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Achieving Full Facial Balancing with Botox, Fillers, and Sculptra

More people than ever have become familiar with non surgical treatments, like botox and filler, to the face. However, these are often shown as “a la carte” services like “lips” or “tear troughs” and we don’t highlight enough the importance of a more global approach to the face versus just one feature.

Hence, “Full Facial Balancing”. This method takes all of your facial features into account when making decisions on treatment plans or adjustments and allows your injector to maintain the integrity of the features that make you, YOU. The goal is to enhance symmetry and balance your facial features from top to bottom.

In my practice, this all begins with what I call a global assessment. I assess the face from top to bottom and give recommendations to address everything from temple hollowing, under eye hollowing, mid face volume loss, pre-auricular volume depletion, deepening of the pyriform, folds, shrinking lips, recessed or weak chin and chin shadows, undefined jawline, etc. Not everyone will need every area. It is 100% customized to each individual’s anatomy and facial features. Even though that may sound like a lot of areas or a lot of filler, it is not. When we are sprinkling little amounts in all of the areas that need attention versus just overpowering one small feature, the face overall looks much more balanced and your work looks extremely natural and undetectable. 

The important thing to understand is that a great injector has the knowledge and experience to understand what you are wanting corrected and the correct way to treat that particular area. For example, you may think you have “hollow undereyes” and you may want filler there to correct it. After my assessment I may realize that yes you can use a little filler under your eyes, but you also need to support the C curve of the cheek, as well as support the tail of the brow in the temples in order to achieve the most beautiful result. Another example is someone wanting lip filler. If they have a very recessed or “weak” chin and deep folds or sunken pyriform, I know that in order to give them lips that look balanced on their face I need to address the entire perioral region to create that harmonized result. If you only do the lips you end up with ducky lips that do not suit your face. A great injector knows how to soften shadows and fill areas of volume loss or deficit. The goal is to highlight features by bringing light to shadows. We want to use our products to contour and highlight, just like you do with your makeup. It is all about subtle, beautiful refinements to enhance your natural features.

Think of your face in three parts: the upper third, middle third, and lower third. If we only correct one of those areas you are left unbalanced. Now the lower face may look great, but what about your upper or middle face? Shouldn’t those areas look great too? We should aim to treat your face as a whole and correct any areas that need a little balancing. Little sprinkles all over to create one beautiful face from every angle. This is where we separate “good” from “great” injectors. 

The Journey To Full Facial Balancing

Combining Botox, fillers, Sculptra, and skincare creates a synergistic effect to natural results geared for full facial balancing and harmony. Let’s dive into each aspect of harmonization and see how they complement each other.

The Role of Botox

What is Botox?

Botox is a neuromodulator that temporarily relaxes the muscles responsible for dynamic wrinkles. We most commonly use these products on the forehead and around the eyes, however there are other areas where it is effective such as the upper lip lines, the masseter/jaw muscle, the platysmal bands of the neck and chin to name a few. 

Benefits for Facial Balance

  • Softens Wrinkles: Reduces the appearance of fine lines, giving a fresher look.
  • Elevates Features: Can lift eyebrows and soften harsh lines, enhancing overall symmetry.

The Power of Fillers

What are Fillers?

Simply put, fillers are an injectable hyaluronic acid gel that is used to replace this volume loss, fill in facial wrinkles and help restore a smoother appearance. Hyaluronic acid is a naturally occurring carbohydrate in the body so it is very safe and effective

Benefits for Facial Balance

  • Restores Volume: Fills in areas that may have lost fat or elasticity, such as cheeks and lips.
  • Enhances Contours: Defines features like the jawline and chin for a more sculpted appearance.

Sculptra: The Collagen Booster

What is Sculptra?

Sculptra is an injectable made of PLLA. Poly-L-Lactic Acid (PLLA) is a medicine targeting fibroblasts in your skin, stimulating collagen production. I like to use the analogy of “fertilizer for our skin” to describe Scultpra. As it is growing new collagen it then “thickens” and smooths the outer layer of the skin. Unlike traditional fillers that provide immediate volume, Sculptra works gradually, resulting in a natural-looking enhancement. Sculptra is commonly used in the cheeks, temples and overall face to name a few areas. 

Benefits for Facial Balance

  • Long-Lasting Results: Effects can last up to two years as collagen builds over time.
  • Natural-Looking Volume: Creates a subtle, youthful fullness without appearing “overdone.”

How Can I Help?

In-Office Treatments

Full facial balancing with Botox, fillers, and Sculptra offers a powerful solution for those seeking to enhance their natural beauty. By understanding how each treatment works and how they complement each other, you can achieve a harmonious, youthful appearance. If you’re considering facial balancing at Racquel Aesthetics, both myself and my injectors are fully versed on full facial balancing and we would love to help you. The first step is to email my amazing patient coordinator Lea Voda. Lea will get you information and ask for photos. Once I review your photos, Lea will give you my full recommendations for full facial balancing as well as any other rejuvenation treatments like lasers or skincare that I think will benefit you. This does not mean you have to commit to everything on your first visit, but I like you to have a fundamental understanding of what can be done to help you achieve your goals. It is nice to have a reference list to work towards. I do this complimentary for patients who want to come see me in the office. My injectors and I take local patients and we also have patients fly in from all over the country to see us. If you do not plan to see my team or I for treatment, I cannot give you treatment recommendations because I am unsure of your injectors skill level or product selection. If you would like a facial assessment please email Lea at Lea@RacquelAesthetics.com

The Cherry On Top – RFA Skincare

Incorporating the power of RFA, medical grade skincare is the cherry on top and is essential for maintaining results from aesthetic in office treatments. A well-rounded routine can enhance skin quality and prolong the effects of your full facial balancing. 

If you are interested in a virtual medical grade skincare consult we can do those as well and you do not have to be a patient inside our practice. We help people all over the world through our amazing medical grade skincare line. We can transform your complexion virtually. Start your personalized skin assessment now! We can ship all over USA & Canada. 

XO-

Racquel

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Racquel Frisella

Board Certified Nurse Practitioner & Aesthetic Specialist based in Saint Louis, Missouri

I work as a cosmetic injector and skincare specialist with 12 years of experience in the Aesthetic Industry. I see patients both in-office at Racquel Aesthetics for treatments as well as online for customized, complimentary skincare plans. I focus heavily on preventative and corrective injections, treatments, and skincare.  My career is my passion and I love to help people feel like the very best version of themselves. I am a wife and a mother of 3 beautiful children under the age of 3. I love all things beauty, fashion, and fitness. I am creating this site as a place to share my expertise on beauty, anti-aging, and skin while also giving a glimpse into my lifestyle as a mom, wife and lover of fitness!  

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