How do I best address the loss of volume in my face? (Photo)

It is not unusual for volume loss to accelerate during perimenopause and menopause.  Our bodies slow down collagen production drastically. Based on your pictures, you can definitely use some volume replacement in the mid face region.  If mid face is corrected, up you may not require any fillers for lower face.  Voluma is a great product for a lift and to reduce jowls. It is also a great filler for cheek enhancement. But it is not the appropriate one for the tear trough area.  When I treat my patients, I prefer a filler such as Voluma to help lift.  But for longevity, I have been using Bellafill, a collagen filler which lasts closer to 5 years for cheeks and tear trough.   Realistically, you continue to lose volume everyday.  So the volume put in will stay put for "x" amounts of years based on product.  But because volume loss happens everyday, a touch up filler should still be considered periodically.    If you require 2-4 syringes up front, then you are looking at a cost of $1200-2200.     I hope that helps!

I love Voluma for the cheek/mid-face area. It works extremely well and the results are long lasting, about 2 years. Also, lifting that area of the face has a beneficial effect on the under eye/tear trough area as well as the nasolabial folds. If you are looking to economize, I think this would be the right place to start.Kindly,Kouros Azar

Once the mid cheek loses its round convex surface and it plateaus and then indents, even a little, light does not bounce off the cheek as much and this hollowness creates a dull appearance. As soon as Voluma,  fat injections, or Radiesse is injected and the apple of the cheek expands ever so slightly, the refreshed appearance is realized often. In fact, many times, the smile creases no longer concern the patient once they see the more "healthy and vibrant" face from having the cheek prominence improved.  ( I usually say that babies have deep smile folds but cherubic cheeks and no one says babies look old !) The cheek bone may need to be addressed in some patients which may help raise the jowl slightly. In other patients the smile folds, and marionette lines are treated along with the angles of the corners of their mouth.