Facial plast Surg 2015; 31(01): 080-087
DOI: 10.1055/s-0035-1544250
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Illusion of Volume Loss

Neil A. Gordon1, Julia Toman1
  • 1Section of Otolaryngology, Head and Neck Surgery, Department of Surgery, Yale University School of Medicine, Yale Physicians Building, New Haven, Connecticut
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Publication History

Publication Date:
12 March 2015 (online)


Facial aging can create an appearance of volume loss and responds to volume enhancement in certain clinical scenarios. Actual fat loss is an illusion created by the inter-relationship of the different tissue types. The purpose of this article is to provide the anatomical, clinical, and research evidence to differentiate the contributions to facial aging from gravity's effects on soft tissue, fat loss, and skeletal remodeling, explaining the illusion.