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Facial Hollowness: Causes, Symptoms & Treatments

at The Axis Clinic in London

Woman with facial hollowness before treatment at Axis Clinic London

What Is Facial Hollowness?

Facial hollowness refers to a loss of volume in areas such as the cheeks, temples, and under the eyes, giving the face a tired or sunken appearance. It often develops gradually as collagen, elastin, and fat stores diminish with age, but can also occur due to weight loss, stress, or lifestyle factors.

As the skin loses its natural support structure, facial contours can appear less defined and the complexion may look fatigued. 

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What treatments are available for Facial Hollowness at The Axis Clinic?

We offer a range of advanced treatments designed to restore facial volume and rejuvenate hollow or sunken areas. Our approach focuses on enhancing natural contours, improving skin elasticity, and achieving a refreshed yet balanced appearance.

Dermal Fillers provide immediate volume restoration for areas such as the cheeks, temples, and under the eyes, helping to lift and contour the face.

For longer-term rejuvenation, Radiesse and Ellansé are biostimulatory treatments that not only replace lost volume but also stimulate the production of collagen to improve firmness, elasticity, and skin texture over time.

Dermal Fillers

Replace lost volume and restore natural contours in the cheeks, temples, and under-eye area.
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Radiesse

Volumises and stimulates collagen for long-lasting restoration of facial fullness.
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Ellansé

Bio-stimulating filler that rebuilds volume while promoting natural collagen regeneration.
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Profhilo

Remodel and hydrate the skin from within, subtly improving volume and firmness.
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Polynucleotides

Improve skin density and elasticity to soften hollow, tired-looking areas.
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Exosomes

Support cellular regeneration and collagen renewal to improve skin density and suppleness.
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Woman showing facial hollowness before and after dermal filler treatment at Axis Clinic London

What Causes Facial Hollowness?

Facial hollowness develops when the natural volume and structure beneath the skin begin to diminish. This can occur due to a combination of ageing, lifestyle factors, and genetics. As we age, the body produces less collagen, elastin, and hyaluronic acid, leading to reduced skin elasticity and firmness. Fat pads that once supported the cheeks, temples, and under-eye area also shift and shrink, creating a sunken or tired appearance.

Other contributing factors include rapid weight loss, stress, smoking, and poor sleep, which can accelerate collagen breakdown and make hollow areas more noticeable. Some people may also experience facial hollowness earlier due to natural bone structure or a naturally slimmer face shape.

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Facial Hollowness

FREQUENTLY ASKED QUESTIONS

The most effective treatment for facial hollowness depends on the cause and depth of volume loss. At The Axis Clinic in North London, we offer a range of advanced options designed to restore structure, improve skin quality, and enhance collagen production.

For immediate volume restoration, Dermal Fillers, Radiesse, and Ellansé are excellent choices, helping to replenish lost fullness and redefine natural contours. To improve skin integrity and stimulate long-term regeneration, Profhilo, Polynucleotides, and Exosome therapy can be incorporated into your treatment plan. These treatments boost collagen and elastin production, hydrate the skin from within, and enhance the overall rejuvenation effect.

Each plan is fully tailored to your facial anatomy and goals, ensuring results that look natural, balanced, and harmonious.

Results vary by treatment type. Dermal fillers typically last 6 to 12 months, while biostimulatory fillers like Radiesse and Ellansé can last up to 18 to 24 months as they continue to stimulate collagen production for long-term improvement.

Most patients describe only mild discomfort. All injectable treatments at The Axis Clinic use advanced techniques and products that contain local anaesthetic, ensuring a comfortable experience throughout the procedure.

You can expect to see an immediate improvement in facial volume and contour after treatment with dermal fillers. With Radiesse and Ellansé, results continue to develop over the following weeks as new collagen forms, further enhancing definition and firmness.

Downtime is minimal. You may experience slight swelling, redness, or tenderness for a day or two after treatment, but most patients return to daily activities immediately.

Yes, as the natural ageing process continues, collagen and fat stores will keep depleting gradually. Maintenance sessions are recommended to preserve results and support long-term facial balance.

Facial hollowness is most commonly treated in the cheeks, temples, under-eye (tear trough) area, and sometimes around the mouth and jawline. Your practitioner will evaluate your facial structure to determine the most effective approach.

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Dr. Carlos Escobar performing Radiesse dermal filler treatment at The Axis Clinic

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