Markham, Ontario · Physician-performed

Neck and Jawline Rejuvenation in Markham

Enhance definition and address skin laxity with customized treatments designed to tighten, contour, and rejuvenate the neck and jawline. Using collagen-stimulating technologies, biostimulators, fillers, and neuromodulators, we create a firmer, more sculpted, and naturally youthful profile.

Price

from $700

Appointment

45 minutes

Performed by

Dr. Mazzuca, MD

Location

Markham, ON

Book a Consultation   Book Neck & Jawline directly

Quick answer

Neck and jawline rejuvenation in Markham at Dr. Monique Mazzuca Aesthetics starts from $700 and is performed personally by a licensed physician (MD, CCFP) at 200 Cachet Woods Court, Suite 309, in a 45-minute appointment. It is a customized plan for the lower face and neck that may combine neuromodulators such as Botox for neck bands and jaw clenching, hyaluronic acid filler or Radiesse for jawline and chin definition, biostimulators such as Sculptra or Radiesse for laxity, and collagen-stimulating technologies such as Morpheus8 or Forma for skin tightening. Filler results are immediate, neuromodulators take about two weeks, and collagen-based results build over roughly three months. Downtime ranges from none to a few days. New patients start with a $50 consultation.

What neck and jawline rejuvenation is

A clear line from the chin to the angle of the jaw is one of the strongest visual cues of a youthful, balanced profile, and it is often one of the first things to soften with age. Several changes usually happen at once: the bone of the jaw and chin gradually remodels and loses projection, fat pads in the lower face descend and begin to form jowls, the platysma muscle in the neck pulls downward and shows as vertical bands, and the skin of the neck loses collagen and elasticity. Genetics, weight changes and sun exposure all play a part.

Because there is rarely a single cause, neck and jawline rejuvenation at this clinic is a customized plan rather than one product. Dr. Mazzuca combines collagen-stimulating technologies, biostimulators, fillers and neuromodulators according to what she sees, with the aim of a firmer, more defined lower face that still looks like you.

How it works: matching the treatment to the cause

Concern	Main cause	Tools Dr. Mazzuca may use
Soft or blurred jawline, early jowls	Loss of bone support and volume, ligament laxity	Hyaluronic acid filler or Radiesse along the jaw and chin; support in the cheeks
Weak or receding chin	Natural chin shape, or loss of projection with age	Hyaluronic acid filler or Radiesse to the chin
Vertical neck bands	The platysma muscle pulling downward	Botox to the platysma, sometimes called a "Nefertiti" approach
Crepey or loose neck skin, horizontal neck lines	Collagen and elastin loss, sun damage	Sculptra, diluted Radiesse, Morpheus8, Forma; a very soft filler for selected lines
Square or wide lower face, clenching	Enlarged masseter (jaw) muscles	Botox to the masseters
Fullness under the chin	Submental fat	Belkyra, a separate treatment

Neuromodulators such as Botox relax specific muscles. In the neck, relaxing the platysma softens vertical bands and reduces its downward pull on the jawline. In the jaw, relaxing the masseter muscles gradually slims a square lower face and often eases clenching.

Fillers and biostimulators rebuild structure. Hyaluronic acid filler and Radiesse placed along the jawline and chin restore the support that has been lost, sharpening the jaw angle and reducing the shadow of early jowls. Sculptra and Radiesse also prompt your skin to produce new collagen over the following months, which improves firmness, particularly in the neck.

Collagen-stimulating technologies work on the skin itself. Morpheus8 delivers radiofrequency energy through fine needles into the deeper layers of the skin, and Forma heats those layers from the surface without needles. Both trigger collagen remodelling and gradual tightening over several months.

Neck and jawline rejuvenation in Markham: what it treats

Concerns Dr. Mazzuca commonly assesses and treats in the lower face and neck:

• Jawline definition, including the angle of the jaw and the line from chin to ear.
• Early jowls and a softening lower face.
• Chin projection and overall profile balance.
• Platysmal bands in the neck and a downturned mouth.
• Neck laxity and crepey skin, including horizontal "necklace" lines.
• Masseter slimming for a wide or square lower face and for jaw clenching.
• Fullness under the chin, treated separately with Belkyra when fat rather than skin is the issue.

Non-surgical treatments give a meaningful but moderate improvement. If you have significant loose skin, heavy jowls or a large amount of excess skin in the neck, a surgical neck or lower face lift may be the better answer, and Dr. Mazzuca will tell you so.

Who it suits, and who should wait

Good candidates are healthy adults with mild to moderate neck laxity, early jowling, a weak chin, visible neck bands or a square lower face, who want a gradual, natural improvement. Patients in their thirties and forties often need structure and prevention; patients in their fifties and beyond more often need a combination of structure and skin tightening.

Treatment is postponed or avoided if you are pregnant or breastfeeding, have an active skin infection or inflamed acne in the area, or have a known allergy to any of the products used, including hyaluronic acid filler and lidocaine. Dr. Mazzuca will review your medical history in detail, including:

• Bleeding disorders and blood-thinning medication or supplements.
• Neuromuscular conditions such as myasthenia gravis, and any history of difficulty swallowing or neck weakness, before neck neuromodulator treatment.
• A tendency to keloid or raised scarring, before biostimulators or microneedling.
• Pacemakers or other implanted electronic devices, and metal implants in the treatment area, before radiofrequency treatments.
• Recent isotretinoin use, before microneedling or resurfacing.
• Autoimmune conditions, recent or planned significant weight loss, and previous filler or surgery in the area.

What the appointment is like

1. Assessment. Dr. Mazzuca looks at your face and neck from the front and in profile, at rest and while you clench and grimace, feels the masseter muscles and skin quality, takes photographs and explains her recommendations and their cost before anything begins.
2. Preparation. The skin is cleansed. Topical numbing cream is applied before Morpheus8. Fillers and Radiesse contain lidocaine for comfort.
3. Treatment. Neuromodulator injections take a few minutes. Jawline and chin filler or Radiesse is placed with a fine needle or blunt cannula and usually takes 15 to 30 minutes. Device treatments follow their own protocol.
4. Aftercare and follow-up. You leave with written instructions. Injectable results are typically reviewed at about two weeks, and device treatments are planned as a series.

The appointment is booked for 45 minutes. Not every part of a plan is done on the same day: Dr. Mazzuca sequences treatments, for example structure first and skin tightening later, so each can be assessed and the order is safe.

When you see results and how long they last

Treatment	When you see it	Typically lasts
Botox for neck bands	Softening in about 1 to 2 weeks	3 to 4 months
Botox for masseters	Clenching eases within weeks; slimming over about 4 to 8 weeks	About 3 to 4 months at first, often longer with repeat treatment
Hyaluronic acid filler, jawline and chin	Immediately; settled at about 2 weeks	Typically 12 to 18 months; varies by product and patient
Radiesse	Immediately; improves over about 3 months	12 to 18 months
Sculptra	Gradually from 4 to 12 weeks	About 2 years after a full course
Morpheus8 or Forma	Gradually over about 3 months, after a series	Varies; maintenance is usually recommended

Collagen-based improvements are gradual by design, so photographs taken before treatment are the best way to judge them. Ageing continues, which is why most plans include occasional maintenance rather than a one-time fix.

Downtime, side effects and risks

Common, temporary effects are swelling, bruising, tenderness and redness. Jawline filler can feel firm or tender when chewing for a few days. After Morpheus8, redness and swelling usually last one to three days and tiny marks may be visible briefly. Forma typically causes only warmth and mild redness for a few hours.

Neuromodulators in the lower face and neck are dosed conservatively because of the muscles nearby. Possible effects include temporary chewing fatigue after masseter treatment, smile asymmetry if product affects a nearby smile muscle, and, after neck treatment, rarely, difficulty swallowing or neck weakness. These are uncommon and wear off as the product does.

Fillers and biostimulators can cause lumps, nodules or asymmetry; Sculptra and Radiesse cannot be dissolved, so placement and dilution matter. The most serious risk with any filler is vascular occlusion, where product blocks or compresses a blood vessel. The facial artery crosses the jawline, which is one reason the area requires careful technique. Warning signs include sudden severe pain and skin that turns pale, grey, dusky or blotchy. Hyaluronic acid filler can be dissolved with hyaluronidase if needed. Radiofrequency treatments can rarely cause burns, prolonged redness or post-inflammatory pigmentation, particularly in deeper skin tones, and settings are adjusted for your skin. Infection is uncommon.

Aftercare

• Use ice for swelling in the first 24 hours and sleep with your head slightly elevated the first night.
• Avoid strenuous exercise, saunas, hot yoga and alcohol for 24 to 48 hours.
• After Botox, stay upright for four hours and do not rub or massage the treated area for 24 hours.
• After jawline filler or Radiesse, avoid pressing firmly on the jaw and avoid dental work for about two weeks; choose softer foods for a day or two if chewing is tender.
• After Sculptra, follow the massage routine you are given, usually five minutes, five times a day, for five days.
• After Morpheus8, use a gentle cleanser and moisturizer, keep makeup off for about 24 hours, avoid retinol and acids for a few days, and wear sunscreen daily.
• To reduce bruising, avoid aspirin, ibuprofen, fish oil, vitamin E and alcohol for a few days beforehand unless a physician has prescribed them.

Call the clinic straight away if you notice increasing pain or skin that changes colour after filler. Difficulty swallowing or breathing after neck treatment needs urgent medical attention.

Non-surgical options vs a surgical neck lift

Option	Best for	Downtime	Typically lasts
Botox	Neck bands, masseter slimming, clenching	None	3 to 4 months
Hyaluronic acid filler	Jawline and chin definition; reversible	A few days of possible swelling or bruising	Typically 12 to 18 months
Radiesse or Sculptra	Structure plus collagen; crepey neck	A few days of swelling or bruising	12 months to about 2 years
Morpheus8	Skin tightening and texture	1 to 3 days of redness	Varies; maintenance recommended
Forma	Gentle tightening with no downtime	None	Varies; maintenance recommended
Surgical neck lift	Significant loose skin and heavy jowls	Weeks; performed by a surgeon	Long-lasting

Most patients get the best result from two or three of these together. Each has its own page with more detail: Botox, dermal filler, Sculptra and Radiesse, Morpheus8, Forma skin tightening and Belkyra for fullness under the chin.

Why patients choose a physician

At this clinic the person assessing you and the person treating you are the same person, and that person is a licensed physician. Dr. Mazzuca is an MD with CCFP certification in family medicine and additional training in cosmetic medicine, facial anatomy, women's health, and longevity medicine. Treatment is not delegated.

Her stated approach is to emphasise "subtle, elegant results that refresh rather than transform, using the least invasive treatments necessary to achieve safe, natural, and lasting outcomes."

The lower face and neck combine several anatomical risks in a small area: the facial artery crossing the jawline, nerves that control the lower lip and smile, and neck muscles involved in swallowing. Choosing the right tool, depth and dose for each part of the plan is a medical judgement, and Dr. Mazzuca makes it herself and performs every treatment personally.

Booking, pricing and what happens next

Step	What it involves	Cost
1. Consultation	Facial and skin assessment, discussion of goals, customized plan	$50 (30 min)
2. Virtual option	Video consult if you are outside the Markham area	$20 (15 min)
3. Neck & Jawline	Treatment performed by Dr. Mazzuca	from $700 (45 minutes)

All appointments are booked online through the clinic's booking system, where current availability and pricing are shown before you confirm.

Neck and jawline treatment with Dr. Mazzuca starts from $700. Because plans combine different treatments, your total depends on the areas, the products and the number of sessions; a plan delivered over two visits, for example, starts from $1,400. Your exact plan and cost are confirmed at your consultation before anything is booked. These treatments are cosmetic and are not covered by OHIP.

Serving Markham and the Greater Toronto Area

The clinic is located at 200 Cachet Woods Court, Suite 309 in the Cachet Woods area of Markham, near Woodbine Avenue and Major Mackenzie Drive, with parking on site. Patients travel from Unionville, Richmond Hill, Vaughan, Aurora, Stouffville, Thornhill, North York, Scarborough and the wider GTA. If you are outside the area, a virtual consultation is available before you commit to an in-person visit.

Frequently asked questions

Every treatment on this page is booked through Dr. Mazzuca's secure online system. New patients begin with a consultation; returning patients can book the treatment directly.

Written and medically reviewed by Dr. Monique Mazzuca, MD, CCFP. Last reviewed 2026-08-07.

This page is general information, not medical advice, and it is not a substitute for an in-person assessment. Results vary between patients, and every treatment carries risks that are reviewed with you before you consent. Suitability is determined by Dr. Mazzuca at your consultation.

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