What causes facial volume loss as we age?

Facial volume loss is a natural part of aging and begins as early as our 30s. Over time, the body produces less collagen, elastin, and hyaluronic acid, leading to:

• Loss of fat pads in the cheeks and temples
• Thinner, less hydrated skin
• Hollowing under the eyes and around the mouth
• Sagging of the jawline and jowls

External factors like sun exposure, stress, smoking, and weight fluctuations also accelerate this process. The result is a more tired or aged appearance due to lack of structural support beneath the skin.

How can I restore lost facial volume without surgery?

Non-surgical facial volume restoration uses advanced injectables and regenerative medicine to restore fullness and contour without incisions or downtime. At LegacyMD, we offer:

• Hyaluronic acid fillers (e.g., Juvederm, Restylane)
• Collagen-stimulating injectables (e.g., Sculptra, Radiesse)
• Platelet-Rich Plasma (PRP)
• Exosome therapy

These treatments lift sagging areas, smooth hollow zones, and restore symmetry with natural-looking outcomes. Our providers use a subtle, artistic approach tailored to your facial anatomy.

What's the difference between dermal fillers and volume stimulators?

Dermal fillers provide immediate volume by placing gel-like substances (typically hyaluronic acid) directly into areas needing lift or fullness. Results are instant but temporary.

Volume stimulators (like Sculptra and Radiesse) work gradually by stimulating your body to produce collagen over time. They restore volume more subtly and last longer but require multiple sessions to achieve full effect.

At LegacyMD, we often combine both for a balanced, natural restoration strategy.

How do dermal fillers restore facial volume and enhance features?

Hyaluronic acid fillers mimic your skin's natural hydration and cushioning components. When expertly placed, they can:

• Restore fullness to cheeks and temples
• Smooth deep lines and folds (nasolabial, marionette)
• Enhance lips, chin, and jawline
• Lift sagging skin for a non-surgical facelift effect

We use cannula or micro-needle techniques for precision, comfort, and minimal bruising. Our focus is always on harmony and proportion, not overfilling.

What are Sculptra and Radiesse for facial contouring?

Sculptra and Radiesse are biostimulatory injectables that improve facial structure by encouraging natural collagen production:

• Sculptra (poly-L-lactic acid): Ideal for deep hollows, temple volume, and soft tissue loss. Results develop over several months and last up to 2 years.
• Radiesse (calcium hydroxylapatite): Adds immediate volume while stimulating collagen. Excellent for jawline, chin, and mid-face contouring. Lasts around 12–18 months.

These products are especially beneficial for patients looking for long-term volume without the maintenance of traditional fillers.

How do Exosomes and PRP help with volume restoration?

PRP (Platelet-Rich Plasma) and Exosomes are regenerative therapies derived from your blood or stem-cell technology. They contain powerful growth factors that stimulate tissue repair and collagen production.

While not direct volumizers, they:

• Improve skin thickness and elasticity
• Enhance tone and texture
• Support the results of fillers and Sculptra
• Accelerate post-treatment healing

These treatments are often used alongside contouring procedures for comprehensive rejuvenation.

Which areas of the face can be enhanced with volume treatments?

LegacyMD treats multiple facial zones, including:

• Cheeks – restore mid-face volume and lift
• Temples – correct hollowing and frame the eyes
• Jawline – define contours and reduce jowling
• Chin – improve projection and facial balance
• Nasolabial folds – smooth deep laugh lines
• Under-eyes (tear troughs) – reduce hollows and shadows
• Lips – enhance shape and hydration

Your treatment plan is customized to enhance your features naturally and proportionally.

How long do facial contouring results last?

Longevity depends on the treatment type and your metabolism:

• Hyaluronic acid fillers: 6 to 18 months
• Sculptra: Up to 2 years with full course
• Radiesse: 12 to 18 months
• PRP/Exosomes: Cumulative improvement over several sessions

We recommend maintenance sessions every 12–18 months for optimal results. At LegacyMD, we track your progress and adjust your plan as needed.

What's the difference between immediate vs gradual volume restoration?

Immediate restoration (with fillers) gives instant results — great for special events or quick transformations. However, it may require touch-ups sooner.

Gradual restoration (with Sculptra or Radiesse) builds volume over time by stimulating collagen. It’s ideal for patients who want more subtle, long-lasting improvement with fewer future appointments.

Some patients choose a hybrid plan to get the best of both approaches.

Are facial volume treatments reversible?

Yes — hyaluronic acid fillers can be reversed using an enzyme called hyaluronidase. This ensures safety and peace of mind.

Sculptra and Radiesse are not reversible but are biocompatible and naturally absorbed by the body over time.

At LegacyMD, our conservative approach minimizes the risk of overcorrection, and all treatments are done with anatomical precision.

What should I expect during my consultation and treatment?

During your consultation, Dr. Hernandez Loy or a LegacyMD specialist will:

1. Perform a detailed facial analysis
2. Discuss your goals and medical history
3. Explain treatment options, benefits, and risks
4. Recommend a personalized volume restoration plan

Treatment typically takes 30–60 minutes. Most patients experience minimal discomfort, thanks to topical numbing and advanced injection techniques. There’s little to no downtime, though mild swelling or bruising is possible.

How do I choose between different volume restoration options?

We help you decide based on:

• Your aesthetic goals (subtle vs noticeable change)
• Budget and timeline (temporary vs long-term value)
• Anatomy and age-related changes
• Comfort level with injectables

For example, a younger patient with minor volume loss may do well with fillers alone. Older patients seeking structural rejuvenation may benefit from Sculptra + PRP.

Why is facial anatomy expertise important for volume treatments?

The face contains delicate vascular structures and variable fat compartments. Understanding this anatomy is crucial for:

• Safe injection placement
• Natural-looking outcomes
• Avoiding complications like lumps or asymmetry

LegacyMD’s providers are extensively trained in facial mapping and aesthetic proportions. Our artistic approach enhances your natural beauty — not distort it. Precision, symmetry, and subtlety are at the heart of every treatment we perform.

Ready to Restore Youthful Volume & Confidence?

Whether you're noticing mid-face sagging, under-eye hollows, or a less defined jawline, LegacyMD offers advanced solutions tailored to you. Our facial contouring treatments deliver stunning, yet natural results for patients across West Miami, Westchester, and Coral Gables.

Schedule your consultation today and discover how expert facial volume restoration can refresh your look without surgery.