Facial balancing in Portland, OR and Vancouver, WA
Facial balancing uses dermal filler in a few areas at once, most often the chin, jawline, cheeks and lips, so your features sit in proportion with each other. Cosmetiq Medicine plans and injects it at our Portland and Vancouver clinics, from $750 for one syringe to $2,250 for four.
Questions first? Call or text (503) 572-2675
- One syringe
- $750
- Two syringes
- $1,350
- Four for three
- $2,250
- Clinics
- Portland + Vancouver
Upper third
Middle third
Lower third
Nose, lips and chin line
What is facial balancing, and what does it change?
Facial balancing is a plan for several areas of the face treated together, usually with hyaluronic acid filler, so no single feature looks done. Your injector looks at how your chin relates to your nose, how your cheeks frame your eyes and how your lips fit your lower face, then adds small amounts where proportion is off.
- Chin and noseA soft chin can make the nose look larger in profile. Bringing the chin forward often balances both.
- Cheeks and eyesSupport on the cheekbone frames the eyes and can soften the look of the folds below.
- Lips and lower faceLip volume reads as natural when the chin and jaw are strong enough to carry it.
- Jawline and neckA clearer jaw angle separates the face from the neck, in profile and front-on.
- Temples and browHollow temples can make the upper face look narrow next to fuller cheeks.
- The whole faceSmall amounts in the right places, in an order that builds structure before detail.
The American Society of Plastic Surgeons describes the goal the same way: a face that looks more proportionate, not a different face. Because the term is used loosely online, ask any clinic which areas, products and how many syringes a plan includes.
How common is filler, and what does it cost nationally?
Filler is one of the most common cosmetic treatments in the US. The American Society of Plastic Surgeons counted 5,331,426 hyaluronic acid filler procedures in 2024, up 1% from 2023, plus 1,589,502 lip augmentations with filler. Its 2023 survey put the national average fee for a hyaluronic acid filler procedure at $715.
- $715US average fee per hyaluronic acid filler procedure, 2023
- $750One syringe at Cosmetiq Medicine, Portland and Vancouver
- +1%Hyaluronic acid filler procedures, 2023 to 2024
National fees are averages and do not include other costs. A balancing plan usually uses more than one syringe.
Which areas can facial balancing treat, and which filler is approved for each?
Most Portland and Vancouver balancing plans focus on the chin, jawline, cheeks and lips, with the temples, under-eyes or nose added when they change the overall picture. Each area has its own FDA approval status, so our plans show which product is approved for that area and which uses are off-label.
How to read the map
- Product, FDA-approvedAn FDA-approved filler exists for this area, with the year of approval.
- Off-labelNo filler is approved for this use. Your injector explains the evidence and risks first.
- Areas mapped
- 7
- With an approved filler
- 6
- Off-label only
- 1
Every product is matched to its labeled area at your consultation, and most plans treat two to four of these areas.
Dermal fillers by area- 1
Temples
Fills hollows beside the brow so the upper face matches the cheeks.
Juvéderm Voluma XC, FDA-approved for temple hollows, 2023Our Anchor Lift, $1,650
- 2
Under-eyes
Softens a hollow that casts shadow, when the skin and fat pads suit filler.
Juvéderm Volbella XC, FDA-approved for under-eye hollowsUnder-eye options
- 3
Nose
Smooths the look of a bump or lifts a droopy tip without surgery.
Off-label: no filler is FDA-approved for the noseLiquid rhinoplasty in Portland
- 4
Cheeks
Restores structure on the cheekbone so the mid-face looks supported.
Juvéderm Voluma XC, FDA-approved for cheeks, 2013$750 per syringe
- 5
Lips
Shape and border definition sized to your chin and jaw, not in isolation.
Volbella XC, Ultra XC and Restylane Kysse, FDA-approved for lipsLip filler, $650
- 6
Jawline
Defines the line from chin to ear for a crisper lower face and profile.
Radiesse (+), FDA-approved for jawline, 2021Juvéderm along the jaw is off-labelRadiesse
- 7
Chin
Brings a soft chin forward to balance the nose and lips in profile.
Juvéderm Voluma XC, FDA-approved for chin, 2020Chin filler, $850
Sources: FDA PMA P110033, Juvéderm Voluma XC and Volbella XC; Voluma XC temples; Volbella XC under-eye; Radiesse (+) jawline; Juvéderm Ultra XC lips; FDA, Dermal fillers: unapproved uses.
How much does facial balancing cost in Portland?
At Cosmetiq Medicine, facial balancing costs $1,350 for two syringes, $1,975 for three, or $2,250 for four with our buy-three-get-one-free deal. A single syringe is $750, and one syringe plus 20 units of Botox is $900. Your syringe count and total are agreed before treatment at either clinic.
- 1 syringeFiller, one area
- 2 syringesFacial balancing
- 3 syringesFacial balancing
- 4 syringesBuy 3, get 1 free
One syringe of filler plus 20 units of Botox, for added shape and softer movement lines in one visit. See Botox and Dysport in Portland.
- Allē and CherryRewards and monthly payments
- CareCreditHealthcare financing
- Payment plansSpread the cost
- MembershipsGlow and Elite savings
Prices subject to change. Packages cannot be combined with other promotions. See the full Cosmetiq Medicine price menu and current specials.
What can two, three or four syringes actually do?
It depends on your face, but plans tend to follow a pattern. Two syringes often treat one relationship, such as chin and lips for a better profile. Three usually add the jawline or cheeks. Four let your injector build structure across the mid and lower face. We suggest a starting amount and add more only after it settles.
-
Example 01
Profile plan
For a soft chin and lips that look small from the side. Chin projection comes first, then lip shape, so the nose, lips and chin line up.
- Chin
- Lips
$1,3502 syringes -
Example 02Jaw and chin plan
Often chosen by men who want a stronger, more defined lower face. Product choice differs along the jaw, where Radiesse (+) is the approved option.
- Chin
- Jawline
$1,9753 syringes -
Example 03Mid and lower face plan
For volume that has thinned with time. Cheek support goes in first, then the chin and jaw, so the face looks rested rather than filled.
- Cheeks
- Chin
- Jawline
- Temples
$2,2504 syringes, buy 3 get 1
These are examples, not prescriptions. Your areas and syringe count are set at your consultation, and suitability is assessed in person.
Facial balancing before and after, from our patients
These are Cosmetiq Medicine patients photographed before treatment and after swelling settled. Each plan treated more than one area, which is what separates balancing from single-area filler. Look at the profile line and the lower face, where the change usually shows most.
See more Cosmetiq Medicine results for lips, chin, cheeks and jaw in our gallery.
Before and after galleryIndividual results vary. Photos are of Cosmetiq Medicine patients, shared with their permission.
Facial balancing, Botox, collagen stimulators or surgery?
Filler balancing changes shape and proportion, Botox relaxes the muscles behind movement lines, collagen stimulators rebuild volume gradually, and surgery changes bone, cartilage or skin position. Many plans combine the first three. We do not offer surgery, and we tell you when it would suit your goal better.
Sources: FDA, FDA-approved dermal fillers: duration by material; FDA, Dermal fillers: side effects; ASPS, surgical and nonsurgical options.
What happens at a facial balancing appointment, and does it hurt?
Your visit starts with a consultation, photos and a look at your face from the front and side. The Juvéderm XC gels and Radiesse (+) contain lidocaine, and we add numbing where it helps, so most people feel pressure and brief pinches. Expect some swelling and possible bruising, then a review once it settles.
- ConsultationYour goals, health history and any past filler, with photos from the front and in profile. The plan and total are agreed first.
- MappingWe mark the areas and plan structure, such as chin, jaw and cheeks, before lips.
- ComfortSkin is cleansed and numbing is applied where it helps.
- PlacementSmall amounts at a time, checking symmetry in the mirror with you as we go.
- Aftercare and reviewSwelling and bruising often settle within days to weeks. We review your result at about two weeks and add only if it is needed.
How risky is facial balancing?
Filler is a medical procedure. Common effects such as bruising, redness, swelling, tenderness and itching usually settle within days to weeks. The FDA calls accidental injection into a blood vessel the most serious risk. It is rare, but it can cause tissue damage, vision problems including blindness, or stroke, which is why anatomy and planning matter.
Common and expected
- Bruising and redness
- Swelling and tenderness
- Itching or a small rash
- Pain at the injection points
Most of these settle within days to weeks. Many people book at least two weeks before an important event.
Call us or seek care right away
- Unusual or increasing pain near the area
- Vision changes of any kind
- Skin that turns white, gray or blue
- Any sign of a stroke
Tell us first
- Allergies, including to lidocaine
- Blood thinners or a bleeding disorder
- Cold sores or skin infection in the area
- Pregnancy or breastfeeding
Share every medicine and supplement at your consultation, since some raise the chance of bruising.
If you need it dissolved
We keep hyaluronidase at both clinics. It can break down hyaluronic acid filler, an off-label use of an FDA-approved drug. Radiesse and Sculptra cannot be dissolved this way.
- Small
- $300
- Medium
- $350
- Large
- $400
Sources: FDA, Dermal fillers: risks and warning signs; DailyMed, Hylenex (hyaluronidase) label. Read more on filler side effects in Portland.
Where can I get facial balancing near me in Portland or Vancouver, WA?
Cosmetiq Medicine offers facial balancing at both clinics: SE Stark Street in Portland, Oregon, and SE Mill Plain Boulevard in Vancouver, Washington. Plans are built by our injectable team, led by Arwa Salti, Founder and Lead Injector, using the same menu and the same consultation-first approach.
Arwa Salti
Founder and Lead InjectorArwa leads the injectable team at both clinics. Balancing plans start with photos from the front and in profile, and larger plans can be built over more than one visit.
Meet the team
Over 1,000 combined reviews across platforms. Read reviews · Vancouver clinic · Dermal fillers in Vancouver, WA
Facial balancing questions, answered
What Portland and Vancouver clients ask most before booking a balancing plan.
01What is facial balancing?
Facial balancing is a treatment plan that uses dermal filler in several areas, often the chin, jawline, cheeks and lips, so your features look in proportion with each other. The aim is a face that looks more balanced and still like you, rather than a change to any one feature on its own.
02How much does facial balancing cost in Portland?
At Cosmetiq Medicine, facial balancing is $1,350 for two syringes, $1,975 for three, or $2,250 for four with our buy-three-get-one-free deal. One syringe is $750, and one syringe plus 20 units of Botox is $900. Your total is agreed before treatment at our Portland or Vancouver clinic.
03How many syringes do I need for facial balancing?
Most balancing plans use two to four syringes. Two often treat one relationship, such as chin and lips. Three or four can cover the cheeks, chin and jawline together. We suggest a starting amount at your consultation and add more only after the first result settles.
04How long does facial balancing last?
The FDA notes that hyaluronic acid fillers typically last about 6 to 12 months, and the time depends on the product and area. Many people plan a top-up when they notice the result softening.
05Does facial balancing wear off?
Yes. Hyaluronic acid filler is gradually absorbed by the body, so results fade over months rather than staying. That also means a plan can be adjusted over time. Radiesse lasts about 18 months and is not dissolvable, so we discuss product choice for each area.
06Does facial balancing hurt?
Most people feel pressure and brief pinches. The Juvéderm XC gels and Radiesse (+) contain lidocaine to help with comfort, and we apply numbing where it helps. The chin and jaw tend to feel easier than the lips, which are more sensitive.
07How risky is facial balancing?
Common effects are bruising, redness, swelling, tenderness and itching that usually settle within days to weeks. The FDA calls accidental injection into a blood vessel the most serious risk. It is rare, but it can cause tissue damage, vision problems or stroke. We keep hyaluronidase on site at both clinics.
08Can facial balancing be reversed?
Hyaluronic acid filler can be dissolved with hyaluronidase, which we keep at both clinics. Using it this way is an off-label use of an FDA-approved drug. Dissolving is priced by area at $300, $350 or $400. Radiesse and Sculptra cannot be dissolved.
09Can men get facial balancing?
Yes. Men often ask for a stronger chin and a more defined jawline rather than added lip or cheek volume. Placement and product choice differ for a male face, and Radiesse (+) is the FDA-approved option along the jaw. We plan the areas at your consultation.
10Can filler balance my nose instead of rhinoplasty?
Filler can smooth the look of a bump or lift a tip, and chin filler can make the nose look smaller in profile. Filler in the nose is off-label, because no filler is FDA-approved for that area. It cannot make a nose narrower or fix breathing. See our liquid rhinoplasty page for details.
11Do you offer facial balancing in Vancouver, WA?
Yes. Facial balancing is offered at our Vancouver clinic at 12000 SE Mill Plain Blvd and at our Portland clinic at 10735 SE Stark St. Both clinics use the same menu, and you can book either location online or call (503) 572-2675.
12Can I combine facial balancing with Botox?
Yes, and it is a common pairing. Filler adds shape and structure, while Botox relaxes the muscles behind lines such as frown lines. Our Filler + Botox combo is one syringe plus 20 units of Botox for $900, and larger plans can add Botox at your visit.
Plan your facial balancing in Portland or Vancouver
Book a visit and we will look at your face from the front and in profile, agree the areas and syringe count, and confirm your total before treatment.
- FDA: Dermal fillers, risks, warning signs and unapproved uses
- FDA: FDA-approved dermal fillers and duration by material
- FDA PMA P110033: Juvéderm Voluma XC and Volbella XC
- FDA PMA P050052/S129: Radiesse (+) for jawline
- ASPS: What you need to know about facial balancing procedures
- ASPS: 2024 Procedural Statistics
