Volume Loss: As facial volume diminishes, the skin will have acquired lines or wrinkles due to collagen and facial fat depletion. There is a hallowing around the eye sockets along with sunken temples, flattened cheeks, and loose skin around the jawline, better known as jowls. Fine lines appear on the lips and around the nose. Nasolabial folds form around the corners of the nose and mouth and oral commissures develop just beneath the corner of the mouth. The skin appears drier, thinner, and less pliable and vibrant.
Heredity and the normal aging process are the main causes of facial volume loss. However, certain medications may hasten the condition, as well as emotional stress, lifestyle factors, numerous traumas, and extreme “yo-yo” dieting and frequent weight gain and weight loss, which cause a stretching of the ligaments that support the soft tissues of the face. Facial volume loss is accompanied by the loss of blood vessels, fat layers and collagen causing the skin to sink in from the lack of these natural supports. Smoking, prolonged sun exposure, and severe illness also contribute to a general loss of facial volume. Prolonged stress from the loss of a job, family illness or death, financial problems, and hormone changes only accelerate the process.