FREQUENTLY ASKED QUESTIONS

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NEUROMODULATORS

Are neuromodulators safe?


Neuromodulators have been used in medicine for almost 30 years and has many different medical uses. There are thousands of published studies about neurotoxin products, making them one of the most widely researched medicines in the world.




Are the Injections Painful?


Most patients would tell you "no" and report very little discomfort. It has been described as feeling like a mosquito bite or like squeezing a pimple.




Who should NOT receive neuromodulators?


Women who are pregnant or trying to get pregnant, women who are breastfeeding, people who are taking certain antibiotics, have neuromuscular disorders, individuals with medical conditions that lower the body's immune response, individuals undergoing therapy that is immunosuppressive, or have an allergy to Botulinum Toxin-A should not receive injections.




What is the Difference between Neuromodulators and Dermal fillers?


Neuromodulators relax muscles which when contracted can cause wrinkling, whereas fillers restore (or augment) volume. Neuromodulators take at least 5-7 days to cause effect on the muscles.




Will I look unnatural after my treatment?


Our philosophy is to provide natural-looking results by making subtle improvements. Friends and family members may comment that you look more refreshed, youthful, or relaxed. We strongly believe treatments should not radically alter your appearance, and our treatments are tailored accordingly. You will still look like yourself!




How do I prepare for my appointment?


- Please ensure you are not wearing any make-up. A lavoratory is available should you need to remove it once at the clinic. - If taking blood thinner medications, or regular anti-inflammatories (e.g. ibuprofen or naproxen), please talk to your primary healthcare provider and ask whether you are able to stop taking these medications 3 days before your treatment to help avoid excessive bleeding or bruising. This will be reviewed with your practitioner during the consultation if you are unsure. - Avoid extreme heat and strenous exercise on the day of your treatment. - Schedule the treatment at least two-three weeks prior to an important event to allow time for bruising or redness to resolve. - Eat or drink prior to treatment to limit the facial movements post-treatment.




Can Neuromodulators and Dermal Fillers be used in combination during the same Treatment?


Neuromodulators and Dermal Fillers are very often used in combination with each other and during the same treatment, depending on the desired outcome.




Post-treatment Care


To ensure the best possible outcome, please try to AVOID: - lying down for 4 hours after your treatment - any massage or pressure (ie. hat) to treatment areas - extended periods of intense sunshine or extreme heat (tanning bed, hot tub) for 24 hours - workouts for 24 hours - handling and/or massaging the skin around the injection site - applying makeup and normal skincare products until the day after the injection




Which products do you use?


We only use products and medical devices that are authorized for sale by Health Canada, and ordered directly from the manufacturer or their authorized distributor in Canada. Due to Health Canada advertising regulations, we can only discuss the specific products we have available for use directly with you. We use and stock most major brands of medications for our treatments. Pease call or email us for more specific information!





FILLERS

Is the procedure for Dermal Fillers painful?


The discomfort is reported as minimal. It also depends upon the area being treated. The good news is that dermal fillers are usually prepared with lidocaine (a numbing agent). A topical numbing agent and/or ice, can be applied to the treatment area prior to your procedure to help reduce discomfort.




Can Neuromodulators and Dermal Fillers be used in combination at the same Treatment?


Neuromodulators and Dermal Fillers are very often used in combination with each other and during the same treatment, depending on the desired outcome.




Post-treatment Care


Temporary bruising, swelling and tenderness may occur over the treatment areas. It may feel normal to feel firmness in your treated areas for the first few days after treatment and this will soften and settle. Apply cool compress to area (avoiding pressure). To ensure the best possible outcome, please try to AVOID: - exaggerated facial expressions for 2-4 hours after the injections - rubbing or massage to treated areas - strenuous exercise for remainder of day - extended periods of intense sunshine or extreme heat (tanning bed, hot tub) for two days after the injections - applying makeup and normal skincare products until the day after the injection - aspirin, ibuprofen and alcohol for 12 hours to avoid increasing bruising - wait a minumum of 6 weeks before recieving laser treatments and 1 week for skincare treatments




What is the Difference between Neuromodulators and Dermal fillers?


Neuromodulators relax muscles which when contracted can cause wrinkling, whereas dermal fillers restore (or augment) volume. In the skin, most dermal fillers work by attracting water, which allows the skin to become more hydrated. As we age, fat, muscles, bone, and skin in our face begins to thin and can lead a sunken or sagging appearance of the face, fine lines, wrinkles, and thin lips. Injectable fillers can be used to reduce the appearance of fine lines and wrinkles, and to create structure and volume to the face and lips. The effects of dermal fillers are seen immediately.




Who should NOT receive Fillers?


Women who are pregnant or trying to get pregnant, women who are breastfeeding, individuals with medical conditions that lower the body's immune response, or individuals undergoing therapy that is immunosuppressive, active infection (ie. herpes simplex or acne flare) near the site of injection, or a known allergy/hypersensitivity to the material or to the lidocaine mixed in the syringe of the filler.




Will I look unnatural after my Treatment?


Our philosophy is to provide natural-looking results by making subtle improvements. Friends and family members may comment that you look more refreshed, youthful, or relaxed. We strongly believe treatments should not radically alter your appearance, and our treatments are tailored accordingly. You will look just like yourself, but better.




How do I prepare for my appointment?


- Please ensure you are not wearing any make-up. A lavoratory is available should you need to remove it once at the clinic. - If taking blood thinner medications, or regular anti-inflammatories (e.g. Advil), please talk to your primary healthcare provider and ask whether you are able to stop taking these medications 3 days before your treatment to help avoid excessive bleeding or bruising. This will be reviewed with your practitioner during the consultation if you are unsure. - Avoid extreme heat and strenous exercise on the day of your treatment. - Schedule the treatment at least two-three weeks prior to an important event to allow time for bruising or redness to resolve. - Eat or drink prior to treatment to limit the facial movements post-treatment.





GENERAL

What is a Nurse Practitioner (NP)?


Nurse Practitioners (NP) are registered nurses who have additional education, experience and certification requirements. They are authorized to diagnose conditions, order and interpret diagnostic tests, and prescribe medication and other treatments. Typically, NP's have completed 6-7 years of university education in addition to a minimum of two years of RN experience. The Practice Standard for NP's in Ontario can be found here: https://www.cno.org/globalassets/docs/prac/41038_strdrnec.pdf




Are my procedures and medical records confidential?


Yes. Your treatment is absolutely confidential. We have lots of clients that love their results but don’t want to share it with anyone, for example co-workers, or even their spouse. We are completely committed to ensuring your privacy and comply with PHIPA (Ontario privacy legislation) to ensure that your medical records and treatment history are confidential and secure. Elevate Medical Aesthetics is very serious about privacy!




Which methods of payment do you accept? Do you finance?


We accept all major credit cards (Visa, Mastercard, American Express, Discover), as well as Interac, Interac Email Money Transfer (pay@elevaterx.ca) and cash. We also offer quick and easy financing through Medicard (iFinance Canada). This financing option is to provide you with the flexibility to receive treatments on your own schedule, and stretch payments out for up to 5 years. There is no application fee and it's usually approved within minutes from our clinic or from your home. Medicard has flexible terms - clients can choose from 6 to 60 months, which can be paid off in full at any time with no penalties! To apply for Medicard, follow this link.




How much do treatments cost?


All prices will be discussed prior to your treatments during your consultation. Treatment costs vary depending upon your unique facial anatomy. Some guidelines are below to give you an idea of the cost of our services.
Neuromodulators
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$10.50 per unit of treatment (minimum $150). In general this will mean: Glabella area: $200-300
+ add Brow lift: $42-120
+ add Forehead : $52-200
+ add Bunny lines: $42-60
Crows Feet: $100-400
Chin dimpling (orange peel): $30-100
Lip lift: $21-80
Smokers lines: $42-160
Many other treatment areas are available; these can be discussed during your consultation.
NOTE: Men often require more treatment units than women (sorry!)
Dermal Fillers
----------------
Prices are dependent upon the amount of volume required for your treatment. Full treatment units are charged at $560, whereas half treatment units are $350. If you require additional treatments (e.g. more volume) during a single visit, they will be discounted by $40 each. It depends on your specific situation, but the typical number of treatment units required can be estimated as such: Lips: First treatment: 0.5-1
Jawline contouring: 1-2
Cheeks: 1-2
Nasolabial folds: 1
Marionette lines: 1
Chin: 1-2
Tear troughs: 0.5 - 1 Chin Sculpting with Fat Dissolving Injections
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$550 per treatment Plasma Treatments (Hair or Skin/Facial)
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$550 per treatment Microneedling
----------------
$300 per treatment Chemical Peels
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$150 per treatment Professional Teeth Whitening
---------------------------------
$150 per treatment Therapeutic Neuromodulator Treatments (Migraine, Sweating, Clenching)
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$195 injection fee + Mediation (usually covered by private insurance) See individual pages, or talk to your ElevateRx practitioner for more information! Sclerotherapy ---------------- $125/$225 for single/double treatments per session




Are any of the services covered by OHIP or Private Insurance plans?


Some private insurance plans cover the cost of neuromodulator medication when used to treat migraines and hyperhidrosis (excessive sweating). Please enquire with your private insurance company to determine requirements for medication reimbursement. Medical aesthetic services are not covered by the Ontario Health Insurance Plan (OHIP). Non-aesthetic medical consultations with the Nurse Practitioner (illness diagnosis, prescriptions, etc.) are not covered by OHIP as legislation does not yet allow for direct billing by NPs. Any prescriptions required as part of your cosmetic treatments are included in the cost of your injections.




Which products do you use?


We only use products and medical devices that are authorized for sale by Health Canada, and ordered directly from the manufacturer or their authorized distributor in Canada. Due to Health Canada advertising regulations, we can only discuss the specific products we have available for use directly with you. We only use premium major brands of medications for our treatments. Pease call or email us for more specific information!




Why don't you list the products you use for specific treatments?


Regulations regarding advertising and promotion of health-related products and services is much more regulated in Canada than you may be used to seeing south of the border. Section C.01.044 of Health Canada's Food & Drug Regulations prohibits advertising prescription drugs to the general public beyond the mention of the name, price and quantity of the product.
This restriction means when prescription drugs are advertised to the public, no reference or allusion can be made to its therapeutic use, efficacy, effectiveness, or safety. Section C.01.007 also prohibits any direct or indirect reference(s) which give the impression that Health Canada approves, endorses or recommends the use of a particular product. All products we use are authorized for sale by Health Canada. The list of products we use is also listed in the General section of the FAQ.




What are your qualifications / approvals / etc.?


ElevateRx Medical Aesthetics is a licensed and insured Ontario business which complies with all municipal, provincial, and federal regulatory requirements. All injections are performed by Medical Doctors (MD), Nurse Practitioners (NP), or Registered Nurses (RN), who are licensed and regulated by their colleges to provide the medical services required (see "About Us" section for specifics). RN's may only inject after patient consultation with an MD or NP and the subsequent issue of a medical directive. All products we use during treatments have been authorized for sale by Health Canada, and stored per manufacturers' recommendations from point of sale to administration. We strongly encourage you to do your research when choosing where to receive your cosmetic injections from - not all businesses are created equal! HEALTH AND SAFETY IS OUR NUMBER ONE PRIORITY - ALWAYS. WE WILL NEVER CUT CORNERS!





CHIN SCULPTING

How much does it cost?


The cost is $550 per treatment. The amount of required treatments depends on the patient, and the desired look. We usually perform between 2 and 6 treatments.




Injections vs. liposuction?


Fat dissolving injections are a non-surgical treatment to dissolve small fat pockets without surgery. As it is a non-surgical treatment, there is limited down time (some people return to work the same day), allowing you to return to your regular life in no time at all. Liposuction is an invasive surgical procedure that carries additional risks since you are going under anesthesia. Recovery time tends to be longer and can leave a small scar in the area. You will want to consult with a licensed and regulated Plastic Surgeon if liposuction is something you would like to consider.




What is the chemical make up of fat dissolving injections?


In the human body, deoxycholic acid is used in the emulsification of fats for absorption in the intestine. During treatment, a synthetic form is injected to dissolve fat in the areas injected, without the need for the surgical intervention of liposuction.




What's recovery like after fat dissolving injections?


The recovery from these injections is relatively painless. Patients usually experience tenderness and/or numbness to the area after the treatment. It does cause some swelling that we tell our clients to plan for. This swelling is part of the process and is helpful as it can sometimes lead to some skin tightening along with fat reduction. Elevate Medical Aesthetics suggests you plan to set aside 3 days for swelling. After that the swelling continues to be minimal over the next several weeks and is likely only noticeable to you and your immediate family.




Is treatment painful?


Most of our clients would describe treatments as an easy procedure with little pain or discomfort. Immediately after the injections some patients describe a warm and uncomfortable feeling that subsides within minutes. Some patients describe the first 15 minutes of the treatment as a little uncomfortable but in general it is very well tolerated. At Elevate Medical Aesthetics we go above and beyond to minimize your discomfort. Prior to treatment we will offer you a numbing cream. In addition, we can add a numbing agent into the medication (lidocaine), and provide you with a soft ice pack at the end. We're by your side at all times, dedicated to ensuring a pleasant experience!





PLASMA SKIN TREATMENTS

What is a plasma facial/skin treatment?


Plasma facials involve the injection of the patient's own platelets into their skin for cosmetic treatment of wrinkles or scars in the face, hands, and neck. In this regenerative medicine, platelets are used to stimulate new collagen naturally.




Is Plasma treatment effective?


High amounts of good quality evidence-based medicine support PRP treatments, along with its efficacy and success. This evidence exists in many different areas of treatment including; surgery, skin cosmetics, hair restoration, along with being commonly used in sports medicine and orthopaedics. It is also worth noting that research takes time and is expensive, but this being said further solid research is being produced regularly. Particularly, the treatment of high platelet plasma versus standard conventional drug treatments.





CHEMICAL PEELS

What can I expect to see / feel as as result of a chemical peel?


Post treatment you can expect to see smooth and even skin, with a more even and healthy tone. These advanced exfoliations may soften fine lines, clear imperfections, and lighten hyperpigmentation. Your results can be further enhanced with proper homecare skin products. We offer Vivier Pharma skin care products and would be happy to discuss them further with you should you be interested.




How many treatments do I need?


Receiving a series of chemical peels will yield the best results. Our specialists will tailor a program to your needs which consists of treatments and home care products suitable for your specific concerns. On average, four to six treatments are recommended for optimal results, but many are happy with fewer as well.




Do chemical peels hurt?


You may experience different sensations during the treatment ranging from slight tingling to the feeling of hot skin, comparable to a mild sunburn.




What should I expect after the treatment?


Skin may feel dry, tight and appear mildly red. Swelling may naturally occur and last anywhere from 12­ to 24 hours. You may experience mild to moderate peeling 3-7 days post treatment. It's important to note that the amount of peeling which occurs does *not* correlate to the effectiveness of the treatment you receive!





TEETH WHITENING

How white can I expect my teeth to whiten?


Most clients will achieve 4 to 8 shades whiter. The results vary as they depend on many factors including the quality, texture and thickness of your enamel. For best results, a dental cleaning is advised (but not required) prior to whitening to remove superficial stains from coffee, tea, tobacco and red wine.




Will my teeth be sensitive after whitening?


It is recommened that you use sensitive toothpaste (e.g. Sensodyne) for up to a week prior to your whitening appointment and up to a week after your treatment. Your teeth may be more sensitive in the first 12 to 24 hours after whitening so it is advised to avoid hot and cold beverages. An optional remineralization formula can be purchased to use afterwards to aid in the restoration of hydration lost during whitening.




Can I drink coffee, tea or red wine after my appointment?


It is advised to avoid these beverages as well as anything that will stain the teeth for 12 hours after your appointment.




Are results guaranteed?


Unfortunately results are not guaranteed as each individual's teeth are unique, as are the particular habits they have which may affect the whitening potential.




How many treatments will I need?


Each client is unique and results are individual. Most clients benefit from a one hour treatment initially. The Registered Dental Hygienist will be able to better advise during your consultation. The longevity of the results is also dependent on the client.




Can I whiten my teeth if I have fillings or restorations on my front teeth?


You can still receive the treatments (most do), however restorations and fillings do not whiten. It is advised that if you are planning on having them replaced, to whiten first and then have your fillings or restorations replaced afterwards as the dentist will match your new restorations or fillings to your natural teeth.





MICRONEEDLING

Who is an ideal candidate for microneedling?


Microneedling is a great procedure for lax skin with a lack of firmness and/or has fine lines and wrinkles (including upper lip lines). It can significantly improve the texture of skin with acne scars as well. Microneedling can be performed on all skin types and colours.




What can I expect after a microneedling treatment?


There is usually a bit of redness (erythema) for one or two days after your treatment. By the next day, your skin may be a bit pink, but you’ll be able to use make-up and no one will know that you’ve just had a facial rejuvenation treatment!




How many treatments will I need?


Most people typically choose three to six treatments spaced a month or so apart. If your lifestyle and diet promotes optimal cell function, results can last up to 2 years. Maintenance treatments can be performed as often as needed.




Does microneedling hurt?


We will apply a prescription numbing cream before your treatment. Microneedling uses very tiny needles. There are a couple of sensitive areas, however, the treatment is generally very easily tolerated. Many people actually enjoy the "massage like" sensation of the pen.





PLASMA HAIR TREATMENT

How long does a PRP treatment for hair loss take?


The PRP treatment for hair loss prevention and hair restoration will usually take 30 to 45 minutes.




How much do PRP treatments cost, and how many are required?


PRP injections are $550 per session. Full treatment usually requires four sessions at intervals of about two to six weeks. Ideally, maintenance sessions are done every three to six months. To help you maintain results, we offer a complimentary follow-up session one-month after your treatment (with the purchase of a package). As with all treatments, results may vary.




What kinds of results can I expect?


This depends on the patient, however results can be progressively seen starting a few weeks following initial treatment. On average, hair density improvement of 25 to 30% can be expected, but results will vary as a function of the ability of the follicular bulb to regenerate in each individual. We make sure to take plenty of pictures so we can collaboratively review effectiveness. In one study, results showed a significant increase in the rate of hair growth observed between the third and sixth months. Hair density followed a rising trend with a peak at 3 months. Patients with II-III grade of alopecia had better results compared to patients with more advanced alopecia. Gkini MA, Kouskoukis AE, Tripsianis G, Rigopoulos D, Kouskoukis K. Study of platelet-rich plasma injections in the treatment of androgenetic alopecia through an one-year period. J Cutan Aesthet Surg 2014;7:213-9 As with all treatments, results may vary.




Am I a good candidate for PRP hair loss treatments?


Clients suffering from mild to moderate androgenetic alopecia (hereditary male or female pattern baldness) wishing to improve the quality of their hair are suitable for PRP treatments. The best candidates have hair that is thinning, but not totally bald. As with all treatments, results may vary.




Does it hurt?


Prior to the PRP injections, a prescription-strength topical numbing cream will be applied for additional comfort. Some patients may experience mild discomfort during injections, but the procedure is generally well-tolerated by clients. We have a very compassionate team that is always with you to ensure you're well supported!





EXCESSIVE SWEATING

Which areas on the body can be treated for hyperhidrosis?


The forehead, underarms, hands and feet can be effectively treated to reduce sweating.




How is hyperhidrosis treated at Elevate Medical Aesthetics?


Following a hyperhidrosis assessment and diagnosis, therapeutic versions of cosmetic neuromodulators (which are actually the same medication) are injected as a treatment for excessive sweating of the forehead, hands, feet and underarms. When the neuromodulator is injected near the sweat glands, perspiration is greatly reduced. As with all treatments, results may vary.




Is the cost covered by insurance plans?


Excessive sweating (also known as hyperhidrosis) causes distress for thousands of Canadians. Its treatment is not covered by OHIP, however the cost of the medication can often be recovered from your private insurance plan.





CHRONIC MIGRAINES

Am I a suitable candidate?


Therapeutic neuromodulator treatments are used for the prevention of migraine attacks in people who suffer 15 days or more per month. It is not intended for the treatment of acute migraine episodes. This is an important advancement in migraine prevention, as it opens up effective and clinically-proven option for chronic migraine sufferers in battling their condition. Neuromodulator treatment for chronic migraine prevention should be seen as an addition to the arsenal of treatments, if first-line options are ineffective for you. Our MDs or NPs are happy to discuss whether you're an ideal candidate. However, we suggest that you first work with your primary health care provider, before being referred* for treatment. *Referral not required but recommended.




How much does it cost?


Our injection fee is $195. The medication cost is generally $500-$800. However, the cost of this medication is covered by most private insurance plans. We have also partnered with Allergan and Central Medical Pharmacy Inc. to guide you through the assistance program whereby the cost of your deductible (if applicable) may be covered as well. If you do have insurance and the medication is deemed to be not covered, the medication fee will be reimbursed by Allergan as part of their savings program. Please contact one of our MDs or NPs for more information on this program and how we can help you, or for how financial relief can be provided if you do not have private insurance.




Is this considered medical aesthetics?


No, it's not. Our NPs and MDs are trained and currently practice within primary health care in addition to the medical aesthetics field. Given their expertise in both neuromodulator injections and pain and migraine management, we have decided to help therapeutic clients at Elevate Medical Aesthetics as well. We want you to feel good, and we know it's hard getting access to special health care services when you need it!





SCLEROTHERAPY

What is sclerotherapy?


Sclerotherapy is an injection technique to treat spider and varicose veins. The procedure involves the use of a very fine needle to inject a sterile solution (called a sclerosing solution) into the small veins causing them to shrink. At each session several veins are treated.




Can sclerotheraphy be used to treat large varicose veins?


We currently do not treat large varicose veins at ElevateRx. The treatment of large varicose veins is a little different than for spider and reticular veins. The technique of 'ultrasound guided foam sclerotherapy' uses a foamed sclerosant to treat large varicose veins.




How many sclerotherapy treatments are required?


It varies from individual to individual but for the best results usually 2-4 treatments are required. 1-2 sessions will suffice in patients with a few veins. Where the veins are more numerous and extensive, more treatments are needed.




After care do I need to restrict any activity?


Immediately after the treatment, walking is advised. Usually normal activity can continue after treamtent.




Is sclerotherapy painful?


The injection is associated with a little sting which lasts a few seconds. The vast majority of people tolerate the operation very easily without anesthesia of any kind. Most patients claim the procedure is far less painful than they had anticipated.




Is there any harm in removing spider/reticular veins?


Spider and reticular veins have no function and removing them does no harm. The only reason they are removed is for cosmetic appearance.




Who is unsuitable for treatment?


Almost anyone with unwanted spider veins can be treated, except women who are pregnant or nursing. Other relative contraindications include those with skin infections, uncontrolled diabetes, fever, history of deep vein thrombosis, anticoagulant therapy those patients taking corticosteroids.




Is any preparation required before the treatment?


No preparation is required before the procedure.




Why should treatment be performed?


Sclerotherapy is an elective procedure that can be performed whenever the individual wishes to do it. The procedure takes no more than 30-60 minutes, and can even be done during a break at lunch. Treatment is performed during convenient hours in the office. Shortly after each session, you can resume most activities.





NOTE:  Health Canada restricts the advertising of medications (e.g. Botox, Dysport, Xeomin, Nuceiva, Restylane, Juvederm, Teoxane, Stylage, Belotero, Belkyra, PRP, etc.) by linking them to therapeutic outcomes. 

Therefore, although we believe it aids in ensuring treatment transparency, we cannot advertise the types of medications we use for certain treatments.  We are more than happy to discuss them by contacting us, or scheduling a consultation with our NPs or MD.

*Disclaimer: Results may vary from client to client and are not guaranteed. Consult with your NP or MD as certain treatments may not be suitable for your specific concern.

Disclaimer:  Any references to specific products are not personally endorsed by any medical professional (Physicians, Nurses, Other) associated with ElevateRx Medical Aesthetics Inc.

 ©2020 by ElevateRx Medical Aesthetics Inc.

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