Nonsurgical Medical Aesthetic Treatments for the Face

Your Best Face Forward

Facial aging involves three components including volume loss, bone loss and skin laxity. The face aging process begins in the early 30’s and accelerates at age 45. Whether you are looking to prevent noticeable age-related changes, or treat them, addressing the face with a comprehensive approach is imperative to achieving natural results.

At Med 44, we specialize in full face, body, and skin consultations. During your initial consultation, your medical provider will work with you to create a customized treatment plan based on your anatomy and aesthetic goals. Our approach is to provide expert medical aesthetic treatments to keep each patient looking refreshed, natural, and confident.

Understanding Facial Aging

Your Facial Fat Pads and Volume Loss

A youthful look depends on having the appropriate proportions of facial fat in the correct places. With an increase in age, the natural fat pads of the face start to dissipate. Redistribution, accumulation, and atrophy of the fat lead to facial volume loss. With this, the areas of the fat tend to separate, creating a less smooth appearance to the facial structures. Areas of fat loss are usually in the forehead, under eyes, cheeks and lips. Due to descent of tissue and skin laxity, other areas of the face may increase their volume of fat, such as around the mouth and jawline.

Your Facial Structure and Bone Loss

With age, there is also a significant loss of facial bone. The craniofacial skeleton atrophy is due to the relative dynamics of bone expansion and bone resorption. Bone resorption leads to biometric volume loss creating less structural support of the facial features. This allows bony features to appear more prominently, as well as lines and wrinkles to become more visible. This causes the appearance of hollow eyes, less defined cheekbones, softened jawline, flattening of the chin, a downward shifting tip of the nose and elongation of the upper lip.

We Specialize in Full Face Correction for Natural Results

Brow Lift, Forehead & Frown Lines

Dynamic and repetitive facial movements can create static lines and wrinkles. On the forehead these are referred to as eleven lines, frown lines, and horizontal lines. These lines often worsen with age due to the loss of key collagen and elastin proteins in the skin. Whether you are seeking to prevent these lines or treat them, we offer a variety of quick in-office treatments to enhance brows and soften expression lines.


Hollowing of the temples is a common complaint of many patients. Dermal Filler and/or Bio Stimulating Injectables are commonly used to volumize the lateral cheeks, temples and lateral brow area. PDO Volumizing Threads can also be used to naturally stimulate collagen production in the temples. Temporal hollowing is a key component of our Full-Face Assessment.


Cheek enhancement and contouring with Dermal Filler, Bio Stimulating Injectables, and/or PDO Threads are among the most popular medical aesthetic treatments. When properly placed, cheek enhancement can slenderize the face and improve under eye hollowing. Natural cheek enhancement requires full face assessment and artistry to ensure balance, proportions and proper transitions. Mid-face rejuvenation of cheeks, tear troughs, and temples must always be balanced with lower face rejuvenation of the chin, jawline and lips. At Med 44, we provide a Full-Face Assessment with every consultation.

Tear Troughs – Under Eyes

Under eye hollowing, dark circles, and crepey skin are very common concerns of our aesthetic patients. A comprehensive assessment of each individual patient is important to determine if a patient is a candidate for non-surgical tear trough treatments. We offer a variety of non-invasive treatments to naturally rejuvenate the under eyes including Platelet Rich Fibrin (PRF), Collagen Boosting Threads, Hyaluronic Acid Dermal Filler, Micro Tox and Radio Frequency Micro Needling. Concurrent treatment of the medial and lateral cheeks are important components of our Tear Trough rejuvenation services at Med 44.


At Med 44 we offer PDO Rhino Threads to improve the contour, symmetry, and tip of the nose. Neurotoxins carefully placed can enhance nasal flaring, pores, redness, and texture. We offer a full menu of medical grade skin and laser treatments to improve skin quality and texture of the nose and T zone.

Smile Lines

Descent of the facial tissue and bone reabsorption are often first noticed by patients as smile lines, or nasal labial fold lines. If static lines or wrinkles have developed, advanced injection techniques can be used to fill and minimize the creasing of the skin. We do not recommend over filling of this area with Dermal Filler to correct a line or wrinkle. A PDO Thread Lift, Cheek Enhancement with Dermal Filler, or Skin Resurfacing are often recommended to prevent and/or correct smile lines and wrinkles.

Lip Lines

Sun damage, drinking with straws and repetitive facial movements over time can lead to the development of lip lines, also known as smokers lines. Correction of lip lines require careful consideration and assessment of skin quality, lip volume, teeth show, chin projection and product selection. Effective treatments often include a combination of Radio Frequency Micro Needling and/or Resurfacing, Collagen Boosting Sugar Threads, and Hyaluronic Acid Dermal Filler.


One of the most popular and sought-after injectable treatment is lip enhancement. At Med 44, our lip philosophy is less is more. Natural lip enhancement requires careful consideration and assessment of skin quality, lip volume, teeth show, chin projection and hyaluronic acid dermal filler product selection. In our full-face assessments, we recommend treating lips last for the most natural undetectable results. Our Small Lip Queen Treatment offers rejuvenation of the lips to improve hydration, define the borders, provide symmetry and subtle volume enhancement. Additionally, we offer a Dissolving Service for patients who wish to dissolve their lip dermal filler prior to scheduling their Small Lip Queen Treatment.


Chin enhancement is key to facial balancing and achieving natural outcomes with injectables. Chin recession, squaring or flattening can be corrected with Dermal Filler, Bio Stimulating Injectables, and PDO Threads. Chin dimpling or a chin crease can be treated with Neurotoxins and/or Dermal Filler. Radio Frequency Micro Needling improves chin laxity and skin quality. Fat Dissolving Injections with Kybella can correct for a double chin by permanently reducing fat cells over a treatment series.

Jowls, Jawline and Masseters

Jowling and laxity in the face are among the most common concerns of the aesthetic patient. Fullness in the jowls often makes the face appear square and heavy. Reducing the fullness in this area with Fat Dissolving Injections (Kybella), and/or a PDO Thread Lift offer great non-surgical treatment options. Radio Frequency Micro Needling and RF Skin Tightening for the Face and Neck are popular treatments to prevent and correct jowling and jawline laxity. Neurotoxins can be used to enhance the jawline by treated the masseter muscles, chin, and/or neck. Careful treatment of the masseter muscles with Neurotoxins can aid in relieving jaw pain, teeth grinding, TMJ, and facial slimming. Assessment and placement of injections is key to achieve the desired result and not impair the smile or worsen any existing jowling. We offer a conservative and effective treatment plan for masseters as part of our Full-Face Assessment.

Ear Lobes

Volume loss and laxity can lead to thin and wrinkled ear lobes. In less than a 30-minute appointment, Dermal Filler can provide immediate volume replenishment of the ear lobes.


Laxity and collagen loss can lead to creepy, sagging skin on the neck. Our Full-Face Assessments always include the neck and hands to ensure natural results.

Preparing For Your Face Appointment

While all of our services are non-invasive, non-surgical outpatient treatments, some downtime can be expected.

  • We recommend scheduling one to two weeks prior to any social events.
  • We extensively use minimally invasive micro-cannula injection techniques for comfort, minimal bruising, swelling and downtime.
  • For most treatments, a topical or injectable lidocaine is used along with ice to numb the skin and aid in comfort and recovery.
  • Pro-Nox is available in-office to aid in reducing anxiety while promoting relaxation and comfort during your treatment. Patients are safe to drive 10 minutes post procedure as Pro-Nox is a low dose, short acting blend of nitrous and oxygen.
  • We additionally offer CBD sublingual drops to aid in calmness and comfort during your treatment.
  • Both Topical Arnica and oral Arnica tablets are known to reduce the occurrence of swelling and bruising post treatment.
  • Patients taking blood thinners, daily aspirin, fish oils, turmeric, ginseng, garlic, gingko biloba, and other anti-inflammatory supplements may have a higher incidence of post injection bruising. Do not stop any prescribed blood thinners or anticoagulants without the consult of your primary care provider. We always advise our patients to check with their primary care provider, and any other treating physicians prior to undergoing elective cosmetic and medical aesthetic treatments. Smoking and Alcohol will increase a patient’s chance of bruising.

Over 100 5 Star Google Reviews

Jessica Hipskind
Jessica Hipskind
September 28, 2022.
I was super nervous going in for a Botox consultation as I previously had a bad experience at another facility. Holly and her team are extremely professional, kind and provide great advice that will make you feel good about your decisions (whatever those may be). I highly recommend Holly and look forward to my next appointment!
Haley Brown
Haley Brown
September 27, 2022.
Med 44 is one of the best! I had the pleasure of working with Theo and she truly has the magic touch for natural looking filler. She took the time to pinpoint exactly what I was looking for and was spot on with my final results! I am obsessed!! Theo is extremely talented, as well as being very welcoming and professional. I will definitely be booking again!!
September 21, 2022.
Holly is wonderful! She is an excellent professional who offers best quality product and she has a wonderful personality which makes the experience even more enjoyable. Best esthetician I have been to in years. Highly recommended.
Mollie Zemer
Mollie Zemer
September 20, 2022.
I just finished my first Vivace series with Theo and could not be happier with the results. I’ve noticed such a difference in my overall complexion. Theo is a wealth of knowledge and made me feel so comfortable throughout the process. She’s simply the best!
Randie Parker
Randie Parker
September 7, 2022.
I came to Theo for filler and Botox and I can’t say enough wonderful things about my experience! First off, Theo has a great eye for aesthetics. She does a wonderful job at injecting strategically to produce natural, beautiful results. Theo is also very personable and I look forward to my visits with her. She does a great job of explaining where she is injecting and why. During the actual injections themselves, Theo makes it a calm and comfortable experience. She frequently checks in with you while injecting to make sure you’re doing okay. Overall, I’m very happy to have found Theo for all my aesthetic needs!
Paige Luetkemeyer
Paige Luetkemeyer
August 16, 2022.
Highly recommend! Med 44 is extremely knowledgeable. They made me feel comfortable from the start, especially since it was the first time I had ever received botox. Definitely trust Med 44 in my care!
Teresa Wilson
Teresa Wilson
August 5, 2022.
The best in town. Holly is all about long-term skin beauty and is loaded with knowledge. She will guide you on a plan that is perfectly tailored for your specific skin needs.
Laurel Place
Laurel Place
July 28, 2022.
Holly and Theo took amazing care of me. I’ve had the Vivace facial (amazing results after three months, my skin has never been clearer), an IPL facial, and Botox. I’ve had Botox elsewhere before, but I’ve never enjoyed the results as much as I do now! Amazing bedside manner and so kind. Will definitely be back.
Danielle Westfall
Danielle Westfall
July 27, 2022.
Received treatment from theo and it was an incredible experience! The office is clean. Everyone was extremely friendly. They presented several options and consulted with me prior to the treatment to assure our goals aligned. Would definitely recommend and return!
Julie Jones-Russell
Julie Jones-Russell
July 6, 2022.
Holly LISTENS!!!! And she will do exactly what you ask for!!! She is amazing!!! I go ONLY to her for all my treatments!!! Let me tell you one very important thing…. She will do whatever you need… and not more…. I am her walking billboard, and people ask me every single day how they can have the skin I have!! Go see her!! You will NOT be sorry!

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