bluewater spa

Facial Balancing

New Approach To Facial Aesthetic

The concept of facial balancing is an approach to facial aesthetics that focuses on creating harmony and balance in facial appearance, and it describes exactly what we have been doing at Blue Water Spa for over twenty years. The goal is to create enhancements in facial proportions, often ones that are relatively subtle, that combine to make a face appear more youthful and appealing.

Facial balancing requires a thoughtful and systematic approach to facial assessment for the planning of aesthetic treatments. Too many think of facial balancing as over-filling the face, when in fact, facial balancing, when performed;with expertise, should be undetectable.

The initial assessment for facial balancing treatment planning looks at the face as a whole, and then looks at the degree to which the upper (forehead and eyes), middle (midface and cheeks) and lower face (mouth, chin and jawline) are in balance and harmony with each other. For example, the midface may be less prominent compared to the brows and jawline, and expansion of the midface by placement of filler can create a greater sense of harmony.

Facial Balancing

Facial balancing looks not only at the face as a whole, but also at the proportions within each facial area. For example, the temples or the brow/upper lid junction may be hollow, making otherwise youthful-appearing eyes seem older. Expanding these areas rejuvenates the eye area in a way that is both subtle and dramatic.

The upper lip may seem thin and lifeless compared to a full lower lip, and conservatively expanding the upper lip volume with filler and neuromodulator injection can create aesthetically ideal lip harmony that did not exist before. No one is going to specifically recognize that a person has had volume added to their upper lip with filler and a lip flip with neuromodulator, like Botox or Dysport, or that they have had volume added to their temples or their brow/upper lid junction with structural fat grafting. But they will recognize that the mouth area and the eye area are more alluring and youthful-appearing, or that the face as a whole has a more harmonious and therefore more aesthetically ideal appearance.

Both genetics and the aging process can contribute to a reduced sense of balance and harmony in the face. A genetically less prominent chin can make the lower third of the face seem overpowered by the middle and upper thirds of the face, and strategic placement of filler can enhance jawline and chin projection which allows the lower face to better match the midface and eye area.

Some changes might be to restore a more youthful look, like softening lines on the forehead or addressing marionette lines, aka DAO’s that pull down;on the sides of the mouth. Both of these changes, when performed by an injector with true expertise can make a beautiful and profound result with the face looking happier and kinder. Too much, or performed incorrectly, people can look; frozen or just weird.;

Aging changes that reduce facial harmony are related to both changes in volume and loss of tone in the skin and subcutaneous soft tissues. The less mobile upper cheek fat pads typically lose volume over time, while the more mobile lower cheek fat pads increase in volume over time. Mild to moderate changes in these volume relationships can be changed in a positive way by a skilled nurse injector, while more advanced aging changes generally require a surgical approach to achieve facial balancing.

Facial balancing can be accomplished both in the medical spa treatment room and in the plastic surgeon’s operating room. A skilled aesthetics provider will be able to let you know what can be accomplished with injectables and associated aesthetic treatments, and what requires surgical treatment in the OR. Some mildly ‘weak’ chins can be expanded with filler, while others may require placement of a chin implant to create a more balanced facial appearance.

There are great advantages to receiving your facial balancing care in a plastic surgery medical spa. The nurse practitioners and aesthetic professionals who provide your non-surgical treatments are supervised by a board-certified plastic surgeon who is on site and provides their training. They learn facial assessment from an experienced surgeon and observe the surgeon performing surgical facial balancing procedures in the operating room. Additionally, your nurse injector will understand very clearly what they can accomplish with non-surgical treatment, and what can be accomplished by surgical treatment with their supervising plastic surgeon.

The goal of facial balancing is not to make you look like someone else. The goal is to create more balanced and harmonious facial proportions, which result in a refreshed and more youthful-appearing version of you.

Be careful with too much filler in the chin or lower face. It may look fine temporarily, but too much filler in the lower face can make the lower face look heavy and can contribute to an appearance that makes one look older.  In time it can actually contribute to more jowls.; Too much filler in the chin may cause the chin to droop and to have a ‘witch-like appearance.

What to look for when selecting a medical professional to perform facial balancing

1) Are they a plastic surgeon, or do they work with a plastic surgeon who provides training

2) Look for a medical professional who will go slowly and will not overfill

3) Are they proficient with all fillers and biostimulators including Hyauluronic acid products like Juvederm, Resylane and RHA products, and biostimulators like Sculptra, PRF and PRF EZGel. 

4) Are they proficient with the use of both cannulas and needles?

5) What is their specific protocol in case of an emergency or undesired result?

6) Do you have photos to show of the work you have performed yourself and work that your colleagues have performed?

If you feel pressure of any kind to get a treatment on the spot, or to get more than makes you comfortable, leave. An excellent medical provider will want to provide

Facial Balancing Review

“I went to Blue Water Spa for facial balancing. At first, I thought I would need surgery. But the nurse injectors are amazing and provided me with the change I wanted! They added a little Botox to lift my brows, a bit of Sculptra to my hollow areas of my temples. Then some PRF EZ gel for under the eyes and a bit of filler for my cheeks. They told ;me to wait on the jawline and even the lips.Instead of lip;filler, they used Botox for the lines that pulled the corner of my lips down. I’m so glad I listened and did not; do too; much. The transformation is incredible but totally natural looking. I had zero bruising and only a little swelling for a day under the eyes. My friends and family have asked about everything from my hair to teeth whitening. I look amazing but I don’t look like I’ve had injections. I actually told a few people and they couldn’t believe how great and natural I look”

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