Combination Treatments: How Botox, Fillers, and Threads Work Better Together
Quick Answers
Will I look “fake”? No. I prioritize conservative, anatomic dosing and natural harmonies so you’ll look like yourself—just rested and refreshed.
Why combine treatments? Because aging is multi-factorial. Neuromodulators soften movement lines, fillers restore volume, and PDO threads lift and support—together they deliver balanced facial rejuvenation.
How long until I see results? Botox/Dysport/Jeuveau: ~3–7 days. HA fillers: immediate (refining over 1–2 weeks) (Fillers in San Diego). Sculptra: collagen builds gradually over 6–12 weeks. PDO threads (PDO thread lifts in San Diego): instant lift with continued remodeling over months. (Botox San Diego)
Is it safe? At BEE, I practice evidence-based protocols, Education & training, sterile technique, detailed medical screening, and individualized dosing. We review risks, benefits, and aftercare before any treatment.
How do I keep results natural? Subtle changes, staged treatments, and precise placement—especially around expressive zones (eyes, mouth), hairline, and midface.
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A Thoughtful Path to Natural Rejuvenation
I’m Nyree Van Maarseveen, WHNP, CNM, owner of Beauty Energy Exchange (BEE) Aesthetics and Wellness here in Point Loma, San Diego. If you’ve ever looked in the mirror and thought, “I look tired, stressed, or unlike myself,” but you worry that aesthetic treatments will make you look overdone, you’re not alone. Many of my neighbors—from Liberty Station to Sunset Cliffs—come in with the same concern.
My philosophy is simple and non-negotiable: natural, subtle enhancements that honor your features. I don’t erase character; I refine it. Combination treatments—wrinkle relaxers (Botox, Dysport, Jeuveau), fillers (especially Sculptra), and PDO threads—are the most elegant way to address movement, volume, and lift together for balanced, believable results.
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“You should look like yourself—only on your very best day.” — Nyree Van Maarseveen, WHNP, CNM
Why Combination Therapy Wins (Movement + Volume + Lift)
Harmonizing the Three Drivers of Aging
Movement (expression lines): Neuromodulators (Botox/Dysport/Jeuveau) soften dynamic wrinkles (11s, crow’s feet, forehead).
Volume (deflation/shadows): Fillers replenish midface, temples, lips, chin, and jawline contours.
Lift & Support (descent/skin quality): PDO threads reposition and support soft tissue while stimulating collagen; Sculptra improves skin thickness and elasticity over time.
Related post: How Sculptra stimulates collagen
Addressing all three elements creates a result that feels coherent. Your brow relaxes without heaviness, cheeks look softly restored—not puffy—and jawline/neck gain light, graceful definition.
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Meet the Trio: Botox, Fillers, and Threads
Wrinkle Relaxers / Neuromodulators (Botox, Dysport, Jeuveau)
What they do: Temporarily reduce muscle activity to smooth dynamic lines.
Where they shine: Forehead, glabella (11s), crow’s feet, bunny lines, chin dimpling, platysmal bands, and masseters (for clenching/facial slimming).
Why they’re essential: They create a calm canvas so your skin and features read refreshed—not tense.
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Fillers (HA + Biostimulators)
Hyaluronic Acid (HA) fillers: Immediate, sculptable volume for cheeks, lips, under-eye support (carefully), chin, jawline.
Sculptra (Poly-L-Lactic Acid): A biostimulator, not a traditional filler—encourages your own collagen over time for durable, natural-feeling improvement in skin quality.
PDO Threads
Lift & collagen: Strategically placed threads can gently lift cheeks, jowls, or brows and stimulate collagen as they dissolve.
Instant + gradual payoff: Subtle immediate elevation with longer-term remodeling for improved structure and texture.
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How They Work Better Together
1) Soften First, Then Shape
By calming hyperactive muscles with neuromodulators first, we reduce “pull” on the skin. That lets fillers sit naturally and allows threads to lift without fighting excessive movement.
2) Rebuild Structure Thoughtfully
I often layer Sculptra in the temples and lateral face to restore framework, then refine contours using HA fillers in focal areas like the midface or chin. This avoids overfilling the front of the face and prevents that “pillow” look.
3) Lift, Don’t Load
When mild descent creates early jowls or heaviness, PDO threads can elevate tissue so we use less filler—maintaining mobility and authentic expression.
Related post: Preventative Botox: subtle dosing
Who Is a Great Candidate?
You notice tired or stern expressions that don’t match how you feel.
You’re seeking subtle, camera-honest changes—not a dramatic transformation.
You want a plan that respects your budget and timeline, staged responsibly.
You value medical safety and an ethical, evidence-based approach.
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Safety at BEE (Because Trust Comes First)
As a Women’s Health Nurse Practitioner and Certified Nurse Midwife, I bring rigorous clinical training to aesthetics. At BEE, we:
Conduct thorough medical history and facial assessment.
Use sterile technique, safe product handling, and anatomy-guided injection.
Review risks, benefits, alternatives, and provide clear aftercare. Post-treatment care tips
Employ dissolver (hyaluronidase) for HA when appropriate and corrective strategies for asymmetry or migration.
Stage treatments to minimize swelling and social downtime, with check-ins to fine-tune your outcome.
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Natural Results: What That Actually Means
Micro-Dosing & Micro-Layering
Small, precise doses placed where your face benefits most. Less is more, and subtle is sustainable.
Respect for Expression
I protect your smile lines, brow movement, and lip dynamics, so you still look animated and approachable at Liberty Public Market lunches or a walk along Shelter Island.
Rlated post: How to avoid overfilled lips
Proportions Over Parts
Rather than chasing single lines, I look at light, shadow, and balance—how cheeks meet the jaw, how temples frame the eyes, and how the chin supports the lower face.
Related post: Non-Surgical Facelift San Diego: PDO Threads
Your Treatment Journey (Step by Step)
1) Consultation & Imaging
We map your unique anatomy, review your goals, and design a staged plan—often aligning appointments with your work or travel (hello, Cabrillo National Monument weekend photos).
2) Neuromodulator Phase
We start with Botox/Dysport/Jeuveau to quiet overactive muscles. You’ll see smoother expression lines in about a week.
3) Structural Support
Next, we restore framework with Sculptra (collagen over weeks) and selectively add HA fillers for soft contour and light reflection.
4) Lift with PDO Threads (When Indicated)
We place threads to gently elevate and define, particularly for early jowls, midface heaviness, or tail-of-brow descent.
5) Review & Refine
We schedule follow-ups to evaluate symmetry, motion, and skin quality—tweaking dosing or placement as needed.
Timing & Longevity
Neuromodulators: 3–4 months (Jeuveau can last longer for some).
HA fillers: 9–18 months depending on product, placement, and metabolism.
Sculptra: Collagen remodeling can last 2+ years with a proper series.
PDO threads: Support for ~9–12 months with ongoing collagen benefits.
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Choosing the Right Med Spa in San Diego
Look for:
Credentials & experience with combination therapy.
Conservative, anatomy-led approach.
Before/after transparency with realistic expectations.
A clinic culture that values informed consent, safety, and follow-up.
In Point Loma, we’re part of a community that appreciates thoughtful, high-quality care. BEE’s calm, coastal setting on Rosecrans Street mirrors our aesthetic: clean, elevated, and never overdone.
What Makes BEE Unique
Clinical expertise (WHNP, CNM) with a holistic lens—skin, expression, and lifestyle.
Natural aesthetics as a guiding value—subtle, believable, camera-friendly.
Staged planning that respects budgets and life events.
Community heart: We regularly host wellness-minded events that nurture self-confidence and connection in Point Loma.
Private, personalized care—you’ll never feel rushed.
Aftercare: Protecting Your Investment
First 24–48 hours: Avoid strenuous exercise, saunas, and heavy facial massage.
Sleep elevated after threads or larger filler sessions.
SPF daily (marine layer or not).
Follow-ups: Small refinements can make a big difference.
FAQs
1) Is combination therapy more expensive than single-treatment plans?
It can be, but we stage it to respect your budget and goals. Phasing neuromodulators first, then structure, then lift spreads costs and optimizes results.
2) I’m camera-shy. How natural will my lips and cheeks look?
Very natural. I protect proportions and movement, using soft HA fillers and conservative volumes so you look balanced in daylight and on camera.
3) Can I do threads without fillers?
Sometimes—especially for early jowls or lateral brow support. Many clients still benefit from Sculptra or light HA for optimal harmony.
4) How soon can I return to work after treatment?
Most neuromodulator visits are true “lunchtime” treatments. Filler or thread sessions can cause swelling or bruising—plan 1–3 days before major events.
5) Do you treat men and first-timers?
Absolutely. I tailor dosing and angles to preserve a masculine or gender-affirming look, and I pace first-timers gently.
Realistic Expectations
My promise isn’t perfection—it’s authenticity. Expect friends to say, “Did you go on vacation?” or “You look rested!” That’s the goal: your face, your energy—on your best day.
Combination therapy is the most intelligent way to approach facial rejuvenation because it recognizes what real faces actually need—movement management, volume restoration, and gentle lift. In the hands of a cautious, anatomy-focused practitioner, these tools work in concert to refresh—not replace—your unique features. If you’re in Point Loma or anywhere in San Diego and you’ve been nervous about looking “fake,” I’d love to meet you, map a plan, and show you how subtle can still be transformative.
Ready to achieve a natural, refreshed look?
Visit us at Beauty Energy Exchange Aesthetics and Wellness in Point Loma, San Diego, to discuss your personalized treatment plan.
Book a consultation at Beauty Energy Exchange Aesthetics and Wellness today!
Business Information
Beauty Energy Exchange Aesthetics and Wellness
1050 Rosecrans St, Suite 8
San Diego, CA 92106
https://www.beautyenergyexchange.com
