Dr. Amanda Holden continues the Five Pillars of Aging series with Pillar Three: volume loss. While many people assume wrinkles are the main reason they look older, the deeper change is often the gradual loss of facial support, collagen, fat pads, bone structure, and contour beneath the surface.

She explains why volume acts like the framework of the face. When that support weakens, the skin can look looser, folds can deepen, the jawline can soften, and the face can appear tired even when someone feels vibrant inside. Understanding volume loss helps patients stop chasing random treatments and start making more intentional decisions.

Dr. Holden also breaks down the difference between Sculptra, filler, and other biostimulators like Radiesse. Sculptra helps stimulate collagen gradually over time, while filler can provide more immediate contour and refinement. The right choice depends on the patient, the timeline, the anatomy, and the long-term plan for aging intentionally. 

 

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