Volume Loss

Understanding Volume Loss

As we age, the face and body naturally lose volume due to changes in fat distribution, collagen levels, and skin elasticity. This loss of fullness can lead to hollow areas, sagging skin, and a less youthful appearance. Volume loss can also occur after significant weight loss, pregnancy, or other life changes, affecting the cheeks, lips, breasts, buttocks, and even the hands.

At The Centre for Cosmetic Surgery & Medicine, we offer advanced solutions to restore natural volume and improve contour. We specialize in fat transfer procedures and dermal fillers, both of which are highly effective for replenishing lost volume and creating a more youthful, balanced appearance.

Common Concerns Caused by Volume Loss

Volume loss can affect multiple areas of the face and body, leading to changes that make you look older or less refreshed. Patients often notice visible hollowness, reduced definition, or a loss of youthful contour in key areas. Some of the most common concerns include:

  • Troughing under eyes
  • Hollow or sunken cheeks
  • Thinning lips
  • Wrinkles or folds around the mouth and nose
  • Loss of breast fullness
  • Flattened or less defined buttocks
  • Visible tendons and veins in the hands

Volume Loss Treatment Options

We offer a variety of treatments designed to restore natural volume and enhance your features for a balanced, youthful appearance.

Fat Transfer

Fat transfer, also called fat grafting, uses your own body’s fat to restore volume in areas such as the face, breasts, buttocks, and hands. Fat is gently harvested from a donor area using liposuction, purified, and then strategically injected to create smooth, natural-looking contours. Because the fat comes from your own body, there is no risk of allergic reaction or rejection.

Fat transfer options include:

  • Facial Fat Transfer: Fills in laugh lines, smile lines, crow’s feet, acne scars, and sunken areas of the face, including the cheeks, lips, and under eye area. It can also improve skin depressions, minimize forehead wrinkles, and restore youthful facial volume.
  • Breast Fat Transfer: Increases breast volume for a modest enhancement without implants. It can also be used alongside implants to smooth contour irregularities and create an optimal breast shape.
  • Buttocks Fat Transfer (Brazilian Butt Lift): Enhances the size and shape of the buttocks using fat from another part of the body for a fuller, more rounded look. Liposuction is often performed to sculpt the surrounding areas for better definition.
  • Hand Fat Transfer: Restores volume to the hands, concealing visible veins and tendons while improving skin texture over time.

Dermal Fillers

Dermal fillers are injectable treatments that restore lost facial volume, smooth wrinkles, and enhance facial contours. They are ideal for patients who prefer a non-surgical option or who want immediate results with little to no downtime. Fillers can be used to plump the lips, lift the cheeks, soften folds, and smooth fine lines for a refreshed look.

The Difference We Make

“The staff is very knowledgeable

about the concerns presented. The office staff are very friendly and concerned for your well being. Dr Malek has great bed side manner. Staff put my mind at ease as a Nurse sometimes we are the worst patients. Highly recommend."

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Candidates for Volume Restoration Treatments

You may be a good candidate for volume restoration if you:

  • Are bothered by changes in your appearance caused by age, weight loss, or pregnancy
  • Are in generally good health without conditions that impair healing
  • Prefer a natural-looking approach to restoring fullness rather than implants alone
  • Are seeking long-lasting improvement with minimal downtime
  • Want a personalized treatment plan that may include fat transfer, dermal fillers, or a combination of both

Our board-certified surgeon will evaluate your goals and recommend the best treatment plan, whether that involves fat transfer, dermal fillers, or a combination of both.

Our Credentialed Team of Experts

Led by board-certified plastic surgeon Dr. Abdollah Malek, our experienced team combines advanced training with a compassionate, patient-first approach. From surgery to skincare, we’re proud to offer personalized care in a discreet, supportive environment where your comfort and confidence come first.

Meet the Team

Dr. Abdollah Malek

Board Certified Plastic Surgeon

Dana Malek, CRNA

Laser & Non-Invasive Treatment Specialist

Julie Grabowski

Director of Inventory + Surgical Technologist + Medical Assistant

Brea Malek

Director of Marketing + Certified Surgical Technologist + Medical Assistant + Director of Sterile Processing

Recovery and Post-Procedure Care

Recovery time depends on the procedure. Dermal fillers generally require no downtime, allowing patients to return to daily activities immediately. Fat transfer procedures may involve mild swelling and bruising for one to two weeks, depending on the area treated.

General Volume Loss Treatment Recovery Guidelines:

  • Avoid strenuous activity for the first few days after fat transfer
  • Follow incision and injection site care instructions closely
  • Wear any recommended compression garments after liposuction for donor sites
  • Protect treated areas from direct sun exposure during healing

Long-Term Results & Maintenance

Fat transfer results are long-lasting, though the body will naturally reabsorb some of the transferred fat. In some cases, additional sessions may be recommended to achieve optimal results. Dermal filler results can last from six months to over a year, depending on the product used. Maintaining a healthy lifestyle and stable weight can help preserve your results.

Cost & Financial Considerations

The cost of volume restoration depends on the treatment type, the number of areas treated, and whether fat transfer and dermal fillers are combined. Since these procedures are considered elective, insurance does not apply. Our third-party financing partners offer options and payment plans to make treatment more accessible.

Schedule Your Consultation

Volume loss does not have to define how you look or feel. At The Centre for Cosmetic Surgery & Medicine, we use advanced fat transfer techniques and premium dermal fillers to restore fullness, enhance contours, and create natural, beautiful results. Schedule your consultation at our Wilmington or Lewes office today to explore your options.

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