Neck Laxity/
Double Chin
Refine a loose, sagging neck and reduce the appearance of a double chin to restore a more defined jawline and youthful facial profile.
Neck laxity refers to the gradual loss of skin firmness beneath the chin and along the neck, while a double chin develops when excess fat accumulates in the submental area. Aging, genetics, weight fluctuations, and reduced collagen and elastin production can all contribute to these concerns. Together, they may soften jawline definition, create loose/crepey skin, and produce a heavier, less youthful neck profile.
At Aviva Med Spa, we create a personalized treatment plan to address the underlying causes of neck laxity and a double chin. Depending on your needs, we may use skin-tightening technologies and injectables to improve contours and restore a more sculpted appearance.
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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.
Attiva RF delivers radiofrequency energy beneath the skin via a specialized probe to create controlled thermal stimulation in the connective tissue. This process contracts existing collagen fibers while activating fibroblasts to produce new collagen and elastin over time. The result is firmer neck skin, improved definition, and a smoother transition beneath the chin.
EMFACE uses synchronized radiofrequency and high-intensity facial electrical stimulation (HIFES™) to target the muscles and soft tissues supporting the lower face and jawline. RF promotes collagen remodeling, while HIFES strengthens underlying muscles. Together, these effects can enhance jawline definition and create a more lifted neck profile.
Sculptra is an injectable collagen biostimulator containing poly-L-lactic acid microparticles. After treatment, these particles stimulate fibroblasts to produce collagen, improving skin thickness and structural support over several months. This progressive collagen remodeling helps tighten mild neck laxity while restoring smoother, firmer contours beneath the jawline.
PRF injections use a concentrated portion of your own blood containing platelets, fibrin, and growth factors. Once injected into targeted areas, these biologically active proteins encourage tissue repair, collagen production, and improved skin quality. PRF helps strengthen thinning neck skin, improving firmness and texture with gradual, natural-looking rejuvenation.
Strategically placed dermal fillers can enhance the chin and jawline, improving the appearance of neck contours. Hyaluronic acid attracts water and restores structural support beneath the skin, improving facial proportions and reducing the visual prominence of a double chin. This approach is especially effective when poor definition contributes to the concern.
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.
Here are a few notable benefits facial balancing can provide:
At Aviva, every treatment plan is tailored to your anatomy, skin quality, and aesthetic goals to create natural-looking improvements in your neck and jawline. By addressing the underlying causes of skin laxity and fullness, you can achieve a more refined profile. Depending on your personalized treatment plan, benefits may include:
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.
At Aviva Med Spa in Centennial, CO, you’ll be cared for by an experienced team that offers aesthetic treatments with relationship-focused care. We use innovative, science-backed technologies and customize every treatment plan to your unique anatomy, ensuring results that complement your natural features. From your first consultation through follow-up care, we’re committed to delivering an elevated patient experience. Schedule your consultation today to explore your personalized options for treating neck laxity and a double chin.
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.
Yes. Many patients combine balancing with treatments like Botox or radiofrequency microneedling for even more comprehensive rejuvenation. Our providers can create a personalized plan.
“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.”
“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!”
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!”
“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.”
“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.”
“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!”
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