Facial Balancing - Raleigh NC

A New Approach to Facial Balancing

Facial balancing is an advanced approach to facial aesthetics that focuses on achieving harmony and proportion across the face. It’s a concept that perfectly describes what we’ve been practicing at Blue Water Spa for over twenty years—creating subtle, natural enhancements that make the face appear more youthful, refreshed, and beautifully balanced.

True facial balancing requires a careful, methodical assessment of the face as a whole. Unfortunately, many people mistake it for overfilling. In reality, when facial balancing is performed by a skilled aesthetic professional, the results should be seamless and undetectable—patients simply look like the best version of themselves.

The process begins with an analysis of the entire face, followed by an evaluation of how the upper (forehead and eyes), middle (cheeks and midface), and lower (mouth, chin, and jawline) sections align in proportion and harmony. For example, a midface that appears flat compared to the brows or jawline can be enhanced with carefully placed filler to restore balance and create natural facial symmetry.

Facial balancing also considers harmony within each facial region. Subtle hollowness in the temples or brow–upper eyelid junction can make otherwise youthful eyes appear tired or aged. Restoring gentle volume to these areas rejuvenates the eyes in a way that feels both subtle and transformative.

Similarly, a thin upper lip may seem out of balance with a fuller lower lip. A conservative enhancement using filler and a neuromodulator—such as Botox® or Dysport®—can restore proportion and definition. While others may not notice any specific treatment, they will perceive a more youthful, attractive, and harmonious facial appearance.

Both genetics and aging play a role in diminishing facial balance. A naturally small chin, for example, can make the lower face appear recessed. Strategic filler placement can enhance chin and jawline projection, allowing the lower third of the face to complement the midface and eyes.

Some treatments focus on restoring a more youthful expression—softening forehead lines or lifting the corners of the mouth by treating the depressor anguli oris (DAO) muscles. When performed with precision and artistry, these enhancements can make the face look happier and more relaxed. However, overcorrection or poor technique can lead to unnatural or “frozen” results, underscoring the importance of experience and skill.

Aging affects facial balance through both volume changes and loss of skin tone. The upper cheek fat pads tend to deflate over time, while the lower pads may become heavier or more pronounced. Mild to moderate cases can often be corrected non-surgically with injectable treatments by a skilled nurse injector, whereas advanced changes may require surgical intervention for optimal results.

At Blue Water Spa, facial balancing may be achieved through either non-surgical treatments in our medical spa or surgical procedures in the operating room. Our aesthetic experts will guide you through what can be accomplished with injectables and complementary treatments—and when a surgical option, such as a chin implant, may provide the most balanced and long-lasting result.