
Loss of facial volume is fundamental to visible facial ageing, showing as a general flattening of the face’s natural contours.

Loss of facial volume is fundamental to visible facial ageing, showing as a general flattening of the face’s natural contours. Dr Sateei always looks at the face as a whole, restoring lost support for a natural, refreshed look.
Collagen production declines from the mid-twenties, accelerating after menopause. Fat pads in the cheeks and temples reduce and shift, and facial bones remodel gradually. Genetics, sun exposure, smoking and significant weight loss all influence timing and severity.

Flattening cheeks, increased shadowing around eyes and temples, deeper nasolabial folds, a less defined jawline, and a general “tired” or “different” look.
Dermal fillers are the cornerstone, restoring support to cheeks, temples and jawline for a subtle, undetectable result. Radiesse biostimulation and Julaine encourage the skin’s own collagen production for a gradual, longer-term approach. Skin boosters improve hydration and elasticity. For widespread volume loss, a Full Face Rejuvenation approach assessing multiple areas together may be recommended.

Restoring volume well requires genuine anatomical understanding, central to Dr Sateei’s approach after over twenty years of experience, at both her London (near Harley Street) and Sevenoaks clinics.

Declining collagen, fat redistribution and bone remodelling with age; genetics, sun exposure, smoking and weight loss accelerate it.
Sun protection, stable weight and general skin health can slow visibility.
Depends on affected areas; dermal fillers, sometimes with Radiesse or Julaine.
Filler six months to two years; biostimulators build gradually and last longer.
Mild discomfort; topical numbing available.
Some mild swelling/bruising, settling within days.
Filler immediately after swelling settles; biostimulators build over weeks to months.
Most adults noticing flattening, confirmed via assessment.
No, Dr Sateei’s approach is subtle and natural.
Often, since volume loss rarely occurs in isolation.
Loss of volume treatment is often planned alongside these.


If your face has been looking flatter, Dr Ellie Sateei welcomes a consultation at her London or Sevenoaks clinic.
Our London clinic is located at 91a New Cavendish Street, London, W1W 6XF
We serve patients from London, Kent and the home counties as well as from all over the world. Our London clinic sits in the heart of Marylebone, within easy reach of the West End by tube, while our Sevenoaks clinic in Ightham is moments from the M25 and M26 for patients across Kent.