Loose and Sagging Skin

Restore firmer, smoother skin by addressing loose, sagging skin that can lead to wrinkles, skin laxity, jowls, drooping facial contours, and a less youthful appearance.

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Lift and Firm Aging Facial Contours

Achieve Facial Harmony at Aviva Med Spa

Loose and sagging skin develops when the skin’s structural support system weakens over time. Collagen and elastin fibers, which provide firmness and elasticity, gradually break down due to aging, sun exposure, weight fluctuations, and other environmental factors. As these proteins diminish, the skin loses its ability to snap back into place, leading to laxity, drooping, deeper folds, and less-defined contours.

At Aviva Med Spa, we create personalized treatment plans to address laxity with advanced, non-surgical technologies that stimulate collagen remodeling and tighten tissue. By restoring your skin’s natural support framework, these treatments help achieve firmer, smoother, and more youthful-looking contours with natural-looking results.

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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 Loose and Sagging Skin:

  • Skin that appears less firm or elastic
  • Drooping along the cheeks and jawline
  • Jowls that soften facial definition
  • Fine lines progressing into deeper folds
  • Loose skin around the neck
  • Sagging beneath the chin
  • Hollow or deflated facial contours
  • More prominent nasolabial folds and marionette lines
  • Reduced skin resilience after facial movement
  • Less defined facial contours despite a healthy lifestyle

Your Treatment Options for Loose and Sagging Skin at Aviva

Attiva RF

Attiva RF uses radiofrequency energy delivered beneath the skin to gently heat the deeper connective tissues. This controlled thermal stimulation contracts existing collagen fibers while activating fibroblasts to produce new collagen and elastin over time. The result is firmer skin, improved elasticity, and more defined facial and body contours.

EMFACE®

EMFACE simultaneously delivers synchronized radiofrequency energy and high-intensity facial electrical stimulation (HIFEST™). Radiofrequency heats the dermis to promote remodeling of collagen and elastin, while HIFEST™ contracts targeted facial muscles to strengthen their underlying support. Together, these mechanisms create a natural lifting effect.

Vivace® RF Microneedling

Vivace RF Microneedling uses insulated microneedles to deliver radiofrequency energy, creating controlled micro-injuries and heating the dermis. This dual stimulation triggers the body’s natural wound-healing response, encouraging collagen and elastin production. As new structural proteins develop, your skin becomes firmer, smoother, and more resilient.

Plasma Injections (PRF)

Platelet-rich fibrin (PRF) uses a concentrated portion of your blood containing platelets, fibrin, growth factors, and regenerative cells. Once injected, these biologically active components gradually stimulate collagen production, support tissue repair, and improve skin quality. This regenerative approach enhances firmness while promoting natural-looking rejuvenation.

Sculptra®

Sculptra is a collagen biostimulator made from poly-L-lactic acid that gradually restores the skin’s underlying support structure. Rather than providing immediate volume alone, it activates fibroblasts to generate new collagen over several months. This process improves skin firmness, reduces laxity, and creates smoother, more youthful facial contours.

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 Loose and Sagging Skin Treatment?

At Aviva Med Spa, we personalize every treatment plan to address your unique concerns, helping restore firmer, smoother, and more youthful-looking skin with advanced, non-surgical technologies. Depending on your treatment plan, benefits may include:

  • Firmer, tighter skin
  • Improved collagen and elastin production
  • Enhanced skin elasticity
  • Better-defined facial contours
  • Reduced appearance of jowls
  • Softened fine lines and folds
  • Natural-looking rejuvenation
  • Gradual, long-lasting improvements
  • Minimal downtime with most treatments
  • Increased confidence in your appearance

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, CO, your care is guided by personalized treatment plans that restore firmer, natural-looking skin with advanced aesthetic medicine. Our compassionate team takes the time to understand your goals while using evidence-based techniques tailored to your unique needs. Backed by more than 4,000 injectable treatments performed and recognition from Shoutout Colorado and Voyage Denver, we are committed to exceptional patient care. Schedule your consultation today to explore your options for loose and sagging skin treatment.

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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