Hollow Cheeks

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Non-surgical treatment for cheek hollowing, midface volume loss and “Ozempic face”

Hollow cheeks

At Skin and Scar Care Clinic, we offer personalised treatments for hollow cheeks, midface volume loss, facial thinning and weight-loss related facial ageing, sometimes described as Ozempic face or Mounjaro face.

Hollow cheeks can make the face look tired, drawn, older or less supported. This can happen gradually with ageing, or more noticeably after significant weight loss, including weight loss associated with medications such as Ozempic®, Wegovy® or Mounjaro®.

Our treatment options may include:

  • Bio Remodelling / Bio Stimulator Structura for facial hollowing and adipose tissue support
  • PLLA biostimulator for gradual collagen stimulation and volume restoration
  • CaHA biostimulator for structural support and skin quality
  • Hyaluronic acid dermal fillers for immediate cheek and midface volume
  • PRF regenerative treatment in selected cases
  • Skin boosters and bioremodelling injections
  • Combination treatment for skin laxity, wrinkles and contour
  • Energy-based skin tightening (Endolift®) for laxity and tissue contraction
  • CO₂ laser or Erbium Glass laser for skin resurfacing, tightening and wrinkle improvement
  • Surgical or fat-grafting referral where non-surgical treatment is not suitable

Our aim is to restore a natural, healthy-looking facial contour without creating an overfilled appearance.

Hollow cheeks occur when the midface loses volume, support or soft tissue fullness.

This may affect:

  • The mid-cheek area
  • The lateral cheek
  • The under-eye and tear trough area
  • The temples
  • The cheekbone transition
  • The lower face and jowls
  • The nasolabial fold area

Clients often describe hollow cheeks as:

  • Sunken cheeks
  • Tired-looking face
  • Gaunt or drawn appearance
  • Loss of cheek support
  • Flattened midface
  • Sagging after weight loss
  • Ozempic face or Mounjaro face
  • Older-looking face after losing weight
  • Hollowing under the cheekbones
  • Loss of youthful contour

The right treatment depends on whether the problem is mainly fat loss, skin laxity, collagen depletion, tissue descent, wrinkling, or a combination of all factors.

Hollow cheeks can develop for several reasons.

1. Age-related volume loss

As we age, the face loses fat, bone support and collagen. This leads to flattening of the midface and increased skin laxity and wrinkling.

2. Weight loss

Significant weight loss reduces facial fat, often revealing hollowing in the cheeks, temples and under-eye area.

3. Ozempic face and Mounjaro face

These terms describe facial changes after rapid or significant weight loss.

This can include:

  • Hollow cheeks
  • Sunken temples
  • Loose or crepey skin
  • Increased wrinkling
  • Sagging around the jawline
  • Under-eye hollowing
  • Loss of facial support and elasticity

These changes are usually due to loss of fat volume combined with reduced skin quality and collagen support, rather than direct medication effects.

4. Menopause and hormonal changes

Reduced oestrogen can accelerate collagen loss, skin thinning, wrinkling and laxity.

5. Genetics

Some individuals naturally have less midface fat or more skeletal definition.

6. Low body fat or high activity levels

Very low body fat can exaggerate facial hollowing and skin thinning.

7. Previous aesthetic treatments

Overfilling, migration or uneven filler distribution can create imbalance and secondary hollowing.

8. Dental, jaw or skeletal structure

Facial support from bone and bite alignment influences cheek projection and lower-face balance.

Hollow cheeks are rarely just a “volume problem”.

At Skin and Scar Care Clinic, we assess:

  • Volume loss pattern
  • Skin quality (thin, crepey, wrinkled)
  • Degree of laxity and descent
  • Midface structural support
  • Under-eye and temple involvement
  • Lower-face heaviness and jowls
  • Previous filler history
  • Weight stability
  • Collagen depletion and tissue integrity
  • Facial harmony from all angles

The goal is to restore structure, quality and balance, not simply add volume.

Bio Remodelling / Bio Stimulator Structura for cheek hollowing

Bio Remodelling / Bio Stimulator Structura is a bioremodelling injectable designed to support facial tissue affected by ageing and fat loss.

It is different from traditional filler. It focuses on tissue quality, adipose support and structural rejuvenation rather than simple volumisation.

It may help improve:

  • Hollow cheeks
  • Midface thinning
  • Weight-loss related facial hollowing
  • Ozempic/Mounjaro face changes
  • Mild skin laxity
  • Early wrinkling and crepey texture
  • Loss of soft tissue support

PLLA biostimulator for hollow cheeks

PLLA (poly-L-lactic acid) stimulates collagen production over time.

It is suitable for:

  • General facial hollowing
  • Midface volume loss
  • Thin, drawn cheeks
  • Skin laxity with wrinkling
  • Post-weight-loss facial thinning

Results develop gradually over months, improving volume, firmness and skin thickness.

CaHA biostimulator for cheek support

CaHA (calcium hydroxylapatite) provides both immediate structural support and long-term collagen stimulation.

It can improve:

  • Cheek hollowing
  • Skin firmness and elasticity
  • Wrinkling and crepey texture
  • Lower-face support in selected cases

It is particularly useful when both volume loss and skin quality deterioration are present.

Hyaluronic acid dermal filler

HA filler provides:

  • Immediate cheek volume
  • Structural lift
  • Facial contour restoration
  • Correction of asymmetry

It is often used when rapid correction is required or when reversibility is preferred.

PRF regenerative treatment

PRF (platelet-rich fibrin) supports:

  • Skin quality
  • Fine wrinkling
  • Early volume loss
  • Under-eye and midface rejuvenation

It is best used as part of a regenerative combination plan rather than standalone for significant hollowing.

We take a staged, regenerative approach:

Step 1: Stabilise weight

Avoid premature treatment during active weight loss.

Step 2: Identify dominant issue

Volume loss vs laxity vs wrinkling vs skin quality.

Step 3: Build layered treatment plan

  • Biostimulation (PLLA / CaHA / Bio Remodelling / Bio Stimulator Structura)
  • Regenerative support (PRF)
  • Volume correction (HA filler if needed)
  • Skin tightening (Endolift®)
  • Resurfacing (CO₂ / Erbium laser)

Step 4: Avoid overfilling

Focus on natural restoration, not excessive volume.

Mild hollowing + early ageing

  • Bio Remodelling / Bio Stimulator Structura
  • PRF
  • Skin boosters

Moderate hollowing + laxity + wrinkling

  • PLLA or CaHA
  • HA filler (selective)
  • Endolift®
  • Laser resurfacing

Advanced hollowing + skin ageing

  • Biostimulators
  • Endolift®
  • CO₂ laser
  • Possible surgical referral

You may be suitable if you have:

  • Hollow cheeks
  • Midface volume loss
  • Skin laxity and wrinkling
  • Weight-loss related facial changes
  • Ozempic or Mounjaro face
  • Crepey or thinning skin
  • Realistic expectations
  • Stable weight

We assess:

  • Volume loss
  • Skin quality and wrinkling
  • Laxity and descent
  • Suitability for combination treatment pathways
  • Whether Endolift®, laser or surgery is required in addition to injectables

Frequently Asked Questions

Often a combination of biostimulation, filler and skin tightening is required.
Yes, usually with a staged regenerative and tightening approach.
If skin laxity or wrinkling is present, yes—often as part of a holistic plan.
No. Hollow cheeks, laxity and wrinkling usually require combination therapy.

Why choose Skin and Scar Care Clinic?

We specialise in:

  • Regenerative facial restoration
  • Biostimulators and Bio Remodelling / Bio Stimulator Structura
  • Advanced skin tightening (Endolift®)
  • Laser resurfacing (CO₂ / Erbium)
  • Natural, layered facial rejuvenation
  • Avoiding overfilled results
  • Holistic treatment planning for ageing and weight-loss changes

Disclaimer

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Not sure which treatment is right for you? We take the time to understand your concerns, assess your skin, and recommend the most suitable treatment pathway.

Medical specialist-led clinic with extensive experience in scar management, skin rejuvenation, and advanced aesthetic treatments.

Skin and Scar Care Clinic
25 Barrington Road, Altrincham, WA14 1HP
Phone: 07376 311884
Website: www.skinscarcare.com

Skin & Scar Care Clinic Cheshire
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