Facial Volume Loss

Restore youthful facial contours by addressing hollow cheeks, sunken temples, thinning lips, and diminished definition that can develop as natural facial volume decreases over time.

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Revive Youthful Volume and Redefine Your Facial Contours

Achieve Facial Harmony at Aviva Med Spa

Facial volume loss is a natural part of the aging process that occurs as the skin, fat pads, collagen, elastin, and the underlying facial bones gradually change over time. As supportive tissues diminish and facial fat shifts downward, areas such as the cheeks, temples, under-eyes, and lips may appear hollow, while deeper folds and a less defined contour become noticeable.

At Aviva, facial volume loss is treated with personalized injectables that restore youthful fullness while preserving your natural features. By replacing lost volume and enhancing facial balance, treatment can create a refreshed, lifted, and naturally rejuvenated appearance.

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What is Facial Balancing?

At Aviva Med Spa, facial balancing is more than just a treatment—it’s a thoughtful, balanced approach designed to bring harmony to your features. Our expert injectors use precise filler placement to restore balance and enhance facial proportions, making this treatment an excellent option for those experiencing volume loss or asymmetry. Full facial balancing targets various points on the face from bottom to top. It may include filler injections in the forehead, temples, cheeks, lips, and chin, depending on your concerns and goals. By applying precise filler dosages across the entire face, our injectors can deliver a cohesive final appearance that aims to balance your unique features, rather than alter your appearance. 

Signs & Symptoms of Facial Volume Loss:

  • Hollow or flattened cheeks
  • Sunken temples
  • Under-eye hollows or a tired appearance
  • Thinner lips with reduced definition
  • More prominent nasolabial folds (smile lines)
  • Marionette lines extending from the corners of the mouth
  • Reduced jawline definition
  • Loss of facial contours and youthful structure
  • Sagging skin due to diminished underlying support
  • A gaunt, aged, or fatigued facial appearance

Your Treatment Options for Facial Volume Loss at Aviva

Dermal Fillers

Hyaluronic acid-based dermal fillers immediately restore lost volume by replacing the support beneath the skin that naturally diminishes with age. The gel-like filler binds to water molecules, providing structural support while smoothing hollows, enhancing facial contours, and restoring balanced proportions in areas such as the cheeks, lips, temples, and jawline.

Sculptra®

Sculptra is a biostimulatory injectable made from poly-L-lactic acid that works by stimulating your natural collagen production. Rather than simply filling hollow areas, it gradually rebuilds the skin’s supportive framework, restoring facial volume over time while improving skin thickness, firmness, and long-term structural support.

Plasma Injections (PRF)

Platelet-rich fibrin (PRF) injections use a concentrated portion of your blood containing platelets, growth factors, and fibrin. Once injected, these biological components encourage tissue repair, collagen production, and improved circulation, helping restore subtle facial volume while enhancing skin quality in delicate areas such as the under-eyes.

Facial Balancing

Facial balancing combines strategically selected injectable treatments to restore volume where it has been lost while maintaining harmony among your facial features. By evaluating the face as a whole instead of treating isolated concerns, this customized approach creates natural-looking proportions and a refreshed, youthful appearance.

Aviva Med Spa Restores the Triangle of Youth with Facial Balancing

Facial balancing is all about restoring harmony, and it starts with understanding how facial volume shifts over time. In youth, our facial structure resembles an inverted triangle: volume is concentrated in the upper face, with lifted cheeks, full temples, and a defined jawline. But as we age, that triangle slowly flips. Volume loss in the midface and temples, combined with gravity, causes the lower face to appear heavier. Jowls become more prominent, and facial contours soften.

Through strategic facial balancing with dermal fillers and biostimulators like Sculptra®, we can subtly reverse this shift. By restoring volume to key areas such as the cheeks, temples, and lateral face, we create a natural-looking lift that improves overall facial symmetry and makes the lower face appear slimmer, without surgery.

This approach isn’t about overfilling or changing your appearance. It’s about using small, intentional enhancements to support your natural bone structure and bring back youthful definition. 

Benefits of Facial Balancing With Fillers

 Here are a few notable benefits facial balancing can provide:

What Are the Benefits of Facial Volume Loss Treatment?

At Aviva Med Spa, every treatment plan is tailored to restore lost volume while preserving your natural facial features and expressions. Your provider carefully selects the most appropriate approach based on your anatomy, aesthetic goals, and the degree of volume loss. Potential benefits may include:

  • Fuller, more youthful facial contours
  • Restoration of hollow cheeks and temples
  • Softer smile lines and facial folds
  • Improved facial balance and proportions
  • Better definition of the jawline and chin
  • Enhanced skin support and structure
  • Natural-looking, customized results
  • A refreshed, less tired appearance
  • Gradual collagen stimulation
  • Minimal downtime with non-surgical care

Understanding the Differences Between HA Fillers & Sculptra Fillers for Facial Balancing

  • How They Work: HA is a substance naturally found in the body that attracts and holds moisture. Injected fillers instantly add volume and smoothness where needed.

  • Results: Immediate, visible improvements that can be fine-tuned during treatment.

  • Best For: Patients seeking quick, noticeable enhancements to lips, cheeks, under-eyes, or jawline symmetry.

  • Longevity: Typically lasts 6–18 months, depending on the area treated and the type of filler used.

  • Reversibility: Can be dissolved if adjustments are needed.

  • How It Works: Sculptra is made from poly-L-lactic acid, a biostimulatory substance that gradually stimulates collagen production in the skin.

  • Results: Subtle, natural changes that appear over several weeks as new collagen forms and builds.

  • Best For: Patients looking for gradual, long-lasting restoration of facial structure, especially in areas with significant volume loss.

  • Longevity: Results can last up to 2 years or more, with a series of treatments recommended for best outcomes.

  • Reversibility: Cannot be dissolved, as results come from your body’s own collagen production.

For those who want instant results with the flexibility to adjust, HA fillers are often the go-to option. If your goal is long-term collagen stimulation and gradual rejuvenation, Sculptra may be the better choice. In many cases, a combination approach delivers the most balanced, natural-looking results.

Why Choose Aviva Med Spa?

At Aviva Med Spa in Centennial, every facial volume loss treatment is guided by advanced aesthetic medicine, individualized planning, and a commitment to natural-looking facial rejuvenation. Our compassionate team takes the time to understand your goals and create a treatment plan tailored to your facial anatomy. Recognized by Shoutout Colorado and Voyage Denver, we support refined, balanced results that enhance your confidence. Schedule your consultation today to explore your facial volume loss treatment options.

Facial Balancing FAQs

Am I a Good Candidate for Aesthetic Facial Balancing?

Ideal candidates are adults who want to enhance facial proportions, address volume loss from aging, or correct asymmetry. Those who prefer subtle, natural-looking results over dramatic changes often benefit most.

How Much Downtime Should I Expect?

You can expect minimal downtime after your facial rebalancing treatment. It’s natural to develop post-treatment swelling for a week or two. However, most people can get back to their daily routines immediately after their injections.

Can Facial Balancing be Combined with Other Treatments?

Yes. Many patients combine balancing with treatments like Botox or radiofrequency microneedling for even more comprehensive rejuvenation. Our providers can create a personalized plan.

Testimonials
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“Ellen is a true professional. She clearly communicates how treatments work and is always willing to take the time to talk through any concerns. Her office is clean, quiet, and comfortable. I’ve never had to wait at my appointment. Highly recommend.”

Rated 5 out of 5
Jena

“Ellen is absolutely the best at her job! I’m 55 years old and have gone to see so many different people for help with minimizing my wrinkles. I went to Ellen and was extremely satisfied with the results that I achieved. I have absolutely no interest in going to anyone else for Dysport injections. Ellen Neufeld is THE BEST!”

Rated 5 out of 5

Barbara G.

“Ellen and her team are wonderful! Ellen has delivered great results each time I have seen her for Dysport injections. I’ve also tried the infusions and can’t wait for the next, the difference in how I felt was noticeable. I have seen her for a couple of years now and recommend Aviva Medical to anyone I can!”

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Bethany S.

“My initial experience was wonderful! Ellen walked me through some treatment options, explained the entire process, and answered all my questions so that I would feel comfortable. I’ll definitely be returning when I need my next beautifying session.”

Rated 5 out of 5
Kate H.

“I absolutely love the team at Aviva. I go for Dysport and have felt so comfortable and can trust their direction and advice to achieve the outcome I look for. The space is bright, beautiful, and clean as well, which is just a cherry on top. I would highly recommend it. I commute from Denver, and it’s worth the drive.”

Rated 5 out of 5
Brittany B.

“Always happy with the professional service and treatment received at Aviva spa. I have received multiple compliments and people cannot believe I have had anything done to my face. Ellen is truly great at what she does. As none of us can stop our “clocks,” I am attempting to age just a little more slowly while still looking like myself. Ellen and Aviva are my youthful secret!”

Rated 5 out of 5
Ellen N.

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