Botox & Fillers- Q&A

So happy to be writing this post about Botox and fillers because there is a big stigma behind injectables. Who gets them? Why do they get them? They over did them. I don’t want anyone to know I get them. My husband would kill me if I got them.

You all know that I am an open book when it comes to what I do and what I have done because I feel that transparency is the best way for you guys to relate and trust my opinions.

First off, I am not just some random lady who ordered some drugs from Mexico and started poking people 😂 I am a Registered nurse and I was a labor & delivery nurse for 9 years until I stayed home with my daughter. I still have my license but am not “working” in the hospital setting. I took basic and advanced classes and obtained my certification. I loved it so much, I am continuing my education and flying to Dallas in May for a lip course by the most known lip gal in the business, Julie Horne. Get in line because when I get back I am going to want to do lots of lips 👄

I want you to leave me looking exactly like you wanted to look. I will never over inject, I will never “sell” you on getting anything more than you are comfortable with. I would rather under-inject or fill and have you come back than you leave me not liking what you see. Remember, I CAN NOT discuss who comes to me and whom I treat. It is against HIPPA and I will lose my license. So if you choose to keep it a secret, it’s safe with me.

If I go to parties or pop up in places, I do NOT drink alcohol while I am working and I still maintain a sterile field when injecting. First and foremost, I am a professional. With that being said, yes I can inject other places rather than an office chair. They do it all around the United States and because I am one of the few “traveling” Botox ladies, it seems different to some. However if you host a party, the consents will be signed before any consumption of alcohol begins. ☺️

I do parties, pop up in salons, office calls, wedding parties, house calls, and whatever else, so if you want me to come to your place of business, contact me through my email: Ladyandred2504@hotmail.com. Every patient gets my personal cell phone. I don’t have it posted online because some may think it is a calling card 😂.

SERVICES I OFFER **every patient will be assessed to determine if they are a candidate for treatment

Lip flip
Gummy smile
Nasal flare (stops it)
Nose slimming
Turn down a nose, or slim a wide nose
Liquid nose augmentation
Neck lines, chest lines (aka sleep lines), cheek lines, under eye lines, bunny lines
Under eye fillers or tear trough
Cheeks
Platysmal bands
TMJ
Jawline Slimming
Botox for migraines with therapeutic Botox
Botox for excessive sweating, hands & underarms
Jaw contour with filler

FILLERS

Let’s chat lips first because I do more of those than anything else as far as filler goes and I think more would do it if they weren’t scared they would look like a duck upon leaving. Am I right? I WILL NOT put in more than you want. I will allow you to use a little then come back for the rest if you decide that you want more. When you do fillers, you see immediate results. You will have swelling so typically once the swelling goes down, people come back for more!

My actual patient with 1ml syringe of filler. Before and after photo.

Will I have bruising and swelling with fillers?

Yes. That is a side effect of any injection. You are injecting a foreign product into your body and swelling is a natural response to that. Bruising is normal as well. I tell everyone to expect it and plan your appointment around the event to prepare for time to heal.

Will fillers really help deep smile lines?

Yes! Obviously assessing your face first will determine the best route to go as far as if Botox can correct some lines or fillers is the best option. Also it could be that you may need cheek volume to help correct them as well. Best advice is to start small then advance treatment. It is unlikely if the lines are too deep that 1ml syringe will correct it. You may need more filler injected over time to correct it.

What is your price for fillers?

Pricing depends on what product you are wanting. I will also base it on which area you are interested in filling and how much filler you will need for that specific area. Prices range from $250-$550.

How long do the fillers last?

This is a tough question as it varies so much from patient to patient and on the product you are using to inject. Allergan products such as Juvéderm, which there are 5 types, last anywhere from 1 year to 2 years and It depends on the area. I have seen cheeks and under eyes last 2 years with no problem. Galderma products such as Restylne are comparable.

I have heard that fillers are painful. Is that true?

Well yes I would assume without numbing the area it could be very painful as a needle is going into your face. I would not inject without numbing first. It puts me at risk for error when the patient is jumping and moving from pain. Cannula treatment for cheeks or under eyes is significantly less painful but I will leave that up to the patient if they want numbed or not. However I do not numb when injecting Botox.

Do you use numbing cream?

Heck yes! I numb you up good before any filler is injected. I use a prescription cream I get from a compound pharmacy called BLT. It is a topical cream ( Not injected) and you apply it to the area 30-40 minutes before I start and I will re-apply if you start to “feel” something. Also some of the fillers already come with lidocaine in them.

Do men get fillers?

YES! Some men want lips, under eyes, or jaw line contouring. Some men lack the upper lip and using a touch of filler in the top can balance it out. Filler is also good for the small lines!

Where have you had filler done?

I have had filler placed under my eyes and in my lips! My lips were about 2 years ago and the under eye filler was a little over a year ago. So right now I need more ☺️

What if I don’t like my filler once you are done?

I would hope that we wouldn’t have that issue but if you are for some reason unsatisfied with any filler treatment, I can inject a product to dissolve the filler. I keep this on hand in case of any emergencies as well.

BOTOX

I already have deep wrinkles on my forehead, will botox even help?

Yes! It may not disappear the first treatment but over time and with maintenance, they will improve significantly! **I just injected a patient with deep lines and they were gone after first treatment.

What is your price per unit on Botox?

I charge $11 per unit. Below is an image I have created to give you an idea of a price based on the area you are interested in.

How long does Botox last?

It will last anywhere from 3-6 months. It is different for everyone. The more active you are and the more that you use your facial muscles, the quicker it will wear off.

How often do I need to get Botox to maintain it?

If you want to stay up on it, every 3-6 months or when it starts to wear off or you see movement in the treated areas. Some people like a little movement so it varies based on personal preference.

What is baby Botox?

It is a slang term for using a little bit of Botox allowing for some movement. My goal is not to freeze your face unless that is what you come to me asking me to do!

What is Microtox?

Basically it is diluting the botox to a different ratio and using it in smaller doses and using it more superficial for wrinkles on the cheek area, neck lines, and décolletage ( sleep lines on your chest). It treats the lines not the muscles.

Do you ever use Dysport?

I have used it but majority of my clients prefer Botox over Dysport. I would be more than happy to order and have some on hand for anyone preferring that I use that on them. Just ask!

Are there any side effect to Botox?

Of course. There are side effects to almost anything. For me I make sure my patient knows you could have a dull headache afterwards, bruising, swelling at injection sites, and redness. I have. not had anything worse occur. You can find the entire list of side effects and usages HERE.

Can you just get Botox in your forehead?

Yes!

Why does it raise your eyenbrows? Like “Spock brow”.

Typically it is due to overtreating depressors and/or undertreating elevators in the forehead. It can be corrected usually by placing a small amount of Botox into the specific area of the forehead.

What is the cost for just around the eyes? Crows feet.

Typically runs about $45-$135 depending on the severity of the wrinkles in that area.

Dysport lasts longer for me. What makes one work better than the other for people?

It is usually due to your body’s metabolism. Some find that Dysport results are visible sooner and some find that Botox lasts longer, but again it varies from patient to patient.

How many units for a “gummy” smile? I heard that Botox can help that.

Yes it can absolutely help! Assessment is always necessary for a more accurate estimate but I would guess anywhere from 2 units to 6 units.

If I am trying to get pregnant, is Botox off limits?

As a labor nurse if you are not pregnant, it is considered safe. As always you may consult with your OB and most definitely when you are confirmed pregnant or breastfeeding it is discouraged.

How old do I have to be to get Botox or Lips?

It is FDA approved for patients 18 and older. Often now, women and men are using it as a preventative instead of waiting until they are mid to late 30’s to get their first treatment.

How do you fix “smoker lines” around the mouth?

Botox is a great place to start depending on how many, how deep, and age. Also filler is a great option if Botox does not correct to your satisfaction.

Can men get Botox?

YES men get Botox….we just refer to it as Bro-tox 😂 I mean ya’ll are drinking White Claws so what’s the difference?? Haha but seriously it can make a big difference in your appearance and who doesn’t want to age gracefully? I know women like some lines but again, you won’t look fake and I can leave a few lines.