This before and after showcases Dr. Tulsi Kotecha, founder of Refine by Tulsi, following post-pregnancy facial changes, treated using a strategic facial balancing approach with collagen biostimulators and masseter Botox.
After pregnancy, many patients experience facial volume shifts, jawline softening, lower-face heaviness, and changes in facial harmony due to hormonal fluctuations, muscle activity, and collagen loss. This case demonstrates how non-surgical, collagen-stimulating treatments can restore balance, structure, and refinement without altering natural expression.
Understanding Post-Pregnancy Facial Changes
Postpartum facial changes are often driven by a combination of:
Collagen depletion and dermal thinning
Shifts in fat distribution
Increased masseter muscle activity from stress and bruxism
Loss of midface and lower-face structural support
Rather than addressing these concerns with isolated filler placement, this case was treated using global facial balancing, focusing on collagen regeneration, muscular optimization, and structural support.
Treatments Used in This Facial Balancing Case
Collagen Biostimulators: Sculptra® and Radiesse®
This treatment incorporated Sculptra and Radiesse, two advanced collagen biostimulators designed to stimulate the body’s natural collagen production rather than simply adding volume.
These treatments work by:
Restoring lost collagen gradually and naturally
Improving skin firmness, thickness, and elasticity
Enhancing facial structure and contour over time
Supporting long-term facial integrity rather than short-term fullness
Learn more about Sculptra and Radiesse Differences
Masseter Botox for Lower Face Refinement
Masseter Botox was used to address excess masseter muscle activity, which can contribute to a widened lower face, jaw tension, and facial imbalance—particularly after pregnancy and during periods of stress.
Masseter Botox helps by:
Softening the jawline without surgery
Reducing clenching and bruxism
Creating a more tapered, balanced lower face
Enhancing overall facial proportions
Learn more about Masseter Botox in Chicago
Results: Balanced, Refined, and Natural
The after images demonstrate improved facial harmony, softened lower-face bulk, enhanced midface support, and a more refined jawline, all while preserving natural movement and expression.
Rather than looking “done,” the result is rested, balanced, and structurally supported..
Because collagen biostimulators work gradually, results continue to improve over several months, making this approach ideal for patients seeking long-term rejuvenation rather than temporary correction.
Why Patients Choose Refine by Tulsi for Facial Balancing in Chicago
Physician-led, anatomy-driven approach
Expertise in collagen biostimulators
Advanced masseter Botox techniques
Focus on long-term facial health
Natural, refined, and sustainable results
This approach is ideal for patients seeking post-pregnancy facial restoration, subtle contour refinement, or collagen regeneration without surgery.