The facial skeleton is not fixed over a lifetime. The bones of the midface, including the cheekbone and the eye socket rim, gradually resorb and recede with age. This loss of bony projection is a major reason cheeks lose their forward lift, because the underlying platform that supported soft tissue is quietly shrinking.
As the bony foundation recedes, the overlying fat and skin have less to rest on and begin to sag inward and downward. A collagen-stimulating option like Radiesse for cheek contour not only adds immediate volume but also prompts the body to build new collagen over time, helping rebuild structural support in the deeper layers.
Significant weight loss compounds this process, because the face is one of the first areas to show fat reduction. Combined with reduced skin elasticity, the result is a hollow, deflated midface. Understanding this layered loss, bone, fat, and skin, is why Melissa places filler at specific depths rather than simply adding surface volume. For structured, lifting correction she may recommend Restylane Lyft for cheeks, one of several options on the dermal fillers menu.