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Botox & Facial Fillers

Rejuvenate Your Natural Beauty!

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Botox is the trade name for botulinum toxin type A, one of several different toxins produced by Clostridium bacteria. The bacterium
itself is not injected. The injected toxin is a protein manufactured by the bacterium, and when injected, it temporarily paralyzes the
muscles underlying wrinkles, smoothing out the skin on top. It inhibits the nerve terminal, so that the muscle will not respond. You
literally can’t frown after the treatment, but you don’t lose sensation or expression. The nerve eventually sprouts a new terminal.
Botox is successfully being used in areas of the face, neck, and body world wide, and to date is safer than the origin suggests.


Botox injections cause almost no redness or swelling. You may drive yourself to and from the treatments and resume normal
activities immediately.


Botox is given with such a tiny needle that there is minimal discomfort involved, but it is a needle. Should patients have an aversion
to needles, an analgesic cream is used. There can be a slight chance of minimal and temporary bruising at the injection site. Other
negative side effects can be eyelid drooping if the Botox seeps below the eyebrow and hits the muscle that controls the lid, BUT that is
very rare. And, it’s probably related to the injection technique, and/or the placement or rate of injection. Eye drops can reverse the
Botox effect for about six hours. Otherwise, the patient just has to wait until the nerve regenerates. Due to bruising, clients should
schedule Botox injections at least 2 weeks prior to an important event, 3-4 weeks prior is recommended. No alcoholic beverages 24
hours prior to Botox injections (may increase bruising). Avoid blood thinning medications 2 weeks prior to Botox injections


Pregnant or lactating women
 Clients with allergies to human albumin (small risk of viral transmission from human albumin used in Type A to provide a
larger particle)
 Infection, inflammation, or dermatitis of areas to be injected
 Fever, flu, or cold symptoms
 Facial asymmetry such as Bell’s Palsy
 Clients with neurologic disorders including:
 Amyotrophic Lateral Sclerosis (Lou Gherig’s Disease) - Myasthenia Gravis

Lambert Eaton Disorder
 Multiple Sclerosis
 Parkinson’s disease


The price ranges depending on the areas, the amount, and concentration of Botox used. Schedule a consultation with Josie Nurse
Practitioner to see if you are a good candidate for Botox, and to learn more about your cosmetic options.

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Our Clients

Lip Flip Vs Filler


Is your top lip less full than your bottom lip? Or does it almost disappear when smiling, leaving you with a “gummy smile”? If these are your concerns, then you may be a good candidate for a lip flip! This cosmetic procedure involves injecting Botox into the cupid’s bow of your upper lip and the corners of your mouth, thus interrupting the nerve impulses. This allows the upper lip to “flip” upward and outward, creating the appearance of plumper, fuller lips.

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What to Expect When Receiving a Lip Flip

You will begin seeing results in 24-48 hours, with the effects lasting about 8-12 weeks. The cost of the injections depend on the dose of treatment needed, which will be determined based on your natural lips and your desired goal.


Here at Elko Replenish Med Spa we assess your facial contour to accentuate your features to achieve natural-looking lip volume and fill in lines around the mouth, resulting in a smooth appearance as seen below. It is a gel made with hyaluronic acid, which is found naturally in our bodies, so you can be confident that your body will tolerate it well.

What to Expect When Receiving Lip Filler

The amount of filler used depends on the current look and shape of your lips, as well as the amount of volume you desire to achieve. It is always helpful to bring a photo of your desired look so that your provider is able to inject the right amount of filler.



  • Botox is injected

  • Lasts 8-12 weeks

  • Enhances appearance of upper lip

  • Control over lip shape

  • Cheaper upfront


  • Juvederm/Restyline is injected

  • Lasts up to a year

  • Increases volume of lips

  • Control over lip volume

  • May be cheaper in the long run


The two procedures can also be used in conjunction for optimal results. If you’re looking for both added volume, as well as control over the shape of your lips, then a combination of the two may be best to achieve your desired end result.


Whether you choose to go with a lip flip vs. lip filler (or both!) is completely up to you and your ideal lips! If you already have a decent amount of volume to your lips and are simply looking to enhance their natural appearance, then a lip flip may be right up your alley! If you’re looking for larger lips with additional volume and a longer lasting solution, then lip filler may be what you’re looking for.

Our Clients

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Lip Filler

Medical Botox

Excessive sweating


Excessive sweating? well we have a solution, botox works by blocking the nerves responsible for activating your sweat glands. Normally, your nervous system activates your sweat glands when your body temperature rises. This is how your body automatically cools itself. In people with hyperhidrosis, however, the nerves that signal the sweat glands are overactive.

When you receive Botox injections directly into the area of your body that commonly sweats, your overactive nerves are essentially paralyzed. When your nerves can’t signal your sweat glands, you don’t sweat. However, Botox only prevents sweating in the specific area where it’s injected.



Suffer from Migraines. Knowing that seeing the  light of day sounds virtually impossible, but  there’s hope. Elko Replenish Med Spa is bringing  hospital migraine treatments to you! FDA  approved treatment plan utilizing  neuromodulator BOTOX to get you back on your  feet and regain lost productivity.



Suffer from Jaw Pain? Since the TMJ is used  while you talk, eat, swallow, yawn and many  other activities, it can become strained by teeth  grinding or even displaced. A person may also  suffer from headache, sharp pain and  inflammation of the TMJ. Approved BOTOX  treatment is now available. 


What Types Of Problems Arise From The TMJ?

Since the TMJ is used while you talk, eat, swallow, yawn and many other activities are can become strained by teeth grinding or even displaced. A person may also suffer from headaches, sharp pains, and inflammation of the TMJ. Muscle tension in your face, jaw or neck is one of the main symptom along with clicking/popping of the jaw. If you live with jaw/facial pain and are looking for ways to relieve it, then you’ll be pleased to know that BOTOX® for pain is a viable solution. BOTOX® can be used for a number of things, not just for cosmetic purposes. Therapeutic BOTOX® for pain can be an effective way to manage jaw disorders and tension in the facial muscles.

How does BOTOX® helps with jaw pain?

BOTOX® can be injected into muscular structures around the TMJ to decrease spasms and improve overall muscle flexibility that can help to restore function.

Is it safe to use BOTOX® for jaw pain?

Though not FDA approved for management for TMJ pain, BOTOX® is safe and effective treatment for managing complex jaw/facial pain. BOTOX® has been researched and used clinically for over 20 years, and the research has allowed for the fine-tuning of dosages and injection sites. There is always, of course, the potential for side effects including pain or swelling at the injection site, but these are usually mild and subside within a few hours. If you simply cannot tolerate a night guard, BOTOX® injections for TMJ may provide meaningful benefit. Since every TMJ disorder patient has different needs, it is important for our medical provider to evaluate you to determine which unique treatment plan can maximize results for you.

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