Volume loss
Faces lose structure before they lose skin quality. Restoring support reads as rest, not treatment.
What is actually happening
The midface loses fat and bone in a predictable sequence from the mid-thirties. As the support drops, the skin that used to sit over it has nowhere to go, so it folds. The fold is the symptom; the lost support is the cause.
This is why treating the fold directly rarely works. Filling a nasolabial fold without addressing the cheek behind it produces a heavy lower face — the look most people are trying to avoid.
What we assess
Where the support was lost, in which plane, and what the skin above it is doing. We photograph in three positions because volume reads differently by angle.
What we usually advise
Small amounts, high on the face, reviewed at eight weeks. Chasing a result in one appointment is how faces start to look treated.
When we say no
Significant laxity with minimal volume loss is not a filler problem. Adding volume to lax skin makes it heavier.