Client Resources

FOREVER YOUNG AESTHETICS

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.

Toxin / 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.

Microneedling

SKINPEN

SKINPEN MICRONEEDLING FAQ

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

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

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

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

CONTRAINDICATIONS
Microneedling is not recommended for individuals with:

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

EXTRA CAUTION IS ADVISED FOR INDIVIDUALS WHO ARE:

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

SKINPEN PRE-TREATMENT CARE

Procedure Overview: The SkinPen is the first FDA-approved, state-of-the-art microneedling device manufactured in the U.S. and used globally. It is designed to enhance your skin’s radiance, firmness, and youthful appearance. By stimulating natural collagen and elastin production (proteins essential for skin support and elasticity), this quick 30-minute treatment offers noticeable results with minimal downtime. The SkinPen is safe for all skin types.

Unlike treatments like Botox, which relax muscles to reduce wrinkles, microneedling works at the skin’s surface to promote natural healing. This procedure can help address the effects of aging, acne scars, and skin imperfections, giving your skin a healthier and more youthful look. Most patients experience results after as few as three 30-minute sessions. Treatment typically covers the entire face and neck.

How Does the SkinPen Work?

The SkinPen creates approximately 3 million controlled micro-channels in the skin per treatment, stimulating collagen and promoting tissue remodeling without causing scarring. The device activates your skin’s natural wound-healing process, which can continue for months after the procedure. The SkinPen can also be combined with PRP (Platelet-Rich Plasma) therapy, where PRP is applied topically to enhance absorption through microneedling.

This treatment is highly effective for addressing sun damage, minimizing acne scars, and improving the overall appearance of aging skin. Each session lasts around 60 minutes and is different from chemical or heat-based treatments. The SkinPen uses a mechanical cartridge with small needles and a coupled retraction technology, ensuring safety and precision. Over 90 validation studies confirm its safety and effectiveness. The disposable, single-use needle cartridges are sealed ultrasonically to maintain sterility during each treatment.

What to Expect During Your Treatment:

  • Review of Forms: Your intake and consent forms will be reviewed prior to starting the procedure.
  • Photographs: Photos will be taken to document your progress and results over time. If you consent, we may use these photos for advertising purposes.
  • Numbing Cream: A topical numbing cream will be applied to minimize discomfort during the treatment.
  • PRP (if applicable): If you are undergoing PRP treatment, a small sample of your blood will be drawn and processed to prepare the PRP for application.
  • Cleansing: Your skin will be thoroughly cleansed to ensure a sterile environment.

Procedure Duration: The actual microneedling session will last between 30 to 60 minutes. The procedure is generally well-tolerated, with only mild discomfort compared to treatments like Botox or fillers.

What to Expect After Your Treatment:

Skin Appearance: Immediately after treatment, your skin may appear slightly pink or red, similar to a mild sunburn. This is normal and typically fades within 24-36 hours.

Results: Many patients notice improved skin texture after a single session, with continued improvements for three to six months as collagen production increases.

Post-Treatment Care: You won’t need any downtime, but it’s important to keep your skin clean and avoid using cosmetics for 1-2 days to minimize the risk of infection.

Side Effects:

  • Common Reactions: You may experience redness, a flushed appearance, and mild skin tightness or sensitivity in the treated areas. These symptoms typically subside within a few hours.
  • Recovery Time: Most patients return to their normal appearance within 24 hours, with minimal signs of the procedure remaining after three days.

Contraindications/Precautions:

This treatment is not recommended if you have any of the following:

  • Keloid scars
  • Scleroderma
  • Collagen vascular diseases
  • Cardiac abnormalities
  • Blood clotting disorders
  • Active infections (bacterial or fungal)
  • Pregnancy or nursing
  • Recent scars or stretch marks (less than one year old)
  • Chronic skin conditions (e.g., eczema, psoriasis)
  • History of herpes simplex infections
  • Diabetes or impaired wound healing
  • Immunosuppressive therapy
  • Raised moles or warts in the treatment area

Hydration: Eat a light meal and drink 12 ounces of an electrolyte drink (such as coconut water or a sports drink) before the procedure to stay hydrated and avoid fainting.

Numbing:  If you have numbing cream from prior visit apply your entire face and neck 30 minutes prior to your appointment to expedite your treatment.  Place to the hair line on forehead and near ears.  Also include the area above your eye just below your eyebrow.  Be sure to include your nose.  All the way down your neck to collar bones.  Avoid placing inside your eyes, nose, or mouth as well as avoid your lips. 

Avoid Alcohol & Smoking:

  • Alcohol: Refrain from alcohol for at least two days before your treatment.
  • Smoking: Stop smoking at least one week prior to your appointment.

Medications to Avoid for 1 Week Before Treatment:

  • Anti-inflammatories (e.g., ibuprofen, Advil, Motrin, Aleve) 
  • Blood Thinners: Discontinue blood thinners, herbs, and supplements that thin the blood. If you are taking anticoagulants (e.g. aspirin, Plavix, Coumadin), consult your physician about whether you can safely stop them a week before treatment to reduce the risk of bruising.
  • Retin-A, retinol, or vitamin A products
  • Herbal supplements such as turmeric, ginger, fish oil, vitamin E, ginseng, and St. John’s Wort

Accutane: Wait at least six months after taking isotretinoin (Accutane) before undergoing microneedling.

24 Hours Prior to Treatment:

  • Avoid Sun Exposure: Stay out of the sun, as a sunburn can compromise your treatment.
  • If you have a sunburn, please reschedule your appointment.
  • Get enough rest the day before the procedure. 

By following these guidelines, you can help ensure a smooth and effective treatment experience.

SKINPEN POST-TREATMENT CARE

What to Expect:

  • After the treatment, your skin may appear pink to red, similar to a mild sunburn. This is normal and typically subsides within 24 to 36 hours.
  • For the first 1-3 days, your skin will feel dry and tight. You may also experience redness, swelling, and minor bleeding.
  • There is no need to take time off work unless makeup is required.
  • Many people see rejuvenated skin after just one session, with continued improvements for up to three to six months.
  • After 2-3 days, you can resume using your regular skincare products, or sooner if it feels comfortable.

Treatment Recovery Timeline:

  • Day 1: You may experience redness (erythema), and the severity will depend on the intensity of the treatment.
  • Day 2: A pink or red hue will persist, similar to a moderate sunburn. Swelling may increase on the second day.
  • Days 3-5: Your skin may still appear slightly pink, but it will start returning to its normal color as swelling subsides.

Day of Your Treatment:

  • SCHEDULE: Schedule your next appointment.  A series of 3 treatments a month apart will give you the best results.  Then once very 3-6 months as maintenance. 
  • EXERCISE: Refrain from vigorous exercise for at least 12 hours after the procedure to prevent irritation.
  • Face Mask: May be given or purchased at your appointment.  Pre chill in refrigerator if desired.  Evening of your treatment apply the face mask to help sooth and cool your skin making sure to remove the netting on the skin side and then once applied remove the netting on the outer side.   Leave the mask on for no longer than 15 minutes.  For PRP clients okay but wait at least 2 hours.  (Pictured below)
  • WASHING: Avoid for at least 4 hours.  (Preferably 24 hours for PRP). Rinse with warm water only. Gently wash your face, massaging to remove all product, serum, and dried blood.  Avoid soap or hot water. 
  • CLEANLINESS: Ensure that your pillowcase, headwear, and glasses are clean after treatment to prevent infection.
  • HYDRATION AND MOISTURIZATION: Stay hydrated. Regularly apply SKINFUSE LIFT HG which is given to you at your appointment for 24 hours to keep skin moist. (Pictured below)

First 1-2 days After Your Treatment:

  • SUNSCREEN: No sunscreen until micro channels close.
  • MAKEUP: No makeup until micro channels close.
  • WASHING: Gentle cleanser with warm water. 
  • HEAT:  Avoid hot showers, saunas, and other heat-based treatments until your skin has healed.
  • MOISTURIZATION:   Keep your skin hydrated with the Skinfuse Rescue Calming Complex which is given to you at your appointment. 

First Week After Your Treatment:

  • Sun Exposure: Avoid direct sun exposure.
  • Toners: Avoid alcohol-based toners to avoid irritation.
  • Avoid Certain Medications: Avoid NSAIDs and supplements that may increase bruising.
  • PAIN: For discomfort or headaches, take 500 mg of Tylenol/acetaminophen (1-2 pills every 6 hours), unless you have an allergy to Tylenol.

Next 2 Weeks After Treatment:

  • Avoid any treatments such as Botox or filler injections (to minimize infection).  These may have been performed at the same time as your microneedling. 

If you have any questions please contact us at (206) 486-0753.

Microneedling with PRP

SKINPEN with Platelet Rich Plasma (PRP)

SKINPEN MICRONEEDLING W/ PRP FAQ

PROCEDURE OVERVIEW
The SkinPen is the first FDA-approved, state-of-the-art microneedling device manufactured in the U.S. and used globally. It is designed to enhance your skin’s radiance, firmness, and youthful appearance. By stimulating natural collagen and elastin production (proteins essential for skin support and elasticity), this quick 60-minute treatment offers noticeable results with minimal downtime. The SkinPen is safe for all skin types.

Unlike treatments like Botox, which relax muscles to reduce wrinkles, microneedling works at the skin’s surface to promote natural healing. This procedure can help address the effects of aging, acne scars, and skin imperfections, giving your skin a healthier and more youthful look. Most patients experience results after as few as three 30-minute sessions. Treatment typically covers the entire face and neck.

HOW DOES THE SKINPEN WITH PRP WORK?
The SkinPen creates approximately 3 million controlled micro-channels in the skin per treatment, stimulating collagen and promoting tissue remodeling without causing scarring. The device activates your skin’s natural wound-healing process, which can continue for months after the procedure. The SkinPen can also be combined with PRP (Platelet-Rich Plasma) therapy, where PRP is applied topically to enhance absorption through microneedling. This treatment is highly effective for addressing sun damage, minimizing acne scars, and improving the overall appearance of aging skin.

Each session lasts around 60 minutes and is different from chemical or heat-based treatments. The SkinPen uses a mechanical cartridge with small needles and a coupled retraction technology, ensuring safety and precision. Over 90 validation studies confirm its safety and effectiveness. The disposable, single-use needle cartridges are sealed ultrasonically to maintain sterility during each treatment.

WHAT IS PRP (Platelet Rich Plasma)?
Platelet Rich Plasma (PRP) is an innovative therapy that uses your own blood to promote healing and tissue regeneration. This treatment involves injecting a concentrated solution of platelets, derived from your own blood, into targeted areas. Platelets contain growth factors and proteins that stimulate the body’s natural healing processes and encourage cell growth. While PRP’s full potential is still being studied, it has shown promise in various medical and cosmetic applications.

HOW PRP WORKS
Platelets are rich in growth factors that help repair and regenerate tissue. In PRP therapy, a blood sample is taken from the patient, and the platelets are concentrated using a centrifuge. Once activated, the platelets release these growth factors, which promote new cell growth, reduce inflammation, and support healing. PRP stimulates collagen production, tightens and strengthens damaged tissues, and enhances overall skin appearance. The procedure typically takes about an hour, with a recommended series of three sessions spaced a month apart, followed by annual maintenance treatments.

KEY BENEFITS OF PRP

  • Growth Factors: PRP contains platelet-derived growth factor (PDGF), vascular endothelial growth factor (VEGF), and transforming growth factor-beta (TGF-beta), which promote cell proliferation and collagen repair.
  • Tissue Repair: PRP helps stimulate the production of extracellular matrix components necessary for connective tissue health.
  • New Blood Vessel Formation: PRP encourages angiogenesis, the formation of new blood vessels, improving tissue health by delivering oxygen and nutrients.
  • Anti-Inflammatory Effects: PRP reduces inflammation by releasing substances such as prostaglandins and leukotrienes.
  • Cellular Recruitment: Platelets release adhesion molecules that attract other healing cells to the site of injury, further supporting tissue regeneration.

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

PRP SAFETY AND APPLICATIONS
PRP has been used safely for over 20 years in fields such as orthopedics, sports medicine, neurosurgery, dermatology, and aesthetics. In aesthetics, it is effective for treating fine lines, wrinkles, sagging skin, and hair loss. It’s safe for nearly all skin types, as it uses the patient’s own plasma, reducing the risk of allergic reactions or complications.

WHAT TO EXPECT DURING YOUR FIRST TREATMENT

  • Review of Forms: We will review your intake and consent forms before starting.
  • Photos: Pre-treatment photos will be taken for future comparison. You may choose to allow us to use them for marketing purposes.
  • Numbing Cream: A numbing cream will be applied for comfort.
  • Blood Draw: A small amount of blood will be drawn and placed in a centrifuge to isolate the platelet-rich plasma.
  • PRP Application: The PRP is either injected or applied topically and combined with microneedling to improve absorption.

TREATMENT DURATION
The entire process takes about 60 minutes, including the blood draw, PRP preparation, and treatment.

WHAT TO EXPECT AFTER YOUR TREATMENT
Microneedling SkinPen:  After the treatment, your skin may appear pink to red, similar to a mild sunburn. This typically subsides within 24 to 36 hours. Some individuals may see rejuvenated skin after just one session, with continued improvements over the next three to six months. While there’s no need for downtime, it is essential to keep your skin clean and avoid using suncreen/makeup for 1-2 days to minimize the risk of infection.

PRP: You may experience slight bruising at the blood draw site. Remove the bandage the next day.

SIDE EFFECTS
Microneedling SkinPen: Common side effects include mild redness and a flushed appearance, similar to a moderate sunburn. You may also experience slight skin tightness and sensitivity in the treated area, but these symptoms usually subside within a few hours. Most patients resume their normal appearance within 24 hours, with minimal signs of the procedure visible after three days.

PRP: Since PRP uses your own blood, there are no allergic reactions, making it a very natural treatment.

CONTRAINDICATIONS/PRECAUTIONS

Microneedling is not recommended for individuals with:

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

PRP may not be suitable for individuals with:

  • Acute or chronic infections
  • Certain skin diseases
  • Cancer
  • Severe systemic disorders
  • Abnormal platelet function
  • Chronic liver conditions
  • Those on anticoagulation therapy.

RISKS AND COMPLICATIONS
Both microneedling and PRP are generally safe with low risks. However, potential complications may include pain, bruising, bleeding, infection, allergic reactions, or ineffective results.

EXPECTED RESULTS
Results from microneedling with PRP typically become noticeable within four weeks, with further improvements over three to six months. For optimal results, a series of three treatments spaced four weeks apart is recommended, followed by maintenance sessions every six months as needed.

SKINPEN W/ PRP PRE-TREATMENT CARE

Avoid Alcohol & Smoking:

  • Alcohol: Refrain from alcohol for at least two days before your treatment.
  • Smoking: Stop smoking at least one week prior to your appointment.

Numbing: If you have numbing cream from prior visit apply your entire face and neck 30 minutes prior to your appointment to expedite your treatment.  Place to the hair line on forehead and near ears.  Also include the area above your eye just below your eyebrow.  Be sure to include your nose.  All the way down your neck to collar bones.  Avoid placing inside your eyes, nose, or mouth as well as avoid your lips.

Medications to Avoid for 1 Week Before Treatment:

  • Anti-inflammatories (e.g. ibuprofen, Advil, Motrin, Aleve)
  • Blood Thinners: Discontinue blood thinners, herbs, and supplements that thin the blood. If you are taking anticoagulants (e.g. aspirin, Plavix, Coumadin), consult your physician about whether you can safely stop them a week before treatment to reduce the risk of bruising.
  • Retin-A, retinol, or vitamin A products
  • Herbal supplements such as turmeric, ginger, fish oil, vitamin E, ginseng, and St. John’s Wort

Accutane: Wait at least six months after taking isotretinoin (Accutane) before undergoing microneedling.

24 Hours Prior to Treatment:

Avoid Sun Exposure: Stay out of the sun, as a sunburn can compromise your treatment. If you have a sunburn, please reschedule your appointment.

Get enough rest

Get a good night’s rest the day before the procedure.

Day of Your Treatment:

Stay hydrated

Drink plenty of water or electrolyte drink/supplement, sport drink, coconut water, or soup, especially the day before and the day of the procedure.  Being hydrated allows blood draw to be easier.

Eat well

Eat a healthy breakfast on the day of the procedure, and have a light meal before the procedure.

SKINPEN W/ PRP POST-TREATMENT CARE

What to Expect:

  • After the treatment, your skin may appear pink to red, similar to a mild sunburn. This is normal and typically subsides within 24 to 36 hours.
  • For the first 1-3 days, your skin will feel dry and tight. You may also experience redness, swelling, and minor bleeding.
  • There is no need to take time off work unless makeup is required.
  • Many people see rejuvenated skin after just one session, with continued improvements for up to three to six months.
  • After 2-3 days, you can resume using your regular skincare products, or sooner if it feels comfortable.

Treatment Recovery Timeline:

  • Day 1: You may experience redness (erythema), and the severity will depend on the intensity of the treatment.
  • Day 2: A pink or red hue will persist, similar to a moderate sunburn. Swelling may increase on the second day.
  • Days 3-5: Your skin may still appear slightly pink, but it will start returning to its normal color as swelling subsides.

Day of Your Treatment:

  • SCHEDULE: Schedule your next appointment.  A series of 3 treatments a month apart will give you the best results.  Then once very 3-6 months as maintenance.
  • EXERCISE: Refrain from vigorous exercise for at least 12 hours after the procedure to prevent irritation.
  • Face Mask: May be given or purchased at your appointment.  Pre chill in refrigerator if desired.   At least 6 hours after treatment apply the face mask to help sooth and cool your skin making sure to remove the netting on the skin side and then once applied remove the netting on the outer side.   Leave the mask on for no longer than 15 minutes.  (Pictured below)
  • WASHING: Avoid for at least 4 hours but preferably 24 hours after treatment to allow absorption of PRP.   Rinse with warm water only. Gently wash your face, massaging to remove all product, serum, and dried blood.  Avoid soap or hot water.
  • CLEANLINESS: Ensure that your pillowcase, headwear, and glasses are clean after treatment to prevent infection.
  • HYDRATION AND MOISTURIZATION: Stay hydrated. After you have washed your face regularly apply SKINFUSE LIFT HG which is given to you at your appointment for 24 hours to keep skin moist. (Pictured below)

First 1-2 days After Your Treatment:

  • SUNSCREEN: No sunscreen until micro channels close.
  • MAKEUP: No makeup until micro channels close.
  • WASHING: Gentle cleanser with warm water.
  • HEAT:  Avoid hot showers, saunas, and other heat-based treatments until your skin has healed.
  • MOISTURIZATION:   Keep your skin hydrated with the Skinfuse Rescue Calming Complex which is given to you at your appointment.  (Pictured below)

First Week After Your Treatment:

  • Sun Exposure: Avoid direct sun exposure.
  • Toners: Avoid alcohol-based toners to avoid irritation.
  • Avoid Certain Medications: Avoid NSAIDs and supplements that may increase bruising.
  • PAIN: For discomfort or headaches, take 500 mg of Tylenol/acetaminophen (1-2 pills every 6 hours), unless you have an allergy to Tylenol.

Next 2 Weeks After Treatment:

  • Avoid any treatments such as Botox or filler injections (to minimize infection).  These may have been performed at the same time as your microneedling.

If you have any questions please contact us at (206) 486-0753.

Hair Restoration with PRP

HAIR RESTORATION WITH PRP FAQ

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

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

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

MECHANISMS OF PRP FOR HAIR RESTORATION

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

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

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

COMMON CAUSES OF HAIR LOSS

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

TYPES OF HAIR LOSS

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

OTHER TREATMENT OPTIONS

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

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

BENEFITS OF PRP

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

CONTRAINDICATIONS
PRP may not be suitable for individuals with:

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

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

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

POST-TREATMENT INSTRUCTIONS

Immediately After Treatment:

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

First 24-48 Hours:

  • Avoid strenuous activities and limit sun exposure.

First Week:

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

After 1-2 Weeks:

  • Resume normal hair care and light scalp massage.

Ongoing Care:

  • Continue with your treatment plan and healthy lifestyle choices.

Common Side Effects (up to 2 weeks):

  • Red, tender scalp
  • Itchiness
  • Tiny crusty scabs

PRP HAIR PRE-TREATMENT CARE

Pre-Treatment Instructions

You will want your tissue and cells that we will be using to be as healthy as possible.

Stop taking certain medications

  • Avoid taking aspirin, ibuprofen, and other non-steroidal anti-inflammatory drugs (NSAIDs) for at least 7 days before the procedure. You should also stop taking blood thinners, herbs, and supplements that thin the blood for at least a week before the procedure.

Avoid alcohol and smoking

  1. Avoid alcohol for at least two days before the procedure
  2. Avoid smoking for at least one week before.

Stay hydrated

  1. Drink plenty of water or electrolyte drink/supplement, sport drink, coconut water, or soup, especially the day before and the day of the procedure.  Being hydrated allows blood draw to be easier.

Eat well

  1. Eat a healthy breakfast on the day of the procedure, and have a light meal before the procedure.

Get enough rest

  1. Get a good night’s rest the day before the procedure.

In order to help you plan here is a preview of the AFTERCARE instructions:

Post-Treatment Instructions

Immediately After Treatment:

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

First 24-48 Hours:

  • Avoid strenuous activities and limit sun exposure.

First Week:

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

After 1-2 Weeks:

  • Resume normal hair care and light scalp massage.

Ongoing Care:

  • Continue with your treatment plan and healthy lifestyle choices.

Common Side Effects (up to 2 weeks):

  • Red, tender scalp
  • Itchiness
  • Tiny crusty scabs

Contact Us if you experience excessive swelling, pain, or signs of infection at (206) 486-0753.

PRP HAIR POST-CARE INSTRUCTIONS

Immediately After Treatment:

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

First 24-48 Hours:

Avoid strenuous activities and limit sun exposure.

First Week:

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

After 1-2 Weeks:

  • Resume normal hair care and light scalp massage.

Ongoing Care:

  • Continue with your treatment plan and healthy lifestyle choices.

Common Side Effects (up to 2 weeks):

  • Red, tender scalp
  • Itchiness
  • Tiny crusty scabs

Contact Us if you experience excessive swelling, pain, or signs of infection at (206) 486-0753.

Platelet-Rich Plasma (PRP)

PRP FAQ AND INSTRUCTIONS

WHAT IS PRP?
Platelet-Rich Plasma (PRP) is an advanced therapy that utilizes the healing properties of your own blood to rejuvenate skin, hair, and tissue. This treatment involves injecting a concentrated solution of platelets, known as platelet-rich fibrin matrix, into a targeted area. These platelets contain growth factors that stimulate the body’s natural healing process and promote new cell growth. While PRP’s full potential is still under research, it has shown promising results in various medical and cosmetic applications.

HOW PRP WORKS
Platelets are naturally rich in growth factors that aid in tissue repair and regeneration. When PRP is injected into damaged or aging tissue, it triggers a mild inflammatory response, activating the body’s healing processes. The platelets release growth factors and enzymes, attracting stem cells that stimulate tissue repair and collagen production. As the collagen matures, it strengthens and tightens the treated area, improving its appearance. A typical PRP treatment takes 45 minutes to an hour, with three sessions spaced a month apart recommended, followed by annual touch-ups for maintenance.

PRP promotes healing through several mechanisms:

  • Growth Factors: Platelets contain growth factors like PDGF, VEGF, and TGF-beta, which promote cell proliferation and collagen production.
  • Tissue Repair: PRP stimulates the production of components like proteoglycans and glycosaminoglycans, which are essential for healthy connective tissue.
  • Angiogenesis: PRP encourages the formation of new blood vessels, which improves tissue oxygenation and nutrient delivery.
  • Anti-Inflammatory Effects: PRP releases substances that reduce inflammation and pain at the treatment site.
  • Cellular Recruitment: Platelets release adhesion molecules, attracting other healing cells to the area and promoting tissue repair.

HOW IS PRP DONE?
Blood is drawn from the patient and placed in a centrifuge, which separates the platelets from other blood components. This concentrated platelet solution is collected and prepared for injection. The PRP is then injected into the target area using a small needle or applied with microneedling to enhance absorption. The entire process, from blood draw to treatment, takes 30 to 90 minutes.

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

SAFETY AND APPLICATIONS
PRP has been proven safe and effective for over 20 years in various medical fields, including wound healing, orthopedics, sports medicine, neurosurgery, and dermatology. Since 2004, PRP has been used in aesthetics to treat fine lines, wrinkles, sagging skin, and hair loss. It is safe for all skin tones as it uses the patient’s own blood, minimizing the risk of allergic reactions.

BENEFITS OF PRP

  • Uses your own tissue, reducing the risk of allergic reactions.
  • Stimulates stem cells to enhance healing.
  • Improves skin texture and thickness, reducing fine lines and wrinkles.
  • Diminishes scars and promotes overall skin rejuvenation.
  • Minimal downtime with natural-looking results.
  • Effectively stimulates hair growth.

CONTRAINDICATIONS
PRP is generally safe for individuals 18 years and older, but it may not be suitable for:

  • Acute or chronic infections
  • Certain skin diseases
  • Cancer or recent chemotherapy
  • Severe systemic disorders
  • Abnormal platelet function
  • Chronic liver conditions
  • Patients on anticoagulation therapy
  • Recent corticosteroid use

RISKS AND COMPLICATIONS
While PRP is considered safe with minimal risks, potential side effects may include:

  • Pain, bruising, or bleeding at the injection site
  • Temporary redness or flushing
  • Allergic reactions
  • Nerve or muscle injury
  • Itching, nausea, or dizziness
  • Scarring or infection
  • Ineffective results

EXPECTED RESULTS
PRP results typically become noticeable within 4-8 weeks, with continued improvements over the next 3-6 months. A series of three treatments spaced 4-8 weeks apart is recommended for optimal results. PRP can enhance skin texture and tone, but advanced wrinkles or severe scarring may show only minimal improvement. Results generally last between 18-24 months, although individual responses may vary. For hair restoration, three treatments spaced one month apart are ideal.

WHAT TO EXPECT DURING YOUR TREATMENT

  • Review of Forms: Your intake and consent forms will be reviewed before starting the procedure.
  • Photos: Pre-treatment photos will be taken for future comparison. You may choose to allow their use for marketing purposes.
  • Numbing Cream: A numbing cream will be applied to ensure comfort.
  • Blood Draw: A small amount of blood will be drawn and processed to isolate the platelet-rich plasma.
  • PRP Application: The PRP is injected or applied topically with microneedling to improve absorption.
  • Treatment Duration: The process takes approximately 60 minutes, including the blood draw, PRP preparation, and treatment.

WHAT TO EXPECT AFTER TREATMENT
You may experience slight bruising at the blood draw site. The bandage can be removed the next day.

SIDE EFFECTS
Since PRP uses your own blood, allergic reactions are unlikely, making it a natural treatment option.

EXPECTED RESULTS
Results from microneedling with PRP usually appear within four weeks, with improvements continuing over the next three to six months. For optimal results, three treatments spaced four weeks apart are recommended, with maintenance sessions every six months as needed.

PRP PRE-TREATMENT CARE

PRP Pre-Treatment Instructions

You will want your tissue and cells that we will be using to be as healthy as possible. 

Stop taking certain medications

  • Avoid taking aspirin, ibuprofen, and other non-steroidal anti-inflammatory drugs (NSAIDs) for at least 7 days before the procedure. You should also stop taking blood thinners, herbs, and supplements that thin the blood for at least a week before the procedure. 

Avoid alcohol and smoking

  • Avoid alcohol for at least two days before the procedure
  • Avoid smoking for at least one week before. 

Stay hydrated

  • Drink plenty of water or electrolyte drink/supplement, sport drink, coconut water, or soup, especially the day before and the day of the procedure.  Being hydrated allows blood draw to be easier.

Eat well

  • Eat a healthy breakfast on the day of the procedure, and have a light meal before the procedure. 

Get enough rest

  • Get a good night’s rest the day before the procedure. 
  • What to Expect After Treatment
  • PRP: You may experience slight bruising at the blood draw site. The bandage can be removed the next day.

Side Effects

  • PRP: Since PRP uses your own blood, allergic reactions are unlikely, making it a natural treatment option.

Contraindications/Precautions

  • PRP: May not be suitable for individuals with certain skin diseases, cancer, or abnormal platelet function.

Expected Results

  • Results from PRP usually appear within four weeks, with improvements continuing over the next three to six months. For optimal results, three treatments spaced four weeks apart are recommended, with maintenance sessions every six months as needed

PRP POST-TREATMENT CARE

PRP Post-Treatment Care Instructions

Side Effects

Since PRP uses your own blood, allergic reactions are unlikely, making it a natural treatment option.

What to Expect:

  • You may experience slight bruising at the blood draw site. The bandage can be removed the next day.
  • After the treatment, your treatment area may appear pink to red, similar to a mild sunburn. This is normal and typically subsides within 24 to 36 hours.
  • For the first 1-3 days, your treated area will feel dry and tight. You may also experience redness, swelling, and minor bleeding.
  • There is no need to take time off work unless makeup is required.
  • Many people see rejuvenated skin after just one session, with continued improvements for up to three to six months.
  • After 2-3 days, you can resume using your regular skincare products, or sooner if it feels comfortable.

Treatment Recovery Timeline:

  • Day 1: You may experience redness (erythema), and the severity will depend on the intensity of the treatment.
  • Day 2: A pink or red hue will persist, similar to a moderate sunburn. Swelling may increase on the second day.
  • Days 3-5: Your treatment area may still appear slightly pink, but it will start returning to its normal color as swelling subsides.

Day of Your Treatment:

  • SCHEDULE: Schedule your next appointment.  A series of 3 treatments a month apart will give you the best results.  Then once very 3-6 months as maintenance.
  • EXERCISE: Refrain from vigorous exercise for at least 12 hours after the procedure to prevent irritation.
  • WASHING: Avoid for at least 4 hours but preferably 24 hours after treatment to allow absorption of PRP.   Rinse with warm water only. Gently wash your face, massaging to remove all product, serum, and dried blood.  Avoid soap or hot water.
  • CLEANLINESS: Ensure that your pillowcase, headwear, and glasses are clean after treatment to prevent infection.
  • HYDRATION AND MOISTURIZATION: Stay hydrated. After you have washed your treatment area regularly apply moisturizer.

First 1-2 days After Your Treatment:

  • SUNSCREEN: No sunscreen until micro channels close.
  • MAKEUP: No makeup until micro channels close.
  • WASHING: Gentle cleanser with warm water.
  • HEAT:  Avoid hot showers, saunas, and other heat-based treatments until your skin has healed.

First Week After Your Treatment:

  • Sun Exposure: Avoid direct sun exposure.
  • Toners: Avoid alcohol-based toners to avoid irritation.
  • Avoid Certain Medications: Avoid NSAIDs and supplements that may increase bruising.
  • PAIN: For discomfort or headaches, take 500 mg of Tylenol/acetaminophen (1-2 pills every 6 hours), unless you have an allergy to Tylenol.

Next 2 Weeks After Treatment:

  • Avoid any treatments such as Botox or filler injections (to minimize infection).  These may have been performed at the same time as your microneedling.

Expected Results

Results with PRP usually appear within four weeks, with improvements continuing over the next three to six months. For optimal results, three treatments spaced four weeks apart are recommended, with maintenance sessions every six months as needed.

If you have any questions please contact us at (206) 486-0753.

Weight Loss

WEIGHT LOSS FAQ AND INSTRUCTIONS

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

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

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

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

2. Curb food cravings

3. Help your body process sugars more efficiently.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

SUPPLEMENTS/SUPPLIES TO PURCHASE:

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

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

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

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

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

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

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

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

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

Milk of Magnesia

DAILY NUTRITIONAL SUPPLEMENTS:
Protein Shake
Electrolyte Supplement

MEDICAL SUPPLIES:
Alcohol Wipes
Insulin Syringes
Insulin Travel Cooler

Wellness Treatments

VITAMIN B12 / TRIGGER POINT / iv hydration

Laser Services

HAIR REMOVAl / TATTOO rEMOVAL 

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.

LASER - INTENSE PULSED LIGHT (IPL)

What Is IPL?
Intense Pulsed Light (IPL) is a light-based treatment that targets pigment, redness, and visible blood vessels in the skin, while also stimulating collagen for overall skin rejuvenation. Unlike a single-wavelength laser, IPL uses a broad spectrum of light, allowing us to target multiple skin concerns such as sun spots, freckles, redness, and uneven texture in one treatment.

Why Choose IPL?
For patients dealing with sun damage, redness, or uneven pigmentation who want a non-invasive option with no real downtime, IPL offers a well-established way to address several concerns in one session using the broad-spectrum light technology.

How Does It Work?
IPL delivers broad-spectrum light that is selectively absorbed by pigment (melanin) or blood vessels (hemoglobin) in the skin. This light energy converts to heat within the targeted structures, causing sun spots and freckles to darken and eventually flake off, and causing visible blood vessels to collapse and fade. The surrounding skin is left largely undisturbed, and the controlled heat also stimulates collagen production over time.

Key Features and Benefits of IPL
At a Glance
Non-invasive, no downtime beyond temporary redness
Treats sun damage, freckles, redness, and visible blood vessels in a single session
Broad-spectrum light allows treatment of multiple concerns at once
Stimulates collagen for gradual skin texture improvement
Quick sessions with minimal disruption to daily activities

Expected Results
Pigmented spots typically darken over the first few days, then flake off within 1-2 weeks, revealing lighter, more even-toned skin underneath. Redness and visible blood vessels tend to fade gradually over several weeks as the body clears the treated vessels. A series of treatments is generally needed for optimal results:

Pigmentation (sun spots/freckles): typically 3 treatments, spaced 3-4 weeks apart
Redness/visible blood vessels: often 3-6 treatments, about 4 weeks apart
Overall skin rejuvenation: commonly 3-6 sessions every 3-4 weeks, with maintenance once or twice a year

Important Safety Information
Possible Adverse Outcomes
Although rare, hyperpigmentation and/or hypopigmentation can occur
Skin texture changes and trace scarring are possible
Blistering/burns – Risk increases significantly if numbing ointment is used prior to treatment and must be avoided
Bleeding/bruising – Pinpoint bleeding or bruising can occur, particularly over treated vessels
Cold sore reactivation – Possible in HSV-prone patients undergoing facial treatment without antiviral prophylaxis

Contraindications
This Treatment May Not Be Right for You If You Have:
Recent sun exposure, an active tan, or recent use of sunless tanning products/tanning beds (within 4 weeks)
Recent laser treatments or chemical peels (within 4 weeks), or neurotoxin/filler injections (within 2 weeks)
Active use of retinoids, hydroquinone, or other active skincare products not yet discontinued as directed
A history of cold sores (HSV) in the treatment area without prophylactic antiviral coverage
An active infection, open wound, or sunburn in the treatment area
Use of isotretinoin within the past 6 months
Certain photosensitizing medications. Please disclose all current medications.
Pregnancy

INTENSE PULSED LIGHT (IPL) Pre-Treatment Instructions
2-4 Weeks Before Treatment:
Avoid direct sun exposure to the treatment site for 4 weeks prior to your session
Avoid sunless tanning beds/products (bronzers) for 4 weeks prior to your session
Do not wax, pluck, or use depilatory creams in the treatment area
Avoid laser treatments or chemical peels for 4 weeks prior to your session
Avoid neurotoxin or filler injections for 2 weeks prior to your session
Discontinue active products such as retinol or hydroquinone 3 days prior to treatment
Alert your provider of any medications you are currently taking, as some medications may affect the outcome of your treatment
Numbing ointment must be strictly avoided, as it can affect your results and increase the risk of blisters or burns
If you are prone to cold sores (HSV), notify us – you may need a prescription antiviral before facial treatments
3-5 Days Before Treatment:
Discontinue active skincare products in the treatment area, including retinoids (Retin-A, tretinoin), alpha and beta hydroxy acids (AHAs/BHAs), vitamin C serums, and exfoliants/scrubs
Day of Treatment:
Arrive with clean skin \u2014 no makeup, lotion, deodorant, or sunscreen in the treatment area
Wear loose-fitting clothing if treating the body
Shave the treatment area 12\u201324 hours before, if needed (especially for hair-bearing regions)
Avoid caffeine and alcohol prior to your appointment

INTENSE PULSED LIGHT (IPL) Post-Treatment Instructions
First 24-48 Hours:
Mild redness, warmth, or swelling is normal and should subside within 1-3 days
Apply a cool compress or ice pack if needed for comfort
Cleanse the treated area twice daily using a gentle cleanser (e.g., CeraVe) and lukewarm water; pat dry
Do not apply makeup for at least 24 hours or until skin sensitivity subsides \u2014 apply sunscreen before makeup if going outside
Moisturize twice daily with a gentle, non-active hydrating product (e.g., CeraVe, Aquaphor, or Vaseline)
Drink at least 64 ounces of water per day
Avoid:
Activities that cause flushing or excessive perspiration/intense exercise, spicy foods, alcohol, hot tubs/saunas for 2 days
Picking or scratching any flaking or darkened spots (these will slough off naturally)
Retinoids, acids, or other active skincare products for at least 5-7 days or until skin is fully healed
Hair removal treatments (waxing, threading, plucking) for 2 weeks post-treatment
Sun Protection:
Use broad-spectrum SPF 30+ daily and reapply when outdoors, as skin will be sensitive – wear a zinc/titanium dioxide based sunscreen
Avoid direct sun exposure for at least 2 weeks following treatment
Wear a 4-inch brimmed hat and sunglasses whenever possible
Additional Notes:
Dark spots may temporarily darken before fading over 7-14 days
Within 2-3 days, treated brown areas often become even darker and may feel scaly, like coffee grounds on the skin
Within 1-2 weeks, these dark, scaly areas fall off, leaving new, healthy skin behind
Repeat Treatments:
Book your next visit, as a series of treatments is required for optimal results (typically 3-5)

Contact Us if you experience excessive swelling, blistering, or signs of infection at (206) 486-0753.

LASER - ERBIUM

What is a Laser Spectrum Erbium YAG treatment?
This laser delivers controlled pulses of laser energy to improve skin texture, wrinkles, pigmentation, and certain types of scarring through skin resurfacing and collagen stimulation.

What are special considerations to take when having a laser treatment?
Avoid direct sun exposure and tanning for at least 4 weeks prior to treatment.
Avoid self-tanning or spray tanning products for 2 weeks prior to treatment.
Notify your provider if you have a history of cold sores or fever blisters. Preventive antiviral medication may be recommended.
Discontinue retinoids, retinol, hydroquinone, exfoliants, and other active skincare products at least 3 days before treatment unless otherwise directed.
Avoid neurotoxin or dermal filler treatments for 2 weeks before treatment.
Avoid IPL, laser procedures, microneedling, waxing, or chemical peels for at least 4 weeks prior to treatment unless approved by your provider.
Avoid aspirin, ibuprofen, naproxen, fish oil, and other anti-inflammatory medications or supplements for 72 hours prior to treatment unless medically necessary and approved by your prescribing provider.

What should I expect during the laser treatment?
You may experience sensations of heat, stinging, or a snapping sensation similar to a mild sunburn or pinprick. Temporary discomfort, redness, swelling, and skin sensitivity are expected and may last from several hours to several days depending on the depth of treatment.

How would I determine I am a candidate for this procedure?
Only if you are able to follow the post procedure precautions otherwise delay.
Avoid strenuous exercise, excessive sweating, saunas, hot tubs, swimming pools, and chlorine exposure for at least 1 week.
Avoid makeup until the skin has adequately healed, typically 5–7 days depending on treatment intensity.
Avoid active skincare ingredients such as retinoids, vitamin C, AHAs, BHAs, benzoyl peroxide, and exfoliants until the skin is fully healed, usually 7–14 days.
Avoid direct sun exposure for at least 4–6 weeks after treatment.
Able to use a mineral sunscreen SPF 30 or higher daily once approved by your provider.
Willing to wear sunglasses and a wide-brimmed hat whenever outdoors.

How do I prevent complications with this laser treatment?
lt is important to wear protective eyewear during the procedure and to keep my eyes closed to prevent eye injury from laser exposure.

Important Safety Information

Contraindications
This Treatment May Not Be Right for You If You Have:
An active infection, open wound, or sunburn in the treatment area
Recent sun exposure or use of sunless tanning products in the area
A history of keloid or hypertrophic scarring
Certain photosensitizing medications — please disclose all current medications
Pregnancy

While uncommon, possible risks and complications may include, but are not limited to:
Redness and swelling
Pain or discomfort
Dryness, peeling, or crusting
Infection or delayed healing
Acne or milia formation
Hyperpigmentation or hypopigmentation
Persistent redness
Skin texture irregularities
Scarring or burns
Reactivation of herpes simplex (cold sores)
Unsatisfactory cosmetic results requiring additional treatments

Possible Adverse Outcomes
Although rare, hyperpigmentation and/or hypopigmentation can occur
Skin texture changes and trace scarring are possible
Skin turning ashen grey during treatment is a sign to stop immediately — your provider is trained to watch for this
No guarantees are implied as to the outcome of treatment
Blistering/burns – Possible if skin is not monitored carefully during treatment
Bruising – Pinpoint bruising can occur over treated vessels
Infection – Uncommon, but proper aftercare significantly reduces this risk

What results should you expect?
The results vary between individuals and that no guarantees or warranties can been made regarding the outcome of this treatment.
How many treatment sessions may be required?
Multiple likely needed to achieve desired results, and additional maintenance treatments.

Laser – Erbium – Pre-Treatment Instructions
Proper preparation before your Erbium laser treatment helps optimize results, reduce complications, and support a smoother recovery.
2–4 Weeks Before Treatment
Avoid direct sun exposure and tanning for at least 4 weeks prior to treatment.
Avoid sunless tanning products for at least 2 weeks prior to treatment.
Avoid IPL, laser treatments, chemical peels, or other aggressive exfoliating procedures for 4 weeks prior unless otherwise directed by your provider.
Avoid neurotoxin or filler injections within 2 weeks of your treatment session.
Hydration & Skin Preparation
Drink at least 64 ounces of water daily for 2 days prior to treatment to support hydration and healing.
It is important to use any prescribed pre-treatment skincare products or medications exactly as directed by your provider.
Discontinue active skincare products such as retinols, tretinoin, hydroquinone, AHAs/BHAs, exfoliants, or irritating products at least 3 days prior to treatment unless instructed otherwise.
Medications & Supplements
Avoid anti-inflammatory medications/NSAIDs such as aspirin, ibuprofen (Motrin/Advil), naproxen (Aleve), and fish oil supplements for 72 hours prior to treatment unless medically necessary or prescribed by your physician.
Tylenol (acetaminophen) may be used if needed.
Inform your provider of all medications, supplements, allergies, and medical conditions prior to treatment, as some may affect healing or increase the risk of complications.
Cold Sores / Herpes History
If you have a history of cold sores or fever blisters, notify your provider prior to treatment.
Preventative antiviral medication may be recommended to reduce the risk of reactivation.
Supplies to Have Ready at Home
Please have the following items available before your appointment:
A gentle cleanser such as Cetaphil® or CeraVe®
Aquaphor® or another occlusive healing ointment
Tylenol® for post-treatment discomfort
Soft gel ice packs or cool compresses
Mineral sunscreen SPF 30 or higher containing zinc oxide or titanium dioxide
Clean pillowcases and towels
Planning for Recovery
Plan for approximately 5–7 days of social downtime depending on treatment intensity.
Redness and swelling are expected after treatment.
You may appear sunburned immediately after the procedure.
Makeup is typically resumed once the skin has healed, generally around 5–7 days after treatment.
Avoid strenuous exercise, excessive sweating, hot tubs, saunas, steam rooms, and chlorine pools for at least 1 week after treatment.
Plan to avoid direct sun exposure for 4–6 weeks after treatment. Healing skin is highly sensitive to UV exposure and may develop permanent discoloration if sunburned.
Day of Treatment
Arrive approximately 45 minutes early for topical numbing application unless instructed otherwise.
If numbing cream was provided ahead of time, apply exactly as directed by your provider, including below the brow and under-eye areas if being treated.
Wear comfortable clothing and avoid makeup, lotions, or skincare products on the treatment area.
Bring a clean wide-brimmed hat and sunglasses to wear after your appointment.
Clean your phone, glasses, and other items that may touch your face after treatment.
Sleeping & Aftercare Preparation
Plan to sleep on your back with your head elevated on clean pillowcases for the first 48 hours after treatment.
Avoid letting direct shower water hit your face for at least 48 hours after treatment.
Plan to keep the skin continuously coated with a thin layer of Aquaphor® or ointment during the initial healing period.
Do not pick, scrub, or force peeling skin during recovery, as this may increase the risk of scarring or pigmentation changes.

Laser – Erbium – Post-Treatment Instructions
What to Expect
After your Erbium laser treatment, it is normal to experience:
Redness similar to a moderate sunburn
Warmth, tightness, or mild tenderness
Swelling, especially around the eyes
Peeling, flaking, or bronzing as the skin heals
Most discomfort is mild and typically improves within the first 1–2 hours after treatment.
Comfort & Swelling
Tylenol (acetaminophen) may be used if needed for discomfort.
Avoid anti-inflammatory medications (such as ibuprofen, Advil, Aleve, naproxen, or aspirin) unless instructed otherwise by your provider.
Swelling is common. Sleep with your head elevated on clean pillowcases for the first 48 hours.
Cool compresses or soft gel ice packs wrapped in a clean cloth may be applied for 10–15 minutes at a time as needed.
Cleansing & Skin Care
Wash your hands thoroughly before touching your treated skin.
Cleanse gently using a mild cleanser such as Cetaphil®, CeraVe®, or a similar gentle cleanser.
Avoid scrubbing, exfoliating, washcloths, cleansing brushes, or aggressive rubbing.
Do not allow a direct stream of shower water to hit the treated area for at least 48 hours.
Moisture & Healing
Keeping the skin continuously moisturized is extremely important for proper healing.
First 24–48 Hours
Apply a thick, continuous layer of Aquaphor®, Vaseline®, or another occlusive ointment at all times.
Do not allow the skin to dry out, crack, or scab, as this may increase the risk of scarring or pigmentation changes.
Reapply ointment frequently throughout the day as needed.
Days 3–5
Oozing and crusting should gradually improve as new pink skin develops.
Once instructed by your provider, you may transition to a lighter fragrance-free, non-comedogenic moisturizer or barrier cream.
Important Hygiene Tips
Always use clean hands when applying ointment.
Use a clean utensil or cotton swab to remove product from jars to reduce the risk of contamination and infection.
Sun Protection
Avoid direct sun exposure for at least 4–6 weeks after treatment.
Healing skin is highly sensitive to UV exposure and may develop permanent discoloration if sunburned.
Wear a mineral sunscreen SPF 30 or higher containing zinc oxide or titanium dioxide whenever outdoors.
Wear a wide-brimmed hat and sunglasses when outside.
Activity Restrictions
For at least 1 week after treatment:
Avoid strenuous exercise
Avoid excessive sweating
Avoid saunas, steam rooms, hot tubs, and chlorine pools
Skin Products & Makeup
Do not use additional skincare products until peeling and flaking have stopped unless approved by your provider.
Avoid active ingredients such as retinoids, tretinoin, AHAs, BHAs, exfoliants, vitamin C, benzoyl peroxide, or harsh acids until the skin is fully healed and back to baseline, typically 7–14 days.
Makeup may usually be resumed once the skin has healed, generally around 5-7 days.
Peeling & Healing
Peeling, flaking, and shedding are normal parts of the healing process.
Do not pick, scratch, scrub, or force peeling skin.
Premature removal of peeling skin may increase the risk of irritation, scarring, or pigmentation changes.
When to Contact Us
Please notify us immediately if you experience:
Increasing pain, redness, or swelling
Blistering
Signs of infection
Fever or drainage
Areas of skin turning gray, dark purple, or unusually dark
Treatment Frequency & Maintenance
Treatment recommendations vary depending on your skin concerns and treatment intensity.
Initial Treatment Series
Mild pigmentation or texture concerns: typically 1–2 sessions
Acne scars, deeper wrinkles, or more advanced resurfacing: typically 3–5 sessions
Treatment Spacing
Sessions are generally spaced 4–8 weeks apart
Some deeper resurfacing treatments may require longer healing intervals
Maintenance
Once desired results are achieved, many patients benefit from maintenance treatments every 6–12 months to support ongoing collagen production and skin rejuvenation.
Spot Treatments
Small isolated scars or lesions may require only a single treatment session.

LASER - HAIR REMOVAL TREATMENT

What Is Laser Hair Removal?
Laser hair removal is a treatment that uses concentrated light energy to target hair follicles and reduce unwanted hair growth over a series of sessions. This uses a special laser (810nm diode wavelength)

How Does It Work?
The diode laser emits light that is selectively absorbed by melanin in the hair follicle. This energy converts to heat, damaging the follicle and impairing its ability to regrow hair, while leaving the surrounding skin unaffected. Because hair grows in cycles, only follicles in an active growth phase at the time of treatment are effectively targeted — which is why a series of sessions is needed to catch hairs across all growth phases.

Key Features and Benefits of Laser Hair Removal

Benefits of Laser Hair Removal
Reduces the need for shaving, waxing, or plucking over time
Targets multiple hair follicles and can treat larger areas more efficiently than manual hair removal methods
Minimal discomfort, often described as a mild pinprick or heat sensation
Non-invasive, no needles or incisions
Effective on a range of skin tones with appropriate settings
Minimal downtime — most patients resume normal activities same day
Long-term reduction in hair growth with a completed treatment series

Expected Results
Treated hairs may continue to appear for a short period before shedding — this is a normal part of the process, not a sign the treatment didn’t work. Hair shedding commonly begins within 5–14 days after treatment and may continue for up to 1–3 weeks. A full treatment series is typically needed for significant, lasting hair reduction, since laser targets hair only in its active growth phase.

Important Safety Information
Possible Adverse Outcomes
Although rare, hyperpigmentation and/or hypopigmentation can occur
Skin texture changes and trace scarring are possible
No guarantees are implied as to the outcome of treatment

Why Choose Laser Hair Removal?
For patients looking for a longer-term alternative to shaving, waxing, or plucking, the laser hair removal offers a well-established way to reduce unwanted hair growth over time, with sessions that fit easily into a normal routine and minimal downtime.

Important Safety Information

Possible Adverse Outcomes
Although rare, hyperpigmentation and/or hypopigmentation can occur
Skin texture changes and trace scarring are possible
Skin turning ashen grey during treatment is a sign to stop immediately — your provider is trained to watch for this
No guarantees are implied as to the outcome of treatment
Blistering/burns – Possible if skin is not monitored carefully during treatment
Bruising – Pinpoint bruising can occur over treated vessels
Infection – Uncommon, but proper aftercare significantly reduces this risk

Contraindications
This Treatment May Not Be Right for You If You Have:
An active infection, open wound, or sunburn in the treatment area
Recent sun exposure or use of sunless tanning products in the area
A history of keloid or hypertrophic scarring
Certain photosensitizing medications — please disclose all current medications
Pregnancy

LASER – HAIR REMOVAL – Pre-Treatment Instructions
Avoid direct sun exposure, tanning beds, and excessive heat to the treatment area for at least 3–4 weeks prior to treatment; use SPF 30+ daily on treated areas
Discontinue self-tanning or bronzing products for at least 3–4 weeks before your appointment
Do not wax, tweeze, thread, epilate, or use depilatory creams during your treatment series — shaving is permitted and encouraged
Shave the treatment area 12–24 hours prior to your appointment unless otherwise instructed
If treating facial areas, discontinue active skincare products (retinoids, hydroquinone, glycolic/salicylic acid, benzoyl peroxide) for 5–7 days before treatment, or as directed
Inform your provider of all medications and supplements, especially antibiotics, Accutane, or other photosensitizing medications
Arrive with the treatment area clean, dry, and free of makeup, lotions, oils, deodorant, creams, or fragrances
Wear loose-fitting, comfortable clothing

LASER – HAIR REMOVAL – Post-Treatment Instructions
Immediately After Treatment:
Mild redness, swelling, warmth, or sensitivity around hair follicles is normal and typically resolves within 24–48 hours
Day 1:
Cleanse the treated area gently twice daily using mild soap and lukewarm water; pat dry, do not rub
Apply a gentle moisturizer or aloe vera gel 2–3 times daily as needed for comfort
Cool compresses may be applied to reduce redness or irritation
Avoid hot showers/baths, saunas, steam rooms, strenuous exercise, hot tubs, or swimming pools for the first 24–48 hours
Day 2 and Ongoing:
Avoid direct sun exposure and tanning beds for 1–2 weeks following treatment; apply broad-spectrum zinc-based SPF 30+ daily, reapplying every 2 hours outdoors
Wear protective clothing, sunglasses, and a wide-brim hat whenever possible
If facial areas were treated, avoid retinoids, hydroquinone, exfoliating acids, and benzoyl peroxide for 5–7 days or until skin has fully recovered
Do not wax, tweeze, thread, epilate, or use depilatory creams between sessions — shaving is permitted
Beginning around day 4, gentle exfoliation may help speed the natural shedding process
Expect treated hairs to shed over 5–14 days, continuing for up to 1–3 weeks

Contact Us if you experience excessive swelling, pain, blistering, or signs of infection at (206) 486-0753.

LASER - LONG PULSE YAG — VASCULAR TREATMENT

What Is Long Pulse YAG Vascular Treatment?
The Long Pulse YAG is a laser treatment used to target and eliminate unwanted blood vessels, including facial veins, redness (such as rosacea or broken capillaries), and leg spider veins.

How Does It Work?
The laser emits a long pulse of light that is selectively absorbed by hemoglobin within the targeted blood vessel. This heats and damages the vessel wall, causing it to collapse. Your body then naturally reabsorbs the treated vessel over the following weeks, leaving the surrounding skin unaffected.

Key Features and Benefits of Long Pulse YAG
Effectively treats facial veins, redness, rosacea, broken capillaries, and leg spider veins
Permanently eliminates treated blood vessels
Safe for use on both face and legs
Minimal downtime with visible fading beginning within weeks and most patients resume normal activities same day.
Non-invasive, no incisions or needles
Safe across all skin types (Fitzpatrick I–VI)

Expected Results
Vascular removal typically requires 2–4 sessions overall, though the exact number and spacing depend on the treatment area:

Facial Veins & Redness (rosacea, broken capillaries): every 4–6 weeks, usually 1–3 sessions total. Facial skin is delicate and heals quickly, responding well to vascular laser treatment.

Leg Spider Veins: every 6–8 weeks (sometimes longer for larger vessels), usually 3–6 sessions total. Leg veins are under more pressure and often deeper, requiring more time to clear and heal between sessions.

You’ll typically begin to see significant fading within 2–6 weeks after a session. Treated veins are permanently eliminated, though laser treatment does not prevent new vessels from forming over time — some patients choose a touch-up session every 1–2 years if new spider veins develop.

Important Safety Information

Possible Adverse Outcomes
Although rare, hyperpigmentation and/or hypopigmentation can occur
Skin texture changes and trace scarring are possible
Skin turning ashen grey during treatment is a sign to stop immediately — your provider is trained to watch for this
No guarantees are implied as to the outcome of treatment
Blistering/burns – Possible if skin is not monitored carefully during treatment
Bruising – Pinpoint bruising can occur over treated vessels
Infection – Uncommon, but proper aftercare significantly reduces this risk

Contraindications
This Treatment May Not Be Right for You If You Have:
An active infection, open wound, or sunburn in the treatment area
Recent sun exposure or use of sunless tanning products in the area
A history of keloid or hypertrophic scarring
Certain photosensitizing medications — please disclose all current medications
Pregnancy

Laser – LONG PULSE YAG — VASCULAR TREATMENT – Pre-Treatment Instructions

Avoid direct sun exposure and sunless tanning products in the treatment area for several weeks prior to your session
Alert your provider of any medications you are currently taking, as some medications may affect the outcome of your treatment
Arrive with clean skin, free of lotion, makeup, or sunscreen in the treatment area

Laser – LONG PULSE YAG — VASCULAR TREATMENT – Post-Treatment Instructions

Immediately After Treatment:
Mild redness or warmth in the treated area is normal
Day 1:
Cleanse the treated area twice daily with gentle soap and lukewarm water, and pat dry
Apply a gentle moisturizer 2–3 times a day as needed
Day 2 and Ongoing:
Avoid applying active products such as retinol to the treatment site for 1 week
Avoid activities that cause flushing or excessive perspiration — exercise, spicy foods, alcohol, or hot temperatures — for 2 days
Avoid direct sun exposure for four weeks; apply zinc-based sunblock daily and reapply every two hours when outdoors; wear a 4-inch brimmed sun hat and sunglasses when possible
Schedule your next appointment if not already done so
Treatment Intervals:
Face: every 4–6 weeks
Legs: every 8–12 weeks

Contact Us if you experience excessive swelling, pain, blistering, or signs of infection at (206) 486-0753.

LASER - TATTOO REMOVAL

What Is Laser Tattoo Removal?
Q-Switched Nd:YAG laser tattoo removal uses ultra-short, high-intensity pulses of laser light to break down tattoo ink into smaller particles that your body gradually clears away on its own. The laser platform offers multiple wavelengths, allowing your provider to target a range of ink colors and depths.
How Does It Work?
The laser delivers extremely brief pulses of energy that pass through the skin and are selectively absorbed by tattoo pigment, shattering the ink into much smaller fragments. Over the following weeks, your body’s lymphatic and immune systems naturally metabolize and carry away these fragmented ink particles, causing the tattoo to progressively fade with each session.
Key Features and Benefits
At a Glance
• Non-invasive — no cutting or excision of skin
• Multiple wavelengths available to target different ink colors and depths
• Effective for both professional and amateur tattoos
• Minimal downtime compared to surgical removal methods
• Can be used across a range of skin tones with appropriate settings
Expected Results
Most professional tattoos require approximately 6–12 sessions for significant clearance or complete removal, spaced 6–8 weeks apart. Results depend on ink color, tattoo depth, your skin tone, and your body’s individual healing response. Progressive, gradual fading is expected with each session rather than immediate results.
Important Safety Information
Possible Adverse Outcomes
• Although uncommon, hyperpigmentation or hypopigmentation of treated skin can occur
• Changes in skin texture and trace or permanent scarring are possible
• Complete removal cannot be guaranteed — some fading, shadowing, or ghosting may remain
Why Choose This Treatment?
For patients seeking to fade or remove an unwanted tattoo without surgery, Q-switched Nd:YAG laser treatment is a well-established, evidence-based approach that safely targets tattoo ink while minimizing downtime and preserving surrounding skin.

Benefits
• Gradual, controlled ink breakdown that minimizes damage to surrounding skin
• Can address multiple ink colors depending on the wavelength used
• Minimal downtime — most patients resume normal activities the same day
• Better preservation of skin texture compared to older removal methods

Contraindications
This Treatment May Not Be Right for You If You Have:
• An active infection or open wound in the treatment area
• A recent tan, active sunburn, or recent use of sunless tanning products on the area
• A history of keloid or hypertrophic scarring
• Use of isotretinoin within the past 6 months
• Certain photosensitizing medications — please disclose all current medications
• Pregnancy — to be discussed with your provider

Important Safety Information

Possible Adverse Outcomes
Although rare, hyperpigmentation and/or hypopigmentation can occur
Skin texture changes and trace scarring are possible
No guarantees are implied as to the outcome of treatment
Blistering/burns – Possible if skin is not monitored carefully during treatment
Bruising – Pinpoint bruising can occur over treated vessels
Infection – Uncommon, but proper aftercare significantly reduces this risk
Incomplete clearance – Some ink, shadowing, or color shift may remain even after multiple sessions

Laser – Tattoo Removal – Pre-Treatment Instructions
• Avoid direct sun exposure to the treatment site for 4 weeks prior to your session
• Avoid sunless tanning products on the treatment area for 4 weeks prior to your session
• Alert your provider of any medications you are currently taking, as some medications may affect the outcome of your treatment
• Shave the treatment area the morning of your session, as advised by your provider

Laser – Tattoo Removal – Post-Treatment Instructions
Immediately After Treatment:
• Apply a cold compress for discomfort — over-the-counter pain medication may also help
Day 1:
• Cleanse the treated area at least once daily in the shower with gentle soap and water, and pat dry
• After cleansing, apply a thin layer of occlusive ointment and cover with a non-stick dressing until healed
Day 2 and Ongoing (Until Healed):
• Continue daily cleansing, ointment, and dressing until the area is fully healed
• Avoid submerging the treated area in water until healed — showering is okay
• Do not pick, peel, or rub the treatment area throughout healing
• If blistering occurs, do not pop or pick at blisters — keep the area moist with occlusive ointment and covered with a non-stick dressing
• Once healed, avoid sun exposure to the treated area; apply zinc-based sunblock daily and reapply every two hours when outdoors
• Schedule your next appointment if you haven’t already done so
Why Session Spacing Matters
Laser tattoo removal treatments should generally be spaced 6 to 8 weeks apart. This waiting period is essential to allow your skin to fully heal and give your immune system enough time to flush out the ink particles broken down by the laser.
• Optimal Healing: Treating the same area too soon increases the risk of skin damage, tissue scarring, and pigmentation issues.
• Lymphatic Processing: The laser doesn’t instantly erase the ink — it shatters it into smaller pieces. Your body’s immune system does the heavy lifting to naturally carry these ink particles away.
• Longer Fading Cycles: As treatment progresses and the tattoo fades, many specialists recommend extending the wait time between later sessions to 10–12 weeks to maximize fading and accommodate the slower removal rate of deeper ink.
What to Expect
• Total Sessions: Most professional tattoos require 6 to 12 sessions for significant clearance or complete removal.
• Variables: The exact number of sessions you will need depends heavily on the ink’s color, the depth of the tattoo, your skin tone, and your body’s individual healing response.

Contact Us If You Experience:
• Any indication of blistering that will not heal, or signs of infection
• Excessive swelling or pain that does not improve with cold compress and OTC pain medication
Contact Us at (206) 486-0753

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