Midface Rejuvenation
Cheeks & Nasolabial Folds
As we age, the midface naturally loses volume due to collagen decline and the gradual descent of the facial fat pads. This can cause the cheeks to appear flat or hollow, exaggerate shadows beneath the eyes, and deepen the nasolabial folds. Over time, midface volume loss also contributes to heaviness and sagging in the lower face, making it one of the most impactful areas to address as part of a facial rejuvenation plan.
Precisely placed hyaluronic acid dermal fillers are used to restore lost volume in the midface, creating subtle rejuvenation and a more youthful contour whilst reducing shadows and softening the early signs of ageing. By addressing this central part of the face, the entire facial appearance can be refreshed, providing a natural-looking lift whilst maintaining harmony across all features.
How It Works
Precisely placed hyaluronic acid dermal fillers restore lost volume in the midface, creating a more youthful contour, reducing shadows, and softening the early signs of ageing. Hyaluronic acid is a substance naturally found in the body, responsible for maintaining hydration and volume within the skin, making it an ideal medium for restoring what time has gradually diminished.
Treatment enhances cheekbone definition, lifts and supports the overlying skin, and softens nasolabial folds by addressing their root cause rather than the fold itself. By restoring volume to this central part of the face, the entire facial appearance is refreshed, providing a natural-looking lift whilst maintaining harmony across all features.
How Facial Ageing Affects the Midface
Facial ageing is a gradual process that begins earlier than most people realise and evolves throughout each decade.
In the mid-twenties, the very first signs emerge — a subtle loss of plumpness in the skin and the beginning of dynamic lines caused by facial movement. Excessive sun exposure and prolonged screen use can accelerate this process, particularly around the eyes.
By the thirties, the skin may look less radiant, and nasolabial lines begin to appear and deepen as collagen and elasticity decline. The first signs of volume loss in the midface become visible, often appearing as early hollowing beneath the eyes.
In the forties, the combined effects of gravity, continued collagen loss, and fat pad descent cause the structures over the cheekbones and in the lower face to sag. The facial bones begin to resorb — particularly in the eye socket and midface — and as the underlying support gives way, the muscles above lose their volume and strength. The cheeks appear flatter, tear troughs deepen, and nasolabial folds become more pronounced. Volume loss in the temples, often overlooked, is also particularly ageing at this stage.
From the fifties and sixties onwards, the evenly distributed fat pads of youth continue to drift downward, creating hollows in the upper face and heaviness in the lower. Fat loss within the skin itself makes it appear thinner and more translucent, which can cause blood vessels just beneath the surface to become more visible.
Benefits You Can Expect
Restoration of youthful midface volume
Enhanced cheek contour and definition
Softening of nasolabial folds (smile lines)
Subtle lifting effect on the lower face
Immediate results with minimal downtime
Natural, balanced rejuvenation
Treatment Overview
Expected Results
A natural, lifted, youthful refresh of the midface
Treatment Time
15–30 minutes
Anaesthesia
None required (filler contains lidocaine for comfort)
Downtime
Minimal (mild swelling or bruising possible)
Results Visible
Immediate, with further settling over 4–6 weeks
Longevity
12–24 months
FAQs
Am I suitable for this treatment?
Midface rejuvenation may be suitable if you are experiencing volume loss, flattening of the cheeks, hollowing beneath the eyes, deepening nasolabial folds, or a general heaviness in the face. It is equally appropriate for those with naturally flatter or less defined midface contours who wish to improve their facial proportions, create greater definition, or restore a more youthful appearance. Treatment is not suitable if you are pregnant, breastfeeding, or have taken Roaccutane in the last 3–6 months.
At what age should I consider midface rejuvenation?
There is no fixed age. Early signs of midface volume loss can appear from the mid-twenties, and preventative treatment at this stage can slow the progression of deeper changes. Others seek treatment in their thirties or forties when hollowing, flattening of the cheeks, or deepening nasolabial folds become more noticeable. Dr Shabri will assess your anatomy and advise on the most appropriate timing for you.
Will it look natural?
Yes. The goal of midface rejuvenation is to restore what has been lost, not to create an augmented appearance. Dr Shabri uses precise placement and carefully selected filler densities to enhance your natural structure, ensuring the result looks balanced and entirely in keeping with your features. You will look like you – just well-rested and refreshed.
Can midface filler help with under-eye hollowing?
Addressing the midface can significantly improve the appearance of the under-eye area by restoring the support structure beneath it. In some cases this reduces or eliminates the need for direct tear trough treatment. Dr Shabri will assess both areas during your consultation and advise on the most appropriate approach for your anatomy.
Can treating the midface improve my lower face and jowls?
Yes, often significantly. Midface volume loss is one of the primary drivers of lower face heaviness – as the fat pads descend, they contribute to jowling and a loss of jawline definition. Restoring volume and lift to the midface can therefore improve the appearance of the lower face without treating it directly, and is frequently the first step in a broader rejuvenation plan.
Ready to restore midface volume and definition?
Contact us today to arrange your consultation with Dr Shabri.