FAQ

Questions & Answers

The med spa procedures explained

Botox® Cosmetic

What is Botox Cosmetic™?

Botox Cosmetic is a treatment for wrinkles caused by repeated movements. The most commonly treated areas include:

  • The lines around the eyes known as crows feet caused by squinting or smiling
  • The horizontal lines across the forehead caused by raising the eyebrows
  • The lines and folding of skin between the eyebrows caused by frowning
Is Botox Safe?

YES. Botox has been available for 20 years, and has been used to treat many diseases. In fact, it is used in children as young as 2 years old to treat cerebral palsy. These children receive over 10 times the amount used for cosmetics - Every 3 months. If a 2 year old child is safe (with significantly more Botox given to them) – you will be very safe. The safety has been proven repeatedly over the past 20 years through extensive testing and research.

To put this all in perspective - the risks and side effects are much less than Tylenol. Botox is an approved prescription drug and is approved by both the FDA as well as the Heath Protection Brand in Canada.

Will it give me poisoning/Is it Botulism? Isn't Botox Cosmetic a toxin/poison?

NO, it is not toxic to you - nor is it poisonous to you.

Botox Cosmetic is not botulism and will not cause food poisoning. To clarify, botulism is the name of an illnesss for the name of the active drug.

The product is a purified protein which is extracted from naturally occurring bacteria and it is very similar to how penicillin comes from mould. It is an approved drug that is used in very tiny doses.

How do i know it won't be toxic to me?

  • Typically, for cosmetic treatments you may receive fewer than 100 units
  • To make someone remotely sick, you would have to receive over 35 times this dose all at one time which would never happen (and would cost you over $42,000)
  • You are more likely to poison yourself with Tylenol (if you took the whole bottle at once) than to ever remotely hurt yourself with Botox Cosmetic
  • You are getting therapeutically proven very tiny doses

How does it work?

Botox Cosmetic work by simply relaxing the muscles underneath the skin to create a smooth and refreshed appearance.

How long does the procedure take?

Generally, after the consultation, the procedure only takes up to 15 minutes. Since there is no downtime-you can do it on your lunchtime-and no one would know you had it done!

How quickly does it work?

It can take up to 2 weeks for it to take full effect. Usually we ask patients to wait for 14 days to pass in order to fully see the results.

Does it hurt?

Most patients say the injections feel similar to a little pinch, although everyone is different. We usually hear the patients say "Is that all?".

How long does Botox Cosmetic last? Is it permanent?

NO - Botox is not permanent. It lasts between 3-4 months on average but everyone is different.

If you follow the dermatologists directions to have your first 3 treatments promptly every 3 months (without waiting in between) your next few treatments will start to last longer than 3 months.

Most patients who get their first 3 treatments done back to back every 3 months, find that:

  • Their next treatment lasts approximately 4 months
  • Then the next treatment lasts approximately 5 months
  • Patients who stay on this prompt treatment schedule can stabilize their treatments at about 2 times a year.

Is it going to be worse when it wears off?

NO. Your face will never get worse if you stop using Botox Cosmetic or when it wears off. Botox Cosmetic "stops/slows" the clock of aging.

At the very minimum, you will simply return to where you started. If you use Botox Cosmetic for a number of years and then stop- your muscles learn to relax and therefore, you will end up looking a little better than how you started before your treatments.

I don't want to look like a mask without expression - will that happen?

NO. The doctor will ensure you to get the look you want - as natural as you want. Most people simply want to look natural, relaxed and refreshed, without looking "done". Patients typically say that no one knows that they had anything done. Friends simply say that they looked well rested and/or great.

What is a Unit?

A unit of Botox Cosmetic is simply a very tiny measurement of drug. The exact number of units you require (to achieve the look you want) will be discussed with your doctor.

What are the side effects?

Side effects are rare and not permanent. Rarely, there can be come minor bruising (which is easily covered up with make up) or a slight short term headache. Most patients do not experience any side effects at all.

I have heard that you can get a drooping eyelid - is this true?

Again, side effects are rare and are not permanent and this can include a drooping eyelid. The incidence of these side effects is less than 1% and will last from only a few days to a few weeks. Most patients do not experience any side effects at all.

Where does it go to in my body?

Botox Cosmetic stays local to the muscles where it was injected. After the injection, Botox Cosmetic is simply metabolized and broken down into natural byproducts within a few hours.

I am pregnant/am currently breast feeding, can i get Botox Cosmetic?

No, it's recommended that you wait until you are finished breast feeding to have your Botox Cosmetic done. Although there is no clinical evidence to prove any harm to the mother or baby, we prefer to be safe.


BOTOX® Hyperhidrosis Treatment

What causes underarm sweating?

Hyperhidrosis is the medical term for excessive sweating and when it occurs in the underarm skin it is called "axillary hyperhidrosis". This is caused by stimulation of the eccine sweat glands by the nerve endings which are the final nerve pathways from higher centres in the brain. These nerves respond to different kinds of stress: emotional stress like intimate social situations or public speaking, or physical stress like the increased body temperature that comes with exercise or hot and humid weather.

Some people are routinely troubled by excessive sweating whilst others are only bothered when they are under emotional stress, physically active or over-heated. The nerves that control sweating depend upon a chemical transmitter called acetylcholine which is a molecule produced at the very ends of the nerve fibres. Botox is a genetically engineered neurotoxin which can, when injected into the skin, block the release of the acetylcholine to the sweat glands for months!

Who are good candidates for muscle relaxing injections?
  • People with problem underarm sweating
  • Those working close to others such as hairstylists, nurses, dentists and hygienists, airline flight attendants, pilots and surgeons
  • People working in hot conditions such as models, television newscasters and chefs
  • People making public presentations such as executives, lawyers and salesmen
How is Botulinum Toxin used?
A very small needle is used to inject small amounts of Botox into the skin of the underarms in approximately 12 to 15 places on each underarm. Heavy physical exercise should be avoided for several hours, but patients may engage in any normal activity.
When will treatment take effect?
Your underarm sweating will decrease to 95% within 48 hours and the full effect will be seen within 1 week. Along with the sweating, there is a simultaneous disappearance of odour associated with the decreased sweating.
How long does the treatment last?
Most patients will obtain 5-6 months of dryness with one treatment.

LaserFACIAL™

How do I know if I have photodamaged skin?

If you are over 30 years old and enjoy an active lifestyle your skin is probably showing signs of damage.

How does the LaserFACIAL™ treatment reduce the signs of photodamage?

The LaserFACIAL™ works by focusing a beam of light to a target in the skin such as enlarged blood vessels and irregular chromophores. The enlarged vessels and irregularities are removed without scarring or damage to the treated or surrounding area.

Do lasers work on all skin types?

Our lasers are capable of treating a wide variety of skin types.

How many treatments are required?

Typically, several treatments are required for full-faced treatment. The average treatment takes about 15 minutes. Results may become apparent after the first few treatments.

Is the treatment painful?

There is some minor discomfort associated with the treatments. Most discomfort can be alleviated by cooling with a cold air system.

How does the LaserFACIAL™ treatment differ from treatment with other photo skin treatment lasers? Is it safe?

Side effects are minimal. Our lasers have been used since 1983 to treat port wine birthmarks and hemagniomas in infants as young as two days old as well as 20 other cosmetic conditions.

What will I look like after treatment?

Results will vary but you should expect your skin to appear reddened. You can expect to return to your normal activities immediately with minimal precautions such as sunscreen.


Hair Removal

How does the laser work?

The laser emits a gentle beam of energy that passes through the skin to the hair follicle. The energy is then transformed into heat, which damages the follicle. The scientific principle called Thermokinetic Selectivity™, (TKS™) makes this method of hair removal particularly effective.

Why is TKS important?

TKS makes it possible for laser energy to "select" only hair follicles, while sparing surrounding skin from damage. This brings the cosmetic results you want with the clinical results you need.

How do I know if I'm a good candidate for laser hair removal?

If you are concerned about unwanted hair, you are probably a good candidate for laser hair removal. Other factors can influence the treatment process, and are evaluated during your initial consultation.

Is the treatment panful?

Most patients describe the treatment as a series of slight pin pricks to the skin. Within about 30 minutes of treatment, the area may become pink or red, and this may last from a few hours to one day.

How many treatments are required?

Hair grows in cycles. The laser only affects hair when it is in its early-growth phase. The laser will disable follicles that are actively producing hair at the time of treatment. At any time, some hair follicles are dormant. Repeat sessions will treat these follicles when they re-enter the growth phase.


Facial and Spider Veins

How does the laser help?

With a beam of light, the laser can deliver a prescribed dose of energy to the spider veins. The laser "selectively" coagulates the problem veins while sparing surrounding areas. After treatment, the vessel slowly and naturally disappears.

How many treatments are required?

Results are seen within three to four weeks. Typically, one or two treatments are recommended.

Can we be sure that this will work on my veins?

This is something that must be determined with each patient individually, but the majority of patients will benefit from this treatment.

Is this treatment difficult?

No. This non-invasive treatment process takes between 10 minutes to about 20 minutes, depending on your situation. After treatment, there is no down time – which means you can resume all of your normal activities immediately afterward.

Is this painful?

There is some minor discomfort associated with this laser treatment. Most patients describe the sensation as a series of rubber band snaps to the skin. We can often reduce or eliminate this by cooling the treated area with our air-cooling device.

What other conditions does this laser treat?

In addition to facial and leg spider veins, the laser can provide non-invasive skin treatments for healthier looking skin. It is also used to remove unwanted hair – even from patients who are not always good candidates for laser hair removal, such as those with darker or tanned.


Milia

What causes Milia?
  • Genetics
  • Heavy skin care products
  • Lack of exfoliation
  • Cumulative sun exposure
What Is The Treatment?

  • Use products that are oil free
  • Protect your skin from the sun
  • Custom chemical peels
  • Extractions (best done by a professional)

Why Is Treatment Important?

To exfoliate skin(remove dead skin cells) on a regular basis. Your skin needs to be kept thin and smooth as a preventative measure to try to control the Milia. An abundance of dead cells will promote Milia, so it is important to make sure your skin is exfoliated on a regular basis either chemically or manually. However, DO NOT OVER EXFOLIATE. You will know you are over exfoliating if you have the following symptoms:

  • Sensitivity
  • A rash like breakout
  • Skin reddening
Why Have Extractions Done?

A skin care professional should perform the extractions. If they are not done properly, they can cause scarring.


Latisse®

What is LATISSE® (bimatoprost ophthalmic solution) 0.03%?

LATISSE® solution is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker and darker.

What is hypotrichosis?

Hypotrichosis is another name for having inadequate or not enough eyelashes.

How was LATISSE® discovered?

It's a story of how one great product led to another. In 2001, Allergan developed a medicated eye drop used to treat ocular hypertension. Then, a side effect was discovered — patients began growing longer, fuller and darker lashes. This led Allergan to study the active ingredient in this other product, and after a clinical trial, LATISSE® was born, earning its FDA approval in December 2008.

How does LATISSE® work?

LATISSE® is believed to affect the growth (anagen) phase of the eyelash hair cycle in two ways: first, it increases the length of this phase; and second, it increases the number of hairs in this growth phase. The exact way it works is unknown.

Is LATISSE® effective?

The LATISSE® clinical study was conducted at 16 sites across the country and included 278 participants, featuring women and men of various ages (22 to 78), backgrounds and eye colors. Throughout the course of the 16-week treatments, each participant was photographed and evaluated at 4-week intervals (week 0 to week 16) for differences in their overall lash prominence, including elements of length, thickness and fullness. At 16 weeks, the results showed that LATISSE® was effective for 78% of those participating, versus 18% for the vehicle group. Vehicle is the same as LATISSE®, without its active ingredient.

How soon will I see results?

LATISSE® users may start to see longer lashes at 4 weeks, with full growth at 16 weeks. The growth is gradual over time.

How do I apply LATISSE®?

LATISSE® solution is a once-a-day treatment you apply yourself each evening to the base of the upper eyelashes. DO NOT APPLY in your eye or to the lower lid, because excess hair growth outside the treatment area may occur.

Why do the directions say to only apply LATISSE® solution to the base of the upper eyelashes?

The clinical studies of LATISSE® were conducted on patients who applied the product to the base of their upper lashes only. DO NOT APPLY in your eye or to the lower lid. There is the potential for hair growth to occur in areas where LATISSE® solution comes in repeated contact with the skin surface. It is important to apply LATISSE® only to the skin of the upper eyelid margin at the base of the eyelashes using the accompanying sterile applicators, and to carefully blot any excess LATISSE® from the eyelid margin to avoid its running onto the cheek or other skin areas.

What if I forget to apply one night? Or a few nights?

If you miss an application, or a few, don't try to catch up. Just apply the LATISSE® treatment the next evening and stay on schedule.

How do I maintain my results?

To achieve the full effect of LATISSE®, you will need to use the product daily for 16 weeks. After that point, you can talk to your doctor about ongoing use.

What should I do if I wear contact lenses?

Contact lens wearers can use LATISSE®. They need to remove their lenses before applying the solution and can reinsert their contacts 15 minutes afterwards.

Are there many LATISSE® users?

Yes. In its first year alone, approximately 1.5 million bottles of LATISSE® were prescribed.

What are the possible side effects of LATISSE®?

The most common side effects after using LATISSE® solution are an itching sensation in the eyes and/or eye redness. This was reported in approximately 4% of patients. LATISSE® solution may cause other less common side effects which typically occur on the skin close to where LATISSE® is applied, or in the eyes. These include skin darkening, eye irritation, dryness of the eyes, and redness of the eyelids.
If you develop a new ocular condition (e.g., trauma or infection), experience a sudden decrease in visual acuity, have ocular surgery, or develop any ocular reactions, particularly conjunctivitis and eyelid reactions, you should immediately seek your physician's advice concerning the continued use of LATISSE® solution.

Are there any special warnings associated with LATISSE® use?

LATISSE® solution is intended for use on the skin of the upper eyelid margins at the base of the eyelashes. Refer to the illustration below. DO NOT APPLY to the lower eyelid. If you are using other products in the same class for elevated intraocular pressure (IOP), or if you have a history of abnormal IOP, you should only use LATISSE® under the close supervision of your physician.

LATISSE® use may cause darkening of the eyelid skin which may be reversible. LATISSE® use may also cause increased brown pigmentation of the colored part of the eye which is likely to be permanent.

It is possible for hair growth to occur in other areas of your skin that LATISSE® frequently touches. Any excess solution outside the upper eyelid margin should be blotted with a tissue or other absorbent material to reduce the chance of this from happening. It is also possible for a difference in eyelash length, thickness, fullness, pigmentation (darkness), number of eyelash hairs, and/or direction of eyelash growth to occur between eyes (e.g. results may vary for each eye). These differences, should they occur, will usually go away if you stop using LATISSE®.

What should I do if I get LATISSE® into my eye?

LATISSE® solution is an ophthalmic drug product. If any gets into the eye, it is not expected to cause harm. The eye does not need to be rinsed.

Who should NOT use LATISSE®?

Do not use LATISSE® solution if you are allergic to one of its ingredients.

What are the ingredients in LATISSE®?

Active ingredient: bimatoprost
Inactive ingredients: benzalkonium chloride; sodium chloride; sodium phosphate, dibasic; citric acid; and purified water. Sodium hydroxide and/or hydrochloric acid may be added to adjust pH. The pH during its shelf life ranges from 6.8 - 7.8.

What is elevated intraocular pressure (IOP)?

This is a condition where the pressure inside the eye is higher than normal. LATISSE® may decrease IOP. So talk to your doctor if you are using IOP-lowering medications. Concurrent administration of LATISSE® and certain IOP-lowering medications in ocular hypertensive patients should be closely monitored for changes in intraocular pressure.

What should I do if I experience eye redness?

Eye redness may occur immediately after use. Consult your doctor if the redness persists or you notice other symptoms as well. If you develop a new eye condition (e.g. trauma or infection), experience a sudden decrease in visual acuity, have eye surgery, or develop any eye reactions, particularly conjunctivitis and eyelid reactions, you should immediately seek your physician's advice concerning the continued use of LATISSE®.

What should I do if I experience eye itching?

Eye itching may occur immediately after use. Consult your doctor if the itching persists or you notice other symptoms as well. If you develop a new eye condition (e.g. trauma or infection), experience a sudden decrease in visual acuity, have eye surgery, or develop any eye reactions, particularly conjunctivitis and eyelid reactions, you should immediately seek your physician's advice concerning the continued use of LATISSE®.

Could LATISSE® cause the color of my eyes to change?

Increased brown iris pigmentation has occurred when the same formulation of bimatoprost ophthalmic solution was instilled directly into the eye to treat elevated intraocular pressure. Although iris pigmentation was not reported in clinical studies with LATISSE®, patients should be advised about the potential for increased brown iris pigmentation which is likely permanent.

Is LATISSE® an eye drop?

LATISSE® solution is applied topically, along the skin of the upper eyelashes. It is not intended for use in the eyes, but if some solution gets into your eye, you do not need to rinse it.

If I apply more LATISSE®, will I get faster results?

No. LATISSE® works gradually over the 16-week treatment period. Use of LATISSE® more than once a day will not increase the growth of eyelashes. Please follow the directions, as instructed by your doctor.

Since LATISSE® is relatively new, should I wait before using it?

LATISSE® received its FDA approval in December 2008, after a team of 16 experienced doctors from all over the country conducted clinical studies. LATISSE® is from Allergan, a specialty pharmaceutical company. Approximately 1.5 million kits of LATISSE® have been sold.

Can it harm my eyesight?

LATISSE® is an ophthalmic solution. If any solution gets into the eye, it is not expected to cause harm. You do not need to rinse your eyes. LATISSE® is not an eye drop. DO NOT APPLY in your eye or to the lower lid.

How is LATISSE® different from over-the-counter products for lash growth?

LATISSE® is the first and only FDA-approved prescription treatment for inadequate or not enough lashes, growing them longer, fuller and darker.

Is LATISSE® a replacement for mascara?

No. LATISSE® does not work in place of mascara. LATISSE® is a solution treatment for inadequate or not enough lashes and requires a prescription from a doctor. However, mascara can be used on your eyelashes in addition to LATISSE®.

What happens if I stop using LATISSE®?

If you stop using LATISSE®, your eyelashes are expected to return to their previous appearance over several weeks to months.

LATISSE® Indication

LATISSE® solution is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker and darker.
Eyelash hypotrichosis is another name for having inadequate or not enough eyelashes.

LATISSE® Important Safety Information

If you are using, or have used, prescription products for any eye pressure problems, only use LATISSE® under close doctor care. Although not seen in LATISSE® clinical studies, may cause increased brown pigmentation of the colored part of the eye which is likely permanent. Eyelid skin darkening may occur which may be reversible. Only apply at the base of the upper eyelashes. DO NOT APPLY to the lower eyelid. Hair growth may occur in other skin areas that LATISSE® solution frequently touches. If you develop or experience any eye problems or have eye surgery, consult your doctor immediately about continued use of LATISSE®. The most common side effects after using LATISSE® solution are itchy eyes and/or eye redness. If discontinued, lashes will gradually return to their previous appearance.


Juvéderm™

How It Works

Skin rejuvenation treatments with Juvéderm™ are quick, simple, comfortable, and non-surgical. The procedure will have you looking and feeling instantly refreshed. The treatment administered by your cosmetic doctor involves subtle and strategically placed Juvéderm™ injections under the skin to restore and boost individual facial features.

It will add volume and definition to facial features while keeping your appearance looking natural, symmetrical, and well-balanced. Whether you are interested in enhancing facial features or refreshing and rejuvenating your appearance, Juvéderm™ can be used to:

  • Soften smile lines
  • Restore lost fullness in your cheeks
  • Enhance lips
  • Contour your jaw line

The treatment is comfortable thanks to the patented formulation of Juvéderm™ XC (extra comfort) that includes lidocaine – a localized pain reliever. After the treatment, the appearance of lines on your face will be reduced, your lips will appear fuller and more defined, and your cheeks plump. You will leave looking naturally refreshed - so that everyone will notice, but no one will know!

The Benefits

Depending on what you want to accomplish, this simple treatment can be used for many different purposes. It can be used as a wrinkle filler, reducing the appearance of wrinkles and creases. It can also be used to restore volume in the cheeks and chin area and to enhance features such as lips and cheeks.

Refresh and Rejuvenate

Juvéderm™ can instantly refresh and rejuvenate your appearance by smoothing unwanted lines, restoring natural contours and replacing lost cheek volume. Juvéderm™ is placed beneath wrinkles and folds to 'fill in' or 'plump up' the depression. The most appropriate lines to treat with Juvéderm™ are those that are described as static lines you can see when your face is not moving (like smile lines). The most commonly treated areas include smile lines (or nasolabial folds), mouth lines (or marionette lines), smoker lines (or vertical lip lines), cheeks or chin.

Enhancement

Juvéderm™ injections can also be used as facial fillers to enhance some of your facial features, such as lips and cheeks. With subtle and strategically-placed injections, Juvéderm™ will contour and define lips and cheeks, at the same time keeping your appearance natural-looking, symmetrical and well-balanced.

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