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!

Great question and thanks for your pictures. You have volume loss in your cheeks and under eye area that has caused some sagging in your mid face. Replacing volume is the best option for you. Injectable fillers are what you will need and plan on using 2-4 syringes to achieve the best results- and the more you use, the longer the fillers should last- which is 1-2 years.  Voluma is great for the cheek areas to 'reinflate' them and I prefer belotero under the eyes. This combination of fillers will do the best. Other filler options include facial fat transfer- its a 'more permanent' option , however it does have more down time after.

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.

The face will lose volume
overtime. The loss of volume will cause:1)Loss of height and definition in cheeks

2)Narrowing of the upper 1/3 of face

3)Decent of facial tissue

4)Irregularities of jawline

5)Thinning of lips

6)Change the overall balance of the face from and upside down
egg to an oval shape

The addition of volume is best used to restore the
balance, height and 3D definition to the face.
This is the true art of facial fillers.Volume can be added by 3 ways: 1)  Injectable fillers in the office 2)  Facial fat grafting 3)  Facial implantsEach of these options has their pros and cons.  Generally speaking, surgical options are more cost effective over the long term secondary to their longevity, but injectables are more affordable in the short term.  I hope this helps  

Thank you for your question and for sharing your photographs.  When discussing non-surgical facial rejuvenation I recommend a top down approach, addressing the cheeks before the lower face.  When the cheeks are addressed the smile lines around the mouth, jowling, and lower eye areas can all be positively impacted.  As your pictures demonstrate mid-face/cheek descent Voluma can help lift this tissue supplying a good bang for the buck. Pricing will vary across the country, but anticipate 750-2000 depending on the amount used.  Be sure to see a board certified plastic surgeon in consultation.