Cheek, Chin, and Jawline Volume Treatment in Marylebone, London
Flatter cheeks, a softening jawline, and deepening folds are signs of age-related volume loss in the deep facial fat pads and bone. Restored with hyaluronic acid filler and collagen-stimulating biostimulators — placed to rebalance the whole face, not inflate one feature.
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What you're seeing
The concern
Facial volume loss is the deflation and downward descent of the face that comes with age, as the deep fat pads shrink and redistribute and the underlying bone gradually resorbs. The midface flattens, the cheeks lose their high point, the nasolabial folds (nose-to-mouth lines) and marionette lines deepen, the jawline softens, and the chin can recede — together producing a heavier, more tired, less defined lower face. Because the loss is structural and three-dimensional, treating the surface lines directly often fails; the fold is a shadow cast by collapsed support behind it.
Dr Elgey’s approach is to restore the foundation rather than chase the line. Hyaluronic acid filler rebuilds support at the cheek, chin, and jaw so the overlying skin is re-draped and the folds soften as a consequence; collagen-stimulating biostimulators such as Radiesse work over months by prompting the skin to produce its own collagen for a firmer, more gradual structural improvement. A GP-trained whole-face assessment is central here — over-projecting the cheek in isolation is the classic cause of an unnatural "pillow" look, so the midface, jawline, and chin are planned in proportion. The aim is to look like a rested version of yourself, never a different face.
Why it happens
What drives it
- Age-related shrinkage and descent of the deep facial fat pads
- Gradual resorption of the underlying facial bone with age
- Decline in collagen and elastin reducing skin support
- Significant or rapid weight loss accelerating facial deflation
- Cumulative UV damage degrading dermal structure
- Genetic facial structure and bone proportions
Treatment approach
How Paul treats it
Dermal Fillers
By consultationHyaluronic acid filler rebuilds structural support at the cheek, chin, and jawline so the midface is re-draped and the nasolabial and marionette folds soften as a consequence. Placed to rebalance the whole face in proportion rather than inflate one feature, and fully dissolvable at review. Results typically last 12 to 18 months in these less-mobile areas.
See treatment detail →Skin Boosters & Biostimulators
By consultationCollagen-stimulating biostimulators such as Radiesse work over several months by prompting the skin to produce its own collagen, giving a firmer, more gradual structural improvement that complements or, for some patients, replaces HA filler. The right product and protocol is selected at a doctor-led consultation.
See treatment detail →Signature Full Face Rejuvenation
By consultationWhere volume loss is part of a broader picture, the signature full-face plan sequences structural filler, biostimulators, regenerative skin work, and injectables across staged appointments — restoring proportion and freshness across the whole face rather than treating one area in isolation.
See treatment detail →FAQ
Common
questions
Why treat my cheeks when it is my nose-to-mouth lines that bother me?
Because the fold is usually a shadow cast by collapsed support above it. As the midface deflates and descends, the tissue bunches at the nasolabial fold. Injecting the fold directly often looks unnatural and heavy, whereas restoring support at the cheek re-drapes the midface and softens the fold at its source. The whole-face assessment identifies where the volume was actually lost so the plan treats the cause, not the symptom.
Will filler make my face look puffy or overdone?
Not when it is planned in proportion and dosed conservatively. The "pillow face" look comes from over-projecting one area — usually the cheeks — without regard to the rest of the face. A GP-trained whole-face approach balances the midface, jawline, and chin together and builds gradually, reviewing the result before adding more. Hyaluronic acid is also fully dissolvable, so an over-correction is correctable.
What is the difference between filler and a biostimulator?
Hyaluronic acid filler adds volume immediately and is reversible, making it ideal for precise structural restoration you can see on the day. A biostimulator such as Radiesse works more slowly, stimulating your own collagen over weeks to months for a firmer, more gradual result that is not reversible in the same way. Many plans use both — filler for definition, a biostimulator for overall firmness — decided at consultation.
How long do the results last?
Hyaluronic acid filler in the cheek, chin, and jaw typically lasts 12 to 18 months because these areas move less than the lips or mouth. Biostimulator results build over months and the collagen improvement can last well over a year. Both are gradually metabolised, so periodic maintenance keeps the result rather than rebuilding it. Your individual longevity is discussed at review.
Can volume loss be treated without filler at all?
To a degree. Collagen-stimulating treatments and regenerative skin work improve firmness and skin quality, which helps a face that has lost support, and they may be the right first step for milder cases or patients who prefer to avoid filler. True structural deflation, though, is most directly addressed by replacing the lost volume. An honest consultation will set out what each approach can and cannot achieve for your face.
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Dr Paul Elgey Aesthetics • Unit 1, Orchard Street, London W1H 6HJ
BookAppointments typically available within 1–2 weeks