When our patients who come to InVogue Rejuvenation are concerned about the loss of volume in their cheeks, we may recommend JUVÉDERM VOLUMA. This product is perfect for those who find that the middle of their face looks tired or flat, even when they get plenty of rest, or that certain areas no longer have the same youthful structure or shape. We offer this treatment to patients in El Paso, TX, who are looking for quality products administered by expert injectors.
Why Facial Volume Disappears With Age
Bone Remodeling Reduces Facial Support
The facial skeleton can change over time. The bone around the eye sockets widens, and the upper jaw angle can flatten. The cheekbone may lose its projection and cause the midface to look more hollow. A study in Plastic and Reconstructive Surgery documented these changes across age groups using CT imaging. Less bone means less structure behind the overlying soft tissue.
Fat Pad Descent and Compartment Shifting
Facial fat sits in separate pockets on the face and gives it its youthful volume. With age, the deeper pockets in the cheek shrink, and shallower pockets slide downward. The area under the eye may become more hollow, while the area around the mouth and jawline can start to look heavier.
Collagen and Elastin Decline
Collagen gives skin its firmness, and elastin lets it snap back. Both proteins stop being produced as much after the mid-twenties. Skin that used to be tight across the cheek may start to droop and settle into folds. Sometimes, this can be addressed through skin-tightening treatments, while it may be best addressed with dermal fillers in other patients.
How VOLUMA Restores Structural Support
VOLUMA is a hyaluronic acid gel that uses a sugar molecule your body already produces to hold water in tissue and increase facial volume. VOLUMA has a more structured formulation that is more tightly cross-linked than other fillers, so it is firmer and holds its shape under pressure. It lifts as well as fills. It is typically injected deep in the midface near the bone to replace the support that the bone used to provide.
Where Can VOLUMA Be Used?
Because VOLUMA is firm enough to lift, it is useful in several areas beyond the cheeks. The FDA cleared it for the midface and the chin, and injectors can also use it off-label in other areas.
- Cheeks and Midface: This is the primary use and one for which VOLUMA was formulated. Placed over the cheekbone, it restores the forward projection that bone and fat loss take away.
- Chin: VOLUMA is also FDA-approved for chin augmentation. A recessed or weak chin can be brought into better balance with the rest of the face without surgery.
- Jawline: Filler along the jaw sharpens a border that softens with age. It suits patients who want more definition between the face and neck.
- Temples: A small amount in this area can resolve hollowing at the temples for a more youthful shape.
How El Paso’s Desert Climate Accelerates Skin Aging
El Paso sits above 3,700 feet and gets more than 300 sunny days a year. Ultraviolet exposure increases with elevation, and UV light breaks down collagen and elastin faster than time alone does. Low humidity also pulls moisture from the skin barrier. Patients from areas like Horizon City and Socorro who spend time outdoors often show volume loss and skin laxity earlier than they expect. Daily sunscreen is the single most effective thing you can do to protect your skin both before and after your VOLUMA treatment.
VOLUMA Compared to Other InVogue Injectables
Botox® and Other Neuromodulators
Botox and Xeomin® are both products called neuromodulators, which means they block signals to the muscles and cause them to relax. They are used to soften dynamic wrinkles, like frown lines and crow’s feet. They do not add volume like VOLUMA.
Radiesse®
Radiesse uses calcium hydroxyapatite microspheres instead of hyaluronic acid. It provides some immediate volume and then stimulates collagen production as it breaks down. It is suitable for the jawline and facial folds.
Belotero®
Belotero is a soft, thin hyaluronic acid gel that integrates into the skin. It is useful for fine-etched lines around the mouth and areas where flexibility is important.
Kybella®
Kybella is not a filler. It is deoxycholic acid, which destroys fat cells under the chin permanently. Patients often pair it with VOLUMA when the goal is a defined cheek above and a cleaner jaw and neck line below.
What to Expect During a VOLUMA Consultation at InVogue
InVogue Rejuvenation is a medical spa built inside a women’s healthcare practice, so your injector will always be looking at your full medical picture, not just your face. We consider everything that could be affecting your appearance, such as hormonal shifts, weight changes or menopause. Our team holds membership in the International Association for Physicians in Aesthetic Medicine, which requires ongoing training in injectable technique and safety. Expect a conversation about what bothers you, a look at the before and after gallery and a plan mapped to your anatomy.
How Long VOLUMA Results Last and What Affects Longevity
VOLUMA commonly lasts up to two years, but that number is an average with several variables, including:
Metabolism and Product Breakdown
Your body dissolves hyaluronic acid gradually with an enzyme called hyaluronidase. Patients with faster metabolisms, including those who exercise intensely and frequently, tend to clear filler sooner and may need a touch-up earlier.
Injection Technique and Placement
Filler placed deep against bone in a stable area of the face moves less and lasts longer than filler placed superficially in a mobile area. This is where injector experience shows up months after you leave the office.
Lifestyle Factors That Extend or Shorten Results
Sun exposure, smoking and dehydration all accelerate the breakdown of collagen and hyaluronic acid. Daily sunscreen, adequate water and a consistent skincare routine will work together to protect your result.
Scheduling a VOLUMA Consultation in El Paso
InVogue Rejuvenation treats patients from across El Paso, Horizon City and Socorro at our La Quinta Place location. If flat cheeks or a hollow midface are what you notice first in photos, a consultation will tell you whether VOLUMA addresses it. Call 915-633-0585 or contact us to schedule.

