SERVICES

Botulinum toxin is used to temporarily reduce the appearance of wrinkles and fine lines. When injected, it relaxes specific muscles, smoothing the overlying skin and diminishing the appearance of wrinkles and lines caused by repetitive facial expressions. Botox is commonly used to target areas such as frown lines, crow's feet, and forehead wrinkles. The procedure is minimally invasive, quick, and typically requires no downtime. Results usually become noticeable within a few days but don't reach peak effect for about 2-3 weeks. Botox treatments can last for several months, after which the effects gradually wear off. Pricing is based on each patient's individual needs and the specific areas being treated. Pricing: Botox: $13/unit ($12/unit for Members) Dysport: $13/unit ($12/unit for Members) Daxxify: $14/unit ($13/unit for Members) Xeomin: $12/unit ($11/unit for Members) Pre-treatment Instructions: Avoid blood thinning medications for 2-3 days prior to your appointment. Blood thinning medications to avoid include ibuprofen, Aleve, and any vitamin or supplement that contains St. John's Wort, Gingko Biloba, primrose oil, garlic, ginseng, or Vitamin E. If you are on a medically indicated blood thinning medication do not stop taking it and consult with the prescribing provider prior to your appointment for any instructions or recommendations they may have. Do not drink alcoholic beverages on the day of your treatment. Arrive to your appointment with a clean face. Remove all make up and wash your face with a gentle facial cleanser prior to your appointment. If you have a history of facial cold sores there is a risk that the needle punctures could contribute to or exacerbate an eruption of cold sore lesions. Please start your anti-viral medication 3 days prior to your treatment and notify your treatment provider that you are prone to cold sores. Do not use Botox or any other neurotoxin if you are pregnant, are allergic to any ingredients, or suffer from any neurological disorders. Post-treatment Instructions: Do not lie down for 4 hours following your treatment. Avoid any rubbing, massage, or pressure to the treatment area/s as this may alter the placement of the drug in the tissues and cause it to migrate. You may reapply make up after 6 hours. Do so gently over the treatment area/s and avoid using a used sponge or beauty blender to prevent bacterial infection. Do not wear a hat or visor for 8 hours post-treatment, if treatment was administered to the forehead. Do not wear goggles or tight fitting masks for 8 hours post-treatment, if treatment was administered between or around the eyes. Refrain from heavy exercise or sweating and avoid direct sun, saunas, and hot tubs for 24 hours after your treatment. Contract and release the treated muscles every few minutes for the first 1-2 hours after your treatment. Follow up in 2-3 weeks is recommended to assess the effect of your treatment and to provide any balancing or adjustments if needed.

Dermal fillers are used to restore volume, smooth out wrinkles, and enhance facial contours. When injected under the skin, dermal fillers provide immediate results by replenishing lost volume and stimulating collagen production. They can be used to treat various areas of the face, including the cheeks, lips, nasolabial folds, and jawline. The effects of dermal fillers are temporary and can last several months to a couple of years, depending on the specific filler used. Dermal filler treatments are minimally invasive with minimal downtime. Pricing: Lip Filler: $650 ($600 Members) Filler is used to add volume and enhance the definition and shape of the lips. Cheek Filler: $650-1300 ($600-1200 Members) Filler is used to contour and lift the cheeks. Chin Filler: $650-1300 ($600-1200 Members) Filler is used to add structure and balance to the chin and to support the lips. Lip Framing: $1300 ($1200 Members) Filler is used in the lips to add volume, enhance definition and shape, and smoothing fine lines around the lips. Filler is also used to restore volume, soften lines, and provide support to the chin and lower face. 8 Point Lift: $2400 ($2200 Members) Filler is used to replace volume, add contour and definition to the cheeks, chin, and jawline to achieve full facial balancing and profile enhancement. Pre-treatment Instructions: Do not take any aspirin, Motrin, ibuprofen Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E, or any other essential fatty acids at least 3 days to 1 week before and after treatment. Discontinue Retin-A or other topical retinols two (2) days before and two (2) days after treatment. Since bruising and swelling can be a common side effect after your treatment it is recommended that you schedule your treatment at least 2 weeks in advance of any special events such as family photos, a wedding, vacation, etc. Starting over the counter oral Arnica pellets 2-3 days prior to your treatment has been proven to decrease the bruising potential during your treatment. This can be purchased online or over the counter at any pharmacy. Dosing is as directed on the packaging label. If you are prone to cold sores starting your preventative antiviral medication 2-3 days prior to your treatment may help prevent cold sores from developing after your treatment. If you develop a cold sore, blemish, or rash, etc. on or near the treatment area prior to your appointment you must reschedule. Posts-treatment Instructions and Care: ***Please report any redness, blisters, increased pain, or itching immediately if it occurs after treatment.*** DO NOT touch, press, rub, or manipulate the treatment areas and if your lips were treated you should avoid kissing, puckering, and sucking movements for the rest of the day as these motor movements can undesirably displace the injected dermal filler material and can cause irritation, sores, and/or possible scarring if you do. AVOID Aspirin, Motrin, ibuprofen Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A., Vitamin E, or other essential fatty acids at least 3 days after treatment. AVOID alcohol, caffeine, niacin supplements, high-sodium foods, high sugar foods, refined carbohydrates (you may eat fruit), spicy foods, and cigarettes 24-48 hours after your treatment. AVOID vigorous exercise and sun or heat exposure for 3 days after your treatment. It is recommended that you avoid wearing makeup or lipstick until the next day as if can lead to pustule formation or infection at the injection sites. You may resume use of Retin-A or other topical retinols 2 days after treatment.. It is not uncommon for one side to heal faster than the other side. Please notify your provider right away though if you experience delayed or worsening wound healing than what you are used to. You can expect some bruising and swelling around the areas that were injected. Apply ice for the first hour after treatment for ten minutes on and ten minutes off. You can continue routine ice application as needed for pain or swelling. Swelling and bruising can take 1-2 weeks to resolve and the full effect of your treatment will not be complete for at least 2 weeks. You must wait 2-3 weeks before any enhancements or any other facial procedures. Please email hello@therefinerymed.com with any non-urgent questions or concerns or you can text or call 785-600-8033 with any urgent needs.

Sculptra is a biostimulant dermal filler used for facial rejuvenation and volume restoration. It contains poly-L-lactic acid (PLLA), which stimulates your body to reproduce it’s own collagen in areas where volume has been lost over time. Unlike other fillers, Sculptra's effects are gradual yet they are long-lasting. Multiple treatment sessions are typically required, and the results become noticeable over several weeks. Sculptra helps to improve the skin's texture, restore volume, and reduce the appearance of fine lines, wrinkles, and sagging. Pricing: Initial Treatment: $700-1400 ($650-1300 Members)/session A typical treatment consists of 2-3 sessions 4-6 weeks apart. Pricing is by the vial and is based on each individuals need. Annual Maintenance: $700+ ($650+ Members) Pre-treatment Instructions: Avoid the use of Aspirin, NSAIDS, Ginko Biloba, Garlic Supplements, Green Tea, Flax Oil, Cod Liver Oil, Vitamins A and E, and essential fatty acids for up to 1 week pre and post injection as they will increase your risk of bruising. Do not drink alcoholic beverages 24 hours before (or after) your treatment to avoid extra bruising. Starting over the counter oral Arnica pellets 2-3 days prior to your treatment has been proven to decrease the bruising potential during your treatment. This can be purchased online or over the counter at any pharmacy. Dosing is as directed on the packaging label. Do not apply topical products that are potentially irritating for 2 -3 days before and for 2-3 days after treatment (Examples: Tretinoin, Retin-A, glycolic acid, benzoyl peroxide, hydroquinone). If you are prone to cold sores starting your preventative antiviral medication 2-3 days prior to your treatment may help prevent cold sores from developing after your treatment. If you develop a cold sore, blemish, or rash, etc. on or near the treatment area prior to your appointment you must reschedule. Sculptra is not recommended if you are pregnant or breastfeeding or if you are allergic to any of its ingredients. Please inform your provider prior to the day of your scheduled treatment if you have any questions about this. Arrive with a clean face. Please remove all makeup or other skin care products prior coming to your appointment. Redness and swelling after the treatment is normal and some bruising may be present immediately following the treatment but may also develop in the first few days following the treatment. Post-treatment Instructions: Massage the treatment areas for 5 minutes, 5 times a day, for 5 days after treatment to help distribute the product evenly in the areas and to prevent nodule formation. You may take Acetaminophen/Tylenol if you experience any mild tenderness or discomfort. An over the counter antihistamine such as Claritin, Zyrtec, or Benadryl can be used if you experience any itching to the treatment area. After treatment there will be mild fullness, swelling, and redness with the possibility of bruising. These symptoms will resolve in about 7 days. Over the counter topical Arnica Cream or oral Arnica tablets may be used to help improve any bruising you may experience and should be taking as directed on the packaging label. Avoid extended sun or UV exposure until any redness or swelling has subsided. Apply SPF diligently and use shade or hats to protect the treatment areas when you are outdoors. Avoid strenuous exercise for 24 hours to reduce the potential of bruising. You may resume other normal activities/routines immediately. Avoid laser, IPL, or other skin tightening treatments to the area for at least 2-3 weeks after the treatment. You may continue your routine topical skin care products 1 week after your treatment. Please email hello@therefinerymed.com with any non-urgent questions or concerns or you can text or call 785-600-8033 with any urgent needs.

SkinVive is the first and only hyaluronic acid gel indicated to improve the skin's texture and smoothness by hydrating from within leaving you with healthier radiant looking skin for up to 6 months. During the treatment a topical numbing cream is applied and SkinVive is then injected within the dermis as tiny, intradermal microdroplets within the derms so you won't see any change in the shape or volume of your face—just smooth, glowing skin. SkinVive is also a great add-on to help boost the benefits of other treatments such as Botox or dermal fillers. Pricing: SkinVive Treatment: $650 ($600 Members) Pre-treatment Instructions: Do not take any aspirin, Motrin, ibuprofen Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E, or any other essential fatty acids at least 3 days to 1 week before and after treatment. Discontinue Retin-A or other topical retinoids two (2) days before and two (2) days after treatment. Since bruising and swelling can be a common side effect after your treatment it is recommended that you schedule your treatment at least 2 weeks in advance of any special events such as family photos, a wedding, vacation, etc. Starting over the counter oral Arnica pellets 2-3 days prior to your treatment has been proven to decrease the bruising potential during your treatment. This can be purchased online or over the counter at any pharmacy. Dosing is as directed on the packaging label. If you are prone to cold sores, starting your preventative antiviral medication 2-3 days prior to your treatment may help prevent cold sores from developing after your treatment. If you develop a cold sore, blemish, or rash, etc. on or near the treatment area prior to your appointment you must reschedule. Post-treatment Instructions and Care: ***Please report any redness, blisters, increased pain, or itching immediately if it occurs after treatment.*** DO NOT touch, press, rub, or manipulate the treatment areas and if your lips were treated you should avoid kissing, puckering, and sucking movements for the rest of the day as these motor movements can undesirably displace the injected dermal filler material and can cause irritation, sores, and/or possible scarring if you do. AVOID Aspirin, Motrin, ibuprofen Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A., Vitamin E, or other essential fatty acids at least 3 days after treatment. AVOID alcohol, caffeine, niacin supplements, high-sodium foods, high sugar foods, refined carbohydrates (you may eat fruit), spicy foods, and cigarettes 24-48 hours after your treatment. AVOID vigorous exercise and sun or heat exposure for 3 days after your treatment. It is recommended that you avoid wearing makeup or lipstick until the next day as if can lead to pustule formation or infection at the injection sites. You may resume use of Retin-A or other topical retinols 2 days after treatment. It is not uncommon for one side to heal faster than the other side. Please notify your provider right away though if you experience delayed or worsening wound healing than what you are used to. You can expect some bruising and swelling around the areas that were injected. Apply ice for the first hour after treatment for ten minutes on and ten minutes off. You can continue routine ice application as needed for pain or swelling. Swelling and bruising can take 1-2 weeks to resolve and the full effect of your treatment will not be complete for at least 2 weeks. You must wait 2-3 weeks before any enhancements or any other facial procedures. Please email hello@therefinerymed.com with any non-urgent questions or concerns or you can text or call Sarah Jepson, Medical Director, at 785-600-8033 with any urgent needs.