As we age, we lose fat and muscle tone in our faces which results in an overall reduction in volume. As the other doctors have described, injecting fillers like Sculptra can target certain areas and help restore fullness. A natural, non drug-based alternative would be cosmetic acupuncture. Insertion of acupuncture needles in the skin leads to increased circulation and collagen production. The end result is a more general increase in facial volume and fullness, though placing needles directly into wrinkles can add fullness in a more targeted way as well.
A natural option would be cosmetic acupuncture for facial rejuvenation. Placing needles into the skin results in improved circulation and stimulation of collagen production, resulting in a firmer, more youthful appearance. A full course of cosmetic acupuncture typically involves 2 treatment sessions per week for 5 weeks, or 10 in total, though patients usually start seeing a real difference after the first 4-5 (results last longer with more treatments). Results last 3-5 years and are subtler and less dramatic than with surgery or medication injections, but that's kind of the point, isn't it?
A series of 12 sessions for a complete course of facial rejuvenation acupuncture is considered fairly standard. Insertion of needles into your skin stimulates the production of collagen and increases circulation. The choice of acupuncture points for treatment are partly standardized and applicable to everyone, but also combined with a personal prescription of points to address the causes of your individual skin and aging concerns. Most people look refreshed and relaxed immediately following a single session, but because acupuncture doesn't involve surgery, medications, or chemicals and is 100% natural, it takes multiple sessions to see lasting results. Most patients can expect to see results that last 3-5 years after a course of treatment (which is very long compared to Botox and fillers but obviously not as long as surgery). You can help your results last longer by going in for maintenance treatment a few times a year. Results are not as dramatic as with surgery and medication, but there are fewer risks, no downtime, and a more natural but improved appearance is the goal. There are additional benefits of acupuncture for facial rejuvenation, since even this type of specialized treatment addresses your greater health. Patients often report better mood, less stress, and improved sleep and digestion, which help slow the formation of new wrinkles and just make you feel better overall.
If you're looking to avoid surgery and the injection of medications, cosmetic acupuncture is an option to consider. Insertion of needles in the skin stimulates collagen production and circulation, resulting in a firmer, fuller appearance. Added benefits would be that the rest of your face (forehead, eye wrinkles, undereye circles, etc) would also appear healthier, and patients usually report that even with targeted cosmetic acupuncture treatment, they feel better and more relaxed in general, since acupuncture is a holistic treatment that works by stimulating your body's own internal healing mechanisms.
Without knowing more details about you (age, medical history, habits, photos, etc), I would advise that for you, as for most people, the best approach is to address your skin's appearance from the inside. Your skin is a direct reflection of your health, and it will show when you are dehydrated, stressed, anxious, not eating well, drinking too much alcohol, lacking sleep, etc. So start with the basics, which are cheap, effective, and will benefit your greater health as well. Sleep at least 8 hours a night, don't drink heavily, drink plenty of water, find ways to reduce your stress levels. Also wear sunscreen daily. If you think you're too lazy to do it, no need to add extra products into your routine--just switch your daily moisturizer or foundation to one with SPF. Even if you don't think sun damage is an issue for you now, ten years from now you will thank yourself for having done it. If you're interested in an actual procedure, facial rejuvenation acupuncture would be a holistic and natural option. Placing needles in the skin stimulates the production of collagen and improves circulation, resulting in a fresher, firmer appearance without surgery or injections. An added benefit is that patients who get facial acupuncture actually report that it helps them sleep better and feel better and more relaxed overall.