Botox and Dysport are both used to treat and prevent wrinkles, fine lines, and deep facial furrows. By working beneath the surface, Botox and Dysport help reduce the underlying muscle activity that causes the skin to appear wrinkled or folded.

Dysport, like Botox is another neurotoxin, but it kicks in a little quicker and we find in our practice that it tends to last longer for most patients.

Xeomin is a preservative free neurotoxin that’s a great option for those who may be resistant to Botox or Dysport.

Daxxify is the newest FDA approved neuromodulator on the market. It is the first neuromodulator to use peptide exchange technology which makes it vegan. Studies have shown that its effect can last twice as long as other neuromodulators on the market. The perfect Daxxify candidate is someone that prefers a complete relaxation of their facial muscles instead of a mild relaxation of their facial muscles. Daxxify has the same safety profile as all other neuromodulators.

Botox, Dysport, and Xeomin are all $15/unit where Daxxify is $22/unit.

While there are a wide variety of treatments, the amount of units needed for each area of the face treated is unique to each individual’s own muscle movement. We work with all budgets to come up with a treatment plan that will work for you and is still effective.

Results are visible within 3-5 days, full results happen 14 days post-injection. Tox does not kick in at the same time in every area. We cannot evaluate tox results until it has been 14 days post injection.

Results from Botox, Dysport, Xeomin and Daxxify are not permanent. Effects usually last on average 3-6 months, depending on which product is chosen by you and your provider. However, some patients do see their results last longer.

Botox, Dysport, Xeomin and Daxxify will only need one single treatment to show results. However, results last an average of 3-4 months, therefore most patients come 2-4 times a year for their neurotoxin treatments.

Bruising is possible, plan 3 weeks ahead of any events/vacations. After your treatment you must sit up for 4 hours, avoid touching your face for 4 hours, and no exercise (including bending, heavy lifting, yoga etc), until the next day.

The facial fillers used at NM Aesthetic | Wellness are made from hyaluronic acid or calcium hydroxylapatite. Fillers are used to help restore soft tissue volume loss.

Fillers made from hyaluronic acid can be dissolved with Hylenex injections if needed. Those made from calcium hydroxylapatite can not be dissolved.

During the procedure, an injector will apply a topical anesthetic to the lips to minimize discomfort. The filler product is then injected into specific areas of the lips using a fine needle. The medical professional may massage the area to ensure even distribution of the filler.

The amount of filler used and the specific injection technique will depend on the patient’s individual needs and desired results. The procedure typically takes around 20-30 minutes to complete, and patients can resume their normal activities immediately afterwards.

Some common side effects of lip filler include swelling, bruising, and redness, which typically subside within a few days.

The results of the procedure are typically visible immediately and can last for several months, depending on the specific filler used and the patient’s individual metabolism.

Because everyone’s needs are different, and with such a wide variety of treatments involving filler, a personal consultation is the best way to establish cost.

This cost not only reflects the price of the product, but also the skill, knowledge and expertise of the medical injector.

We do not price match, however, our providers will work within your budget to achieve your aesthetic goals.

Results are visible immediately after treatment, however, swelling, and sometimes bruising, is a normal part of the treatment process.

Healing time varies from person to person, and we do know how long your body will need to heal.

Instructions will be given prior to your procedure to help minimize bruising/swelling and promote healing. (i.e. avoid alcohol, NSAIDS, caffeine before and after procedures. arnica/bromelain to promote healing).

Please give yourself a minimum of 2 weeks before any events or vacations in case of residual bruising and swelling.

Longevity differs from person to person and from treatment to treatment. Because the product is being injected into the body, some bodies may metabolize the product faster than others. See below for average longevity based on treatment:

• Cheek Filler: 6-9 months
• Under Eye Filler: 6-12 months
• Lip Filler: 4-9 months
• Hand Filler: 9-12 months
• Lower Face Filler: 6-12 months
• Neckline/Tech-Neck Filler: 6-9 months
• Jawline Filler: 6-12 months
• Chin Augmentation: 6-12 months
• Nasolabial Fold (Smile/Laugh Lines with the fern) Filler: 6-24 months
• Earlobe Filler: 9-18 months
• Temple Filler: 6-12 months
• Sculptra: 2-3 years

Facial fillers are a temporary solution, and therefore to maintain results, treatments will need to be administered on a recurring basis (see longevity info above).

Some patients find they need filler injected frequently, while others feel their results last longer.

How your body metabolizes the fillers will affect duration, as well as the amount injected in one sitting.

You might hear that fillers can last 1-2 years, but often those studies are basing treatments with 10 or more syringes in one sitting. Most patients are unable to do that many at one time, which is why our patients come for regular appointments based on budget and goals.

Swelling is normal as well as bruising. Plan at least 2 weeks ahead of any events/vacations.

What to expect:

During the procedure, an injector will apply a topical anesthetic to the lips to minimize discomfort, and/or if needed, administer a nerve block, Pronox or Subz cooling for pain management.

The filler product is then injected into specific areas of the lips using a fine needle. The medical professional may massage the area to ensure even distribution of the filler.

The amount of filler used and the specific injection technique will depend on the patient’s individual needs and desired results.

Results + Side Effects:

Some common side effects of lip filler include swelling, bruising, and redness, which typically subside within 2-3 weeks. The results depend on the specific filler used and the patient’s individual metabolism.

What to expect:

During the procedure, the filler product is then injected into specific areas of the cheeks, chin, or jawline using a fine needle or cannula. The amount of filler used and the specific injection technique will depend on the patient’s individual needs and desired results. For example, cheek fillers are often used to add volume and definition to the cheeks, while chin fillers can be used to improve the balance and symmetry of the face. The procedure typically takes around 30-45 minutes to complete.

Results + Side Effects:

Some common side effects of cheek, chin, and jawline fillers include swelling, bruising, and redness, which typically subside within 2-4 weeks. The results of the procedure depend on the specific filler used and the patient’s individual metabolism.

Sculptra® is an FDA-approved injectable that helps gradually replace lost collagen. It restores volume while tightening and thickening the skin.

Sculptra® is not like a regular hyaluronic acid filler that immediately volumizes and gives visible results right away. With Sculptra®, you’ll see a natural filling effect within the first couple days, followed but a decrease in volume. At this point, the body slowly starts to produce its own collagen, re-establishing volume that has been lost over time. Peak results are seen after a couple months, but sculptra often takes multiple sessions to achieve desired results.

As explained on the Sculptra® website:

"Sculptra Aesthetic is made with biocompatible, biodegradable, synthetic material called poly-L-lactic acid, which is gradually and naturally absorbed by the body and helps to rebuild lost collagen through a series of treatments administered by a trained specialist."

The specialist injects treatment within the deep dermis, where strands of collagen support your skin’s structure. Over time, Sculptra Aesthetic helps the body reproduce lost collagen.

On average, three injection appointments are needed over a period of a few months. The number of injection appointments and the number of injections per appointment vary from person to person, depending on how much collagen has been lost.

Fillers are gel substances, like hyaluronic acid, that diminish lines by pushing up the dermis space beneath wrinkles and creases. Results appear immediately and can last up to several months.

Collagen stimulators are used to diminish facial wrinkles by helping to restore the deep, underlying structure of the skin. Results appear gradually over the treatment regime (typically three injections every 6-8 weeks) and can last up to 5 years.

Initially, you will need 1-3 treatments of Sculptra® over the span of a few months. Many of our patients choose to have yearly treatments, but treatments can last 2-5 years without retreatment.

Each vial costs $1000, and the amount needed depends on the area being treated. We do offer promotions/packages for body contouring, which requires multiple vials and sessions.

Noticeable results are usually visible within 2-4 months.

Results can last up to two to five years, but vary depending on the area being treated.

The number of treatments varies from person to person, but on average, three treatments spaced 6-8 weeks apart is recommended.

Bruising is possible, plan 2 weeks ahead of any events/vacations.

Fillers are gel substances, like hyaluronic acid, that diminish lines by pushing up the dermis space beneath wrinkles and creases. Results appear immediately and can last up to several months.

Collagen stimulators are used to diminish facial wrinkles by helping to restore the deep, underlying structure of the skin. Results appear gradually over the treatment regime (typically three injections every 6-8 weeks) and can last up to 5 years.

KYBELLA® is used to permanently diminish small pockets of fat on the body such as a double chin, bra bulges, inner thigh fat, and belly fat.

According to the manufacturer:

“The active ingredient in KYBELLA® is synthetic deoxycholic acid. Deoxycholic acid is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, KYBELLA® destroys fat cells, resulting in a noticeable reduction in fullness under the chin. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal.”

You will need at least 3 treatments of KYBELLA®, spaced 7 weeks apart, for optimum results. Some patients will need more treatments to achieve desired results.

Average amount used is 2-3 vials per treatment, but varies depending on the area being treated. Each vial costs $650.

Noticeable results are visible in 60-90 days, but does require multiple sessions.

According to the manufacturer:

“When injected into fat under the chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. After reaching your desired aesthetic, further treatment is not expected.”

According to the manufacturer:

“The number of treatments varies from patient to patient. Your healthcare specialist will help determine how many treatment sessions you need based on the amount and distribution of your submental fat and your personal treatment goals. Each KYBELLA® treatment session is given at least 1 month apart, and you should not receive more than 6 treatments. In clinical studies, 59% of patients received 6 treatments.”

Bruising and swelling is common. Give yourself a minimum of 2-4 weeks before any events/vacations.

Manufacturer recommendation:

“After KYBELLA® treatment, you will likely have some swelling, bruising, or numbness under your chin. Be sure to inform your healthcare professional if you develop an uneven smile, facial muscle weakness, difficulty swallowing or injection site problems such as bruising, hair loss, open sores (ulcers), and damage and tissue cell-death (necrosis) around the injection site. Call your healthcare provider if you develop open sores or drainage from the treatment area.”

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With SkinPen microneedling, you can expect minor to moderate redness and swelling as well as minor peeling and flakiness after a few days. With RF Microneedling, you can expect mild redness, minimal swelling, and warmth/heat from the RF energy.

Avoid sun exposure for at least 3 days post Microneedling and RF Microneedling.

We recommend doing 3-5 sessions and being treated every 4-6 weeks.

RUMA Aesthetics uses the latest generation of Smart Blood Concentrates to generate Platelet-Rich Fibrin (PRF) which is a complex Fibrin Matrix rich in Platelets, Leukocytes and Mesenchymal stem cells.

For 10-12 days this results in the constant release of growth factors and interleukins which accelerate tissue healing and regenerating processes. PRF has been shown to release a higher concentration of growth factors for a longer period of time.

PRF Treatments start at $900, but vary depending on treatment. You may need multiple sessions.

Average 6-8 weeks.

Results vary from person to person. Facial rejuvenation can last 4-12 months.

Facial rejuvenation/tear troughs: 4-12 months. With microneedling: at least 3 sessions 1 x a month.

For injections, bruising and swelling is possible, plan 2 weeks ahead of any events/vacations.

For microneedling with PRF, redness can occur for 3-4 days. No makeup for at least 48 hours, 72 hours preferred.

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UPNEEQ® (oxymetazoline hydrochloride ophthalmic solution), 0.1% is a prescription eyedrop used to treat acquired blepharoptosis (low-lying lids) in adults.

Upneeq can lift eyelid(s) quickly

Most patients in clinical trials had a lift in their eyelids in as little as 2 hours

• 84% of patients had some form of improvement
• 74% of patients had more than a 50% improvement

In one study, some patients saw a lift in their eyelids as fast as 5 minutes after the first dose

Upneeq can significantly improve upper field of vision

In clinical trials, Upneeq helped patients with acquired ptosis see more—on the first day of treatment!

• 87.8% of patients had some form of improvement
• 40.8% of patients had at least a 50% improvement on Day 14 (2 hours after applying Upneeq)

Upneeq is safe and well-tolerated. In clinical trials, Upneeq was proven to be safe and effective when used as directed.

• Low-lying lids may be related to conditions such as stroke and/or brain aneurysm, Horner syndrome, myasthenia gravis, loss of the ability to move eye muscles, eye infection and eye tumors. Tell your doctor if you have any of these conditions.
• UPNEEQ is a type of medication that may affect your blood pressure. If you have heart disease, uncontrolled high or low blood pressure, or feel faint at rest or when quickly standing up, you should call your doctor if your symptoms get worse.
• Patients with reduced blood flow to the brain or heart, or patients who experience eye or mouth dryness due to an immune system disorder (Sjögren’s syndrome), should use care when taking UPNEEQ. Call your doctor immediately if you feel your symptoms may be getting worse.
• UPNEEQ may increase the risk of eye pressure due to fluid buildup (angle-closure glaucoma) in patients with untreated narrow-angle glaucoma. Call your doctor immediately if you feel increased pressure in your eye after using UPNEEQ.
• Do not let the tip of the UPNEEQ vial touch your eye or any other surface. This can help prevent eye injury or contamination. Each UPNEEQ vial is for one-time use and should be discarded after being used.

These are not all of the possible side effects of UPNEEQ. Tell your doctor if you have any side effect that bothers you or does not go away. Call your doctor for medical advice about side effects.

To report side effects or product complaints, contact RVL Pharmaceuticals at 1-877-482-3788. You may also report side effects to the FDA by calling 1-800-FDA-1088 or visit www.fda.gov/medwatch.

The information listed above is a summary of the most important safety information for UPNEEQ. For more in-depth safety information, please review the full Prescribing Information for UPNEEQ.

The most common adverse reactions with UPNEEQ (occurring in 1-5% of patients) were eye inflammation, eye redness, dry eye, blurred vision, eye pain at time of use, eye irritation, and headache.

• Your doctor should review your full medical history before prescribing UPNEEQ.
• UPNEEQ belongs to a class of medication (alpha-adrenergic agonists) that may affect your blood pressure. Use UPNEEQ carefully if you currently take an alpha-adrenergic agonist medication to treat heart disease or an enlarged prostate. Patients taking beta-blockers, or other medications to treat hypertension or an abnormal heartbeat, should also be careful when using UPNEEQ.
• Patients who use a certain class of antidepressant medication (monoamine oxidase inhibitors) should also be careful when using UPNEEQ, as it may affect the way your body absorbs the medication.

Semaglutide is an FDA approved subcutaneous weekly injection that is used for weight loss.

Results can be seen in as little as one week but we require our patients to take the medication for at least 12 months.

You cannot take Semaglutide if you are pregnant or breastfeeding.

The initial consultation with lab work and the first injection is $400. The medication is an additional cost of $250-$350 per vial and there is a monthly Telehealth fee of up to $250.

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