A tired, sunken appearance is typically a result of facial volume loss which occurs when there is deterioration of the underlying elements of the skin: fat, collagen, and bone. Facial volume loss is caused by natural aging, as well as several other factors including genetics, lifestyle, chronic sun exposure, hormone levels, or illness. In conjunction with volume loss, the body’s production of hyaluronic acid also diminishes, leading to skin that is less plump and more dehydrated.
Signs of aging in the lower face are often due to volume loss in the mid-face, particularly in the cheeks. When the cheeks flatten, the skin begins the sag and there is a deepening of the nasolabial folds (parentheses lines running from the nose to the corner of the mouth). Other signs of volume loss include thinning lips, hollowing of the temples and under eye area, and the appearance of marionette lines (lines running from the corner of the mouth to the chin).
The most effective treatment for restoring facial volume is dermal filler injections. There are a variety of dermal fillers available ranging from temporary to long-lasting, and they instantly rejuvenate and refresh the appearance without downtime.