Concerns

Face that looks tired, flat or sagging

Cheeks losing lift, hollow temples or a softer jawline? These changes usually come from lost support and volume, and there are ways to restore it.

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What you might be noticing

You look tired even after a good night’s sleep. Cheeks look flatter, temples a little sunken, and the jawlines sagging.

Deeper lines may appear from nose to mouth or mouth to chin.

You look in the mirror and notice things are shifting and you look tired and stressed even when you are feeling fine.

Why it happens

Your face ages in layers, not just the skin. From your 30’s, bone in cheeks, jaw and eye sockets slowly reshapes Fat pads shrink and slip downwards.

With less scaffolding underneath, skin drapes rather than sits.

Weight loss, endurance sport and genetics can make this happen earlier or faster.

How we assess it

Every treatment plan at Palmeira Clinic in Brighton and Hove starts with a consultation with our medical team, in three steps:

Your concerns and goals

We listen to what’s bothering you and what you’d like to achieve.

A thorough assessment

We review you medical history and examine your skin and features to understand the cause.

Honest advice

We explain what may help, what won’t, and any risks, so you can decide without pressure.

Treatments we may discuss

Depending on your assessment, your clinician may talk you through one or more of the options below. Not every option suits everyone, and we’ll only recommend treatment where we think it’s appropriate.

  • Dermal Fillers

  • Sunekos®

  • Bespoke Medical Skincare

What you can do at home

  • Protect collagen with daily SPF and nightly retinol where appropriate.
  • Eat enough protein and stay well hydrated.
  • Avoid crash dieting, which can thin facial fat quickly.
  • Be wary of devices promising to lift or sculpt. Lost volume cannot be replaced at home.

Frequently Asked Questions

As cheeks flatten and temples hollow, light falls differently across the face and creates shadows. Those shadows read as tiredness, even when you are at rest.

Usually it is gradual and age-related. If your face has changed quickly without explanation, or occurs alongside unexplained weight loss or fatigue, do not ignore the symptoms and see your GP first to rule out  health cause.

Yes. Significant or rapid weight loss, including medically supported weight loss, can reduce facial fat. The face may look hollow even when you feel healthier overall.

Good skincare improves skin quality, but it cannot replace lost support underneath. Volume changes need a different approach, often combined with skincare for the best overall result.

It can soften shadows, lift the look of the mid-face and indirectly ease folds lower down. The goal is to look refreshed and like yourself, not to change your face.

Related Reading

    Related concerns we often see in clients

    Skin and facial changes rarely happen in isolation. These concerns often appear alongside each other, and we can look at them together during your consultation.

    • Lines and Wrinkles

    • Tired eyes, thinning lips or crepey neck

    • Asymmetry and Imbalance

    IMPORTANT

    Important information

    All treatments are subject to a consultation and medical assessment, and only go ahead if clinically appropriate. Results can’t be guaranteed. Your clinician will explain the benefits, risks and alternatives, including no treatment. The information in this website is for general information and is not a substitute for personal medical advice.

    Next steps

    Talk to a medical professional

    Your first appointment is about understanding your skin and what matters to you. We’ll explain your options honestly, and there’s no obligation to go ahead with treatment. If you want any further information please contact us.

    Book Your Consultation

    Is there is anything in particular that you’re still unsure about? We are happy to clarify it before you decide.

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