Under-Eye Concerns
Brighten dark circles, reduce under-eye hollows, soften puffiness, and refresh tired-looking eyes for a more youthful, well-rested appearance.
Treatment featured in:
Smooth Hollows and Brighten the Eye Area
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The under-eye area has some of the thinnest, most delicate skin on the body, making it especially vulnerable to visible signs of aging. Over time, collagen, elastin, and facial fat naturally diminish, while supportive ligaments loosen, creating hollow tear troughs, shadows, and a tired appearance. Dark circles may also result from increased pigmentation, visible blood vessels beneath thin skin, genetics, or lifestyle factors, while fluid retention can cause puffiness.
At Aviva Med Spa, we customize under-eye rejuvenation to address the underlying causes of your concerns. Depending on your needs, treatment may include dermal fillers to restore lost volume or PRF injections to stimulate natural tissue regeneration, helping create a brighter, smoother, and more refreshed 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 Under-Eye Concerns:
- Dark circles creating a fatigued appearance
- Hollow tear troughs beneath the eyes
- Puffiness or under-eye bags
- Fine lines and crepey skin around the eyes
- Shadows that make the eyes appear sunken
- Thin, translucent skin revealing underlying blood vessels
- Uneven pigmentation beneath the eyes
- Loss of volume in the lower eyelid area
- Tired-looking eyes despite adequate rest
- A less youthful or refreshed facial appearance
Your Treatment Options for Under-Eye Concerns at Aviva
Dermal Fillers
Hyaluronic acid dermal fillers restore volume beneath the eyes by replenishing age-related fat loss within the tear trough. The gel binds to water molecules, providing subtle structural support that softens hollows, reduces shadowing, and creates a smoother transition between the lower eyelid and cheek for a brighter, more refreshed appearance.
PRF Injections
Platelet-rich fibrin (PRF) is created from a small sample of your own blood and contains platelets, fibrin, growth factors, and regenerative cells. Once injected beneath the eyes, PRF gradually stimulates collagen production, improves circulation, and enhances tissue quality, helping reduce dark circles, thin skin, and fine lines over time.
Microneedling
Microneedling creates thousands of controlled microchannels within the skin, activating the body’s natural wound-healing response. This process increases collagen and elastin production, strengthening the delicate under-eye skin, improving texture, minimizing fine lines, and making dark circles caused by thin, translucent skin appear less noticeable.
Medical-Grade Skincare
Medical-grade skincare delivers clinically proven active ingredients, including retinoids, peptides, antioxidants, and growth factors, into the delicate under-eye area. These formulations support collagen synthesis, improve cellular turnover, strengthen the skin barrier, and reduce pigmentation, helping the skin appear firmer and more evenly toned with consistent use.
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:
- Greater symmetry of facial features
- Minimal downtime
- Customized treatment plan and results
- Reversible results (with HA fillers)
- Reduced appearance of fine lines and facial wrinkles
- Low risk of complications
What Are the Benefits of Under-Eye Concerns Treatment?
At Aviva Med Spa, every under-eye treatment plan is tailored to the cause of your concerns, helping achieve natural-looking rejuvenation while preserving your unique facial features. Depending on your personalized treatment plan, benefits may include:
- Brighter, more refreshed-looking eyes
- Reduced appearance of dark circles
- Softer under-eye hollows
- Smoother lower eyelid contours
- Improved skin texture and firmness
- Increased collagen production
- Reduced fine lines and crepey skin
- More even skin tone beneath the eyes
- Natural-looking facial rejuvenation
- A more youthful, well-rested 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, we know that tired-looking eyes can affect the way you feel about your appearance. That’s why we take the time to understand what’s causing your under-eye concerns and create a treatment plan that’s right for you. Our experienced team is trusted by clients throughout the Denver area for natural-looking results and a welcoming experience. Schedule your consultation today to explore your under-eye 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?
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.
“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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