Dr. Xu's Real Patient Cases — Cheek Volume Loss & Midface Hollowing Restoration
The following before-and-after images are from actual patients treated by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All patients have signed a written Media Release Form authorizing public use. Midface Volume Loss requiresMulti-layer assessment: bone structure + retaining ligaments + fat compartments + skin, Single-layer volume replacement commonly leads to"Mask-like appearance". All photographs are unretouched clinical documentation.


Case 2 · Midface Volume Loss & Flat Apple Cheeks — Clinical Documentation
- Patient profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Hollow Cheeks & Midface Volume Loss (Comprehensive Improvement with a Multimodal Combination Protocol)
- Treatment plan
- Thread double eyelid + Botox® + neuromodulator wrinkle treatment + hyaluronic acid fillers, and 14 other procedures (multiple sessions within 3 months)
- Treatment outcomes
- Midface volume loss and flat apple cheeks visibly improved · overall result appears natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Botox Micro-touch-up at 4 months + HA lip border refinement
Case 02: Hollow Cheeks & Midface Volume Loss — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Hollow Cheeks & Midface Volume Loss — Real Patient Documentation
- Patient profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Hollow Cheeks & Midface Volume Loss (Comprehensive Improvement with a Multimodal Combination Protocol)
- Treatment plan
- Sculptra® (multiple sessions within 3 months)
- Treatment outcomes
- Midface volume loss and flat apple cheeks visibly improved · overall result appears natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Sculptra 12-18 months of maintenance + Radiesse® supplementation
Case 05: Cheek Volume Loss & Midface Hollowing — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 6 · Hollow Cheeks & Midface Volume Loss — Real Patient Documentation
- Patient profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Hollow Cheeks & Midface Volume Loss (Comprehensive Improvement with a Multimodal Combination Protocol)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting, and 15 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Midface volume loss and flat apple cheeks visibly improved · overall result appears natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Daily sun protection + monthly home skincare + quarterly in-clinic review
Case 06: Midface Volume Loss & Flat Apple Cheeks — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 17 · Hollow Cheeks & Midface Volume Loss — Real Patient Documentation
- Patient profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Hollow Cheeks & Midface Volume Loss (Comprehensive Improvement with a Multimodal Combination Protocol)
- Treatment plan
- HA Chin Augmentation + Filler Chin Augmentation + Filler Lip Augmentation + Filler Temple Augmentation and 10 additional procedures (multiple sessions within 3 months)
- Treatment outcomes
- Midface volume loss and flat apple cheeks visibly improved · overall result appears natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Daily sun protection + monthly home skincare + quarterly in-clinic review
Case 17: Hollow Cheeks & Midface Volume Loss — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham

















































