Facial rejuvenation at Interventional Orthopedics of Washington begins with a physician-led assessment of skin quality, facial structure, under-eye concerns, and age-related volume changes. When clinically appropriate, treatment may include autologous platelet-rich plasma (PRP), prepared from a small sample of your own blood, to support modest improvements in skin texture and fine lines. An FDA-approved hyaluronic acid dermal filler may also be considered for selected, labeled facial indications involving volume loss. Every plan is individualized to support balanced, natural-looking results without surgery.
Facial rejuvenation treatments are not appropriate for everyone, and results vary. Evidence for PRP in facial rejuvenation remains limited, and improvement may be modest or temporary. Dermal fillers can cause bruising, swelling, tenderness, infection, lumps, or asymmetry, and rare but serious vascular complications can cause skin injury, stroke, or vision loss. A consultation is required to review your anatomy, medical history, medications, goals, expected benefits, alternatives, and risks.
Facial aging is not caused by one single change. Fine lines, under-eye circles, hollowing, and loss of facial softness often happen when collagen declines, skin becomes thinner, circulation slows, and natural volume shifts over time.
Natural fullness in the cheeks, under-eyes, mouth area, and chin can diminish over time, creating hollowness, shadows, and a more tired appearance.
As collagen and elastin decrease, skin becomes thinner and less supported. This can make fine lines, wrinkles, creasing, and under-eye discoloration more noticeable.
Slower circulation and reduced tissue repair can contribute to dull skin, puffiness, darker under-eyes, and slower recovery from everyday skin stress.
Repeated facial movement, skin laxity, and gradual structural changes can deepen wrinkles around the eyes, mouth, and chin while changing facial contours.
A physician-designed protocol combining in-clinic regenerative treatment with at-home medical-grade skincare to support wrinkles, under-eye concerns, volume loss, tone, and texture.
Your physician evaluates your under-eyes, wrinkles, skin quality, facial volume, and structure to design a treatment plan tailored to your anatomy.
Precise, physician-administered regenerative treatment is applied to areas needing support, including tear troughs, fine lines, wrinkles, and volume loss.
Over the following weeks, your body’s healing response supports collagen, skin thickness, elasticity, and smoother-looking texture across treated areas.
Medical-grade at-home skincare helps maintain your results while supporting hydration, tone, texture, collagen production, and long-term skin quality.
Results develop progressively as your skin responds to treatment, with changes in texture, tone, fine lines, and facial freshness becoming more noticeable over time.
As collagen support improves, facial wrinkles and fine lines around the eyes, mouth, and chin may appear softer, smoother, and less pronounced.
Improved tissue support may soften under-eye shadows, hollowing, and areas of facial volume loss for a more rested, balanced appearance.
The goal is refreshed, balanced improvement that still looks like you, with results that support your overall facial features without looking overdone.
Please note: individual outcomes vary based on anatomy, skin quality, treatment area, and treatment plan.
A strong fit for patients noticing fine lines, creasing, or facial wrinkles who want smoother-looking skin without a surgical approach.
Ideal for patients with under-eye hollowness, facial volume loss, or tired-looking contours who want subtle, refreshed support.
This can be a good fit for those beginning to notice changes in skin texture, elasticity, collagen support, fine lines, facial fullness, or pigment changes.
Ideal for patients who want softer wrinkles, improved skin tone, better skin quality, and a refreshed appearance that looks balanced, natural, and not overdone.
A good fit for patients concerned with uneven tone, melasma-like discoloration, sun-related pigment changes, or patchy areas that make the skin look dull or uneven.
Best way to know: a personalized evaluation helps determine whether this treatment matches your facial anatomy, skin quality, pigmentation concerns, and goals.
Results can vary from person to person depending on anatomy, skin quality, treatment area, and treatment plan. Many patients notice gradual improvement over time, especially in skin texture, fine lines, under-eye appearance, facial freshness, and collagen support. When PRP or your own stem cells are used, the goal is to support your body’s natural repair response rather than relying only on temporary volume correction. Maintenance treatments may be recommended by your provider.
This treatment approach may help support smoother-looking skin by encouraging collagen activity and improving skin quality. Depending on your personalized plan, PRP or stem cell-based treatment may be combined with hyaluronic acid to support hydration, soft volume, and collagen stimulation. It may be used for concerns such as fine lines, facial wrinkles, creasing around the eyes or mouth, skin texture changes, and early signs of facial aging.
The number of sessions needed can vary based on your skin condition, degree of hollowing or volume loss, wrinkle depth, treatment goals, and response to care. Because this approach is personalized, your provider may recommend PRP, your own stem cells, hyaluronic acid support, or a combination based on your anatomy and goals. When needed, ultrasound may also be used to help identify blood vessels and guide safer, more precise treatment planning.
Most patients should expect a few days of swelling, tenderness, redness, or mild bruising after treatment, depending on the areas treated and whether PRP, stem cells, hyaluronic acid, or a combination is used. The treated area can take a couple of weeks to settle more naturally, with the most blended and refined result typically continuing to improve over the first month. Recovery varies, and your provider will give you specific aftercare instructions based on your personalized plan.
Most traditional fillers mainly add volume. This approach is different because it can combine hyaluronic acid with PRP or your own stem cells to support both soft volume and regenerative skin improvement. PRP contains your own growth factors, while stem cell-based treatments use tissue from your own body to support repair, collagen activity, and skin quality. This avoids relying on someone else’s exosomes or donor tissue and allows the treatment to be more personalized to your anatomy, skin quality, and goals. For many patients, this can create a refreshed result that looks softer, more natural, and less overfilled.
Schedule a personalized consultation and explore whether facial rejuvenation for wrinkles, dark circles, volume loss, and skin quality is the right next step for your goals.
Medically reviewed by Dr. Otoño Silva, M.D.
Board Certified in Physical Medicine & Rehabilitation · Fellowship-Trained in Interventional Orthopedics, Centeno-Schultz Clinic
Last reviewed
If you are ready to explore a natural-looking approach to facial rejuvenation, schedule a personalized consultation to learn whether treatment for under-eye concerns, facial wrinkles, volume loss, and skin quality is right for you.
Personalized care starts with a thorough evaluation and treatment plan tailored to your facial anatomy, skin quality, and goals.