Volume building in the face

Volumenaufbau München

Over the years, the body changes. This is particularly visible in the skin, where wrinkles start to form. The elasticity of the tissue decreases, and it also begins to shrink and can be reduced by up to 30 percent. This visual aging process starts earlier in some people and later in others. The speed of the progression is also different for each person. But don’t worry – with the help of modern aesthetic dermatology it is possible to restore lost fullness with the so-called volume augmentation.

Lack of volume in facial structures can limit attractiveness

A youthful-looking face is characterized by firm, wrinkle-free, smooth and plump skin. Smooth contours, rounded cheeks, high cheekbones and a continuous chin-jaw line are attributes that make it look particularly attractive.

Complex layers of fat and connective tissue are responsible for this young, fresh appearance – the superficial and deep thin layers of fat are particularly characteristic here. They are separated by a connective tissue separating layer (S.M.A.S.). In certain parts of the face, the body minimizes this fat layer over time, for example under the eyes or on the cheeks. The unfavorable thing is that the skin mantle does not shrink along with it, but retains its original size. This leads to it appearing too large and too flabby over time.

In addition, the retaining ligaments of connective tissue that are anchored to the facial bones and cause the skin to sit tightly over its “base” also lose elasticity. As a result, parts of the fatty tissue and thus the entire facial contour sag downward. The result is sagging jowls, among other things.

Targeted volume building makes the face look younger again

The processes just described can be stopped and reversed by volume augmentation. In volume augmentation, we pad out those parts of the face that have lost volume with special treatments. However, the aim is not to smooth out individual wrinkles, as is done, for example, with targeted treatment of the frown lines between the eyes. Rather, it is about compensating for the loss of volume by making a structural change to the face.

Dr. Tatjana Pavicic

Dr. Tatjana Pavicic is a specialist in dermatology and venereology with her own practice in Munich. She is an internationally recognized expert in aesthetic dermatology with a special focus on dermocosmetics, botulinum toxin, fillers and lasers.

Methods for building volume in the face

Creating volume where it is lacking – that is what volume augmentation is all about. We can help here with two special methods: the injection of hyaluronic acid and the Radiesse method.

Volume augmentation in munich with hyaluronic acid

Hyaluronic acid is naturally present in our body – especially in the skin. It binds water and makes the skin appear plump, firm and elastic. From the age of mid-twenties, the body reduces the production of hyaluronic acid, thus the tissue becomes flabbier with advancing age. In interaction with gravity, it sags. The typical gravitational wrinkles appear. We can compensate for this effect with filler treatments. In this process, we inject hyaluronic acid into the deep layers under the skin. The hylauronic acid begins to bind water and plump up the skin. This gives the skin new volume.

Volume enhancement in munich with radiesse

Radiesse works in a similar way to classic hyaluronic acid fillers, but it can do even more, making it suitable for treating deep wrinkles that require more volume augmentation. Radiesse also stimulates the body’s own production of collagen and can thus help achieve long-term volume distribution. Radiesse can be used not only to smooth deeper wrinkles and replace volume lost due to aging, but also to accentuate individual areas such as the cheekbones. Furthermore, it can be used to tighten sagging contours. A natural-looking, gentle lifting effect is possible with the injections.

Examples of volume building in the face

In our private practice for dermatology and aesthetics in Munich, we can treat with hyaluronic acid or Radiesse as part of volume augmentation:

Dark circles/eye groove

Disturbing dark circles often develop when there is a lack of volume below the eye. They make you look tired, exhausted, stressed, sad or even sick. It is possible to use a special injectable technique to plump up the tear trough, contributing to a fresher, more alert and healthier facial expression.


The zygomatic bone is a paired bone of the facial skull. It lies at the lateral edge of the eye sockets and shapes the lateral contour of the face. As long as the skin on the zygomatic bone is nicely plump, the face has a particularly aesthetic triangular shape. When the volume and elasticity of the skin diminish over the years, the face often loses this ideal triangular shape – and with it its youthfulness. However, it is possible for us to “straighten” the triangle in the face again by creating new volume in the region of the cheekbone. We accentuate the zygomatic bone and thus create attractively rounded cheekbones. Radiesse is particularly suitable for this purpose.


Whether congenital, due to major weight loss, or caused by the natural aging process: Sunken cheeks can make the face look haggard, gaunt, exhausted and tired. A cheek lift can help here to achieve a healthier, rejuvenated look.


Clearly, beautiful, full lips look seductive and attractive. Via volume augmentation, we can optimize the shape and size or fullness of your lips. At the same time, small wrinkles on the lips can also be smoothed out.


The area between the chin and the ear gives the face contour. If the chin line is pronounced, a face looks particularly attractive (especially in men). But not everyone has a prominent chin line by nature. With Jowline treatment, we can conjure up a sharper and more defined chin line for you.

Gravity wrinkles

As the skin loses collagen, elastin and hyaluronic acid over the years and sooner or later gravity begins to take hold, the tissues sag and droop with age. This is known as gravitational wrinkles, which can be felt more pronounced in a slim face with thin skin than in a plump face with thicker skin. Typical gravitational wrinkles are marionette wrinkles or nasolabial folds. We can also treat these with hyaluronic acid fillers or Radiesse.

Asymmetry of the face

No face is completely symmetrical – but predisposition, deformities, accidents or surgical procedures can cause loss of substance (e.g. on the cheekbone or jaw). Often, both sides are not affected equally. Therefore, the patient’s face may appear crooked or asymmetrical. With volume augmentation, we can create new harmony.

Volume augmentation munich

Dr. Tatjana Pavicic is an expert in volume augmentation in Munich. She will advise you in detail and explain the options available for volume augmentation. Combination treatments are also possible, e.g. with BTX and/or Ultherapy.

Foto: © twenty20photos / elements.envato.com

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