Facial Balancing in Pittsburgh, PA

Create Harmony, Enhance Beauty

Facial balancing uses a strategic combination of neurotoxins like Botox or Dysport with dermal fillers to create symmetry, restore proportion, and enhance your natural features. By treating the face as a whole rather than isolated areas, we achieve results that look balanced, natural, and authentically you.

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What is Facial Balancing?

As we age, our faces don't just develop wrinkles—they lose volume in some areas while gaining heaviness in others. The result? Facial proportions shift, creating an imbalanced or tired appearance. Full facial balancing addresses these changes comprehensively by combining neurotoxins to relax overactive muscles with dermal fillers to restore lost volume and structure. The goal isn't to change your face, but to restore the proportions and harmony you had when you were younger.

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How Does Facial Balancing Work?

At Radiance at Fluhme, facial balancing begins with a thorough assessment of your facial anatomy, bone structure, and how your features relate to one another. We look at the golden ratios and proportions that create aesthetic balance, then develop a strategic treatment plan. This might include lifting the midface with filler, defining the jawline for better contour, relaxing forehead lines with neurotoxins, and restoring temple volume—all working together to create one cohesive, natural result.

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Treatment Benefits:

  • Creates overall facial harmony by addressing multiple areas simultaneously
  • Combines neurotoxins and fillers for comprehensive rejuvenation
  • Corrects facial asymmetry for more balanced, proportionate features
  • Restores age-related volume loss while smoothing dynamic wrinkles
  • Enhances natural beauty without looking overdone or artificial
  • Customized treatment plan based on your unique facial structure
  • Immediate results from fillers with progressive improvement from neurotoxins
  • Long-lasting outcomes with strategic placement and premium products
  • Non-surgical solution with minimal downtime and quick recovery
  • Addresses both volume loss and muscle-related aging concerns

Procedure Details:

  • Comprehensive consultation to assess facial proportions and create custom plan
  • Treatment typically takes 45-60 minutes depending on areas treated
  • Minimal discomfort with topical numbing and lidocaine in products
  • Results from fillers are immediate; neurotoxins show results in 3-14 days
  • Little to no downtime—most resume normal activities immediately

Skin Concerns Addressed by Facial Balancing:

  • Facial Asymmetry – Uneven or imbalanced facial features and proportions
  • Volume Loss – Hollowing in cheeks, temples, or other facial areas
  • Weak Jawline Definition – Lack of contour or definition along jaw and lower face
  • Sagging Skin – Mild to moderate skin laxity creating aged appearance
  • Deep Nasolabial Folds – Prominent smile lines from nose to mouth
  • Marionette Lines – Lines extending from mouth corners toward chin
  • Forehead Lines and Crow's Feet – Dynamic wrinkles from facial expressions
  • Sunken Temples – Hollowed temple area creating gaunt appearance
  • Flat Cheeks – Loss of midface volume and youthful contour
  • Thin Lips – Lack of volume and definition in lips
  • Undefined Chin – Weak or recessed chin affecting profile balance
  • Jowls and Pre-Jowl Sulcus – Loss of lower face definition
  • Under-Eye Hollows – Dark circles and sunken appearance under eyes
  • Forehead Heaviness – Heavy brow creating tired appearance
  • Overall Aging Appearance – Multiple age-related concerns affecting entire face

Target Areas for Facial Balancing:

  • Cheeks – Restore volume and lift for youthful midface contours
  • Temples – Fill hollowed areas for fuller, balanced appearance
  • Jawline – Define and contour for sculpted lower face structure
  • Chin – Add projection and definition for improved profile
  • Lips – Enhance volume, shape, and proportion relative to other features
  • Nasolabial Folds – Soften deep smile lines for smoother appearance
  • Marionette Lines – Smooth lines from mouth to chin
  • Under Eyes – Address hollows and dark circles for refreshed look
  • Forehead – Smooth horizontal lines and lift heavy brow
  • Glabella (Between Brows) – Relax frown lines and furrows
  • Crow's Feet – Soften lines at outer corners of eyes
  • Pre-Jowl Area – Fill hollows that create jowl appearance
  • Lower Face – Restore volume and definition to entire lower third
  • Full Face – Comprehensive treatment for overall facial harmony

Real Patients. Real Results.

See the Radiant Before & Afters from our Radiance at Fluhme Clients

Gold syringe with purple liquid on a white background Gold syringe with purple liquid on a white background

Comprehensive Approach

Treats multiple areas and concerns in one session for complete facial transformation.

Customized to You

Personalized plan based on your unique bone structure, features, and aesthetic goals.

Natural-Looking Results

Strategic placement creates harmony that enhances your beauty without looking overdone.

Expert Injector Artistry

Led by plastic surgeon with decades of experience in facial anatomy and aesthetics.

General Pre-Care:

  • Avoid Blood Thinners
    Stop aspirin, ibuprofen, fish oil, vitamin E, and other blood-thinning supplements 7 days before treatment to minimize bruising. Consult your doctor before stopping prescribed medications.
  • Stay Hydrated
    Drink plenty of water for 24-48 hours before treatment. Well-hydrated skin and blood improve treatment efficacy, especially for PRP/PRF processing.
  • Eat Before Treatment
    Have a full meal 1-2 hours before your appointment, especially for PRP/PRF treatments which require a blood draw. This prevents lightheadedness.
  • Clean Skin
    Arrive with clean skin—no makeup, lotions, or products on treatment areas. Wash your face and/or scalp the morning of treatment.
  • Avoid Alcohol
    Skip alcoholic beverages for 24 hours before treatment as alcohol thins blood and can affect PRP/PRF quality and increase bruising.

General Post-Care:

  • Massage Treated Areas (Sculptra)
    For Sculptra: Massage treated areas for 5 minutes, 5 times per day, for 5 days (the "5-5-5 rule"). This ensures even product distribution and optimal results.
  • Avoid Heat and Sun
    Stay away from saunas, hot tubs, steam rooms, and prolonged sun exposure for 48-72 hours. Heat can increase swelling and inflammation.
  • No Strenuous Exercise
    Avoid intense workouts, hot yoga, or activities that significantly raise heart rate for 24-48 hours to prevent bruising and swelling.
  • Keep Area Clean
    Keep treated areas clean and avoid touching with unwashed hands. For scalp treatments, wait 24 hours before washing hair.
  • Elevate and Ice
    Sleep with head elevated for the first night to minimize swelling. Apply ice packs wrapped in cloth for 10-15 minutes if needed.
  • Avoid Blood Thinners
    Continue avoiding aspirin, ibuprofen, and alcohol for 24-48 hours post-treatment to minimize bruising and optimize healing.

Facial Balancing FAQ'S

You may be a candidate for facial balancing if you're noticing volume loss, facial sagging, fine lines, wrinkles, or asymmetry. You may also be a candidate if you feel your facial proportions have changed over time as part of the aging process, and you prefer subtle, natural-looking results that restore balance rather than dramatically alter your facial features. During your complimentary consultation, we'll assess your concerns and determine if facial balancing is right for you.

A comprehensive facial balancing treatment typically takes 45-90 minutes, depending on the number of areas being treated and the complexity of your customized plan. This includes time for assessment, marking injection points, and performing the treatments. We take our time to ensure precision and optimal results rather than rushing through the process.

Downtime is minimal. You may experience mild swelling, redness, or bruising at injection sites for a few days. Most patients return to work and normal activities immediately after treatment. We recommend avoiding strenuous exercise for 24 hours and staying upright for 4 hours after neurotoxin injections. Any visible side effects can typically be covered with makeup after 24 hours.

Results vary depending on the products used. Neurotoxins (Botox/Dysport) typically last 3-4 months. Dermal fillers can last 6-18 months depending on the type and area treated. Because facial balancing addresses multiple areas with different products, you may need touch-ups at different intervals. During your consultation, we'll discuss expected longevity and create a maintenance plan to keep your results looking fresh.

Side effects are generally minimal and temporary. Common reactions include mild swelling, redness, bruising, or tenderness at injection sites, which typically resolve within a few days to a week. Rarely, patients may experience temporary asymmetry, lumps, or headaches. Serious complications are extremely rare when treatments are performed by experienced injectors. We provide detailed aftercare instructions to minimize side effects and optimize your results.

Facial balancing takes a comprehensive, holistic approach by combining both neurotoxins and dermal fillers to address the face as a whole rather than treating isolated concerns. While getting filler or Botox alone can address specific issues, facial balancing creates overall harmony by strategically treating multiple areas to achieve balanced proportions, symmetry, and natural rejuvenation. It's the difference between fixing one feature versus creating overall facial harmony.
Two women shaking hands against a plain background. Radiance at Fluhme Medspa, Pittsburgh, PA Two women shaking hands against a plain background. Radiance at Fluhme Medspa, Pittsburgh, PA

Why Choose Radiance at Fluhme?

We make expert aesthetic care part of your everyday life.

Radiance at Fluhme is physician owned and led by a renowned board certified Plastic Surgeon and Tiffany Fluhme, Physician Associate, alongside a team of master injectors and aesthetic specialists.

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Meet with our team to discuss your goals and to design a treatment plan that's built around you.

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