A consultation is required to determine the most appropriate treatment plan, as skin laxity, volume loss, and facial structure vary significantly from patient to patient. Multiple treatment options may be considered based on individual goals, areas of concern, and desired longevity of results.
RF Microneedling
RF microneedling is a collagen-stimulating treatment designed to tighten the skin and improve texture. It is often best suited for targeted or spot treatments, though it may not always be the optimal solution for every concern. Results develop gradually and typically last between 6–12 months. A series of three treatments spaced four weeks apart is recommended. Pricing depends on the size of the area being treated, with treatment areas categorized as tiny (under eyes or above the lips), small (around the mouth and jowls), medium (lower half of the face), or large (full face or full neck).
Sculptra
Sculptra is an injectable treatment that stimulates collagen production and improves skin firmness while restoring volume over time. It is particularly well-suited for overall volume replacement and long-term collagen stimulation. Results appear gradually and can last two years or longer. The recommended protocol includes three treatments spaced four weeks apart, followed by maintenance treatments every 6–12 months. The cost is $750 per vial, with a general rule of thumb being one vial per decade of life.
Dermal Filler
Dermal fillers are commonly used to restore volume, particularly in the cheeks, before addressing lower-face concerns. Most patients require two to three syringes for optimal results. Improvements are visible immediately and typically last 6–12 months. Treatments are usually performed once per year. The cost is $650 per syringe, with a Full Facial Balancing package available at $1,500 for every three syringes, offering a savings of $450.
Neurotoxin (Jeuveau)
Jeuveau is a neurotoxin used to relax muscles that contribute to downward pulling of the lower face, helping to improve facial balance and contour. Treatment typically requires anywhere from 6–30 units, depending on muscle strength and individual anatomy. Results are maintained with treatments every 3–6 months. The cost is $11 per unit.