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Facial Volume

Facial Volume Loss & Hollowing Richmond, BC

Restore structure, keep your own look.

Facial volume loss is the gradual shrinking of fat pads, bone and collagen that leaves cheeks flat, temples hollow and shadows under the eyes. It can also follow rapid weight loss. Hyaluronic acid filler restores volume immediately, while Sculptra stimulates collagen gradually. At RAAC in Richmond, BC, Dr. Jiang assesses structure first; results vary and are not permanent. RAAC is near Lansdowne Station on the Canada Line and serves Richmond and Greater Vancouver.

3 Layers
Fat pads, bone and skin all change with age
2 Paths
Instant filler or gradual collagen stimulation
Same Day
Most people resume normal activities
Self-Check

Where are the Shadows?

Volume loss changes the way light hits your face, creating shadows where there used to be highlights.

If you see these shadows, your face may not have just sagged. It may have lost volume.

The Science

What Causes Facial Volume Loss?

Think of a grape turning into a raisin: the skin stays much the same, but the support underneath shrinks.

1

Fat Pad Atrophy

Deep facial fat pads provide volume and lift. As they shrink, the skin overlying them collapses.

2

Bone Resorption

We lose bone mass in the skull, eye sockets, and jaw. This loss of 'scaffolding' causes the face to fold inward.

3

Collagen Decline

Thinner skin reveals the underlying structures (veins, hollows) more clearly.

4

Rapid Weight Loss

Losing body fat quickly, whether through exercise, diet or medically supervised weight loss, often leads to facial hollowing and skin laxity.

Our Solutions

How Is Volume Loss Treated at RAAC?

There are two main paths: immediate filling with hyaluronic acid, or gradual collagen stimulation.

Structure first: we support deeper areas before softening surface transitions, which helps avoid an overfilled, puffy look.

Why Us

How We Approach Volume Loss

29+
Years
7 Days
Open daily, 9am-6pm
MD
Physician-led
1

Avoiding 'Pillow Face'

Dr. Jiang focuses on deeper structural support rather than superficial over-filling, so you look defined, not puffy.

2

Cannula Technique

Blunt-tipped micro-cannulas are used for many injections, which can reduce bruising and help avoid blood vessels.

3

Natural Contour Control

We restore temples and mid-face support with a contour-first strategy—enhancing dimension without making the face look wider or overfilled.

4

Physician Injector

Facial anatomy is complex. Injecting is done by a physician-led team, because risks such as vascular occlusion or asymmetry are real and need to be managed.

Volume FAQ

Common Questions

Facial volume loss comes from shrinking fat pads, bone resorption and falling collagen with age, and from rapid weight loss. Together they flatten the cheeks, hollow the temples and deepen shadows. Heredity and sun exposure also play a part.
Hyaluronic acid filler gives immediate, precise results for the lips, tear troughs and chin. Sculptra stimulates collagen gradually and suits broader loss in the temples and cheeks. Many people use both. Dr. Jiang recommends after examining your face.
Often it can be improved with filler or biostimulators, though loose skin may need other treatments as well. If weight loss was rapid or unintended, see your family doctor first, since the cause matters. Facial volume change after weight loss tends to show in the temples, cheeks and under the eyes, and planning usually works best once your weight has settled.
Not if the plan is done well. Overfilled looks come from placing too much product too superficially. We support deeper structures first and add gradually, and you can always return for more. Appropriately placed filler replaces lost volume rather than stretching the skin, and when it wears off your face gradually returns to how it would have looked without treatment.
Hyaluronic acid filler commonly lasts about 9-18 months, depending on product and area. Sculptra builds over 3-6 months and often lasts around two years or more. Duration varies from person to person.
Topical numbing cream is used, and many fillers contain a local anesthetic, so most people feel pressure rather than sharp pain. Swelling, redness and bruising are common for a few days. Most people resume normal activities the same day.
It depends on what is causing the change and what you expect. When hollowing is the main issue, hyaluronic acid filler gives a visible, immediate change that can be adjusted or dissolved, but it is temporary, usually needs maintenance, carries injection risks, and does not tighten loose skin or lift tissue that has dropped. Sculptra builds more gradually. Knowing which layer has changed, from an in-person assessment, is how to judge whether the result would be worth it for you.
Dark circles caused by hollowing (shadows) may improve with filler placed in the tear trough. Circles caused by pigment or thin, visible vessels need different approaches. An assessment will tell which applies.
All injectables carry risks, including bruising, swelling, lumps and asymmetry. Rarely, filler can block a blood vessel, which needs urgent care. Tell Dr. Jiang about your medical history and medications, and about any prior filler.
A typical course is 2–3 sessions spaced about 4–6 weeks apart. Volume builds gradually as your own collagen responds, so the change shows over weeks to months rather than all at once. The physician assesses your response between sessions, and the amount needed depends on how much volume has been lost and where.
Hyaluronic acid filler can be dissolved with an enzyme (hyaluronidase) if a result needs adjusting or a complication occurs. Sculptra and Radiesse cannot be dissolved in the same way, which is one reason they are placed conservatively and built up gradually. Discuss your preferences before treatment, especially if it is your first time.
It depends on the areas treated, how much volume has been lost, and the product: filler is priced by the amount used, while Sculptra and Radiesse are planned by sessions or syringes. Many plans combine them, so a quote is given after Dr. Jiang's assessment rather than as a set price. RAAC is about a 3-minute walk from Lansdowne Station on the Canada Line, a direct train ride from Vancouver.

Ready to Restore Your Face Shape?

Book a facial assessment to see whether filler, Sculptra or a combination suits you.

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