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Botox and Juvederm now available at Hired Hands Day Spa!!!!
 Botox^®/Juvéderm^™

Botox
What is a Botox^®̀ treatment like?
Botox cosmetic is a quick and minimally invasive procedure consisting of a few tiny injections. The entire procedure takes approximately 10 minutes, and there is no downtime afterwards. Discomfort is minimal and brief. It is unlikely, but you may experience localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising at the injection sites.

How soon will I see a difference?
You can expect to see results within 2-7 days, but you may continue to see improvement for up to 2 weeks. On average the results last for 2-4 months. After that, many clients are ready to return for a follow-up treatment.

Is it expensive?
Actually, it is quite affordable. A recent survey showed that those with annual household incomes of less than $100,000 (44%) were more likely to be treated with Botox^®. Working mothers between the ages of 40 to 55 are the most common users of Botox cosmetic.

The primary areas of treatment are the forehead, frown lines, and crow’s feet. The range for each area is (individuals may vary):
*Forehead: $140- $210
*Frown lines: $240 - $300
*Crow’s feet: $190 - $240

Will I still be able to make facial expressions?
The muscle activity is simply reduced, so you can still frown or look surprised without the wrinkles and creases.

Is Botox safe?
Botox cosmetic has been widely tested and used for over 20 years. It is derived from a naturally occurring protein known as botulinum toxin type A. The most common side effects are temporary eyelid droop and nausea. Serious heart problems and serious allergic reactions have been reported rarely. Persons with certain neuromuscular disorders such as ALS, Myasthenia Gravis or Lambert-Eaton Syndrome may be at increase risk of serious side effects and should consult with their physician prior to contemplating Botox.

Botox Cosmetic Pre-Treatment Instructions
DO NOT:
1.  Do not take anti-inflammatories such as ibuprofen of naproxen sodium, blood thinners such as aspirin, Coumadin, garlic oil or fish oil at least 72 hours prior to procedure.
2.  Do not drink alcohol for at least 72 hours prior to procedure.

DO:
1.      Do notify the practitioner if you are on a Calcium Channel Blocker for blood pressure (such as Cardizem, Procardia or Verapamil).   They may decrease the force of the muscular contraction and can potentiate the effect of Botox.  Dose may be adjusted.
2.    Do notify the practitioner if you are taking aminoglycoside antibiotics (such as gentamycin, neomycin or streptomycin) as these classes of drugs interfere with neuromuscular transmission.  This may potentiate the effect of Botox.  Please do not schedule a treatment until after you have completed the medication.
3.     Do notify the practitioner of all allergies.
4.      Do notify the practitioner if you have a neuromuscular disease (such as ALS or Lambert Eaton Syndrome) as Botox may be contraindicated.
5.      Do notify the practitioner if you are pregnant.  Safety has not been established.  Please schedule your treatment for after your pregnancy.

Botox Cosmetic Post Treatment Instructions
DO:
1.  Do remain upright for 4 hours after injection.
2.  Do exaggerate facial expressions in ejected areas for 1 hour after injection.
3.  Call the office immediately if you experience any problems or have any questions.
4.  Schedule your follow up appointment prior to leaving the office.

DO NOT:
1.      Do not take ibuprofen, aspirin or vitamin E for 24 hours after injection.
2.      Do not massage or manipulate injection sites for 48 hours after injection.
3.   Results are expected within 24 hours to one week after injection.

Juvéderm™

What is Juvéderm™?
It is a hyaluronic acid which is a highly hydrophyllic polysaccharide component of collagen that is found in all living cells. It attracts and binds more than 1000 times its weight in water which explains it’s hydrating, volumizing effect on the skin.  There are two different types of Juvéderm,  Juvéderm Ultra and Juvéderm Ultra Plus. Juvéderm Ultra contains 24 milligrams of hyaluronic acid. Ultra Plus also has 24 milligrams but is crosslinked at 8% as opposed to 6% making it more viscous and longer lasting.

What are the Juvéderm™ products used for?
As we age, our skin and underlying tissue change, causing the “signs” of aging. These include loss of skin elasticity, sagging, thinning of the upper lip, and atrophy of the subcutaneous tissue. Also, lines caused from normal expressions over the years become furrows which are deep lines that do not disappear when the skin is stretched.

Juvéderm products can decrease the sagging and shadowing at the lines from the nose down to either side of the mouth as well as the indentation/shadowing at and below the corners of the mouth. It is also effective in decreasing the appearance of deep horizontal forehead lines,  frown lines, “smoker’s” lines of the lips, and the chin crease. Juvederm is very effective for improving deep facial scars from severe acne and injury. Of course the most fun aspect of this product is that it can be use to plump the lips, which can decrease the appearance of the “smoker’s” lines and make you look sexier!

How much does it cost?
The cost of each tube is $500.00. One area such as the nasolabia folds, forehead and frown lines, or lips will use a full tube each. However, even if less than one tube is required the minimum charge is for one tube. More than one area will usually require more than one tube. If the lines or folds are deep, better results may be achieved by using both the Ultra and the Ultra Plus. The Ultra Plus to fill in the deeper portion and the Ultra to soften the more superficial portion of the lines or folds.

Is it safe?
Juvéderm is generally well tolerated. The most commonly reported side effects are temporary injection-site redness, swelling, pain/tenderness, firmness, lumps/bumps, bruising and infection. It is not recommended that you receive this treatment if you have any increased risk of prolonged bleeding such as taking aspirin, anticoagulants or ibuprofen within 72 hours of procedure. Patients on immunosuppressive therapy should not use this treatment as there is increased risk of infection. If you have a history of excessive scarring (eg hypertrophic scarring and keloid formation) and/or pigmentation disorders should not use this product. Juvederm should not be used in persons who have severe allergies with or without a history of anaphylaxis or allergies to gram-positive bacterial proteins. Safety has not been established in pregnancy, breastfeeding or persons less than 18 years of age.

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