Volume loss’s contribution to facial aging is grossly overstated.Yes, aging faces become hollow in areas such as the tear troughs, the malar/submalar cheeks, the temples, the pre-jowl sulci, and the pre-parotid regions. Conversely, they also become heavy in the nasolabial folds, the jowls, and the submental region. These two facts are interrelated. The desirable volume “lost” is, for the most part, the very same tissue as the undesirable volume that “appears” elsewhere in the face. It just fell.

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