Neurotoxins: Botox® or Dysport

What is Botox® Cosmetic?

A Neurotoxin such as Botulinum toxin Type A, otherwise known as Botox®, is one of the most common non-surgical treatment options to be used to help combat the effects of aging. Botox® is very safe. If you are allergic to Botox®, you are pregnant or breastfeeding you can NOT have this injection. Women and Men over 18 years old can benefit from this treatment.

What can Botox® Injections be Used to Treat?

Botox® cosmetic injections are mostly used to make the wrinkles relax and soften. It will treat the following cosmetic skin imperfections and signs of aging:

• Frown lines (the Glabella) between the brows; also knows as the 11’s

• Forehead lines (Frontalis muscle)

• Crow’s feet (lines on the sides of your eyes)

• We do NOT inject your forehead lines without the frown lines because of the slightly heavy brow caused. Although, you CAN just treat the frown lines and the crows feet area by themselves.

In some cases, Botox® can be used to correct other health issues such as TMJ & TMD disorder (temporomandibular disorders) and excessive underarm sweating.

Botox® Procedure:

During your consult with your Nurse Practitioner, you will have a custom amount of treatment based on your beauty needs. We use a specific small sized needle to help minimize any discomfort, you may feel something similar to a pinch. This temporary prescription medication is injected under the muscle to temporarily improve the appearance of moderate to severe lines. This solution prevents the nerve impulses from stimulating your facial muscles, causing them to relax. This results in a reduction of those wrinkles and softening the facial lines!

How Long Does it Take to See the Results?

You may see very dramatic improvements as early as 2-3 days, full effect is in 14 days!

How Long Does Botox® Last?

Your results can last from 2 - 4 months. 10% of individuals may not respond to Botox® so other neurotoxins could be injected instead such as Dysport® or Xeomin®.

Are There Side Effects of Botox®?

There are common side effects of this treatment. One in six people who have injections into their face may experience: headache, nausea, bruising, pain and swelling at the injections site.

Possible complications can include: flu-like symptoms, droopy eyelid or cockeyed eyebrows, crooked smiling or drooling, eye dryness or excessive tearing.

**contact your Nurse Practitioner if you experience any of these side effects. You have a support team to help correct any of these possible complications.

 Neurotoxin Pre/Post Instructions

What should I know BEFORE I receive Botox® ?

• You can NOT be pregnant or breastfeeding

• Allergic to any of its ingredients

• Have a history of neurologic disorders

• You must be 18 years old or older

• No alcohol 48 hours prior treatment

• Avoid the use of Aspirin, NSAIDS (Aleve, Motrin, Ibuprofen, or Naprosyn), Ginko Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A, D and E, and essential fatty acids for up to 1 week pre- injection as they will increase your risk of bruising

• Do not apply products that are potentially irritating for 2 -3 days before treatment

  (examples- tretinoin/retin-a, glycolic acid, benzoyl peroxide, hydroquinone)

• Please inform your provider if you have any questions about this prior to the treatment

What should I know AFTER I receive Botox® ?

• No alcohol 48 hours post treatment

• If you have swelling you may apply a cool compress for 15 minutes each hour as needed

• Tylenol as directed as needed

• Avoid sleeping on your face or excessive facial massage for 48 hours

• No facial treatments (brows, facials, etc.) or massages for two weeks

• Avoid strenuous exercise for 24 hours

• Avoid extensive sun or heat for 72 hours

• Avoid the use of Aspirin, NSAIDS (Aleve, Motrin, Ibuprofen, or Naprosyn), Ginko Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A, D and E, and essential fatty acids for up to 1 week post injection

• You may take Arnica tablets 2-3 days prior to your injection to reduce the risk of bruising

• Do not apply products that are potentially irritating for 2 -3 days after treatment

  (examples- tretinoin/retin-a, glycolic acid, benzoyl peroxide, hydroquinone)

• It is best to try to EXERCISE your treated muscles for 1-2 hours after treatment (e.g. practice frowning, raise your eyebrows, and squint). This helps to work the product into your muscles

Day of treatment:

• Arrive with a clean face. Please do not wear makeup.

• You may experience a mild amount of tenderness or stinging during and following injection

• Redness and swelling are normal. Some bruising may also be visible

 Dermaplane

What is DERMAPLANING?

This chemical free, pain free skin treatment exfoliates the face by removing dead, dry skin and unwanted hair~ also known as peach fuzz. This results in smoother glowing skin and reducing the appearance of fine lines and wrinkles!

How is it Performed?

Your treatment is performed by a certified provider. Your face is first cleansed to remove environmental pollutants, makeup and excess oil. Then your skin will be held taut and we use a specific small surgical sterile blade at a 45-degree angle to gently scrape away dead skin build up and “peach fuzz.” We then apply an oil free, fragrance free medical grade skin product to support your skin’s ability to replenish its own hyaluronic acid (HA) this resulting in immediately hydrating the skin and decreasing the appearance of fine lines and wrinkles. A SPF product will be applied to your face to give you protection from the sun as you head home.

Who Can Have Dermaplaning?

• Have superficial facial hair or “peach fuzz”

• Have dry or dull skin

• Have large pores

• Have superficial lines and wrinkles

• Want to exfoliate their skin to allow better penetration of medical grade skincare products

*Patients who have sensitive skin, who have oily skin, cystic breakouts, active acne, or rosacea should NOT have this treatment.

What are the Benefits of Dermaplaning?

• Instant pain free results

• Allows deeper penetration of medical grade skincare products

• Your makeup will go on your face so much smoother!

• For best results, we recommend Dermaplaning every 2-4 weeks

What is the Recovery after Dermaplaning?

After your treatment, your skin will be smooth, have a nice glow. It may be slightly pink. There is no downtime after this treatment. Some people may feel their skin sensitive afterwards.

How do I take Care of My Skin after Dermaplaning?

• We recommend waiting 24 hours to apply makeup

• Avoid direct sun exposure for 3 days

• Avoid extreme heat for 3 days

• Avoid saunas or steam rooms and don’t engage in any strenuous exercise for 24 hours

• Avoid chlorine for one week

• Do NOT use scrubs or other exfoliators for 1 week

• Use Sunscreen

• Apply serums and moisturizers

• Reintroduce Retinol products 5 days to a week after this treatment

Myths about Dermaplaning

Dermaplaning does NOT affect the structure of your hair. It will NOT make your hair grow back faster and thicker!!

 Skin Care Peels

What is a chemical peel?

It is a treatment of a chemical solution used to help remove dead skin and improve smoothness and texture

What Skin Conditions Can These Peels Treat?

These Peels can treat sun damage, brown spots and patches, fine lines and wrinkles and acne scarring

What do I do after my peels?

Make sure you do not get tan or sunburned for at least 6 weeks after any peel or laser treatment. Wear a sunscreen of at least an SFP 30 and a hat when outside.

lIluminize Peel by SkinMedica®

• Is a light peel

• Recommended for immediate improvement of texture and tone.

• No visible peeling or down time, you can go right out afterwards and your skin will be glowing!

• Safe for all skin types.

• Have one whenever a glow is desired, as frequently as every 2 weeks.

• Active ingredients: Salicylic, mandelic, malic and phytic acids and resorcinol

Vitalize Peel  by SkinMedica®

• Appropriate for mild to moderate skin imperfections.

• Improves melasma, brown spots, fine lines and acne scars.

• Safe for all skin types, including darker skin types for which laser treatments may not be recommended.

• 3-6 peels are recommended, every 3-4 weeks for best results.

• Light peeling lasts approximately 7 days. There is minimal-to-no redness.

• Great for maintenance treatment after IPL (Photofacials) and Fraxel Laser treatments.

• Active ingredients: Salicylic acid, lactic acid, resorcinol and retinol

 Dermal Fillers

What are Dermal Fillers?

 This type of treatment help restore volume and fullness in face, helps diminish facial lines. We naturally lose subcutaneous fat as we age. Also factors such as: sun exposure, heredity, and lifestyle can also affect the facial skin!

 What do the fillers actually do?

•  Plump thin lips

• Softens wrinkles and facial creases

• Enhance shallow contours

What kind of fillers do M&N Medical Aesthetics, LLC use?

 We use products by Juvéderm®  

These type of fillers uses hyaluronic acid, a substance naturally found in the human body! It is injected into the skin to fill in the wrinkles and give volume where volume is lost.

How safe is this treatment?

This type of treatment was approved by the U.S. Food and Drug Administration in 2006. It is administered by an experienced medical provider.

 How long does it last?

 These results can be seen right away and last anywhere from 6 months to 1-2 years depending on what product you received.

Contraindications of fillers:

·      Active infection near site of injection

·      You have a bleeding disorder

·      You are pregnant, breast feeding, or under the age of 18

·      A known allergy to the material or the lidocaine in the syringe of the filler

·      Currently taking antibiotics (you can receive filler treatment -2 weeks after completion)

·      You can NOT receive fillers if you have had any dental cleaning or any dental work within the last 2 weeks prior to your appointment

How much does it cost?

 Price varies depending on how many syringes needed to achieve maximum results

Side effects of fillers:

•  Redness

• Swelling

• Bruising

• Pain

• Rash

• Itching

• Rare side effects:

• Infection

• Nodules around injection site

• Leakage of filler through injection site

• Injury to blood vessels

 Kybella

What is KYBELLA®?

It is a prescription medicine used in adults to reduce moderate to severe fat below the chin (submental fat), also called “double chin.”

KYBELLA® contains deoxycholic acid, a substance your body makes that helps to absorb fats. Deoxycholic acid works by destroying fat cells permanently under the chin where is injected.

Who can NOT have KYBELLA®?

·      Have had or plan to have surgery on your face, neck, or chin

·      Have had cosmetic treatments on your face, neck, or chin; have had or have medical conditions in or near the neck area

·      Have had or have trouble swallowing

·      Have bleeding problems

·      If you are pregnant or plan to become pregnant

·      If you are breastfeeding or plan to breastfeed (it is not known if KYBELLA® passes into your breast milk)

·      Tell your healthcare provider if you take a medicine that prevents the clotting of your blood (antiplatelet or anticoagulant medicine)

The most common side effects of KYBELLA® include:

·      Swelling

·      Pain

·      Numbness

·      Redness

·      Areas of hardness in the treatment area


Possible serious side effects of KYBELLA®? Including:

•           Nerve injury in the jaw (which can cause an uneven smile or facial muscle weakness)

•           Trouble swallowing

•           Injection site problems including: a collection of blood under the skin (hematoma) or bruising, damage to an artery or vein if KYBELLA® is inadvertently injected into it, hair loss, open sores (ulcers), damage and tissue cell-death (necrosis) around the injection site.

***Call your healthcare provider if you: begin to develop weakness in the muscles of your face, or your smile becomes uneven; have difficulty swallowing, or if any of the symptoms that you already have get worse; develop open sores or drainage from the treatment area

More information:  https://www.mykybella.com

Hair Restoration with PRP

We draw your blood and centrifuge it to separate the blood from platelet-rich plasma. This treatment is for hair loss using your own platelets injected into your scalp. When injected, PRP releases growth factors that bind with the hair follicle. These growth factors stimulate healing and blood flow. The inactive follicles are stimulated from rest to growth phase of the hair cycle.

What to expect AFTER PRP treatment?

• Avoid gym for 24 hours

• It is ok to take a warm shower after treatment

• Ok to shampoo, hair products AFTER 24 HOURS

• AVOID hair dye for 7 DAYS BEFORE AND 7 DAYS AFTER TREATMENT

• AVOID sun exposure to treated areas

• Hat may be worn

• You  may continue with topical products such as Romaine or Minoxidil

Who can NOT use PRP for hair restoration?

• You have a history of thrombocytopenia or other blood dycrasias

• You have an acute and chronic infections

• You have a liver disease

• You have HIV/AIDS

• If you are on anticoagulation therapies

• You have scarring alopecia

• You have trichotillomania

Potential complications:

• Infection

• Bruising

• Bleeding

• Swelling

• Nerve trauma

• Hematoma

What to expect in results?

Individual results vary. Some see results after 1 treatment. Progress is seen up to 6 months after treatment.

Individuals who are smokers, have harsh salon treatments (bleaching, keratin treatments) have a sluggish response to this treatment.

How often should I get PRP?

*You should expect to be treated monthly for 3-4 months and then every 4-6 months for ongoing maintenance