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Nurse Practitioner, Christina, injecting botox in patient in facial chair.

RESTORE VOLUME

As we age, volume in our face shifts and diminishes causes wrinkles and sagging skin.  Dermal filler is designed to restore lost volume, subtly smooth out lines and folds, and enhance the lips and natural contours of the face. Our expert injectors can help each patient decide what filler options are best based on their personal anatomy and concerns, aesthetic goals, and budget. Our goal is to provide you with elegant, naturally looking results that will have you feeling confident and beautiful without looking like you've had anything done.

As an Elite Premier Partner with Revance Aesthetics and Allergan, we offer the best quality products like Allergan's Juvederm Ultra, Voluma, Volbella, and Volux and RHA.  Results vary based on product used, patient anatomy and injection area but most last 6-18 months. Consultation is required prior to treatment.   Because we value your results and budget, rates begin at $375 and are priced by area and the amount of product needed and vary depending on personal needs.

WRINKLE ERASER

Neurotoxins like Botox® Cosmetic neutralize dynamic muscles of the face to smooth out fine lines and wrinkles.  By softening the muscle that cause the wrinkles, the wrinkles mellow and fade away!
Botox is ideal for treating areas of the face like
between the eyebrows, the forehead, and crow's feet.  Neurotoxins are a quick and effective way to erase bothersome lines for 3-4 months.

In some cases, with wrinkles that are more "etched" in, additional filler may be required to achieve optimal results.  Priced by area started at $325 & a consultation required prior to treatment.   Photos are Essential clients.

What Is Recommended Before My Treatment? 
Avoid taking blood thinners (i.e. aspirin, ibuprofen, naproxen, fish oil) for at least 7-10 days prior. For optimal results and to minimize the chance of bleeding or bruising at the injection site, please avoid all blood thinning medications and supplements for one week prior to your treatment. This includes aspirin and non-steroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen, Motrin and Aleve and wells as high does of vitamin-E and Omega-3 fish oil.   If you take aspirin or other blood thinners on your doctor's advice or orders, do not stop taking your medication.
  Please notify us in advance if you are taking Coumadin, Plavix or any other blood thinner for a medical condition.

Do not use botox or dermal fillers if you are pregnant or breastfeeding, are allergic to any of it's ingredients or suffer from any neurological disorders. Due to some isolated reactions with filler and the Covid-19 vaccine, we recommend waiting 4 weeks between your vaccine and your dermal filler treatment.

Inform your provider if you have a history of Perioral Herpes to receive advice on antiviral therapy prior to treatment. (Valtrex 500 mg BID, 5 days, start 2 days prior to treatment)

Avoid topical products such as Tretinoin (Retin-A) retinols, retinoids, glycolic acid, alpha hydroxy acid, or any "anti-aging" products for two days before and after treatment.  Do not drink alcoholic beverages 24 hours before or after your treatment to avoid extra bruising.

How Is My Botox or Filler Procedure Performed?   A history and physical and consultation with a medical provider is performed prior to your treatment to rule out any risks or contraindications.  Botox patients will have their treatment area cleaned and prepped.  You may be asked to move your facial muscles like smile, frown or grimace so the provider can observe your facial muscles in motion. Small amounts of the product are injected using a tiny needle to soften the strength of the muscles making the wrinkles.  Redness at the treatment area is normal and an ice pack is used immediately following the treatment.  Results can take up to 14 days and it is normal for facial asymmetry while the Botox settles and does it's job. Bruising and swelling are normal will resolve on its own in the days following the treatment.


For filler patients, numbing cream may be placed in highly sensitive areas like the lips.  Treatment areas are thoroughly cleaned and the face may be marked to help the provider deliver the product in the desired area. The injections are done as quickly as possible and the entire treatment is over in just minutes.  Results are visible immediately but are typically swollen post treatment.  Bruising and swelling are normal will resolve on its own in the days following the treatment.

What Is The Downtime After My Treatment?  In both cases, some bruising or swelling may be evident for the first few days after treatment.  Immediately following toxin injection, the most commonly reported side effects are temporary redness and swelling at the injection site. Cold gel/ice packs may be used immediately after treatment to reduce swelling.  To avoid a bruise, refrain from taking blood thinning medications (see above) for several days after.  Tylenol (acetaminophen) or Motrin is recommended if you need a pain relieving medication.    

We recommend avoiding laying flat for 3 hours post treatment and avoiding the following for the first 24 hours after your treatment:  jumping, exercise, jumping jacks, direct high heat, sauna or steam room, massaging treatment area. 

Possible Botox side effects include: mild headache, bruising at injection site, a sensation of "numbness" or tingling at the injection site, feeling of pressure or fullness at injection site and droopy eyelid (ptosis).   If you experience any droopy eyelide, please call the office as soon as possible.
 

All of the above side effects are temporary and will resolve as neurotoxin is metabolized. However, please call the office to notify us if you experience any of the above side effects.

We recommend avoiding all other facial treatments for 14 days post Botox treatment and one month post Dermal Filler.

When Will I Start To See Results From My Treatment? Muscles injected with neurotoxin will show resistance to movement within 3-7 days, but results can take up to 14 days for the full effect. If the desired effect has not occurred by day 14 and you have been treated with the recommended number of units, a touch-up treatment or additional toxin units may be needed.

 

Filler results are visible immediately; however, it is typically to experience some swelling so the results may appear more dramatic than they really are at first.  Swelling typically subsides in a few days and by two weeks you will be loving your new results!

Is Botox and Filler Safe?  Yes!  Both Botox and Dermal Filler have been studied for YEARS for safety and efficacy.  In fact, Botox is one of the most researched medications available and it is used for medicinal purposes (in much larger doses) for adults and even children. 

Can Botox and Fillers Be Combined With Other Procedures?  Yes! Botox and Filler can be used to complement other treatments; however in many cases, we recommend waiting at least 4 weeks post treatment for additional services and whenever possible, we recommend doing any radiofrequency treatments prior to filler.   Talk to our office about a customized treatment plan to ensure optimal timing and results.

Nurse Practitioner, Christina, injecting botox into patient.
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