The age old targets of facial plastic surgery have been dropping tissues. Therefore, the answer had always been reductive surgery (removing tissue). While these surgical techniques remain useful in our facial rejuvenation strategies, volumetric changes were initially neglected. Fortunately, that has changed in the modern practice of facial plastic surgery.

If we look at our children, their faces are full and voluminous. The senior most members in our lives may become hollow and skeletal in appearance, and most of us are somewhere in between. Therefore, Volume portrays youth and our ability to correct those changes allows us to reserve surgical efforts. Hyaluronic acids (Juvederm and Restylane), and hydroxyapatite (Radiesse) are office based strategies with little or no downtime, with longevity up to and potentially beyond a year. Fat transfer offers a longer term solution.