a single appointment. Because hyaluronic acid fillers can be dissolved by a prescriber if needed, treatment stays adjustable as your face changes.
Why it happens
What causes facial volume loss?
- Age-related shrinkage of the deep facial fat pads, which begins in the mid thirties
- Downward drift of the mid-face fat compartments over time
- Gradual remodelling of the cheekbone, jaw and eye socket, reducing support
- Falling collagen and elastin, so skin drapes rather than holds
- Significant or rapid weight loss, which empties facial fat first in some faces
- Menopause-related hormonal change accelerating both fat and collagen loss
Treatment approach
How we treat facial volume loss
Dermal Fillers
From £300Stylage and Belotero hyaluronic acid fillers restore structure where fat and bone support has genuinely reduced: cheeks, temples, jawline and around the mouth. Results are visible immediately, settle fully over around 2 weeks and typically last 6 to 18 months depending on the product and area. We build gradually across appointments rather than chasing change in one sitting.
See treatment detail →Skin Boosters
From £170Volume is only half the picture: deflated skin is usually dehydrated skin. Injectable boosters such as Stylage Hydro (£200) and HydroMax (£280) restore hydration and elasticity, so the skin sitting over any new support looks healthy rather than stretched.
See treatment detail →Combination & Bespoke Treatment Plans
Membership from £58.50 per monthVolume loss rarely arrives alone, so most patients do best with a staged plan that sequences filler, skin quality work and review over 3 to 12 months. Facial analysis at consultation shows us exactly where support has changed, and the plan is built around your face, your priorities and your budget.
See treatment detail →FAQ
Common
questions
Which volume treatment is right for me?
That depends on where volume has changed, the condition of your skin and how much correction feels right to you. Book a face-to-face consultation in Soho: our nurses use 3D Visage facial analysis to map your facial structure before recommending anything, and you will never be prescribed treatment from a price list.
Will dermal fillers make my face look bigger or done?
Not when they are placed well. Our aim is to restore the support your face used to have, not to add something new, so we use conservative volumes, build across appointments and check proportion at every stage. Done properly, filler is invisible: people notice you look well, not treated.
How long does dermal filler last?
Most hyaluronic acid fillers last between 6 and 18 months, depending on the product, the area treated and how quickly your body metabolises them. Firmer products in the cheeks tend to last longest. Because results fade gradually, top-ups are planned rather than urgent, and we review timing at each visit.
Is filler reversible if I change my mind?
Hyaluronic acid fillers can be dissolved by a prescriber if needed, which is one of the reasons we work only with this family of products. Reversal is rarely required when treatment is conservative and well planned, but it matters that the option exists. We talk this through at consultation.
Can volume loss be treated without filler?
Sometimes, depending on the cause. Where deflation is mild and skin quality is the bigger issue, skin boosters and regenerative treatments can restore enough bounce and light to soften hollowness. Where structural support has genuinely reduced, filler remains the honest answer. Consultation and facial analysis tell us which applies to you.
Related Concerns
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Perfectus Derma Aesthetics • 111 Charing Cross Road, London WC2H 0DT
BookAppointments typically available within 1–2 weeks