Skin Concern
Volume Loss
The face hollows and loses its youthful fullness during menopause — not because of age alone, but because of specific hormonal changes affecting fat, bone, and collagen. Subtle restoration can lift the whole face naturally.
What causes facial volume loss?
A youthful face is essentially a series of full, rounded compartments — fat pads that sit beneath the skin at the cheeks, temples, under the eyes, and around the mouth. With time and hormonal change, these compartments lose volume and descend. The result is hollowing where there was once fullness, and heaviness where there was once lift.
Lips, too, lose their natural definition and volume — the vermilion border blurs, and lips appear thinner and less defined. Many women describe looking tired even when rested.
Why menopause accelerates volume loss
Three simultaneous processes converge during menopause to hollow the face:
Fat redistribution: Oestrogen helps maintain the distribution of subcutaneous fat in the face. As levels fall, facial fat pads shrink and migrate downward and centrally, contributing to jowling and mid-face hollowing.
Bone resorption: The facial skeleton — particularly around the eye socket and jaw — gradually resorbs over time. This reduces the structural foundation the overlying soft tissue rests on, allowing skin to sag and droop.
Collagen loss: Oestrogen directly stimulates collagen production. Its decline removes the plumping matrix that keeps skin taut and volumised.
Physician-led treatments at London & Glow
Volume restoration is an art — the goal is always a refreshed, natural result, never an over-filled or frozen look. On menopausal skin, this requires understanding how the underlying anatomy has changed and working with it thoughtfully.
Hyaluronic acid fillers placed precisely in the cheeks, temples, lips, and jawline to restore structure and proportion. Our physician uses a conservative, layered approach — adding only what is needed to look naturally refreshed.
Biostimulatory injections that encourage the skin to rebuild its own collagen and elastin. They improve skin quality and texture while restoring subtle volume over several weeks — ideal for areas of fine hollowing.
Your own growth factors, concentrated and reinjected to stimulate cellular renewal. PRP improves skin quality, tone, and subtle volume — particularly effective around the eyes and in areas with fine hollowing.
Common questions
Why does the face lose volume during menopause?
Three mechanisms contribute simultaneously: hormonal fat redistribution moves subcutaneous facial fat downward and to the abdomen; bone resorption gradually reduces the underlying skeletal support of the face; and collagen loss removes the plumping protein that kept skin taut. Together, these create hollowing in the cheeks, temples, and under-eye areas, and thinning in the lips.
Are dermal fillers safe for menopausal skin?
Yes, when administered by a physician experienced in mature facial anatomy. Menopausal skin is thinner and the underlying fat pads have shifted, so it is essential to work with someone who understands these changes. Over-filling is a common mistake — our philosophy is subtle restoration that looks completely natural.
How long do results last from volume restoration treatments?
Hyaluronic acid dermal fillers typically last 6–18 months depending on the area and product used. Polynucleotides stimulate the tissue to produce its own support structures and effects build over 4–6 weeks, lasting several months. PRP results develop gradually and can last 12–18 months with an initial course of treatment.
Related concerns
Restore your natural radiance
Our physician will assess your facial anatomy and design a personalised restoration plan — subtle, natural, and entirely tailored to you.
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