Volume depletion from fat loss is a consequence of the normal aging process and also significant weight loss. In the face, this contributes to a less youthful appearance. People with facial volume loss look more tired than they are, and can appear to be ill to others. The volume loss creates a lack of support of the overlying tissues which then causes the eyelids to fall, the temple sink in, the cheeks deflate and create larger smile folds and jowls form below the jawline. Replacing this volume loss is done with thin fillers for the superficial lines and thicker fillers for the deep infrastructure. See our pages on Restylane™ and Juvederm™ Ultra for the superficial hyaluronic acid fillers. This sections deals with the thicker, more viscous Perlane™, Juvederm™ Ultra Plus, Radiesse™, Fat Injections and mentions Sculptra™, which acts as a seed to stimulate new collagen production by your own body rather than being a filler.

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