Volume Loss

From the mid-twenties, fat pads thin, bone remodels and collagen reduces all at once. The folds and hollows you see on the surface reflect structural changes underneath, not a skin problem.

Facial volume is maintained by a scaffold of fat compartments, bone, muscle and connective tissue. From the mid-twenties, every layer changes simultaneously. Fat pads thin and descend. Bone at the orbital rim and jaw remodels to occupy a smaller surface area. Collagen and elastin reduce throughout the dermis. The result is predictable: cheeks flatten, undereye hollows deepen, the jawline loses definition and the skin loses its structural support.

A nasolabial fold often reflects midface descent. Restoring the volume above frequently improves the fold without touching it directly.

The intuitive response to a fold is to fill it directly. Most visible folds are secondary to structural changes in the deeper layers. A nasolabial fold may respond significantly better to restoring the midface volume that has descended than to treating the fold itself. Adding volume at the surface without addressing the underlying scaffold produces a result that looks less natural and metabolises faster.

Dr Shahe Boghossian supports deep scaffolding first, then mid-layer volume, then surface skin quality. This sequence produces results that integrate naturally and last longer.

Dr Shahe Boghossian, who leads injectable treatment at the clinic, approaches volume restoration in a deliberate sequence: deep scaffolding first, then mid-layer volume, then surface skin quality. This layered approach produces results that integrate naturally with existing facial anatomy. Dermal fillers provide structural lift at the appropriate depths. Profhilo and polynucleotides improve skin quality above. A thorough facial assessment determines which layers need attention and in what order.