woman using a syringe against another woman's forehead

Aging is a dynamic process, and the visible changes that come with time are often most noticeable in the lower face and neck. At Hayes Valley Medical Esthetics, our expert injectors work daily with mature skin, helping patients age on their own terms with subtle, natural looking refinement. Neurotoxins like Botox and Dysport remain some of the most trusted tools in aesthetic medicine. When they are placed with precision by an experienced medical team, they do far more than smooth forehead lines. They help restore harmony, lift, soften, and refresh, all while keeping your expression authentically you.

Our approach is grounded in medical expertise and an in depth understanding of facial anatomy. Neurotoxin treatments at HVME are never “one size fits all.” Instead, they are tailored to the unique muscle activity, skin quality, and aesthetic goals of each patient, especially those navigating the natural evolution of mature skin. Below are the areas where neurotoxins often create the most impressive results.

The Neck and Platysma Bands

For many patients, the neck is one of the first places aging becomes visible. Vertical platysma bands can create a tense, cord like appearance that adds years to the profile. Our providers regularly achieve beautiful outcomes by using neurotoxin to relax these bands, softening the neck and restoring a smoother, more elegant contour. When combined with injections along the jawline, this technique supports what is commonly known as the Nefertiti Lift, a refined, subtle lifting effect that enhances the shape of the lower cheek and jawline without surgery. Patients appreciate how this treatment refreshes the entire lower face with minimal downtime and natural results.

The Jawline: Softening Tension and Restoring Definition

Mature skin often loses some of its structural support along the jawline, which can lead to heaviness, jowling, or a tired appearance. Strategic neurotoxin placement helps refine the jawline by reducing downward muscle pull and improving definition. In combination with neck treatments, this approach creates a smoother transition between the face and neck, contributing to a more youthful silhouette.

The DAO Muscle: Lifting a Downturned Expression

The depressor anguli oris (DAO) muscle can create a downturned, frowning appearance at rest. By relaxing this small but powerful muscle, we can restore a softer, more approachable expression. Patients love that this quick, targeted injection delivers visible change without affecting their ability to smile or speak naturally. It’s a subtle lift that brightens the overall complexion and reduces the “tired” or “unhappy” look that can develop over time.

The Mentalis Muscle: Smoothing a Dimpled or “Pruny” Chin

As collagen decreases with age, the mentalis muscle in the chin can become overactive, causing dimpling, puckering, or an uneven skin surface. Neurotoxin gently relaxes this area, smoothing the texture and creating a balanced, polished appearance. This small adjustment makes a significant difference for patients concerned about lower-face aging, especially when combined with treatment of the DAO or platysma bands.

A Strategic, Natural-Looking Approach

Neurotoxin works best when it enhances, not alters, your natural features. At Hayes Valley Medical Esthetics, our injectors are trained in advanced lower face and neck techniques that respect facial harmony and preserve authentic expression. We evaluate overall anatomy, muscle movement, and aesthetic priorities to deliver results that feel refreshed, not overdone.

Rediscover Confidence in Every Angle

Mature skin deserves thoughtful, expert care. Whether you are noticing tension in the neck, definition loss along the jawline, or changes in your lower expression, neurotoxin offers a refined, elegant solution when placed by a skilled medical provider. HVME’s patient centered philosophy, advanced training, and commitment to naturalistic enhancement ensure outcomes that look beautifully effortless.

If you are ready to explore how targeted neurotoxin treatments can rejuvenate your neck, jawline, or lower face, schedule a consultation with the Hayes Valley Medical Esthetics team. Together, we will create a personalized plan that helps you look refreshed, confident, and authentically you at every age.


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