Facial Volume Loss Consultations

What to expect

1. 01

   Medical and treatment history

   A detailed review of general health, medications, weight changes (including GLP-1 medication and post-bariatric loss), prior injectable history (clinic, product, dose, dates), surgical history and any past laser, RF or resurfacing treatments. Important for safety and for choosing the right modality.

2. 02

   Multi-layer facial assessment

   Examination across the four layers that determine facial shape — bone, fat pads, dermis and epidermis — under natural and clinical lighting. Patterns of descent, hollowing, shadowing and loss of support are identified rather than just "lines and folds".

3. 03

   Region-by-region volume mapping

   Targeted review of temples, midface, cheeks, tear troughs, jawline, chin, lips and lower face. Distinguishes hollowing (loss of volume) from descent (volume migrated) and early changes from established changes — these need different treatments.

4. 04

   Personalised written plan

   A written plan covering staged options across skin-quality, collagen-stimulating, energy-based and (where appropriate) volumising injectable treatments. Includes explicit rationale for what we DO and DO NOT recommend for your face, expected sessions and intervals, costs, recovery and limitations.

5. 05

   Cooling-off time

   You leave with the plan in writing. Treatment is not performed on the first visit for new patients — there is always time to consider, ask questions and decide before booking the treatment appointment. Returning patients with an established plan often have treatment on the same visit.

Results timeline

• At the consultation Leave with a written, staged plan covering recommended treatments (and any we have specifically advised against), expected sessions, costs, recovery, expected results and maintenance intervals.
• After consultation Cooling-off period — typically a few days to a week — to consider the plan, ask follow-up questions and decide whether to proceed. No pressure to book treatment on the day.
• First treatment phase Most staged plans begin with skin-quality or collagen-stimulating treatments — these establish a stronger dermal foundation before any volumising work is layered on. Effects build gradually over weeks rather than appearing on the day.
• 3–6 months Review and progression — assess response, refine the plan, and add the next stage (e.g. structural support in selected regions, energy-based tightening, or further collagen work). Clinical photographs track changes over time.
• 6–18 months and beyond Long-term restoration is staged across this window rather than completed in a single big session. Maintenance intervals are then mapped per modality — collagen-stimulating treatments and structural work have very different cadences.

Frequently asked questions

• Who is suitable for a Facial Volume Loss Consultation? +

  Anyone noticing hollowing, cheek flattening, temple flattening, loss of jawline or chin definition, a tired appearance, or facial changes following weight loss may benefit from assessment. The consultation is suitable for first-time patients exploring options, patients with weight-loss-related volume change (including GLP-1 medication), patients seeking a second opinion after filler elsewhere, and returning patients planning a staged next step. There is no pressure to proceed with treatment on the day.
• Will I still look like myself? +

  Yes — that is the explicit philosophy. The goal is restoration, not augmentation. We aim to restore the shape and support of your face as it was, not to add features that were never there. Conservative dosing, anatomically guided placement, balanced treatment across regions, and a refusal to chase trends are central to how we deliver this work. If you have ever seen a patient who looks 'overdone' and worried that is the only available outcome — it is not.
• Do I have to treat everything at once? +

  No. Many patients prefer a staged approach across 6–18 months rather than a single big treatment session. Staged plans usually start with skin-quality and collagen-stimulating work to strengthen the dermal foundation, then layer in structural support in selected regions only where needed. Staging gives natural progression, lower risk, and the option to stop or change direction at any point if the result is already where you wanted it.
• Why don't you do treatment on the first visit? +

  For first-time patients, treatment is not performed on the consultation visit. The cooling-off time exists so you leave with a written plan, have space to consider the recommendations, check anything with us, and decide without pressure. This protects against decisions made in the moment, supports informed consent, and reduces the chance of regret. Returning patients with an established plan often have treatment on the same visit.
• I have lost a lot of weight recently and my face looks gaunt — can you help? +

  Yes — and this is an increasingly common reason for the consultation, particularly with GLP-1 medication and post-bariatric weight loss. Significant weight loss causes facial fat pads to shrink at different rates in different regions, producing temple hollowing, midface flattening, jawline softening and a tired appearance — sometimes disproportionate to the actual weight change. The plan needs to consider whether weight is still changing (in which case we usually wait for stability) and whether the goal is to restore lost volume or to use collagen-stimulating and skin-quality treatments to support the changed shape.
• I have had filler elsewhere and I don't love the result — can you help? +

  Yes — second-opinion consultations are common, particularly after over-filled cheeks, lumpy under-eyes, migrated mid-face filler, or a face that has started to look heavier rather than refreshed. Bring as much detail as you have about previous treatments (clinic, product, dose, dates) and any photographs from before and after. We can review what was done, what is currently visible, what may still be active, and whether dissolving, time to settle, or a different modality is the right next step. We will be honest about which of those options applies.
• Do you offer dissolving for hyaluronic acid filler? +

  Yes — we use hyaluronidase to dissolve hyaluronic acid filler where appropriate. This may be for over-correction, lumps, migration, asymmetry, vascular concerns or simply because you no longer want the filler in place. Like all our injectables it is doctor-led, consent-driven, and we discuss expected outcomes (the area can take days to weeks to settle, and sometimes more than one session is needed) before proceeding.
• What if filler isn't the right answer for me? +

  We will tell you. Plenty of patients come for a volume-loss consultation and leave with a collagen-stimulation, resurfacing or skin-quality plan instead — sometimes alongside modest structural support, sometimes without any filler at all. The consultation is about finding the right answer for your face, not about selling injectables. If a non-injectable pathway will give you a better long-term result, we will recommend it honestly.