WHAT IS A DERMAL FILLER?
The most typical product for dermal filler is a colorless hyaluronic acid that is designed to be injected into facial tissue to smooth wrinkles and plump folds. Hyaluronic acid is found naturally in all living organisms, and has the same chemical structure in all species and tissues. In the skin, hyaluronic acid binds water to add volume and pliability. As we age, our skin loses its ability to produce hyaluronic acid.

WHY GET A DERMAL FILLER INJECTION?
Dermal filler is injected into the skin to create volume thereby smoothing wrinkles and providing a fuller shape. These are non-permanent, with results lasting between 3 and 18 months. This is a great non-surgical tool to rejuvenate and contour your face.

HOW LONG DO DERMAL FILLERS LAST?
Results typically last 6-12 months following the injection and therefore will need to be repeated on a regular basis to maintain the effects.

WHAT AREAS CAN BE TREATED WITH DERMAL FILLER?

• Cheeks
• Under eyes
• Nose
• Chin
• Lips
• Jaw line
• Jowels
• Marionette lines
• Nasolabial folds

WHAT ARE THE AVERAGE PRICES?
$600-$800 for a syringe or 1 ml is the typical cost.

WHO IS NOT A CANDIDATE FOR THIS INJECTION?

• Active cold sore or skin infection in the area being treated
• Allergies to lidocaine a numbing agent
• Bleeding disorder or on medications (e.g. aspirin, warfarin/coumadin) that increase risk or make you prone to bleeding
• Pregnant/breastfeeding
• History of scarring or pigmentation disorder
• Autoimmune disorders such as Rheumatoid Arthritis and Lupus
• Permanent implant located in area to be injected
• Using immunosuppressive therapy

WHAT IS THE MOST SERIOUS SIDE EFFECT?
Vascular occlusion:

This small risk is when a blood vessel is inadvertently injected and could result in serious complications due to the blockage of blood flow. The surrounding skin and tissue will start to die without adequate blood supply. It may have permanent vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin.

The signs of vascular occlusion which include immediate, severe pain and a change in skin color, which can look like white spots or blotches. Some bruising and redness is normal but any intense pain or severe bruising is a concern. If this occurs during the procedure we will need to stop. We will then use a medication to dissolve the filler immediately as you may have a vascular occlusion. Each person has a slightly different anatomy and this blood vessel should not be near the location of our injection. Unfortunately, the filler treatment would need to be stopped and you could not be injected again. You would still be charged for the treatment.

WHAT ARE THE POTENTIAL SIDE EFFECTS?

• Swelling/Bruising/Redness: Most people have swelling for the first several days and up to a few weeks. You can use Arnica tablets or gel as well as a cold pack or compress to treat this swelling. You may need to sleep with your head elevated as long as there is swelling
• Lumps/Bumps/Hardening: This generally softens over time but can take several months
• Migration: Dermal fillers may move from the place where it was injected
• Scabbing/Sloughing/Scarring: In less than 1% of treated patients, sloughing of the tissue at the treatment site has been noted

HOW LONG BEFORE I SEE THE FULL BENEFITS?
Average 4-6 weeks to see the final level of correction. After 2 weeks you may need additional dermal filler for injection to reach a higher level of correction. I agree to communicate with my practitioner for evaluation and/or additional correction if needed.

OVERVIEW
The SkinPen is the first FDA approved state-of-the-art microneedling device made in the US and used throughout the world.  This is designed to give you a radiant, luminous, glowing, firm, and youthful skin. Your skin will produce natural collagen and elastin which is essential protein fibers in the skin that give it support and elasticity). This is a quick 30 minute treatment will no down time and safe for all skin types. Toxins in contrast such as Botox use a drug to relax muscles deeper to reduce wrinkles this can reduce the fine wrinkles on the surface of your skin. Your skin will return to a healthier looking and youthful appearance. Natural aging and acne scars can affect your confidence. This is a simple, comfortable, and effective treatment for skin rejuvenation.  Most people see results in as few as three 30-minute sessions.  The treatment area is your entire face and neck.

HOW DOES SKINPEN WORK?
The SkinPen creates millions (1600 penetrations per second) of controlled micro channels in the skin. The SkinPen treatment regenerates and activates your own collagen promoting tissue remodeling without causing scar tissue formation by stimulating the skin’s natural wound healing process (growth factors). The result is a cascade of healing processes that can continue for months following your treatment. We can also pair this with PRP where we apply this to your skin topically then use the SkinPen to help penetrate into the skin. This treatment effectively addresses sun damage, minimizes acne scars, and enhances the overall appearance of aging skin. The procedure typically lasts between 30 to 60 minutes, depending on the treatment area. As opposed to other skin treatments this does not involve chemicals or heat this patented technology uses mechanical cartridge with small needles that use a coupled retraction technology instead of a spring to avoid dragging on the skin. There have been over 90 validation studies to prove the consistency and safety of this treatment. There are 1600 micro trauma penetrations per second. The cartridge is ultrasonically sealed with no backflow, ensuring safety during the procedure.  Disposable single-use needles maintain the highest standards of sterility and quality.

WHAT TO EXPECT DURING TREATMENT?
Your intake forms and consent forms will be reviewed.
Photos will be taken for comparison in the future. We appreciate if you give us permission to use your photos in advertising. Numbing cream will then be applied. If you are having a PRP treatment the blood will be drawn and processed. Your skin will be cleansed. The treatment will last between 30-60 minutes.  The level of pain is very mild unlike other treatments such as Botox of filler injections.
What to expect on after your treatment?
Your skin may initially appear slightly pink to red, similar to a mild sunburn.  This is normal and should subside within 24-72 hours. Some people see rejuvenated skin after just one treatment, and results may continue to improve for three to six months following your last treatment. You do not need to take any time off work but you do need to keep your skin clean and avoid cosmetics (no makeup for 2 -3 days based on healing to minimize the risk of infection).

SIDE EFFECTS AFTER TREATMENT:
You may experience redness and a flushed appearance akin to a moderate sunburn. Mild skin tightness and sensitivity in the treated areas are common but usually subside within a few hours. Most patients return to their normal appearance within 24 hours, with minimal signs of the procedure visible after three days.

CONTRAINDICATIONS
Microneedling is not recommended for individuals with:

• Keloid scars
• Scleroderma
• Collagen vascular diseases
• Cardiac abnormalities
• Blood clotting disorders
• Active infections (bacterial or fungal)
• Precautions

EXTRA CAUTION IS ADVISED FOR INDIVIDUALS WHO ARE:

• Pregnant or nursing
• Experiencing scars or stretch marks less than one year old
• Dealing with chronic skin conditions such as eczema or psoriasis
• Having a history of herpes simplex infections
• Diabetic or have wound healing deficiencies
• On immunosuppressive therapy
• Exhibiting raised moles or warts in the treatment area

Hair loss is a widespread condition that affects millions of individuals, both men and women. While it is often associated with aging, hair loss can happen at any age and may be influenced by various factors. Platelet-rich plasma (PRP) therapy is a natural treatment that utilizes growth factors derived from your own blood to slow hair loss and thinning. The PRP serum is injected into the scalp to stimulate hair follicles, promoting thicker, fuller hair. Since your own cells are used, there are generally no side effects from the injection itself. The body treats the injected cells as it would a wound, triggering tissue repair, enhancing blood flow, and supporting hair regrowth.

EXPECTED RESULTS OF PRP HAIR RESTORATION TREATMENT
Results vary, and ongoing research continues to document the effectiveness and longevity of PRP therapy for hair restoration. Typically, three treatments are needed to promote and maintain hair growth. An initial course of 3-6 treatments is recommended, followed by maintenance sessions every six months. Because PRP works with the natural hair growth cycle, results may begin to show about six months after your final treatment.

HOW PRP WORKS
PRP is rich in growth factors, which promote tissue repair and stimulate the production of new cells. When PRP is injected into the scalp, it triggers a mild inflammatory response that activates the body’s natural healing process. The platelets release growth factors that attract stem cells, encouraging tissue repair and collagen production. This process strengthens and improves the scalp tissue, resulting in healthier hair growth. A typical PRP procedure takes 45 minutes to an hour, with three initial sessions scheduled a month apart, followed by annual maintenance treatments.

MECHANISMS OF PRP FOR HAIR RESTORATION

• Growth Factors: PRP contains several growth factors, including platelet-derived growth factor (PDGF) and vascular endothelial growth factor (VEGF), which promote cell growth and tissue repair.
• Extracellular Matrix Production: PRP stimulates the production of matrix components like proteoglycans, which support tissue structure.
• Angiogenesis: PRP promotes the formation of new blood vessels, ensuring proper oxygen and nutrient delivery to the tissue.
• Anti-Inflammatory Effects: Platelets release anti-inflammatory agents, which help reduce inflammation and discomfort at the treatment site.
• Adhesion Molecules: Platelets also release adhesion molecules, which recruit additional cells to aid in tissue repair and new blood vessel formation.

PRP CENTRIFUGE AND KIT SYSTEM
We use the EmCyte Centrifuge with PurePRP® Kits, an advanced system for regenerative therapy. It delivers the highest concentration of regenerative cells by selectively removing wound-inhibiting factors. This results in a more potent PRP product, containing up to 9 billion deliverable platelets—significantly more than typical systems. This concentrated PRP reduces inflammation, accelerates healing, and promotes tissue regeneration while removing red blood cells, which can cause pain and inflammation.

HOW PRP IS ADMINISTERED
Blood is drawn and placed in a centrifuge to separate platelets from other blood components. The concentrated platelets and growth factors are then injected into the scalp using a tiny needle or applied with microneedling. The procedure, from blood draw to injection, typically lasts 30-90 minutes.

COMMON CAUSES OF HAIR LOSS

• Genetics (Androgenetic Alopecia): The most common cause of hair loss, affecting both men and women.
• Hormonal Changes: Events like pregnancy, menopause, or thyroid imbalances can lead to temporary or permanent hair loss.
• Medical Conditions: Conditions like alopecia areata, scalp infections, or scarring alopecias may cause hair loss.
• Medications and Treatments: Certain medications, chemotherapy, and radiation therapy can lead to hair loss.
• Nutritional Deficiencies: Deficiencies in iron, protein, vitamins D and B12 can contribute to thinning hair.
• Physical or Emotional Stress: Stress can trigger telogen effluvium, where more hair enters the resting phase and sheds.
• Hairstyling and Treatments: Harsh styling and tight hairstyles can lead to traction alopecia, where hair is pulled out from the scalp.

TYPES OF HAIR LOSS

• Androgenetic Alopecia (Pattern Baldness): Gradual thinning or receding hairline.
• Alopecia Areata: Sudden, patchy hair loss.
• Telogen Effluvium: Temporary diffuse thinning.
• Traction Alopecia: Hair loss caused by repeated tension on the hair follicles.
• Cicatricial Alopecia: Scarring-related permanent hair loss.

OTHER TREATMENT OPTIONS

• Medications: Minoxidil (Rogaine®) and Finasteride (Propecia®) are commonly used for hair restoration.
• Surgical Options: Hair transplants may also be considered in some cases.

SAFETY AND APPLICATIONS
PRP has been proven to be safe for over 20 years and is used in various medical fields, including orthopedics, sports medicine, and aesthetics. In aesthetics, PRP has been applied to treat fine lines, scars, and now, hair restoration. It is safe for nearly all skin tones as it uses the patient’s own enriched plasma.

BENEFITS OF PRP

• Natural treatment using your own cells.
• Low risk of allergic reactions.
• Enhances healing, improves skin texture, and promotes hair growth.
• Minimal downtime with natural-looking results.

CONTRAINDICATIONS
PRP may not be suitable for individuals with:

• Acute or chronic infections
• Skin diseases
• Cancer or recent chemotherapy
• Severe systemic disorders
• Abnormal platelet function
• Liver conditions
• Those on anticoagulation therapy

RISKS AND COMPLICATIONS
Though PRP is generally safe, potential side effects include:

• Pain, bruising, or bleeding at the injection site
• Temporary redness or swelling
• Allergic reactions
• Nerve or muscle injury
• Itching or dizziness

POST-TREATMENT INSTRUCTIONS

Immediately After Treatment:

• Avoid touching or rubbing the scalp to prevent infection.
• Take a warm shower the night of the procedure to promote blood flow (no hot water).
• Avoid hair products for 48 hours and anti-inflammatory medications for 1 week.
• Sleep on a clean pillowcase
• If you wear headwear be sure it is clean.

First 24-48 Hours:

• Avoid strenuous activities and limit sun exposure.

First Week:

• Use gentle shampoos and avoid harsh chemicals.
• Stay hydrated and eat a nutrient-rich diet.

After 1-2 Weeks:

• Resume normal hair care and light scalp massage.

Ongoing Care:

• Continue with your treatment plan and healthy lifestyle choices.

Common Side Effects (up to 2 weeks):

• Red, tender scalp
• Itchiness
• Tiny crusty scabs

WHAT IS KYBELLA?
This is an individually tailored injectable treatment that permanently destroys fat cells in the treatment area under the chin for an improved profile or any area of stubborn fat on your body.

WHAT AREA IS USUALLY TREATED WITH KYBELLA?
Double chin or submental fat tissue. The safe and effective use of KYBELLA for the treatment of subcutaneous fat outside the submental region has not been established and is not recommended

WHO IS USUALLY TREATED WITH KYBELLA?
Men and women. Those who are unable to rid themselves of submental fullness despite diet and exercise.

HOW MANY TREATMENTS ARE NEEDED?
The fat cells are permanently destroyed. Once destroyed, those cells cannot store or accumulate fat even if you gain weight. Fat cleared from the treatment area is processed through natural metabolic mechanisms

WHO IS NOT A CANDIDATE FOR KYBELLA?
You would need a consultation prior to the procedure visit to confirm that you are a candidate.

• Those with a history of dysphagia or trouble swallowing
• Those with excessive skin laxity and prominent platysmal or neck bands
• Those with coagulation abnormalities or who are currently being treated with antiplatelet or anticoagulant therapy
• Those who had prior surgical or aesthetic procedures in the submental area
• Those with presence of infection at the injection sites

WHAT ARE THE POTENTIAL SIDE EFFECTS?

• Edema/swelling is the most common and can last about a month
• Hematoma/bruising is also very common
• Pain occurs in most individuals as this medication is deoxycholic acid and can cause pain with injection
• Numbness occurs in many
• Erythema Marginal mandibular or lower jaw nerve injury can occur which would cause an asymmetric or uneven smile or facial muscle weakness that would resolve spontaneously on average in 6 weeks
• Difficulty swallowing or dysphagia which would resolve spontaneously on average several days
• Vascular injury if the medication is inadvertently injected into an artery or vein
• Alopecia or hair loss.
• Ulceration and necrosis resulting in skin scarring and damage

HOW IS THE PROCEDURE PERFORMED?
The skin is numbed with a cream or ice. The skin is then marked to avoid vital structures (nerves, salivary glands and lymph nodes) while the client is sitting up and lying down. The skin is cleansed and a grid is then placed onto the skin. Multiple injections are placed using a small needle. There will be some pain which is manageable due to the medication utilized. The sensation is similar to a pinch.

HOW SUCCESSFUL IS KYBELLA?
In clinical studies, 79% of individuals were satisfied with their appearance of the area beneath their chin 3 months after their last treatment.

WHAT IS THE FOLLOW UP?
4 weeks after the procedure it is recommended to then repeat your treatment for a 2nd treatment to achieve the most ideal results.

WHAT ARE OUR WEIGHT LOSS MEDICATIONS?
Semaglutide and Tirzepatide are medications which help with weight loss.

WHERE DO WE GET THESE MEDICATIONS?
We utilize a compounding pharmacy which is able to produce the medications as there is an international shortage.

HOW DO THESE MEDICATIONS WORK FOR WEIGHTLOSS?
This utilized a GLP-1s (Glucagon Like Peptide) antagonist technology. Their effectiveness is used through these methods:

1. Regulating your appetite to reduce the amount of food you eat.

2. Curb food cravings

3. Help your body process sugars more efficiently.

WHAT ARE THE OTHER USES FOR THESE MEDICATIONS?
These medications have been used for the past few decades to treat diabetes.

WHAT DO I NEED TO KNOW BEFORE CONSIDERING THESE MEDICATIONS FOR WEIGHTLOSS?
To qualify you need to be OVER the age of 18, not currently pregnant, nursing, or planning to become pregnant in the next year, no family or personal history of medullary thyroid cancer, not currently being treated for cancer, not currently using insulin.

OBESITY MANAGEMENT
Obesity is a chronic disease that may require indefinite medication for some, while others can resume healthy habits once they reach a normal body weight. It is no longer viewed as a lack of willpower or motivation.

HOW ARE THE WEIGHT LOSS MEDICATIONS USED?
We prescribe a weekly self-administered injection that helps with weight loss.

HOW DOES THIS MEDICATION WORK FOR WEIGHT LOSS?
These medications function by utilizing GLP-1 (Glucagon-Like Peptide-1) receptor agonist technology.

1. It helps with weight loss through:
2. Regulating appetite to reduce food intake.
3. Curbing food cravings.
4. Helping the body process sugars more efficiently.

WHAT ARE THE OTHER USES FOR THIS MEDICATION?
These medications have been used in the past decade to treat diabetes.

WHAT DO I NEED TO KNOW BEFORE CONSIDERING THIS MEDICATION FOR WEIGHT LOSS?

To qualify, you must:
1. Be over 18 years old.
2. Not be pregnant, nursing, or planning to become pregnant in the next year.
3. Have no family or personal history of medullary thyroid cancer.
4. Not be currently treated for cancer.
5. Not be using insulin.

HOW DO I TAKE THIS MEDICATION?
Administer a painless weekly injection using a small needle. Dosages are adjusted every 4 weeks based on weight loss and symptoms.

WHAT KIND OF WEIGHT LOSS RESULTS CAN I EXPECT?
On average, you can lose about 20% of your body weight over a year when combined with proper nutrition and exercise.

DO I NEED BLOOD LAB TESTS BEFORE STARTING TREATMENT?
Yes, we recommend undergoing lab tests through our partner laboratory testing center before starting treatment. However, you have the option to sign a waiver to decline the recommended tests and accept the associated risks. These risks include pancreatitis, liver failure, rare thyroid cancer, and severe hypoglycemia, which can cause fainting. Blood tests help us identify individuals who may be at higher risk for these conditions. If you have recent blood test results, you can provide those for our review, though please note that they may not include all necessary tests.

HOW MUCH DOES IT COST TO USE THE PARTNER LAB?
The cost for the laboratory test is $200 and is self-pay and self scheduled. The test is conducted in Seattle.

WILL MY HEALTH INSURANCE COVER THE MEDICATION?
Unfortunately the medication is self pay and not processed through your insurance company.

DO I NEED TO CONTINUE THIS MEDICATION FOREVER?
Once you reach your ideal body weight, you can lower the dosage or stop the medication. However, maintaining your weight requires permanent changes to your nutrition and exercise routine.

TREATMENT PLAN
Weekly self-administered injections into the abdomen, arm, or thigh. Dosages are titrated over time. Follow instructions for safe administration.

MAXIMIZE SUCCESS
The best results come from combining medication with lifestyle changes like a balanced diet and regular exercise.

Exercise:
Move at least 30 minutes daily
Engage in resistance training 3 times a week

Nutrition:
Prioritize protein, healthy fats, vegetables, and occasionally fruits.
Drink 2 liters of water daily and avoid eating 3 hours before bedtime.
Avoid processed foods, fast food, and simple carbohydrates.

HOW TO USE MEDICATIONS:
Store in the refrigerator.
Clean the top of the bottle and your skin with an alcohol swab.
Draw out the dosage and inject.

COMMON SIDE EFFECTS TO LOOK FOR:
Nausea
Indigestion
Constipation
Mild allergic skin reaction at the injection site
Diarrhea
Fatigue
Other Possible Side Effects
Nervousness
Sleeplessness
Headaches
Dry mouth
Weakness
Tiredness
High blood pressure
Rapid heartbeat
Heart irregularities
Changes in vision

INSTRUCTIONAL VIDEOS:
Instructions on Storage and Treatment
Learn more about it here in our video.

SUPPLEMENTS/SUPPLIES TO PURCHASE:

ACID REFLUX TREATMENT:
Omeprazole. Take as needed if you have acid reflux while starting this treatment.

EXCESSIVE GAS TREATMENT:
Gas-X Extra Strength Chewable Gas Relief Tablets with Simethicone

CONSTIPATION PREVENTION:
Take one or all of the below based on your level of constipation risks.

Metamucil Fiber Supplement
Recommended to take daily to prevent constipation and maintain adequate fiber intake. Can use in combination with other constipation meds.

Magnesium Citrate
Take before bedtime to prevent constipation. Can use in combination with other constipation meds.

Miralax
Use once daily to prevent constipation. Can use in combination with other constipation meds.

CONSTIPATION TREATMENT:
Take one or all of the below based on your level of constipation risks.

Senokot
Take at bedtime or twice daily based on severity of constipation. Can use in combination with other constipation meds.

Dulcolax 5mg
Use before bedtime for more severe constipation. Can use in combination with other constipation meds.

Milk of Magnesia

DAILY NUTRITIONAL SUPPLEMENTS:
Protein Shake
Electrolyte Supplement

MEDICAL SUPPLIES:
Alcohol Wipes
Insulin Syringes
Insulin Travel Cooler