FOREVER YOUNG AESTHETICS

Aesthetic Services

FOREVER YOUNG

Aesthetic Services

FOREVER YOUNG

Aesthetic Services

Look Refreshed and Reignite Your Youth

Forever Young Aesthetics is your home for beauty and med spa services, that improve your confidence and overall well-being. We specialize in neuromodulator injections, dermal filler injections and Kybella fat dissolving treatment. Wellness services include weight loss medication management, IV hydration, energy injections (Vitamin B12), pain relief injections (trigger point), and eye enhancement products.

 

We are the ONLY med spa in West Seattle open both Saturday and Sunday for aesthetic injections

Botox Injections

BOTOX / DYSPORT / JEUVEAU / DAXXIFY

Dermal Fillers

JUVEDERM / RESTYLANE  / RHA / SCULPTRA

Fat Dissolvers

kybella

Eye Enhancements

LATISSE / UPNEEQ

Weight Loss

Semaglutide / Tirzepatide

Health & Wellness

B12 / TRIGGER POINT / IV HYDRATION

Botox Injections

BOTOX / DYSPORT / JEUVEAU / DAXXIFY

Dermal Fillers

JUVEDERM / RESTYLANE  / RHA / SCULPTRA

Fat Dissolvers

kybella

Eye Enhancements

LATISSE / UPNEEQ

Weight Loss

Semaglutide / Tirzepatide

Health & Wellness

B12 / TRIGGER POINT / IV HYDRATION

Cosmetic Injections

Cosmetic Injectables are aN easy, effective, affordable, and a non-invasive alternative to plastic surgery.

During the normal aging process, wrinkles are caused by the regular and repetitive contraction of facial muscles, below the surface of the skin. With Cosmetic Injectables, you can relax the facial muscles, plump the skin, replace collagen and more — lines and wrinkles are reduced, resulting in a natural, youthful appearance. Every treatment is offered following a virtual or in person consultation to provide a personalized treatment plan.

forehead lines and wrinkles botox west seattle before and after

Botox Injections

BOTOX / DYSPORT / JEUVEAU / DAXXIFY

Botox Cosmetic® and other Tox injections relax the facial muscles, resulting in a reduction of lines and wrinkles. Used to both correct lines and prevent new lines from forming, resulting in a natural, youthful appearance.

There are many areas that Tox injections can treat. Some of the more popular areas treated include Forehead, Frown lines (11’s), Crow’s Feet, Face Slimming/Teeth Grinding/TMJ/Masseter Reduction, Gummy Smile Correction and Lip Flips, , Excessive Sweating, Neck bands, Trap Tox, Migraine treatment, and so much more.

BOTOX LIP FLIP

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lip flip botox west seattle before and after

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lip flip botox west seattle before and after

BOTOX FROWN LINES

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frown lines and wrinkles 11s botox west seattle before and after

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frown lines and wrinkles 11s botox west seattle before and after

BOTOX MASSETERS

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masseter botox west seattle before and after

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masseter botox west seattle before and after

BOTOX CROW’S FEET

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crows feet lines and wrinkles botox west seattle before and after

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crows feet lines and wrinkles botox west seattle before and after

BOTOX LIP FLIP

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lip flip botox west seattle before and after

BEFORE

lip flip botox west seattle before and after

BOTOX FROWN LINES

AFTER

frown lines and wrinkles 11s botox west seattle before and after

BEFORE

frown lines and wrinkles 11s botox west seattle before and after

FOREHEAD LINES

AFTER

forehead lines and wrinkles botox west seattle before and after

BEFORE

forehead lines and wrinkles botox west seattle before and after

BOTOX CROW’S FEET

AFTER

crows feet lines and wrinkles botox west seattle before and after

BEFORE

crows feet lines and wrinkles botox west seattle before and after

BOTOX MASSETERS

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masseter botox west seattle before and after

BEFORE

masseter botox west seattle before and after

BOTOX FAQ AND PRODUCT INFORMATION

Every treatment is offered following a virtual or in person consultation to provide a personalized treatment plan.

WHAT IS BOTOX?
Botox or neuromodulators are neurotoxins and a form of botulinum toxin.  This is found in the bacteria Clostridium botulinum.  Although this may sound very scary and dangerous this medication has been used since the 1980’s mainly in the fields of neurology and ophthalmology.  Drs. Jean and Alastair Carruther’s in Vancouver, Canada accidentally discovered cosmetic properties of Botox in the 1980’s and changed the face of beauty forever.  While treating patients for eye muscle spasms (blepharospasm) with a diluted solution of botulinum toxin her patients not only noticed spasms resolve but that the wrinkles in those areas of the forehead disappeared.   This husband (dermatologist) and wife (opthalmologist) team would later prove i trials and studies the safety and efficacy of this treatment to the dermatology field.  Unfortunately, they did not patent the product which would later become a multi-billion dollar industry.  By the early 1990’s Botox was widely accepted.

WHAT ARE THE MAIN AREAS THAT CAN BE TREATED?

• Forehead lines
• Frown Wrinkles (11’s)
• Eye Wrinkles (Crow’s Feet)
• Dimpled Chin Correction (Mentalis)
• Downward Smile Correction
• Gummy Smile Correction
• Jaw-Line Slimming/Teeth Grinding/TMJ/Masseters
• Lip Wrinkles (Smokers Lines)
• Nose Wrinkles (Bunny Lines)
• Platysmal Bands (Neck lines)

 
WHAT ARE THE AVERAGE PRICES?
$250 on the low end and up to $600+ on the high end. This is dependent on how deep or severe your lines or wrinkles are as well as the brand used. A unit is priced between $12 and $18 which and most people require 30 units.

WHAT ARE THE SIMILARITIES OF ALL THE BRANDS?
Botox, Dysport, and Xeomin all have the same ingredient which is Botulinum type A.

WHAT ARE THE DIFFERENCES OF ALL THE BRANDS?
In general the three are all very similar and have great results. There are minor differences.

Botox is the most well known and the first option. Similar to how Kleenex is the first and preferred term for facial tissue there are many many other great products that perform the same purpose.
Botox (onabotulinumtoxinA) is the first injectable to receive US FDA approval in 2002 and most popular. Botox is the best option for deeper, muscle related wrinkles as it stays isolated and spreads less than Dysport. On average Botox starts working later around 5-7 days and lasts for about 4-6 months.  Requires the least number of units to treat. Deep forehead wrinkles and crow’s feet typically require 10 to 15 units to be effective, and frown lines can require between 20 and 30 units.  Besides cosmetics Botox can also be used to treat neck spasms, excessive sweating, lazy eyes, overactive bladders, and migraines.

Dysport (onabotulinumtoxinA) First used in Europe then approved by the US FDA in 2009.  Dysport is the best option for treating deep glabellar lines (11’s or frown lines) or forehead lines.  On average Dysport starts working faster around 24-48 hours and lasts for about 3-4 months and possibly longer than Botox. Dysport uses a different system for accounting the quantity and is not equal to Botox unit for unit.  In general, Dyport typically requires 3 times more product than Botox, making it a more expensive option even though the unit cost may seem less. Dysport injection is $4 per unit. This is the ideal product to use for those who have used Botox and stop seeing results since there is more spread of Dysport. Repeated sun exposure can drastically shorten the time you can enjoy your visible results and will require repeat treatments more often.

Xeomin (incobotulinumtoxin A) is considered the “lighter” of the three.   Xeomin does not have an added protein therefore does not require refrigeration.  Xeomin may last slightly shorter than Botox/Dysport.  For those with allergies eliminating this protein can reduce the risks of a reaction.  This is the ideal choice for treating frown lines.  In addition, this can be used to treat upper lip spasticity, cervical dystonia, blepharospasm, and more.

DAXXIFY® (daxibotulinumtoxinA-Ianm) injection is an acetylcholine release inhibitor and neuromuscular blocking agent indicated for the temporary improvement in the appearance of moderate to severe frown lines (glabellar lines) associated with corrugator and/or procerus muscle activity in adult patients.  This product is manufactured in California, USA.   The dosing is different than Botox® but when we evaluate and treat you we will use Botox® equivalent units or dosing in explanations to avoid confusion. 

Jeuveau® (prabotulinumtoxinA-xvfs) is a prescription medicine that is injected into muscles and used in adults for a short period of time (temporary) to improve the look of moderate to severe frown lines between the eyebrows (glabellar lines).  This uses a slightly different botulinum toxin to Botox® and has equal effects. This product is manufactured in South Korea.

WHAT ARE THE POTENTIAL SIDE EFFECTS?
The most common concern is eyebrow or eyelid droop. If this occurs eye drops can be prescribed.

The other possibilities are pain and/or swelling at the injection site, headaches, flu-like symptoms, slouched smiles, drooling, nausea, pain in the injection site, upper respiratory tract infections, irritation in the nose and throat, and dry eyes.

Dermal Filler Injections

JUVEDERM / RESTYLANE  / RHA / SCULPTRA

Dermal fillers are injected into the skin to create volume and smooth wrinkles, providing a fuller shape. These injectables are a great non-surgical tool to rejuvenate and contour your face. Popular treatment areas for dermal filler injectables include the jaw, cheeks, marionette lines, chin and lips, with results lasting up to 18 months.

cheek filler

AFTER

cheek and jowel derma filler juviderm injections west seattle before and after

BEFORE

cheek and jowel derma filler juviderm injections west seattle before and after

lip correction

AFTER

lip filler juviderm west seattle before and after

BEFORE

lip filler juviderm west seattle before and after

CHIN FILLER

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FILLER CHIN JEVEDERM FACIAL FILLER. FOREVER YOUNG AESTHETICS WEST SEATTLE

BEFORE

FILLER CHIN JEVEDERM FACIAL FILLER. FOREVER YOUNG AESTHETICS WEST SEATTLE

LIP FILLER

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lip filler juviderm west seattle before and after

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lip filler juviderm west seattle before and after

FACIAL BALANCE

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facial balancing cheek and jaw filler botox masseter injections west seattle before and after

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facial balancing cheek and jaw filler botox masseter injections west seattle before and after

cheek filler

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cheek and jowel derma filler juviderm injections west seattle before and after

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cheek and jowel derma filler juviderm injections west seattle before and after

lip correction FILLER

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lip filler juviderm west seattle before and after

BEFORE

lip filler juviderm west seattle before and after

CHIN FILLER

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FILLER CHIN JEVEDERM FACIAL FILLER. FOREVER YOUNG AESTHETICS WEST SEATTLE

BEFORE

FILLER CHIN JEVEDERM FACIAL FILLER. FOREVER YOUNG AESTHETICS WEST SEATTLE

LIP FILLER

AFTER

lip filler juviderm west seattle before and after

BEFORE

lip filler juviderm west seattle before and after

FACIAL BALANCE

AFTER

facial balancing cheek and jaw filler botox masseter injections west seattle before and after

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facial balancing cheek and jaw filler botox masseter injections west seattle before and after

FAQ AND PRODUCT INFORMATION

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.

Biostimulator Injections

SCULPTRA

Sculptra® is an injectable treatment to correct shallow to deep body contour deficiencies over time. Common areas treated are fine lines and wrinkles in the cheek, nasolabial fold, marionette lines, chin, neck, chest, buttocks, and hip dips.   This treatment will help your skin build more collagen resulting in a firmer, smoother, glowing, and more healthy youthful appearance.  This treatment can last up to 2 years with high levels of patient satisfaction.

CHEEKS AND JAW

AFTER

sculptra botox collagen stimulator before and after west seattle

BEFORE

SCULPTRA BEFORE AND AFTER PICTURES SEATTLE WA

CHEEKS AND JAW

AFTER

sculptra injection cheek and neck filler lines and wrinkles west seattle before and after

BEFORE

sculptra injection cheek and neck filler lines and wrinkles west seattle before and after

CHEEKS AND JAW

AFTER

sculptra botox collagen stimulator before and after west seattle

BEFORE

SCULPTRA BEFORE AND AFTER PICTURES SEATTLE WA

CHEEKS AND JAW

AFTER

sculptra injection cheek and neck filler lines and wrinkles west seattle before and after

BEFORE

sculptra injection cheek and neck filler lines and wrinkles west seattle before and after

FAQ AND PRODUCT INFORMATION

WHAT IS A BIOSTIMULATOR AND SCULPTRA?
Sculptra® is an injectable of microparticles containing poly-L-lactic acid (PLLA) and is indicated for use in people with healthy immune systems for the correction of shallow to deep nasolabial fold contour deficiencies, fine lines and wrinkles in the cheek region, and other facial wrinkles.

Sculptra helps replace the lost collagen in the skin to help to create a subtle, refined correction of wrinkles and helps stimulate gradual restoration of the collagen framework. Sculptra is eventually broken down by the body and lasts up to 2 years with high levels of patient satisfaction.

WHAT ARE OPTIMAL AREAS THAT CAN BE TREATED?

  • Cheek Wrinkles
  • Nasolabial Folds
  • Pyriform Fossa
  • Marionette Lines
  • Pre-Auricular Wrinkles
  • Submalar Wrinkles
  • Chin Wrinkles
  • Neck Wrinkles
  • Chest Wrinkles
  • Hip Dip
  • Butt

HOW OFTEN DO YOU I NEED TREATMENT?
We recommend 2 treatment regimens of SCULPTRA 6 weeks apart and then a yearly update. For optimal results you should have 4 treatment sessions scheduled 3-4 weeks apart.

WHAT ARE SOME OF THE RISKS?
This list is not meant to be inclusive of all possible risks associated with Sculptra injections, as there are both known and unknown side effects associated with any medication or procedure.

  • Most common are injection site swelling, tenderness, redness, pain, bruising, bleeding, itching and lumps
  • Small lumps under the skin that are sometimes noticeable when pressing on the treated area.
  • Larger lumps, some with delayed onset with or without inflammation or skin discoloration, have also been reported.
  • Infection: Infections can occur which in most cases are easily treatable but in rare cases a permanent scarring in the area can occur.
  • Pain: Mild or moderate pain. Possible but only short term side effects at the injection site for a several days to a few weeks.
  • 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. You may have permanent vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin.

WHAT ARE SOME CONTRAINDICATIONS TO TREATMENT?

  • Severe allergies with a history of severe reactions (anaphylaxis) or multiple severe allergies. Use of SCULPTRA may result in an allergic reaction
  • Are allergic to any ingredient of SCULPTRA: “poly-L-lactic acid” (PLLA), carboxymethylcellulose (USP) or non-pyrogenic mannitol (USP)
  • Autoimmune disorder
  • History of keloid formation or hypertrophic scarring
  • Pregnant, lactating, breastfeeding, or under 18 years of age
  • Active skin issues at site of injections such as skin sores, cysts, pimples, rashes, hives or infection
  • 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
  • Permanent implant located in area to be injected
  • Using immunosuppressive therapy

WHAT PREPARATIONS SHOULD I MAKE BEFORE TREATMENT?
Avoid for 1 week prior to treatment to minimize bruising:

NSAIDS also known as nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve).

Some herbal supplements that have a blood thinning effect such as turmeric, ginger, cayenne peppers, fish oil, Vitamin E, echinacea, ephedra, ginkgo biloba, cassia cinnamon, ginseng, kava, St. John’s wort, valerian, feverfew, saw palmetto, goldenseed, grapeseed extract, licorice, milk thistle, dong quai, bromelain, aloe, evening primrose.

WHAT ABOUT AFTER TREATMENT CARE?
Massage: The particles injected need to be dispersed in your tissue to prevent nodules. Using your fingers make a circular motion for a rule of 5-5-5. (5 minutes – 5 times daily – 5 days)

For the first 24 hours – Avoid or minimize hard (strenuous) exercise and exposure to extensive sun, UV lamps, indoor tanning beds/booths, or extreme temperatures. Any of these may cause temporary redness, swelling, pain and/or itching at the injection site. Light activity such as walking is okay.

Apply ice or an ice pack wrapped in cloth (avoid putting ice directly on your skin) to the treatment area to help reduce swelling. 15 minutes every hour while awake if possible.

Optional treatment for bruising: Purchase Arnica Montana natural supplement to help bruising to resolve at a faster rate; Take 5 tablets three times per day. Or you can purchase a cream – Boiron Arnicare Cream and apply 3 times daily.

Have available cool compress or ice packs with cloth wrap to reduce swelling and pain.

Don’t plan to expose yourself to extensive sun or heat for first 24 hours which may cause increased redness, bruising, and swelling.

Avoid for 2-3 weeks after treatment any laser, IPL, or skin tightening treatments.

Fat Dissolving Injections

KYBELLA

KYBELLA® destroys fat cells in the treatment area by aiding in the breakdown and absorption of dietary fat, and a noticeable reduction in fullness. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal. Typically a series of at least 2-3 treatments is necessary to achieve optimal results. Common areas include under the chin to improve your profile, cheek and stomach.

CHIN AND JAW

AFTER

kybella facial fat removal double chin west seattle before and after

BEFORE

kybella facial fat removal double chin west seattle before and after

ABDOMEN

AFTER

KYBELLA ABDOMEN FAT REMOVAL SEATTLE WASHINGTON BEFORE AND AFTER

BEFORE

KYBELLA ABDOMEN FAT REMOVAL SEATTLE WASHINGTON BEFORE AND AFTER

FAQ AND PRODUCT INFORMATION

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.

Weight Loss

Semaglutide / Tirzepatide

These medications have been used for the past few decades to treat diabetes, and are now being used to help lower weight. These medications, made by a local compounding pharmacy, help to regulate your appetite to reduce the amount of food you eat, curb food cravings, and help your body process sugars more efficiently.

Pricing depends on necessary treatments per individual 

FAQ AND PRODUCT INFORMATION

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.

HOW DO I TAKE THESE MEDICATIONS?
These require a weekly injection by yourself with a small needle that is painless. The dosages are titrated every 4 weeks based on weight loss and symptoms.

WHAT KIND OF WEIGHT LOSS RESULTS CAN I EXPECT?
Over one year of use one can lose up to 20% of their body weight combining medications with nutrition and exercise.

Wellness Therapies

VITAMIN B12 / TRIGGER POINT / IV HYRDRATION

IV HYDRATION AND VITAMIN B12 THERAPY

Vitamin B12

weekly therapy

B12 FAQ & FACTS

WHAT IS THE IMPORTANCE OF VITAMIN B-12?
Vitamin B-12 is a water-soluble B complex vitamin. It’s found naturally in many foods, such as meat, fish and dairy products. Foods most rich in Vitamin B 12 are beef kidney, beef liver, canned salmon, eggs, ground beef, milk, trout. Vitamin B-12 is added to some foods and is available as a dietary supplement.

HOW DO YOU KNOW IF YOU ARE VITAMIN B-12 DEFICIENT?
Laboratory blood tests.

WHAT ARE SOME SYMPTOMS TO LOOK FOR?

  • Difficulties with maintaining balance
  • Fatigue, weakness, or lethargy
  • Dizziness or feeling faint
  • Feeling of pins and needles
  • Headache or irritability
  • Mouth sores
  • Constipation
  • Reduced cognitive function (memory or comprehension issues)
  • Dementia
  • Confusion
  • Memory Loss
  • Mood changes
  • Sore and swollen tongue (may appear pale yellow or red)
  • Vision changes
  • Megaloblastic anemia
  • Appetite loss
  • Weight loss
  • Dementia
  • Depression
  • Tingling or numbness in hands and/or feet
  • Heart palpitations
  • Pale skin
  • Infertility

WHY GET A VITAMIN B-12 INJECTION?
Vitamin B-12 is essential to your brain and nervous system and without this vitamin you may feel tired and weak among other symptoms. This vitamin plays a key role in DNA production, red blood cells, and nerve cells.

HOW ARE THE VITAMIN B-12 INJECTIONS GIVEN?
The injections are given intramuscularly (typically the upper arm, thigh, buttock) after cleansing your skin and using a small needle.

WHAT IF YOU ARE NOT DEFICIENT WOULD A VITAMIN B-12 INJECTION BE HELPFUL?
This can help raise your energy and endurance during exercise. This has been used by some to help lose weight but is not guaranteed. Having a large amount of Vitamin B-12 is not harmful. It should be noted that there is no report of B12 toxicity. If you’re an otherwise healthy person, B12 injections are completely safe—and if you see positive results, there’s no reason to stop getting them.

WHY GET INJECTIONS IF YOU ARE TAKING ORAL SUPPLEMENTS ALREADY OF VITAMIN B-12?
While an oral supplement may not be fully absorbed the injections are 100% absorbed directly into the tissues. The injections bypass the digestive system.

WHAT ARE SOME RISK FACTORS THAT CAN INCREASE THE CHANCE OF DEVELOPING VITAMIN B12 DEFICIENCY?

  • Vegetarian or plant based diet
  • High alcohol consumption
  • Older age
  • Pernicious anemia
  • Atrophic gastritis, which refers to inflammation in the stomach
  • Helicobacter pylori infection
  • Celiac disease
  • Crohn’s disease
  • A history of gastrointestinal surgery
  • Pancreatic insufficiency
  • AIDS
  • Some hereditary conditions that affect vitamin B12 absorption
  • Use of gastric acid inhibitors such as omeprazole (Prilosec®) and lansoprazole (Prevacid®), and histamine 2-receptor antagonists, such as cimetidine (Tagamet®) and ranitidine (Zantac®)

WHAT CONDITIONS CAN VITAMIN B12 SHOTS MAY HELP REDUCE THE RISK OF?

  • Heart Disease
  • Stroke
  • Neurological disorders
  • Problems with thinking and memory
  • Vision loss
  • Infertility
  • Neural tube defects in children born to those with a vitamin B12 deficiency

WHAT ARE SOME BENEFITS OF VITAMIN B12 SHOTS?

  • Weight loss by speeding up your metabolism
  • Better sleep
  • Improve concentration and mood
  • Boosts to your immune system
  • Possibly help with hair growth or stop hair loss
  • Improve fertility

WHAT ARE THE POTENTIAL SIDE EFFECTS?

  • Nausea
  • Vomiting
  • Indigestion
  • Mild diarrhea
  • Feeling tired
  • Headache
  • Pain, redness, or itching at the site of the injection
  • Swelling sensation in the body
  • Temporary itching of the skin

HOW OFTEN DO YOU NEED TO REPEAT THE INJECTIONS?
Depending on how deficient you are this may be ONCE A WEEK for 4-8 weeks followed by MONTHLY injections.

Each dosage will be 1000 micrograms or 1 cc which is equivalent to half a teaspoon.

Trigger Point

muscle therapy

TRIGGER POINT FAQ & FACTS

WHAT IS A TRIGGER POINT?
Trigger points are due to damaged and painful MUSCLE fibers and may be formed after acute trauma or by repeated micro-trauma. Trigger points are very tender knots/nodules in the muscles. Trigger points can be responsible for pain in parts of the body that are quite some distance from where the nodule is itself. This is most commonly the back and radiate pain and discomfort into the shoulders and neck. These points are usually palpable and produce a characteristic referred pain upon palpation, along with pain locally and occasionally a local twitch response.

WHY GET A TRIGGER POINT INJECTION?
A trigger point injection is a great alternative to taking pain medications.

HOW IS THE INJECTION PERFORMED?
The injection can be performed very carefully with a dry needle, local anesthetic or numbing medication, cortisone, or neuromodulator to relax the muscle (e.g. Botox) into the area of pain and tenderness can relax the muscle and allow it to heal. The skin will be marked and then cleaned with alcohol wipes. Then a cold spray is followed by placing a small 25 gauge needle. This therapy is best used with a rehabilitative approach including strengthening and stretching of the musculature.

Injections usually take just a few minutes. Several sites may be injected in one visit. If you have an allergy to a certain drug, a dry-needle technique (involving no medications) can be used. One to five trigger points may be injected in one session, and sessions are typically repeated at regular intervals in a series and coordinated with physical therapy. Injections that relieve pain allow greater participation by the patient in stretching programs, aerobic exercise programs, and other physical therapy treatments.

WHICH MUSCLES ARE COMMONLY INJECTED?
The most common muscle groups treated using trigger point injections include the masseter (jaw), levator scapulae (neck), gluteus medius (buttock), quadratus lumborum (lower back), trapezius (shoulder), sternocleidomastoid (neck), and temporalis (temples) muscles.

WHAT ARE THE AVERAGE PRICES?
$100 for one muscle and typically each visit will involve 2-4 muscles treated at each visit. Increased cost if botox or similar medication is used.

WHO IS NOT A CANDIDATE FOR THIS INJECTION?

  • Cobalt allergy
  • Active infection over the site of trigger point.
  • Patients taking anticoagulation
  • Pregnant patients
  • Patients where anatomical landmarks are indistinguishable.
  • Patients with local anesthetics allergies
  • Severe fibromyalgia
  • History of keloid formation
  • Poorly controlled psychiatric disorder
  • Patient with severe needle-phobia
  • Sensitivity to vitamin B12
  • Leber’s disease, which affects the optic nerve
  • Kidney problems
  • Hypokalemia, or low potassium levels

WHAT ARE THE POTENTIAL SIDE EFFECTS?

  • Pain
  • Bleeding/Hemorrhage at treatment site
  • Infection
  • Allergic reaction to the anesthetic agent
  • Systemic anesthetic toxicity
  • Formation of a hematoma
  • Vascular injury
  • Although rare, there are some reports of complications such as pneumothorax or collapsed lung, especially when treating trigger points in the neck and shoulder region using a needling technique.

 

IV Hydration

weekly therapy

IV FAQ & FACTS

IV fluids are specially formulated liquids that are injected into a vein to prevent or treat dehydration. They’re used in people of all ages who are sick, injured, dehydrated from exercise or heat, or undergoing surgery. Intravenous rehydration is a simple, safe and common procedure with a low risk of complications.  Even healthy individuals who want a boost for their energy and endurance level an IV treatment can be beneficial.  As opposed to drinking liquids IV fluids are absorbed 100% into your system.

What are IV fluids?

IV fluids are liquids injected into a person’s veins through an IV (intravenous) tube. They prevent or treat dehydration and electrolyte imbalances.  Your treatment can be combined with certain vitamins to enhance your well being.

Why are intravenous fluids used?

Water is essential to every cell in our bodies. In fact, our bodies are made up of about 60% water. When you don’t have enough water in your body, that’s called dehydration.

What are the effects of dehydration?

When you’re dehydrated, it can affect:

  • Skin health.
  • Energy level.
  • Balance of important minerals (electrolytes) in the body.
  • Cognitive (mental) performance.
  • Gastrointestinal function (your ability to digest food and create pee and poop).
  • Headache frequency and intensity.
  • Many organs, including the kidneys, heart and brain.
  • Physical performance.

Signs of severe dehydration include:

  • Dizziness
  • Dry eyes (no tears).
  • Dry lips and tongue.
  • Dry, wrinkly or blotchy skin.
  • Fatigue (feeling tired).
  • Fast breathing.
  • Hands and feet that are cool to the touch or blotchy-looking.
  • Less pee than usual (fewer than four times per day).
  • Pee that’s dark yellow and smells strong.

Procedure Details

What are the types of IV fluids?

There are different kinds of IV fluids. At Forever Young Aesthetics we will decide which type is right for you, depending on why you need them.  Most commonly we utilize lactated Ringer’s, which contains sodium, chloride, potassium, calcium and lactate. It’s used for aggressive fluid replacement.

What happens during rehydration with IV fluids?

If you need IV fluids we will:

  • Decide the type of IV fluid you need or vitamins.
  • Determine the amount of fluid you need and how quickly. This is based on many factors, including your weight, age and medical conditions.
  • Disinfect (clean) the skin where the IV will go, usually on the inside of the elbow or on top of the hand.
  • Tie an elastic band (tourniquet) around your arm to make blood fill the veins.
  • Examine the veins to find the exact insertion site.
  • Slide a sterile needle into the vein, which may pinch. The needle will have a small plastic tube at the other end.
  • Remove the tourniquet.
  • Place a small plastic attachment onto the tube.
  • Test the tube to make sure a little bit of fluid can go in.
  • Tape the IV needle to your arm so that it stays in place.
  • Attach the small tube to a longer tube, and then attach it to a bag of fluids.
  • Hang the bag from a hook on a tall stand (called an IV stand).
  • Check your IV line regularly and monitor the amount of fluid entering your body.

What happens after IV fluids?

IV fluids can make you feel better very quickly. But we will determine when you can stop receiving intravenous fluids.

Risks / Benefits

What are the advantages and risks of this procedure?

IV rehydration is a common, simple and safe procedure that can make you feel better quickly and help save your life if you’re seriously ill.

But rare complications can occur, including:

  • Air embolism: An air embolism, or gas embolism, occurs when an IV pushes too much air into the vein. It’s rare but can have serious consequences, including possible death.
  • Collapsed vein: Sometimes, the vein collapses when the needle is inserted or when an IV is in place for a long period of time. If this happens, your healthcare provider will try to find another vein to use. There are many other veins to take over for the collapsed vein.
  • Fluid overload: If too much fluid is given too quickly, you can experience a headache, high blood pressure and trouble breathing. This usually resolves quickly with an adjustment to fluid levels. But it can be dangerous.
  • Hematoma: A hematoma occurs when blood leaks from the blood vessel into nearby tissues. It looks like a bad bruise and usually goes away in a few weeks.
  • Infection: If the area isn’t clean when the needle is inserted, infection may occur. Your healthcare provider can usually treat infections with antibiotics.
  • Infiltration: If the needle moves or gets dislodged, fluids can enter tissues around the vein. This may cause stinging and bruising, but it’s typically easy to resolve.
  • Phlebitis: Phlebitis occurs when the vein becomes swollen because of the IV. It’s one of the more common complications, but it’s usually easily treatable by removing the IV, applying a warm compress and elevating t headache or trouble breathing.

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