Facial soft tissues (and even the facial bones) actually lose volume and projection with age. The concerns you describe, sunken cheeks, hollowed eyes, and marionette lines can all be treated successfully , and permanently with autologous fat grafting by restoring youthful contours to the face.
The contemporary approach to surgical rejuvenation of the face consists more and more of an attempt to restore facial volume and contour, in an attempt to emulate youthful facial features. My personal approach to facial rejuvenation is to first maximize repositioning and recontouring of facial aesthetic areas, and to remove only as much tissue as is necessary.


