Botox & Facial Fillers
Rejuvenate Your Natural Beauty!
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ABOUT BOTOX AND HOW IT WORKS
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.
RECOVERY AND HEALING
Botox injections cause almost no redness or swelling. You may drive yourself to and from the treatments and resume normal
activities immediately.
PAIN AND RISK
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
CONTRAINDICATIONS
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
PRICING PER UNIT
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
WHAT IS A LIP FLIP
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.

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.
WHAT LIP FILLER
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.
Options
LIP FLIP
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Botox is injected
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Lasts 8-12 weeks
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Enhances appearance of upper lip
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Control over lip shape
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Cheaper upfront
LIP FILLER
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Juvederm/Restyline is injected
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Lasts up to a year
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Increases volume of lips
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Control over lip volume
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May be cheaper in the long run
COMBINATION
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.
WHICH IS RIGHT FOR ME?
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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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.

MIGRAINE HEADACHES
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.

JAW PAIN?
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.
