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
- 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
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.
What Causes Facial Volume Loss?
Think of a grape turning into a raisin: the skin stays much the same, but the support underneath shrinks.
Fat Pad Atrophy
Deep facial fat pads provide volume and lift. As they shrink, the skin overlying them collapses.
Bone Resorption
We lose bone mass in the skull, eye sockets, and jaw. This loss of 'scaffolding' causes the face to fold inward.
Collagen Decline
Thinner skin reveals the underlying structures (veins, hollows) more clearly.
Rapid Weight Loss
Losing body fat quickly, whether through exercise, diet or medically supervised weight loss, often leads to facial hollowing and skin laxity.
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.
How We Approach Volume Loss
Avoiding 'Pillow Face'
Dr. Jiang focuses on deeper structural support rather than superficial over-filling, so you look defined, not puffy.
Cannula Technique
Blunt-tipped micro-cannulas are used for many injections, which can reduce bruising and help avoid blood vessels.
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.
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.
Common Questions
Ready to Restore Your Face Shape?
Book a facial assessment to see whether filler, Sculptra or a combination suits you.
Related articles
- HA Fillers vs Collagen Stimulators: How Each Works and Lasts
Hyaluronic acid fillers restore volume immediately, while collagen stimulators work gradually through your own collagen. How each works, what the research says and how a physician chooses.
- Anti-Wrinkle Injections vs Dermal Fillers: Which Do You Need?
Anti-wrinkle injections relax the muscles behind expression lines; hyaluronic acid fillers restore volume and contour. How to tell which a line needs, how each works, how long they last, and when both make sense.
- Sculptra Collagen Stimulator in Richmond BC: Cost, Sessions & Results
Collagen stimulator cost, sessions and results explained. How Sculptra's poly-L-lactic acid prompts your own collagen, which areas it treats, and why results build gradually over months.
- Collagen Biostimulators vs Immediate-Lift Fillers: Which Approach Suits You?
Sculptra builds volume gradually through your own collagen; Radiesse gives immediate lift and then stimulates collagen. How they differ in mechanism, timeline, areas and risks, and how the choice is made.


