Cheek, Chin & Neck Correction

Cheek     Chin     Neck

There are many potential improvements to be made to the aging face below the eyes. Some of the issues are at least partly hereditary and many just develop over time, as the face loses elastin and collagen begins to break down. The youthful fat that makes a baby’s face so cherubic gradually disappears from some areas on the face, while at the same time we may be struggling to keep it at bay in other areas of the body. Exposure to environmental hazards, such as UVA rays, tobacco exposure, and other free radicals that assault our skin daily, also contributes to our problems.

At Rejuvena, we deploy a variety of minimally invasive techniques to correct or minimize these conditions. We target our treatment recommendations to your specific needs and goals, as no two faces are the same. Moreover, as one person may desire full correction, another may just want to show a minor improvement.


Cheeks begin to lose their natural volume as we age, leading to a tired, haggard or sad appearance. This also contributes to and is largely responsible for the dark circle appearance of the under-eye area. The smile lines, also known as “crow’s feet” often extend out onto the cheek. The area between the nose and the corner of the mouth, or nasolabial fold, can be deep, and may even extend under the corner of the mouth, leading to a “parentheses” look.

We treat the under-eye and cheek area in a variety of ways, depending on what is appropriate for you and your desired outcome. Advanced dermal fillers such as Radiesse, Sculptra and Perlane will bring that fullness back to the cheek, eliminating the tired look that you see in the mirror, and largely if not completely erasing dark circles under the eyes. BOTOX® Cosmetic can be used to soften crows feet, alone or in conjunction with Fraxel II or one of our other laser procedures. The resurfacing that is achieved with Fraxel provides tightening, as well as reduction of lines and créping. The number, mix and depth of wrinkles, as well as your desired outcome, are all taken into consideration in treatment recommendations. In most cases, there is not only an immediate improvement, but one that gets better over time.


Below the mouth, the chin may become prominent as the area surrounding the chin shows volume depletion. This, combined with the gravitational movement of the cheek's fat pad (malar fat pad), creates unattractive jowls.

For sagging jowls, we will use Thermage to lift and tighten, advanced dermal fillers precisely placed (depth and location), or minimally invasive liposuction (Smartlipo) to remove fat pads and simultaneously tighten skin (or any combination of these therapies), depending upon the severity and attributes of your particular condition.

Wrinkles and folds which can develop in the chin area are easily remedied. Beginning with the lines extending downward from the corners of the mouth (puppet or Marionette lines) to the hollowing around the chin known as the pre-jowl sulcus, correction can be dramatic but subtle with properly placed dermal fillers such as Radiesse. You may want to consider ArteFill to help you reduce your lifetime maintenance costs associated with these corrections. We can also help the chin look less prominent (“witch chin”) and reduce lines and the orange peel (peau d’orange) look with a small amount of BOTOX® strategically placed. This problem is also helped with Fraxel, but like the forehead, may respond less to laser resurfacing than other areas of the face, due to the muscular component. The area immediately under the chin (the submentum, can be best be treated with Thermage (for tightening only), or laser liposuction (Smartlipo), for reducing and tightening.


On the neck, many patients complain of horizontal (“necklace”) lines and crêping, but the most frequently heard complaint is sagging, or the dreaded “gobbler” look. Treatment options include Fraxel II, Thermage, laser lipolysis with Smartlipo, or combination therapy, including BOTOX®.

Another problem that plagues many patients is the second or third chin--too much fat. We have had some remarkable results in treating excess fat with Smartlipo, which not only removes fat, but tightens the skin around the neck at the same time. See our Smartlipo/VASER section for more information.

All of our treatment regimens are minimally invasive and patients usually resume their normal routines almost immediately after treatment.

At Rejuvena, we do not charge for consultations. To schedule your free consultation, please email or call us at (405)842-1100.

Questions and Answers
Q: What is the difference between BOTOX® Cosmetic and a dermal filler (such as Radiesse and Restylane)?
Q: What are the differences between the various dermal fillers?
Q: How long do the dermal fillers last?
Q: How do you decide which filler to use?
Q: Are these procedures safe?
Q: Do the procedures hurt?
Q: How soon will I see results?
Q: When can I resume my normal, daily routine?
Q: How often will I need maintenance treatments for BOTOX® and dermal fillers?
Q: How often will I need maintenance treatments for Thermage, Fraxel II and Smartlipo?
Q: I am afraid I might have a BOTOX® brow droop, or end up looking unnatural.
Q: How do I know about my doctor’s experience?
Q: Do some doctors get more training in these procedures than others?
Q: What can I expect during my consultation?
Q: Why do you recommend one filler for the lip enhancement, and another for the under-eye area?
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