Injectables
Neurotoxins
BOTOX Cosmetic (onabotulinumtoxinA)
What is BOTOX Cosmetic?
A prescription neurotoxin that temporarily relaxes targeted facial muscles to soften dynamic wrinkles (frown lines, crow’s-feet, forehead lines).
How does it work?
Blocks acetylcholine release at the neuromuscular junction, reducing muscle contractions and smoothing overlying skin.
What areas can be treated?
Glabellar (frown) lines, lateral canthal (crow’s-feet) lines, forehead lines, and platysma bands (neck).
How long until I see results and how long do they last?
Onset in 3–5 days; peak at around 2 weeks; effects last about 3–4 months, with retreatment recommended every 12 weeks.
What are common side effects?
Injection-site pain, bruising, headache, eyelid drooping (rare).
Who should not receive it?
Infection at the injection site, known hypersensitivity to any component, or neuromuscular disorders (e.g., myasthenia gravis).
How should I prepare and care afterward?
Avoid alcohol 24 hours before/after, remain upright for 4 hours post-treatment, avoid rubbing treated areas, and delay strenuous exercise for 24 hours.
Dysport (abobotulinumtoxinA)
What is Dysport?
A botulinum toxin type A product that relaxes muscles to diminish wrinkles. It diffuses more broadly, useful for larger areas like forehead lines.
What is the onset and duration?
Onset in 2–3 days; effects last about 3–4 months.
What are side effects and safety considerations?
Similar to BOTOX: injection-site redness, bruising, rare eyelid drooping.
Dermal Fillers
JUVÉDERM Family (Allergan) – Ultra XC, Ultra Plus XC, Volbella XC, Vollure XC, Voluma XC, Skinvive
What is JUVÉDERM?
A hyaluronic acid gel series for restoring facial volume, smoothing lines, and enhancing lips.
What are the treatment areas and specific products?
• Ultra XC / Ultra Plus XC: moderate to severe wrinkles (nasolabial folds)
• Volbella XC: lip augmentation and perioral lines
• Vollure XC: moderate wrinkles (marionette, smile lines)
• Voluma XC: cheek augmentation and lifting
• Skinvive: skin hydration and glow
How long do results last?
6–12 months for Ultra and Volbella; up to 18 months for Vollure; up to 24 months for Voluma.
What are common side effects?
Swelling, redness, tenderness, bruising; typically mild and resolve in days.
What are contraindications and safety considerations?
Allergy to gram-positive bacterial proteins, active skin infection, or bleeding disorders.
RESTYLANE Family (Galderma) – Restylane, Lyft, Silk, Refyne, Defyne, Eyelight, Contour, Kysse
What is RESTYLANE?
A range of clear gel hyaluronic acid fillers for wrinkles, volume restoration, and lip enhancement.
What are the unique products and uses?
• Lyft: cheeks and hands
• Silk: lips and perioral lines
• Refyne/Defyne: mild to deep smile lines
• Eyelight: undereye hollows
• Contour: cheek definition
• Kysse: lip fullness with a natural feel
How long do the effects last?
Approximately 6 months for Silk and Kysse; around 12 months for Refyne, Defyne, and Lyft; up to 18 months for Contour.
What are side effects and precautions?
Similar to other HA fillers; rare hypersensitivity to lidocaine in some formulations.
Sculptra (PLLA)
What is Sculptra?
An injectable poly-L-lactic acid that stimulates collagen production over time (“liquid facelift”).
How does it work?
Gradual collagen production, with visible results in about 4–6 weeks and full effect around 3 months.
How long do results last and how many sessions are needed?
Lasts up to 2 years; typically 2–4 sessions spaced 4–6 weeks apart.
What are the side effects?
Bruising, redness; no significant downtime.
PDO Threads
What are PDO threads?
Dissolvable polydioxanone sutures placed under the skin to lift and stimulate collagen.
What is the procedure time and when are results visible?
30–45 minutes; subtle lift and tightening visible immediately and over 2–3 months.
What are side effects and aftercare?
Mild swelling and bruising; avoid strenuous activity and facial massage for 2 weeks.
Aesthetics
Laser & Light Therapies
GentleMax Pro (Candela)
What is GentleMax Pro?
A dual-wavelength laser (755 nm Alexandrite, 1064 nm Nd:YAG) for hair removal and vascular lesions.
How many sessions are needed?
Hair removal: 6–8 sessions; vascular lesion treatment: varies by lesion type.
What is the downtime and what side effects can occur?
Mild redness and swelling for a few hours; rare blistering or pigment changes.
IPL Photofacial
What is IPL?
Intense Pulsed Light that targets pigmented spots, redness, and stimulates collagen.
What are the results and how often is treatment needed?
3–5 sessions spaced 4 weeks apart; mild darkening of spots post-treatment that resolves in days.
What side effects should be expected?
Temporary redness and slight swelling.
Laser Hair Removal
What laser is used?
GentleMax Pro’s Alexandrite applicator for fair skin and Nd:YAG for darker skin tones.
How many sessions are needed and how should I prepare?
6–8 sessions; shave the area 24 hours before treatment and avoid sun exposure.
What side effects may occur?
Redness and transient discomfort during treatment.
Skin Resurfacing & Hydration
HydraFacial (Edge Systems)
What is HydraFacial?
A 4-step device combining cleansing, exfoliation, extraction, hydration, and antioxidant infusion.
How long is each treatment and how often should it be done?
30 minutes; monthly for maintenance.
Is there downtime?
None—immediate glow and hydration.
SkinPen Microneedling (Bellus Medical)
What is SkinPen?
A sterile, single-use microneedling device creating micro-injuries to boost collagen and remodel skin.
How many sessions and what is the downtime?
3–6 sessions spaced 4–6 weeks apart; redness like a mild sunburn for 24–48 hours.
What side effects and post-treatment care?
Mild swelling; avoid active skincare products and sun exposure for 48 hours.
Weight Loss
Non-Invasive Fat Reduction
CoolSculpting (ZELTIQ)
What is CoolSculpting?
An FDA-cleared cryolipolysis device that freezes and eliminates fat cells in targeted areas.
How many sessions are needed and when will I see results?
1–3 treatments per area; final results visible in 2–3 months.
What side effects are common?
Tingling, numbness, and mild bruising that may last days to weeks.
VelaShape (Syneron Candela)
What is VelaShape?
A combination of infrared light, bi-polar radiofrequency, and vacuum massage to reduce circumference and cellulite.
How many sessions are required?
4–6 weekly treatments; improvements often seen after 2 weeks.
What side effects may occur?
Warmth and mild redness that resolve quickly.
Prescription Programs & Injections
Wegovy (semaglutide)
What is Wegovy?
A once-weekly GLP-1 receptor agonist FDA-approved for chronic weight management.
How does it work?
Mimics GLP-1 to slow gastric emptying and reduce appetite.
Who is a candidate?
Adults with BMI ≥ 30 kg/m² or ≥ 27 kg/m² with weight-related comorbidities.
What side effects are common?
Nausea, diarrhea, constipation; often improve over time.
GLP/Cyanocobalamin
What is GLP/Cyanocobalamin?
A compounded weekly injection combining a GLP-1 agonist with vitamin B12 to enhance fullness and metabolism.
What side effects and efficacy should I expect?
Similar to semaglutide; mild injection-site discomfort may occur.
Fat Burner & B6/B12 Shots
What are Fat Burner shots?
Lipotropic injections containing vitamin B12, L-carnitine, and MIC (methionine, inositol, choline) designed to support fat metabolism.
How often should they be administered?
Weekly or biweekly as part of a comprehensive diet and exercise program.
What side effects may occur?
Rare allergic reactions; mild discomfort at the injection site.
NAD+ & Glutathione Therapy
What is NAD+ & Glutathione Therapy?
IV or injection therapy to support cellular energy production, antioxidant capacity, and overall wellness support.
What benefits may I experience?
Improved fatigue, enhanced recovery, and skin health.
Body Composition Analysis (InBody)
What is Body Composition Analysis?
A non-invasive scan that measures muscle mass, body fat percentage, and water distribution.
How is it used in weight loss?
Provides a baseline and tracks changes over time to guide personalized program adjustments.
Wellness
Hormone & Peptide Therapies
Bioidentical Hormone Replacement Therapy (BHRT)
What is BHRT?
Customized hormones (estradiol, progesterone, testosterone) identical to those produced naturally, delivered via pellets, injections, creams, or troches.
What are the benefits?
May improve energy, mood, libido, bone density, and relieve menopausal or andropausal symptoms.
How is safety monitored?
Regular laboratory testing; potential side effects include fluid retention and mood shifts.
Testosterone Therapy
What is Testosterone Therapy?
Bioidentical testosterone delivered via injections, pellets, or gels for men with clinically low testosterone.
What are the benefits and risks?
Increases energy, muscle mass, and libido; monitored for changes in red blood cell count and prostate health.
Rejuvenating Peptide Therapy
What is Peptide Therapy?
Low-dose peptides (e.g., Sermorelin analogs) that stimulate the body’s own growth hormone production.
What benefits may be seen?
Improved skin elasticity, muscle tone, cognitive function, sleep quality, immune support, recovery, and libido.
What are the side effects?
Mild injection-site discomfort; transient headache or flushing.
E.D. Solutions & Chronic Pain
Erectile Dysfunction Solutions
What options are available?
• Oral PDE-5 inhibitors (sildenafil, tadalafil)
• Sublingual troches for rapid onset
• Tri-Mix injections (alprostadil, papaverine, phentolamine) for refractory cases.
What efficacy and side effects?
70–80% response rate with pills; injections work immediately; possible side effects include headache, flushing, and rare priapism.
Joint & Chronic Pain Therapy
What therapies does Total Med Solutions offer?
• PRP (Platelet-Rich Plasma) injections for joint pain and inflammation
• Regenerative Stem Cell therapy to promote tissue healing.
What is the downtime?
Minimal downtime; mild soreness may occur for a few days.
IV Nutrition & Hydration
IV Therapy
What is IV Therapy?
Direct infusion of vitamins, minerals, and fluids, such as Myers’ Cocktail, Hydration, Hangover Relief, Beauty Glow, and Weight-Loss blends.
What are the benefits?
Rapid rehydration, immune support, fatigue relief, antioxidant replenishment, and enhanced beauty.
How long does it take and are there side effects?
Procedures take 30–60 minutes; possible bruising and very rare phlebitis.
For detailed pricing, financing options, or to schedule a consultation, please contact Total Med Solutions directly.
