Your Concern
Volume Loss & Sagging
Restore youthful fullness and contours
Understanding Your Concern
About Volume Loss & Sagging
Many patients tell us they notice their face looks different after turning 40 or 50—cheeks flatten, temples hollow out, the jawline softens, and skin begins to sag. This isn't vanity; it's anatomy. As we age, three overlapping changes take place: collagen production declines, fat pads descend from their original position, and bone resorbs (especially in the jaw and temples). The result is lost structure and sagging. We approach volume restoration strategically, placing fillers along the structural bones (cheekbones, temples, jawline) to restore the face's natural architecture. This lifts and rejuvenates without creating the overfilled look. Filler results are visible immediately but continue to improve over two weeks as swelling settles. Most fillers last 9–18 months depending on placement and metabolism. For more significant sagging, combining fillers with microneedling produces better results than either alone.
Common Causes
- Natural aging and collagen decline
- Fat pad descent and gravitational effects
- Bone resorption in jaw, temples, and cheeks
- Rapid or significant weight loss
- Sun damage and elastin breakdown
- Genetic predisposition to early sagging
Ready to Address This?
Schedule a consultation to discuss your volume loss & sagging concerns with Dr. Shirazi.
Questions?
(858) 633-5991Recommended Treatments
Tips from Dr. Azi
- 1
Maintain a stable weight—rapid fluctuations accelerate volume loss and sagging
- 2
Protect your face from sun exposure with daily SPF and hats during peak hours
- 3
Consider subtle filler early rather than waiting for significant loss—prevention is easier than correction
- 4
Support collagen with prescription retinoids and vitamin C serums
- 5
Sleep on your back when possible to minimize gravitational stress
- 6
Maintain good posture—it actually affects how the face appears
Book Now
Discuss Your Volume Loss & Sagging Concerns
The $100 consultation fee is credited toward your first treatment.



