At Eclipse Medical Aesthetics in Mount Vernon, WA, some of the most common — and most overlooked — signs of aging appear below the cheeks: a softening jawline, loose skin along the neck, deepening marionette lines, and a gradual loss of the structural definition that once gave the lower face its shape. The Gold Protocol was developed to address exactly that.
As part of our regenerative aesthetics services, the Gold Protocol for the lower face and neck is a comprehensive, multi-step treatment approach that combines the most effective biostimulatory and neurotoxin therapies available.
Rather than relying on a single treatment, this protocol layers complementary modalities to address volume loss, skin laxity, texture, and structural support — producing results that are gradual, natural-looking, and long-lasting.
What Is the Gold Protocol?
The Gold Protocol is a structured, combination treatment plan specifically designed for rejuvenation of the lower face and neck. It brings together powerful biostimulatory, filler, and neurotoxin treatments — including Hyperdilute Radiesse, HA dermal filler, and Xeomin — to work synergistically at multiple layers of the tissue.
Unlike isolated filler treatments that add volume in one area, the Gold Protocol is designed to restore the foundation beneath the skin: stimulating your body’s own collagen production, improving skin quality and elasticity, redefining the jawline, and addressing neck laxity from the inside out. The result is a comprehensive rejuvenation that looks like you — refreshed, refined, and natural.
Every Gold Protocol plan is personally designed by Cassandra Rommel, ARNP, based on your anatomy, your goals, and your skin’s current condition. No two protocols are identical, because no two patients are the same.
What the Gold Protocol Addresses
The lower face and neck are among the first areas to show meaningful signs of aging, and they are often undertreated. The Gold Protocol is designed to target:
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Jawline softening and jowl formation — restoring definition and a cleaner jaw edge
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Neck laxity and crepey skin — improving skin quality and firmness along the neck
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Marionette lines and chin creasing — softening downward lines that pull the face
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Loss of structural support — rebuilding the scaffolding beneath the skin that volume loss erodes over time
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Skin texture, tone, and thinning — improving overall skin quality in the treated area
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Early to moderate laxity — for patients who want to get ahead of aging or restore what time has taken
How the Protocol Works
The Gold Protocol is built on the principle that lasting rejuvenation requires more than surface-level treatment. Depending on your personalized plan, the protocol typically incorporates:
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Hyperdilute Radiesse — A highly diluted form of Radiesse used as a biostimulator to improve skin quality, firmness, and elasticity across the lower face and neck, triggering your body’s own collagen and elastin production over time
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HA Dermal Filler — Hyaluronic acid filler is used where precise, targeted volume and structural support are needed. Because HA filler is smooth, versatile, and reversible, it is an excellent complement to the biostimulatory components of the protocol, allowing Cassandra to refine contours, soften specific lines, and restore natural shape with exceptional control
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Xeomin — A highly purified neurotoxin used strategically in the lower face and neck to relax overactive muscles, soften lines, and reduce the downward pull that contributes to jowling and neck banding
Not every component is used in every case. We will walk you through the specific elements of your protocol during your consultation so you understand exactly what is being recommended, why each treatment is included, and what role it plays in your overall plan.
Your Treatment Experience
The Gold Protocol is delivered over a planned series of sessions, spaced to allow your body’s natural collagen-building processes to progress between appointments. Most patients complete their initial protocol over the course of several months, with results that continue to develop and improve well after the final session.
Downtime is generally minimal, though some swelling, bruising, or tenderness in the treated area is normal and temporary. We will provide you with detailed pre- and post-treatment guidance at every stage of your protocol.
Who Is a Good Candidate?
The Gold Protocol is an excellent option for patients who:
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Are noticing early to moderate laxity or sagging in the lower face or neck
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Have lost jawline definition or notice jowling developing over time
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Want to improve neck skin quality, firmness, or texture
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Prefer a gradual, natural-looking approach to rejuvenation
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Are interested in collagen stimulation and longer-lasting results rather than immediate surface-level correction
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Want a personalized, comprehensive plan rather than isolated, one-off treatments
The Gold Protocol is suitable for a wide range of patients and life stages.
Results You Can Expect
Because the Gold Protocol works by stimulating your body’s own regenerative processes alongside targeted filler and neurotoxin treatment, results develop gradually and naturally over time. Most patients begin to notice meaningful improvement within the first few months, with continued progression as collagen remodeling matures.
Results from the Gold Protocol typically include:
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Improved definition along the jawline and chin
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Firmer, smoother skin texture along the lower face and neck
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Softening of marionette lines and lower face heaviness
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Reduced neck banding and a more refined neck contour
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A more lifted, refreshed appearance without an overdone look
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Long-lasting results that continue to evolve for months after treatment
Maintenance sessions are typically recommended to sustain and build on your results over time. Cassandra will outline a long-term care plan that supports your goals well beyond the initial protocol.
Why Choose Eclipse Medical Aesthetics for the Gold Protocol
The Gold Protocol is only as good as the provider designing and delivering it. Combination treatment plans of this depth require a thorough understanding of facial anatomy, tissue behavior, and the way different modalities interact — and that level of knowledge comes only with significant clinical experience.
At Eclipse Medical Aesthetics, the Gold Protocol is designed and performed exclusively by Cassandra Rommel, ARNP — a provider with 17 years of medical experience and over 7,000 hours of expert injection experience. Cassandra’s background in acute care, emergency medicine, and IV therapy gives her a clinical foundation that directly informs the precision and safety of every treatment she performs. She does not delegate your care.
Patients who come to Eclipse often describe the same experience: they feel heard, they feel confident in their provider, and they trust the process. That trust is something we take seriously — and it is reflected in the care and intention behind every protocol we design.
Restore Your Lower Face & Neck With the Gold Protocol
The Gold Protocol represents some of the most advanced and thoughtful rejuvenation work we do at Eclipse Medical Aesthetics. If you are ready to address lower face and neck aging with a personalized, comprehensive approach, we would love to sit down with you and build a plan that is designed specifically for you.
Request a consultation online or call or text us directly at 360-814-9125.
