Volume Loss & Facial Hollowing in Montreal
Volume loss is one of the most common — and most misunderstood — changes that occur with age. It is not simply about wrinkles. As the fat compartments that give the face its structure gradually diminish, the entire architecture of the face shifts.
At GhalMédica in Pointe-Claire, volume loss is approached as a structural concern — not a surface one. Dr. Sonya Ghalehii, MD assesses the facial anatomy to understand where volume has been lost and what the most appropriate restorative approach would be.
Facial volume loss occurs at multiple levels simultaneously — fat, bone, and muscle all change with age. The result is not a single wrinkle but a global reorganization of the face that creates hollowing, flattening, and a loss of the contours that define a rested appearance.
Loss of fat in the tear trough area creates a sunken appearance that makes the face look tired even when well-rested. One of the most impactful areas to address.
As the malar fat pad descends and reduces, the cheeks lose their natural projection — changing the overall balance and structure of the face.
Loss of volume at the temples is common but often overlooked. It can create a skeletal appearance and contribute significantly to overall facial aging.
Volume loss around the mouth contributes to thinning of the lips, deepening of the nasolabial folds, and the formation of marionette lines.
Treatment plans for volume loss are built around facial anatomy, degree of loss, and the patient's longer-term goals. At GhalMédica, no two plans are identical — because no two faces are.
Hyaluronic acid filler placed under real-time ultrasound guidance for precise, safe volume restoration. The gold standard at GhalMédica for structural facial work.
Biostimulators trigger the skin's own collagen-producing cells to rebuild structural support from within — restoring volume gradually and naturally.
A calcium-based biostimulator that provides immediate volume while stimulating collagen production. Often used for structural areas such as the cheeks and jawline.
For patients with hydration-related dullness alongside mild volume changes, SkinBoosters address the quality and plumpness of the skin itself.
Volume restoration at GhalMédica is always performed or overseen by Dr. Sonya Ghalehii, MD, using real-time ultrasound guidance for all filler treatments.
Real-time vascular mapping before every injection. A standard of care that goes beyond the industry norm.
Learn More →Collagen banking from within. Results that build over months and last for years.
Learn More →Hyaluronic acid delivered at dermal depth. Skin that looks rested because it is genuinely hydrated.
Learn More →Radiesse biostimulator for structural facial restoration with immediate and long-term collagen stimulation.
Learn More →Volume loss can begin in the mid-twenties, particularly in the temples and under-eyes. It accelerates significantly during perimenopause due to declining estrogen, which directly affects collagen and fat distribution.
No. Sculptra and biostimulators produce gradual, natural-looking volume through collagen stimulation rather than direct filling. The right option depends on the area, degree of loss, and how quickly results are needed.
At GhalMédica, filler is placed conservatively and with structural intent — restoring what has been lost rather than adding what was never there. The goal is always a face that looks rested, not treated.
Ultrasound allows Dr. Sonya to visualize vascular structures beneath the skin before placing any product, significantly reducing the risk of vascular complications — one of the most serious risks of filler injection.
Duration varies by product and area. Hyaluronic acid fillers typically last 6 to 18 months. Sculptra results can last 2 years or more. All options are discussed at consultation.
Yes. Most patients present with a combination of volume loss and laxity. Treatment plans at GhalMédica are designed to address the full picture, not one concern in isolation.
GhalMédica is a physician-led medical aesthetics clinic in Pointe-Claire, serving patients from Beaconsfield, Kirkland, Dollard-des-Ormeaux, and across the West Island and greater Montreal. Facial volume restoration is performed under physician oversight with real-time ultrasound guidance for all injectable treatments.
with a consultation.
Dr. Sonya Ghalehii, MD will assess your facial anatomy and recommend a treatment path built around your specific structure and goals — not a standard template.