Glendale, Arizona

Facial Rejuvenation in Glendale, AZ

Comprehensive facial rejuvenation combines neuromodulators for expression lines, dermal fillers for volume, and smile enhancement for a result that addresses every dimension of your appearance. Dr. Turke at SmileScience Dental Spa treats the face as one connected system.

Written by John Turke, DMD DMD Reviewed by Richard Dawson, DMD ICOI Fellow Updated April 2026
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What Is Facial Rejuvenation?

Facial aging is not one change -- it is many simultaneous changes happening across years. Expression lines form from repeated muscle movement. Fat compartments shift and deflate. Bone structure subtly remodels. Skin loses collagen and elasticity. Each change influences how the others appear.

Facial rejuvenation is the coordinated use of multiple treatment modalities to address these changes together -- not in isolation. When only one dimension is treated, the result can look incomplete. When all dimensions are considered together, the outcome looks natural and refreshed.

At SmileScience, Dr. Turke builds personalized rejuvenation plans that may combine neuromodulators for expression lines, dermal fillers for volume and static lines, and dental cosmetic procedures when the teeth and smile are also a priority. The goal is a result where every aspect of your face works in harmony.

Upper, Mid, and Lower Face: The Zone Assessment

Effective rejuvenation planning starts with understanding what has changed in each zone and how the zones interact. Dr. Turke assesses all three facial zones at your consultation.

Upper Face

What changes: Forehead lines deepen from decades of raising the brows. Frown lines between the brows become etched at rest. Crow's feet form around the eyes.

Primary treatment: Neuromodulators for the forehead, glabellar complex (frown lines), and crow's feet. Conservative dosing preserves natural expression.

Result: fewer visible lines without a frozen appearance

Midface

What changes: Cheek fat descends and deflates, creating a flattened appearance, deepening nasolabial folds, and making the under-eye hollow more prominent.

Primary treatment: Cheek filler to restore volume, with secondary benefits to nasolabial folds and under-eye appearance. Tear trough filler for more pronounced hollowing.

Result: lifted, more youthful midface with reduced under-eye fatigue

Lower Face

What changes: Lips lose volume and definition. Marionette lines deepen. The jawline softens as bone remodels. The perioral area loses support from underlying structures.

Primary treatment: Lip filler, marionette line filler, chin projection, and jawline definition. This zone is also where dental cosmetic treatment has a direct aesthetic impact.

Result: more defined jawline, fuller lips, improved lower face balance

Combination Treatment Planning

Single treatments address single problems. Combination planning addresses the whole. The most common pairings we build into rejuvenation plans:

Neuromodulators + Fillers

The most common combination. Neuromodulators for the upper face (forehead, crow's feet, frown lines). Fillers for the mid and lower face (cheeks, nasolabial folds, lips, marionette lines). Can be completed in a single 45 to 60 minute appointment.

Full-Face Filler

Multiple filler zones addressed in the same session -- cheeks, nasolabial folds, lips, and marionette lines. Treatment sequencing starts with structural zones (cheeks) before moving to finer detail zones to optimize proportions.

Rejuvenation + Smile

Facial aesthetics combined with cosmetic dental treatment -- veneers, teeth whitening, or smile design. Dental work is typically completed before lip and perioral filler is finalized so final proportions are calibrated to the new smile.

Therapeutic + Cosmetic Neuromodulators

Masseter neuromodulator therapy for bruxism combined with cosmetic treatment for forehead and crow's feet. Two goals addressed in one appointment -- jaw muscle relaxation and expression line softening.

Not every patient needs a full combination plan. Some patients have one specific concern and one targeted treatment is right for them. The consultation is the time to determine what will make the most meaningful difference for you -- without overselling.

Subtle Enhancement vs. Dramatic Change

The best facial rejuvenation results are the ones that make people say "you look great" -- not "what did you have done?" That is the standard we hold ourselves to. Our default approach is conservative: we start with less product, assess at 2 weeks, and add if needed. You can always add more. You cannot un-do an overfilled result without reversal.

That said, not every patient wants subtle. Some patients come in with specific goals that require meaningful volume restoration or treatment across multiple zones. We approach every patient as an individual and build a plan around what they actually want -- not a predetermined aesthetic template.

"The goal is that you look like a better version of yourself -- not a different person. We bring our clinical eye and your goals into alignment through an honest conversation before any needle touches your face."

-- Dr. John Turke, DDS

Why the Dental Setting Is an Advantage

Facial rejuvenation at SmileScience is not a service bolted onto a dental practice as an add-on. The dental environment offers specific advantages that standard med spas cannot replicate:

Structural Anatomy Knowledge

Dental training includes exhaustive study of the nerves, arteries, and muscle attachments of the face and jaw -- the exact structures that determine safe, precise filler placement.

Injection Skill from Clinical Practice

Dentists give injections daily in sensitive facial areas. That skill -- controlling depth, pressure, and angle precisely -- translates directly to aesthetic injection accuracy.

Coordinated Full-Face Planning

Only in a dental practice can the smile, lips, and perioral aesthetics be planned together with facial injectable treatment -- by the same provider who understands all of the elements.

Clinical Safety Standards

Dental practices operate under strict medical facility standards. Emergency protocols, sterilization, and trained staff are in place for every procedure -- not just dental ones.

Treatment Sequencing: Getting the Order Right

The order in which treatments are performed affects the final outcome. Our sequencing principles:

  • 1
    Structural zones first

    Cheek filler and midface volume is placed before nasolabial fold filler, because restoring cheek volume often reduces nasolabial fold depth on its own. We avoid over-treating with filler that becomes unnecessary once structural volume is restored.

  • 2
    Neuromodulators before fine filler detail in the same session

    When combining neuromodulators and fillers in one appointment, neuromodulators are placed first. This avoids accidental diffusion into unintended muscle groups that can occur if injected after the tissue has been manipulated by filler placement.

  • 3
    Dental work before finalizing perioral filler

    When a patient is having both veneers or smile design and lip filler, dental treatment is completed first. The new smile changes the lip frame and smile line, which means lip filler proportions should be calibrated after -- not before -- the dental work is in place.

  • 4
    Conservative first, touch-up at 2 weeks

    We build in a 2-week follow-up for all patients. Starting conservatively and adding at follow-up produces better outcomes than over-treating on day one. The follow-up visit is included at no additional charge.

Maintaining Your Results

Facial rejuvenation results require regular maintenance to remain continuous. Most patients plan their schedule around two to three visits per year:

TreatmentMaintenance Interval
Neuromodulators (forehead, crow's feet, frown lines)Every 3 to 4 months
Lip fillerEvery 6 to 9 months
Nasolabial fold fillerEvery 9 to 12 months
Cheek fillerEvery 12 to 18 months
Jawline / chin fillerEvery 12 to 18 months
Masseter neuromodulators (therapeutic)Every 4 to 6 months initially, less frequent over time

Many patients find their filler maintenance requirements decrease over time. Consistent HA filler treatment stimulates collagen production, meaning the tissue gradually builds its own support. After 12 to 24 months of consistent treatment, many patients need less product per session to maintain the same result.

Before and After: The Consultation Process

Before any treatment, your consultation covers:

  • What specifically bothers you -- and what doesn't (equally important)
  • Realistic expectations for each proposed treatment
  • Treatment sequencing and timing to optimize results
  • Medical history review and contraindication screening
  • Budget and phasing options -- everything does not need to happen at once
  • Written treatment plan with itemized costs before you commit to anything

After treatment, a 2-week follow-up is scheduled to assess results and determine if any minor adjustments are warranted. We also discuss your long-term maintenance schedule so you can plan ahead.

Frequently Asked Questions

You don't need to know before coming in -- that's what the consultation is for. Bring photos of yourself from 5 to 10 years ago if you have them; comparing then and now helps Dr. Turke identify exactly what has changed and determine which treatments address the changes that matter most to you.

Yes. Combining neuromodulators and filler in a single session is common and efficient. We sequence the injections appropriately -- neuromodulators first, then filler -- and the total appointment typically runs under an hour. You leave with both complete.

Most patients have minimal to no downtime. Minor swelling and possible bruising resolve within 3 to 7 days. Most patients return to work the same day. We recommend avoiding strenuous exercise, alcohol, and heat exposure for 24 hours. Do not massage treated areas and avoid lying flat for 4 hours after neuromodulator injections.

Not at all. Many patients phase their treatment over multiple appointments -- starting with their highest-priority concern and adding other treatments over time. We build a phased plan at the consultation that respects your timeline and budget. There is no pressure to do everything immediately.

Facial rejuvenation at SmileScience focuses entirely on non-surgical injectable treatments -- neuromodulators and HA fillers. We do not perform surgery. Patients with significant skin laxity or who are interested in surgical correction are better served by a board-certified plastic surgeon; we are transparent about that. Our focus is on non-surgical, minimal-downtime rejuvenation with natural outcomes and the added advantage of coordinating with cosmetic dental care.

There is no right age. Many patients begin preventive neuromodulator treatment in their late 20s to early 30s to soften lines before they become etched at rest. Others begin their first filler treatments in their 40s or 50s when volume loss becomes more noticeable. Patients in their 60s and beyond can achieve meaningful improvement with a comprehensive combination plan. We treat each patient based on their anatomy and goals -- not their age.

The risks of injectable treatments are low when performed by a trained provider using medical-grade product. Possible side effects include temporary swelling, bruising, redness, or tenderness at injection sites. Rare but serious risks include vascular complications, which we are trained and equipped to manage. We stock hyaluronidase for filler reversal and follow established protocols for complication management. A thorough health history review before treatment identifies contraindications in advance.

What Our Patients Say

4.9 (437 reviews)

Look Refreshed. Feel Like Yourself.

Comprehensive facial rejuvenation by Dr. Turke at SmileScience Dental Spa in Glendale, AZ. Neuromodulators, fillers, and smile enhancement -- one practice, one complete plan.