Incontinence/
Weak Pelvic Floor

Regain confidence and bladder control by addressing a weak pelvic floor that may contribute to urinary leakage, frequent urges to urinate, accidental leaks during coughing or exercise, and difficulty fully controlling your bladder.

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Restore Bladder Control and Improve Daily Confidence

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Urinary incontinence is the involuntary leakage of urine, often caused by weakened pelvic floor muscles that support the bladder, urethra, uterus, and other pelvic organs. These muscles function like a supportive hammock, helping maintain bladder control during everyday activities. Pregnancy, childbirth, aging, hormonal changes, excess weight, chronic coughing, and certain medical conditions can weaken or stretch the pelvic floor, making it harder to control urine and increasing urgency, frequency, or accidental leaks.

At Aviva, we treat urinary incontinence and weak pelvic floor muscles with EMSELLA®, a non-invasive treatment that uses high-intensity electromagnetic energy to stimulate thousands of supramaximal pelvic floor muscle contractions. This strengthens the muscles, improves neuromuscular control, and helps restore better bladder support and urinary control.

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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 Incontinence/Weak Pelvic Floor:

  • Urine leakage when coughing, sneezing, laughing, or exercising
  • Frequent urges to urinate that are difficult to control
  • Accidental urine leakage before reaching the restroom
  • Increased daytime or nighttime urination
  • Difficulty completely emptying the bladder
  • Reduced control over bladder function during physical activity
  • A sensation of heaviness or pressure in the pelvic region
  • Weakened pelvic muscle strength after pregnancy or childbirth
  • Pelvic floor weakness affecting bladder support

Your Treatment for Incontinence/Weak Pelvic Floor at Aviva

At Aviva, we treat urinary incontinence and weak pelvic floor muscles with EMSELLA, a non-invasive treatment that uses high-intensity focused electromagnetic (HIFEM) technology. The electromagnetic energy penetrates deep into the pelvic floor, stimulating motor neurons that trigger thousands of supramaximal muscle contractions during a single session. These contractions are far more intense than voluntary Kegel exercises, helping re-educate neuromuscular pathways while strengthening the pelvic floor muscles.

As muscle fibers strengthen and coordination improves, the pelvic floor provides better support for the bladder and urethra, helping to restore urinary control and reduce leakage. Treatments require no surgery and allow you to return to your normal routine immediately.

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 Incontinence/Weak Pelvic Floor Treatment?

At Aviva Med Spa, our non-invasive pelvic floor treatments strengthen supportive muscles, improve bladder control, and help you regain confidence in your daily life without surgery or downtime. Benefits of EMSELLA treatment may include:

  • Improved bladder control
  • Fewer accidental urine leaks
  • Stronger pelvic floor muscles
  • Reduced urinary urgency and frequency
  • Better bladder support
  • Enhanced neuromuscular function
  • Greater confidence during daily activities
  • Comfortable, non-invasive treatment sessions
  • No anesthesia or recovery time
  • Quick appointments with minimal disruption to your routine

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, we understand how frustrating bladder leaks and pelvic floor weakness can be, which is why we take the time to create a treatment plan tailored to your goals. Our experienced team uses advanced technology in a welcoming, supportive environment that has earned the trust of patients throughout Centennial, Highlands Ranch, Lone Tree, and the greater Denver area, and has garnered more than 100 five-star Google reviews. Schedule a consultation today to discover whether EMSELLA is the right solution for you.

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!”

Rated 5 out of 5
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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