Facial fat pads shift and shrink over time, which can change cheek support, under-eye smoothness, and overall facial shape.
Solutions for Restoring Facial Volume

As collagen declines, the skin loses firmness and may show volume changes more clearly across the midface and lower face.
Your natural bone structure, facial fat distribution, and skin quality can influence when and where volume loss appears.
Weight loss or fluctuation can reduce facial fullness, especially in the cheeks, temples, and jawline.
Long-term sun exposure can worsen skin quality, making hollowing, thinning, and texture changes more noticeable.

Your Treatment Options
Restoring facial volume may involve fillers, PRF EZ Gel, facial fat grafting, or a thoughtful combination based on your anatomy and goals.
The Foundation of Your Journey
Good outcomes don’t happen by chance—they’re built with purpose.

Results Gallery
Work That
Speaks for Itself
Explore real patient outcomes where surgical precision and artistic perspective come together to create results that feel natural, balanced, and uniquely personal.
Frequently Asked Questions
The best treatment depends on where volume has changed, how much correction you want, and whether you prefer a non-surgical or surgical approach. For example, dermal fillers can create more immediate fullness, PRF EZ Gel can support gradual improvement, and facial fat grafting can offer longer-lasting volume restoration. At Spiro Plastic Surgery, we start your plan with anatomy, proportion, and our aesthetic judgment.
Fillers often work well for patients who want a non-surgical option, subtle correction, or a preview of how restored volume may look. Facial fat grafting may better fit patients who want a longer-lasting approach or broader volume restoration. Your consultation helps determine which option fits your facial structure and goals.
Yes. Natural-looking volume restoration depends on thoughtful placement, appropriate product or fat use, and a strong understanding of facial balance. The goal is not to make the face look fuller everywhere. Instead, our experts can restore facial volume in the areas where volume loss has changed your contours.
You may want to explore treatment when your face begins to look more hollow, tired, flat, or drawn than you prefer. Many patients choose Spiro Plastic Surgery to restore facial volume in New Jersey when makeup, skincare, or their routine no longer improves the appearance of volume-related changes.
Results can vary based on the treatment you use. Dermal fillers usually require maintenance over time, while PRF EZ Gel supports gradual improvement and may need a series. Facial fat grafting can create longer-lasting fullness, though the body naturally absorbs some transferred fat. Your provider will explain the expected timeline during your visit.
At Spiro Plastic Surgery, Dr. Spiro performs facial fat grafting for patients who want a surgical approach to restoring facial volume in New Jersey. For non-surgical treatments, Mikayla Barbarossa, NP, performs facial volume treatments such as dermal fillers and PRF EZ Gel. If you’re looking for facial volume restoration, both Dr. Spiro and Mikaya can recommend a plan based on your anatomy and your goals.














