FOREVER YOUNG AESTHETICS

Client Resources

FOREVER YOUNG AESTHETICS

Client Resources

FOREVER YOUNG AESTHETICS

Client Resources

our treatments are an easy, effective, affordable and a non-invasive alternative to plastic surgery

During the normal aging process, wrinkles are caused by a loss in collagen, and 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.

Botox / Neuromodulators

BOTOX / DYSPORT / JEUVEAU / DAXXIFY

FAQ AND PRODUCT INFORMATION

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

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 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 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.

NEUROMODULATORS PRE-TREATMENT CARE

Forms to complete/review prior to visit online:

  • Intake Form – Client Contact Info
  • FYA – Intake Form
  • FYA – Consent form – Review but wait to sign in person as you need a witness.
  • FYA – Consent photography/videography – Review but wait to sign inMperson as you need a witness.
  • FYA – Post treatment instructions – Review.

Don’t plan within 4 hours of treatment following:

  • Lying down.
  • Massage, facials, chemical peels, haircut/styling.
  • Wearing a hat or goggles on your face.
  • Exercise involving activities such as running, jumping, weight training, yoga, or sexual activity.
  • Exposure to heat such as boating, beach, sun bathing, sauna, or hot yoga.
  • Drinking alcohol
  • Important meeting or event as you may have some swelling and bruising.

Things to purchase (optional):

Bruising prevention medications: Bruising in the
area injected is normal and often expected, especially if treated
around the eyes. Bruising can last up to several weeks. You may want
to purchase either Hyland’s Naturals Arnica tablets or Boiron
Arnicare Cream online at Amazon or local store to be taken before
and after your treatment.

Pain medication: Tylenol/acetaminophen – Take 500 mg
tablets – 1-2 pills every 6 hours is the recommended dosage. Used to
treat any headaches or discomfort as long as you do not have any
allergies to Tylenol.

Don’t take for 2 weeks before treatment:

Any anti-inflammatories (NSAIDs) such as ibuprofen/Advil, Motrin,
celebrex, diclofenac, meloxicam, nabumetone, or naproxen/Aleve.

If you are on anticoagulants such as plavix/clopidogril,
dabigatran/pradaxa, apixiban/eliquis, rivaroxaban/xarelto, or
warfarin/coumadin you will not be able to receive this treatment due
to the risk of bleeding. If you are taking aspirin check with your
provider if it is possible to stop this medication for 2 weeks prior
to your treatment. If you are not able to stop aspirin then you are
not a candidate for these treatments.

Herbal supplements 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.

Don’t plan 2 weeks before treatment:

For area of treatment – waxing, microneedling, microdermabrasion,
facials, bleeching, tweezing.

Avoid a sunburn in area of treatment.

Immediately before treatment:

Eat a small meal/snack and drink 12 ounces of an electrolyte drink
such as coconut water or sport drink to avoid dehydration and
fainting.

Call the office immediately if you need to reschedule or cancel

NEUROMODULATOR POST-TREATMENT CARE

FOR THE FIRST 30 minutes:  

Wait for 30 minutes before applying makeup, facial lotion, or sunscreen.
When applying, be gentle and push up towards scalp not down on towards chin.

FOR THE FIRST 4 HOURS:

DO’S:

  • Remain upright.
  • You may take Tylenol/acetaminophen for any headaches or discomfort as long as you do not have any allergies to Tylenol. 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage.
  • Avoid any important meetings or events as you will have small bumps at injection sites.

DON’TS:

  • Don’t lay flat or sleep on your side. Avoid lying on your face such as during a massage.
  • Don’t massage or manipulate the injection sites. The medication may move to muscles not intended to be treated.
  • Avoid facials, chemical peels, pressure from ice packs, rubbing from makeup application, haircut/styling especially avoiding shampooing.
  • Avoid wearing a hat or goggles that place pressure on your face.
  • Don’t exercise heavily. Muscle straining will possibly move the neurotoxin. Don’t put your head down such as in yoga due to risk of eyebrow droop. Avoid sexual activity.
  • Don’t expose your face to heat to avoid damaging the medication. For example, hair dryer, sun, fireplace, oven/stove, BBQ, sauna or hot yoga.
  • Don’t drink alcohol as your chances of bruising are higher.

FOR THE FIRST 24 HOURS:

DO’S:

  • You may take Tylenol/acetaminophen for any headaches or discomfort as long as you do not have any allergies to Tylenol. 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage.
  • Bruising in the area injected is normal and often expected, especially if treated around the eyes. Bruising can last up to several weeks. Use either Hyland’s Naturals Arnica tablets or Boiron Arnicare Cream which can be purchased online at Amazon or local store.
  • Call the office immediately if you experience any problems. (206) 486-0753
  • Know that it may take up to 2 weeks to notice full benefits.
  • Enjoy the new, refreshed younger and happier you.
  • Put a reminder in your calendar in 3 months to repeat the treatment. Those who exercise more often may need more frequent treatments.
  • Although rare infections can occur requiring antibiotics. Look for signs of infection such as redness and tenderness in the infected area and fever. Should you develop an infection, antibiotics may be necessary. Please contact us should you have any concerns.

DON’TS:

  • Don’t take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
  • Don’t take 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.
  • Don’t massage or manipulate the injection sites.
  • Avoid facials, chemical peels, pressure from ice packs, rubbing from makeup application, haircut/styling especially avoiding shampooing.
  • Don’t exercise heavily. This will allow the medication to bind to the muscles and nerves. Don’t put your head down such as in yoga due to risk of eyebrow droop. Avoid sexual activity.
  • Don’t drink alcohol as this may cause bruising.
  • Avoid wearing a hat or goggles that place pressure on your face.

Dermal Fillers

JUVEDERM / RESTYLANE  / RHA

DERMAL FILLER FAQ AND 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.

DERMAL FILLER PRE-TREATMENT CARE

FORMS TO COMPLETE/REVIEW PRIOR TO VISIT ONLINE:
1) Intake Form – Client Contact Info
2) FYA – Intake Form
3) FYA – Consent form – Review but wait to sign in person as you need a witness.
4) FYA – Consent photography/videography – Review but wait to sign in person as you need a witness.

VASCULAR OCCLUSION
This is a serious complication that is rare but can happen.  When the filler is injected into or around an artery it reduces or stops the blood flow. The surrounding skin and tissue will start to die without adequate blood supply.
Signs of vascular occlusion 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.  A simple test if you are concerned is to perform a capillary refill test by pressing with your finger on the lips for 2 seconds and if after releasing the blood should return to normal after 3 seconds instead of remaining white or dusky.  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.

1 WEEK PRIOR TO TREATMENT:

  • Bruising prevention: Purchase Hyland’s Naturals Arnica 30x – Dissolve one tablet on tongue twice a day. Start 1 week prior to treatment session.   This is a natural supplement to help prevent bruising. Available on Amazon. An alternative is a topical Boiron Arnicare Cream.

DAY OF TREATMENT PLAN:

DO’S:

  • Plan to sleep face up and with head elevated on pillows for swelling.
  • Plan to take acetaminophen/Tylenol (500mg) if you experience any mild tenderness or discomfort. Take 1-2 tablets every 4-6 hours.
  • Bruising prevention: Purchase Hyland’s Naturals Arnica 30x – Dissolve one tablet on tongue twice daily. This is a natural supplement to help with treatment for bruising. Available on Amazon. An alternative is a topical Boiron Arnicare Cream.
  • Cold sore history: Start 2 days prior to take your anti-viral treatment and 2 days after to prevent an attack
  • Have gentle cleanser on hand to wash your face at night (e.g. Cetaphil® Cerave® or Dove® unscented.)
  • Have available cool compress or ice packs with cloth wrap to reduce swelling and pain.

DON’TS:

  • Plan on touching the area for first 6 hours following treatment.
  • Don’t plan on wearing makeup rest of day to limit infection risks.
  • Don’t plan a massage or have significant movement in the treated area. Avoid activities similar to drinking out of a straw, eating a lollipop, or sandwich as this may place pressure on the filler.
  • Plan to exercise heavily or anything that increases your heart rate.
  • Plan to sleep on your side or stomach.
  • Plan to consume excess amounts of alcohol or salt which may increase swelling.

THE FIRST 24 HOURS OR NEXT DAY:

DO’S:

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

DON’TS:

  • Don’t plan to apply anything to the skin.  No cleanser, moisturizer, or makeup (including chapstick or lipstick).
  • Don’t plan to expose yourself to extensive sun or heat for first 24 hours which may cause increased redness, bruising, and swelling.  If sun exposure is unavoidable, use a sun block with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.

FOR THE FIRST 48 HOURS:

  • Avoid plans for strenuous exercise or similar activity to avoid moving the filler or increasing blood flow to the area face. Light activity such as walking is okay.
  • Avoid any plans that may involve kissing for first 48 hours to avoid pressure on your lips.
  • Avoid plans that involve intense heat (sunbathing, sauna, steam rooms, or exercise heated classes) as high heat can cause swelling to be more pronounced.

FOR THE FIRST WEEK:

DO’S:

  • Plan to continue if needed to sleep face up with head elevated in case you still have swelling.

DON’TS:

  • Don’t plan an important event due to potential for bruising and swelling.
  • Avoid air travel plans as the pressure in the plan can interfere with your fillers and the air on the airplane may dehydrate the skin on lips.
  • Don’t plan to take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
  • Don’t plan to take 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.
  • Do not plan to apply products that are potentially irritating for 2 days (Retin-A, glycolic acid, benzoyl peroxide, hydroquinone, etc).

PLANS FOR THE NEXT 2 WEEKS:

LIP FILLER:

  • Avoid any appointments for dental procedures (including cleaning)
  • Make time to schedule a return to the office in 2 weeks to see whether a touch-up is necessary.

PLAN FOR THE NEXT 30 DAYS:

DO’S:

  • Realize it may take 4 weeks to see the full results.

DON’TS:

  • Plan any treatments such as skin care or laser treatments especially treatments that create heat in the treated area.

DERMAL FILLER POST-TREATMENT CARE

Vascular occlusion

This is a serious complication that is rare but can happen. When the filler is injected into or around an artery it reduces or stops the blood flow. The surrounding skin and tissue will start to die without adequate blood supply.

Signs of vascular occlusion 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. A simple test if you are concerned is to perform a capillary refill test by pressing with your finger on the lips for 2 seconds and if after releasing the blood should return to normal after 3 seconds instead of remaining white or dusky. If this occurs it will require dissolving medication immediately as you may have a vascular occlusion. Unfortunately, the filler would not be able to be injected again.

It’s also important to note that the pain could take a while to become noticeable because most fillers include lidocaine, which is an anesthetic. It can take several hours to wear off after the injection procedure and that is when you should look for this severe pain.

DAY OF TREATMENT:

DO’S:

  • Swelling is common for the first 2-3 days. Try to sleep face up and with head elevated on pillows to stabilize yourself.
  • Drink plenty of water or electrolytes. Keeping yourself hydrated aids your body’s healing process. However, avoid using straws which place pressure on your lips.
  • You may take acetaminophen/Tylenol (500mg) if you experience any mild tenderness or discomfort. Take 1-2 tablets every 4-6 hours.
  • Optional to purchase Arnica Montana natural supplement to help bruising to resolve at a faster rate; Take 5 tablets three times per day.
  • Cold sore history: Take your anti-viral treatment to prevent an attack.
  • Wash your face gently at night with gentle cleanser such as Cetaphil® Cerave® or Dove® unscented.
  • Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.

DON’TS:

  • Avoid touching the area for first 6 hours following treatment.
  • Avoid wearing makeup rest of day to limit infection risks.
  • Massage or have significant movement in the treated area. Avoid activities similar to using a straw, eating lollipop, or sandwich as this may place pressure on the filler.
  • Exercise heavily or anything that increases your heart rate.
  • Sleep on your side or stomach.
  • Consume excess amounts of alcohol or salt which may increase swelling.

UNTIL THE NEXT DAY:

DO’S:

  • Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
  • Now you have the option to purchase Boiron Arnicare Cream and apply 3 times daily to help bruising to resolve at a faster rate.

DON’TS:

  • Don’t apply anything to the skin. No cleanser, moisturizer, or makeup (including chapstick or lipstick).
  • Expose yourself to extensive sun or heat for first 24 hours which may cause increased redness, bruising, and swelling. If sun exposure is unavoidable, use a sun block with an SPF of 30 or greater, combined with zinc oxide and/or titanium dioxide.

FOR THE FIRST 48 HOURS:

  • Avoid strenuous exercise or similar activity to avoid moving the filler or increasing blood flow to the area face. Light activity such as walking is okay.
  • Avoid kissing for first 48 hours to avoid pressure on your lips.
  • Use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
  • Avoid intense heat (sunbathing, sauna, steam rooms, or exercise heated classes) as high heat can cause swelling to be more pronounced.

FOR THE FIRST WEEK:

DO’S:

  • Continue if needed to sleep face up with head elevated based if you continue to have swelling.

DON’TS:

  • Don’t plan an important event due to potential for bruising and swelling.
  • Avoid air travel as the pressure in the plan can interfere with your fillers and the air on the airplane may dehydrate the skin on lips.
  • Know that your lips may look overfilled or puffy at first due to swelling. Don’t worry this is normal and temporary. Common short-term side effects after a lip injection that you can expect are swelling, bruising, pain or tenderness, itching, lumpiness, or numbness. About 30% of the filler will be reduced.
  • Don’t take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
  • Don’t take 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.
  • Lumps in the injected area are normal and typically dissipate over the next several months.
  • Continue to use cool compress or ice packs gently to the treated area and wrap in cloth before applying to avoid ice from sticking to the lip and causing pain. 15 minutes every hour while awake if possible.
  • Do not apply products that are potentially irritating for 2 days (Retin-A, glycolic acid, benzoyl peroxide, hydroquinone, etc).

FOR THE NEXT 2 WEEKS:

  • Avoid any dental procedure (including cleaning)
  • Schedule a return to the office in 2 weeks to see whether a touch-up is necessary. If follow up treatments are necessary, there will be additional charges at the regular rate.

FOR THE NEXT 30 DAYS:

DO’S:

  • Enjoy your results and know it can take 4 weeks to see the full results.

DON’TS:

  • Receive any skin care or laser treatments especially treatments that create heat in the treated area.

ice for treating frown lines.  In addition, this can be used to treat upper lip spasticity, cervical dystonia, blepharospasm, and more.

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.

Biostimulator

SCULPTRA

SCULPTRA 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.

SCULPTRA PRE-TREATMENT CARE

FORMS TO COMPLETE/REVIEW PRIOR TO VISIT ONLINE:

  • Intake Form – Client Contact Info
  • FYA – Intake Form
  • FYA – Consent form – Review but wait to sign in person as you need a witness.
  • FYA – Consent photography/videography – Review but wait to sign in person as you need a witness.
  • FYA – Post treatment instructions – Review.

Sculptra® is an injectable poly-L-lactic acid (PLLA) 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, other facial wrinkles, and other areas of the body.
Sculptra helps stimulate gradual restoration of the collagen framework, replacing the lost collagen in the skin to help to create a subtle, refined correction of wrinkles.

Sculptra lasts up to 2 years with high levels of patient satisfaction, and is eventually broken down by the body.

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

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.

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.

Nodules: Small lumps/nodules under the skin that are sometimes noticeable when pressing on the treated area can occur in 25% of individuals. These can occur about 3-6 weeks after treatment while others may not present until 3-4 months later.  These are typically not visible.  Fortunately, they spontaneously resolve over time.   They can be dissolved if present with a mixture of cortisone.

Granulomas: Larger lumps, some with delayed onset with or without inflammation or skin discoloration, have also been reported. More common with injections that are superficial and without post treatment massaging. Areas reported where under the eye and in the lips which we do not treat at Forever Young Aesthetics. The risks of granulomas reduces with the proper dilution and being strategic about treatment area.

Bruising: Common and sometimes preventable.  Use Arnica dissolving tablets 3 days prior to treatment and 3 days post treatment.
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.

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

1 WEEK PRIOR TO TREATMENT:

  • 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.
  • Bruising prevention: Purchase Hyland’s Naturals Arnica 30x – Dissolve one tablet on tongue twice a day. Start 1 week prior to treatment session. This is a natural supplement to help prevent bruising. Available on Amazon. An alternative is a topical Boiron Arnicare Cream.
  • Avoid NSAIDS also known as nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve).
  • Avoid 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.

2-3 WEEK AFTER TREATMENT:

Avoid any micro needling, laser, IPL, or skin tightening treatments.

 

Read more about Sculptra

SCULPTRA POST-CARE INSTRUCTIONS

Numbness: Your treatment is mixed with lidocaine a numbing agent and you may note numbness or weakness in the treated area for the next 1-2 hours which is normal. If this persists let us know immediately.

Massage: Using your fingers make a circular motion for 5-5-5: 5 minutes – 5 times daily – 5 days

Make-up may be applied a few hours after treatment if there are no complications such as open wounds or bleeding.

You may take acetaminophen/Tylenol (500mg) if you experience any mild tenderness or discomfort. Take 1-2 tablets every 4-6 hours.

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.

Do NOT get a facial or massage for 2 weeks after your procedure.

Wash your face gently at night with gentle cleanser such as Cetaphil® Cerave® or Dove® unscented.

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. 

Results are not immediate but rather improve over time. 

Call immediately (‭206-486-0753‬) or seek medical attention if…

You develop symptoms such as unusual pain, vision changes, a white appearance of skin near the injection site, or any signs of a stroke (including sudden difficulty speaking, numbness or weakness in your face, arms, or legs, difficulty walking, face drooping, severe headache, dizziness, or confusion) during or shortly after the procedure.

Fat Dissolving Injectables

KYBELLA

KYBELLA 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.

KYBELLA PRE-TREATMENT CARE

FORMS TO COMPLETE/REVIEW PRIOR TO VISIT ONLINE:

  • Intake Form – Client Contact Info
  • FYA – Intake Form
  • FYA – Consent form – Review but wait to sign in person as you need a witness.
  • FYA – Consent photography/videography – Review but wait to sign in person as you need a witness.
  • FYA – Post treatment instructions – Review.

YOU ARE NOT A CANDIDATE IF YOU HAVE ANY OF THE FOLLOWING:

  • Pregnant or nursing
  • Have difficulty swallowing
  • Nerve injury or weakness in the lower face
  • Infection in the area
  • Prior chin surgical implant
  • Excessive skin laxity
  • Taking blood thinners

THINGS TO PURCHASE (OPTIONAL):

  • Bruising Prevention: Bruising in the area injected is normal and often expected. Use either Hyland’s Naturals Arnica tablets or Boiron Arnicare Cream which can be purchased online at Amazon or local store.
  • Pain medication: Tylenol/acetaminophen – Take 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage. Okay to take as long as you do not have any liver dysfunction or allergies. Avoid Advil/ibuprofen as this may cause more swelling.
  • Zyrtec or Benadryl (an antihistamine) available at home for itching that may result from the procedure.
  • Ice pack or cold compresses available for swelling to be used for 15 minutes 4 times a day.
  • A chin strap to prevent swelling

DON’T TAKE FOR 2 WEEKS BEFORE TREATMENT:

  • Any anti-inflammatories (NSAIDs) such as ibuprofen/Advil, Motrin, celebrex, diclofenac, meloxicam, nabumetone, or naproxen/Aleve as these will increase your bruising/swelling.
  • If you are on anticoagulants such as plavix/clopidogril, dabigatran/pradaxa, apixiban/eliquis, rivaroxaban/xarelto, warfarin/coumadin, or aspirin you will need to ask your medical prescriber if you are able to stop this medication for 2 weeks prior to your treatment. If you are not able to stop temporarily then you are not a candidate for these treatments.
  • Herbal supplements 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.

DON’T FOR 1 WEEK BEFORE TREATMENT:

  • Have a waxing, bleeching, tweezing, or hair removal treatment in area being treated.

24 HOURs PRIOR TO TREATMENT:

  • Avoid drinking alcohol as bruising will be increased.
  • Avoid caffeine, niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, and spicy foods

1 HOUR PRIOR TO TREATMENT:

  • To avoid discomfort, you may take 1 gram (Two 500 mg tablets) of acetaminophen (i.e. Tylenol) one hour prior to your scheduled appointment.
  • Eat a small meal/snack and drink 12 ounces of an electrolyte drink such as coconut water or sport drink to avoid dehydration and fainting.
  • Wash your face and neck but do not apple or remove all makeup, creams, gels, or lotions in treatment area.

THE NEXT WEEK AFTER TREATMENT

  • Plan your procedure so that you can have 4 full days before returning to work or important social engagements.
  • Be aware you will have swelling that may last for a few weeks after the procedure.
  • Call the office immediately if you need to reschedule or cancel

KYBELLA POST-TREATMENT CARE

FOR THE FIRST 24 hours:

  • Avoid extreme temperatures that may cause increased swelling.
  • Avoid alcohol, caffeine, niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, and spicy foods to reduce swelling
  • Use an ice pack/cold compress such as frozen peas in plastic bag or crushed ice. Avoid heavy bag of ice. Wrap ice pack in a soft thin towel. Apply the ice pack approximately 20 minutes and remove for 20 minutes. Perform this regularly every hour.
  • Drink plenty of water
  • You may note some difficulty swallowing based on the swelling around your throat. Eat easy to swallow foods such as soups and smoothies as opposed to meats and bread.

THE NEXT DAY:

  • Okay to apply makeup, moisturizer, sunscreen, or concealer to cover bruise.

FOR THE FIRST 4 days:

DO’S:

  • Plan your procedure so that you can time to rest before returning to work or important social engagements.
  • Expect to see some redness in area treated.

 DON’TS:

  • Participate in strenuous activity.
  • Consume alcohol or sodium to avoid excess swelling.
  • Expose yourself to excessive heat

FOR THE FIRST 5-14 DAYS BASED ON SWELLING:

DO’S:

  • Sleep with your head elevated on at least 2 and preferably 3 pillows to reduce swelling
  • Bruising in the area injected is normal and often expected. Use either Hyland’s Naturals Arnica tablets or Boiron Arnicare Cream which can be purchased online at Amazon or local store.
  • Pain medication: Tylenol/acetaminophen – Take 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage. Avoid Advil/ibuprofen as this may cause more swelling.
  • Use an ice pack/cold compress such as frozen peas in plastic bag or crushed ice. Avoid heavy bag of ice. Wrap ice pack in a soft thin towel. Apply the ice pack approximately 20 minutes and remove for 20 minutes. Perform this at least several times a day.
  • Take Zyrtec or Benadryl (an antihistamine) for itching that may result from the procedure.
  • Wear a chin strap to avoid swelling is optional.
  • You may apply your normal skin care regimen and sunscreen normally.
  • You may shower and wash your face with a gentle cleanser.
  • Call the office immediately if you experience any problems/difficulty swallowing, crusting or scabbing, asymmetry of your smile or any other unusual symptoms. ‭(206) 486-0753‬
  • Although rare infections can occur requiring antibiotics. Look for signs of infection such as redness and tenderness in the infected area and fever. Should you develop an infection, antibiotics may be necessary. Please contact us should you have any concerns.

DON’TS:

  • Do not scratch, pick or traumatize the area in any way.
  • Do not massage or manipulate the injection site.
  • Have a chemical peel, laser procedure, or facial performed in this area.

(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 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)
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.

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.

Weight Loss

SEMAGLUTIDE / TIRZEPATIDE

WEIGHT LOSS FAQ AND 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.

  • 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.

Semaglutide

SEMAGLUTIDE FAQ AND INFORMATION

 What is Semaglutide?

Semaglutide is a weekly self-administered injection designed to aid in weight loss.

 

Where Do We Get This Medication?

We obtain this medication from a compounding pharmacy due to an international shortage.

 

How Does This Medication Work for Weight Loss?

Semaglutide functions by utilizing GLP-1 (Glucagon-Like Peptide-1) receptor agonist technology. It helps with weight loss through:

  1. Regulating appetite to reduce food intake.
  2. Curbing food cravings.
  3. Helping the body process sugars more efficiently.

What are other uses for this medication?

Semaglutide has been used for decades to treat diabetes.

What Do I Need to Know Before Considering This Medication for Weight Loss?

To qualify, you must:

Be over 18 years old.
Not be pregnant, nursing, or planning to become pregnant in the next year.
Have no family or personal history of medullary thyroid cancer.
Not be currently treated for cancer.
Not be using insulin.

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.

 

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 lbs or 16% of your body weight over a year when combined with proper nutrition and exercise.

 

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.

 

What Is the Major Difference Between Semaglutide and Tirzepatide?

Semaglutide: Less expensive, more side effects, lower overall weight loss (20 lbs).
Tirzepatide: More expensive, fewer side effects, higher overall weight loss (30 lbs).
Common Side Effects to Look For:

Nausea
Indigestion
Constipation
Mild allergic skin reaction at the injection site
Diarrhea
Fatigue

SEMAGLUTIDE MEDICATION MANAGEMENT

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.

Medications

We offer Semaglutide (same as Ozempic/Wegovy) through a partner compounding pharmacy. This allows access without needing insurance qualification due to diabetes or obesity.

Mechanism

GLP-1 medications mimic the hormone released by your gut after eating, which:

Stimulates insulin secretion.
Decreases gastric emptying.
Inhibits food intake by decreasing dopamine-induced “feel-good” vibes.
Possible Weight Loss

Studies show a reduction of up to 15% in weight over a year or more when combined with a healthy lifestyle.

Treatment Plan

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

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.
Dosage

Freshman Level (Weeks 1-4): 5 units (0.05 ml or 0.25 mg) once a week.
Sophomore Level (Weeks 5-8): 10 units (0.1 ml or 0.5 mg) once a week.
Junior Level (Weeks 9-12): 20 units (0.2 ml or 1 mg) once a week.
Senior Level (Weeks 13-16): 35 units (0.35 ml or 1.75 mg) once a week.
Maintenance Level: Adjust to 50 units (0.5 ml or 2.5 mg) if necessary.
Common Side Effects

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
Low blood sugar
Kidney problems
Serious allergic reactions
Gallbladder problems
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.

Tirzepatide

TIRZEPATIDE FAQ AND INFORMATION

What is Tirzepatide?

Tirzepatide is a weekly self-administered injection that helps with weight loss.

 

Where Do We Get This Medication?

We obtain this medication from a compounding pharmacy due to an international shortage.

 

How Does This Medication Work for Weight Loss?

Tirzepatide is a synthetic peptide that acts as a dual receptor agonist for GLP-1 and GIP receptors. It aids in weight loss by:

Regulating appetite to reduce food intake.
Curbing food cravings.
Helping the body process sugars more efficiently.
What Are the Other Uses for This Medication?

Tirzepatide has 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:

Be over 18 years old.
Not be pregnant, nursing, or planning to become pregnant in the next year.
Have no family or personal history of medullary thyroid cancer.
Not be currently treated for cancer.
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 30 lbs or 26% of your body weight over a year when combined with proper nutrition and exercise.

 

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.

 

What Is the Major Difference Between Tirzepatide and Semaglutide?

Semaglutide: Less expensive, more side effects, lower overall weight loss (20 lbs).
Tirzepatide: More expensive, fewer side effects, higher overall weight loss (30 lbs).

 

Common Side Effects to Look For:

Nausea
Diarrhea
Indigestion
Constipation
Mild allergic skin reaction at the injection site
Fatigue

 

Weight Loss Medication (Semaglutide) Management Instructions

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.

 

Medications

We offer Semaglutide (same as Ozempic/Wegovy) through a partner compounding pharmacy. This allows access without needing insurance qualification due to diabetes or obesity.

Mechanism

GLP-1 medications mimic the hormone released by your gut after eating, which:

Stimulates insulin secretion.
Decreases gastric emptying.
Inhibits food intake by decreasing dopamine-induced “feel-good” vibes.
Possible Weight Loss

Studies show a reduction of up to 15% in weight over a year or more when combined with a healthy lifestyle.

 

Treatment Plan

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

 

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.
Dosage

Freshman Level (Weeks 1-4): 5 units (0.05 ml or 0.25 mg) once a week.
Sophomore Level (Weeks 5-8): 10 units (0.1 ml or 0.5 mg) once a week.
Junior Level (Weeks 9-12): 20 units (0.2 ml or 1 mg) once a week.
Senior Level (Weeks 13-16): 35 units (0.35 ml or 1.75 mg) once a week.
Maintenance Level: Adjust to 50 units (0.5 ml or 2.5 mg) if necessary.
Common Side Effects

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
Low blood sugar
Kidney problems
Serious allergic reactions
Gallbladder problems
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.

TIRZEPATIDE MEDICATION MANAGEMENT

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.

 

Medications

We offer Tirzepatide (same as Mounjaro/Zepbound) through our partner compounding pharmacy.

 

Mechanism

GLP-1 and GIP medications work by:

Activating brain receptors to regulate appetite.
Activating gut receptors to signal insulin release.
Mimicking hormones to slow digestion.
Possible Weight Loss

Studies show a reduction of up to 26% in weight over a year or more when combined with a healthy lifestyle.

 

Treatment Plan

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

 

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.
Dosage

Freshman Level (Weeks 1-4): 10 units (0.1 ml or 2.5 mg) once a week.
Sophomore Level (Weeks 5-8): 20 units (0.2 ml or 5 mg) once a week.
Junior Level (Weeks 9-12): 30 units (0.3 ml or 7.5 mg) once a week.
Senior Level (Weeks 13-16): 40 units (0.4 ml or 10 mg) once a week.
Maintenance Level: Adjust to 50 units (0.5 ml or 12.5 mg) if necessary.

Common Side Effects

Nausea
Diarrhea
Indigestion
Constipation
Mild allergic skin reaction at the injection site
Fatigue
Other Possible Side Effects

Nervousness
Sleeplessness
Headaches
Dry mouth
Weakness
Tiredness
High blood pressure
Rapid heartbeat
Heart irregularities
Changes in vision
Low blood sugar

Wellness Treatments

VITAMIN B12 / TRIGGER POINT / iv hydration

VITAMIN B12 FAQ AND INFORMATION

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.

VITAMIN B12 PRE-TREATMENT CARE

FORMS TO COMPLETE/REVIEW PRIOR TO VISIT ONLINE:

  • Intake Form – Client Contact Info
  • FYA – Intake Form
  • FYA – Consent form – Review but wait to sign in person as you need a witness.
  • FYA – Consent photography/videography – If also receiving other treatment. Review but wait to sign in person as you need a witness.
  • FYA – Post treatment instructions – Review.

DON’T TAKE FOR 3 DAYS BEFORE TREATMENT:

  • Any anti-inflammatories (NSAIDs) such as ibuprofen/Advil, Motrin, celebrex, diclofenac, meloxicam, nabumetone, or naproxen/Aleve.
  • If you are on anticoagulants such as plavix/clopidogril, dabigatran/pradaxa, apixiban/eliquis, rivaroxaban/xarelto, or warfarin/coumadin you will not be able to receive this treatment due to the risk of bleeding. If you are taking aspirin check with your provider if it is possible to stop this medication for 3 days prior to your treatment. If you are not able to stop aspirin then you are not a candidate for these treatments.
  • Herbal supplements 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.

IMMEDIATELY BEFORE TREATMENT:

  • Eat a small meal/snack and drink 12 ounces of an electrolyte drink such as coconut water or sport drink to avoid dehydration and fainting.
  • Call the office immediately if you need to reschedule or cancel. ‭(206) 486-0753‬

DO NOT SCHEDULE if you have any of the following:

  • Cobalt allergy
  • Sensitivity to vitamin B12
  • Leber’s disease, which affects the optic nerve
  • Kidney problems
  • Hypokalemia, or low potassium levels
  • Deficiencies in other nutrients, particularly folic acid and iron

VITAMIN B12 POST-TREATMENT CARE

FOR THE FIRST SEVERAL DAYS:

  • Note side effects can occur but are often very mild.
  • Most common symptoms are pain/redness or itching at the injection site and ild diarrhea.

These side effects will pass as time goes by.

  • 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

FOR THE FIRST FEW WEEKS:

  • It may take a few weeks before your vitamin B12 levels and symptoms (such as extreme tiredness or lack of energy) start to improve.
  • You may take Tylenol/acetaminophen for any discomfort as long as you do not have any allergies to Tylenol. 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage.
  • Call the office immediately if you experience any problems. ‭(206) 486-0753‬
  • Be sure to schedule your next treatment which is typically once a week for 4-8 weeks and then monthly based on your deficiency level.

TRIGGER POINT FAQ AND INFORMATION

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.

 

TRIGGER POINT PRE-TREATMENT CARE

FORMS TO COMPLETE/REVIEW PRIOR TO VISIT ONLINE:

  • Intake Form – Client Contact Info
  • FYA – Intake Form
  • FYA – Consent form – Review but wait to sign in person as you need a witness.
  • FYA – Consent photography/videography – Review but wait to sign in person as you need a witness.
  • FYA – Post treatment instructions – Review.

DON’T PLAN WITHIN 4 HOURS OF TREATMENT FOLLOWING:

  • Exercise involving activities such as running, jumping, weight training, yoga, or sexual activity.
  • Drinking alcohol

THINGS TO PURCHASE (OPTIONAL):

  • Pain medication: Tylenol/acetaminophen – Take 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage. Used to treat any headaches or discomfort as long as you do not have any allergies to Tylenol.

DON’T TAKE FOR 2 WEEKS BEFORE TREATMENT:

  • Any anti-inflammatories (NSAIDs) such as ibuprofen/Advil, Motrin, celebrex, diclofenac, meloxicam, nabumetone, or naproxen/Aleve.
  • If you are on anticoagulants such as plavix/clopidogril, dabigatran/pradaxa, apixiban/eliquis, rivaroxaban/xarelto, or warfarin/coumadin you will not be able to receive this treatment due to the risk of bleeding. If you are taking aspirin check with your provider if it is possible to stop this medication for 2 weeks prior to your treatment. If you are not able to stop aspirin then you are not a candidate for these treatments.
  • Herbal supplements 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.

IMMEDIATELY BEFORE TREATMENT:

  • Eat a small meal/snack and drink 12 ounces of an electrolyte drink such as coconut water or sport drink to avoid dehydration and fainting.
  • Call the office immediately if you need to reschedule or cancel. ‭(206) 486-0753‬

TRIGGER POINT POST-TREATMENT CARE

FOR THE FIRST 24 HOURS: 

DO’S:

  • You may take Tylenol/acetaminophen for any headaches or discomfort as long as you do not have any allergies to Tylenol. 500 mg tablets – 1-2 pills every 6 hours is the recommended dosage.
  • Bruising in the area injected is normal and often expected, especially if treated around the eyes. Bruising can last up to several weeks. Use either Hyland’s Naturals Arnica tablets or Boiron Arnicare Cream which can be purchased online at Amazon or local store.
  • Put a reminder in your calendar in 1-2 months to repeat the treatment.
  • Although rare infections can occur requiring antibiotics. Look for signs of infection such as redness and tenderness in the infected area and fever. Should you develop an infection, antibiotics may be necessary. Please contact us should you have any concerns.

DON’TS:

  • Don’t take NSAIDS or nonsteroidal anti-inflammatories (such as ibuprofen/Advil or naproxen/Aleve), aspirin or other blood thinners for 24 hours after injection unless necessary for medical reasons.
  • Don’t take 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.
  • Don’t massage or manipulate the injection sites.
  • Don’t exercise heavily. If you have bleeding or a hematoma it will become worse.
  • Don’t drink alcohol as this may cause bruising.

IV HYDRATION FAQ AND INFORMATION

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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