TRU Medical Aesthetics and Wellness

BOTOX® Cosmetic is a prescription drug that, when injected, temporarily paralyzes muscles. It contains a purified and safe form of botulinum toxin A, which is produced by the microbe that causes botulism. Manufactured by Allergan, Inc., it is used to treat permanent furrows and deep wrinkles in the skin that are formed by the continual contraction of facial muscles. In addition to its cosmetic applications, it is used to treat a number of medical problems, including excessive sweating, overactive bladder, neck spasms, crossed eyes, chronic back and jaw pain, and migraines. Applications for BOTOX Cosmetic Although originally approved by the U.S. Food and Drug Administration for the treatment of eye and muscle spasms, BOTOX Cosmetic was quickly recognized for its cosmetic value. Properly placed injections of BOTOX Cosmetic block nerve impulses sent to muscles, weakening them to the point where they cannot contract, and temporarily eliminating moderately severe furrows and lines. BOTOX Cosmetic is used to treat the following: Forehead furrows Frown lines Crow‘s feet Skin bands on the neck According to Allergan, BOTOX Cosmetic has been “extensively researched, with approximately 2500 studies.” BOTOX Cosmetic Procedure and Results Using a very fine needle, BOTOX Cosmetic is injected directly into facial muscles that are causing furrows and lines. Receiving the injections requires no anesthetic, but some doctors choose to numb the area to be injected with ice packs or a topical anesthetic cream. Results can usually be seen within a few days of treatment, and typically last up to four months, although areas that are treated on a regular basis may retain results longer. Injections should be given only by qualified medical professionals. Side Effects of BOTOX Cosmetic Injection-site side effects of BOTOX Cosmetic are usually mild and temporary, and include the following: Pain Infection Inflammation Tenderness Swelling Redness Bleeding Bruising Normal activities may be resumed immediately after receiving injections.

For many years, the medical community has been acutely aware of the body’s natural regenerative qualities. Physicians across all fields, including orthopedics, dentistry, and sports medicine, have implemented protocols that work synergistically with the body. The use of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) is common for promoting joint recovery and managing degenerative disease. It was only a matter of time before science discovered the value that PRP/PRF held for the body’s largest organ: the skin. We are pleased to offer PRP/PRF treatments to help our patients address their cosmetic concerns. What is PRP? PRP, or platelet-rich plasma, is an organic substance that has long been advocated for its ability to facilitate tissue regeneration and wound healing. The substance exists in every person’s blood, which makes it safe and convenient. PRP is obtained through a simple blood draw and centrifuge (spinning) process. Centrifugation of the blood separates nutrient-rich platelets from red blood cells and other product. Platelets are valuable because they contain a large number of growth factors. These include epithelial and vascular epithelial growth factors as well as fibroblast and connective tissue growth factors. Each type of growth promotes vital processes such as inflammatory response, blood vessel regeneration, tissue remodeling, and cell proliferation. What is PRF? PRF (Platelet-Rich Fibrin) is a revolutionary, all-natural treatment harnessed from the patient’s own blood to enhance tissue repair and accelerate healing. Unlike PRP (Platelet-Rich Plasma), which is also blood-derived, PRF undergoes a gentler centrifugation process. This preserves a fibrin matrix that releases powerful growth factors gradually, creating an extended window of therapeutic benefits. Rich in platelets, white blood cells, and mesenchymal stem cells, PRF is a concentrated powerhouse of healing components. Its growth factors, such as vascular endothelial growth factor (VEGF), platelet-derived growth factor (PDGF), and transforming growth factor-beta (TGF-β), are essential for processes like new blood vessel formation, collagen synthesis, and cellular regeneration. This makes PRF an exceptional choice for improving skin texture, restoring hair, and speeding up post-procedure recovery. Safe, effective, and entirely natural, PRF helps your body repair itself from within. What are the benefits of PRP/PRF injections? The growth factors contained in platelet-rich plasma are involved in almost every regenerative process in the body. When PRP is injected just beneath the skin, it stimulates collagen proliferation through which a number of benefits occur. PRP injections add volume to areas of the face that have begun to droop or atrophy. The cheeks can be rounded out and under eye hollows that cause dark circles and bags can be softened. Due to ongoing collagen remodeling, PRP injections also promote softer, smoother, tighter skin over time. Injections of platelet-rich plasma are also beneficial because they are safe for all skin types and tones. The organic nature of treatment, using your own blood product, significantly reduces the potential for side effects such as allergic response. How does PRP/PRF work for aesthetic rejuvenation? Platelet-rich plasma & platelet-rich fibrin is used in two ways to improve the appearance and overall vitality of the skin. The product may be injected beneath wrinkles, hollows, and areas of deflation and it may also be applied topically in a gentle microneedling procedure. The way that PRP/PRF improves texture, volume, and radiance is by inducing numerous regenerative processes. The various growth factors that exist within blood plasma provide essential proteins, electrolytes, hormones, and other nutrients to the skin. Proteins are integral to the formation of fibrin polymer which lays a strong foundation for firm, youthful tissue. Platelets within the plasma naturally respond to injuries in the body, prompting accelerated tissue regeneration through vascular and cellular regrowth. How long do PRP/PRF injections take? PRP/PRF treatment with injections takes only slightly longer than an average injectable treatment. We begin with a standard blood draw. If desired, a topical numbing cream can be applied to the treatment area while blood is processed in the centrifuge. This takes just a few minutes. The provider carefully observes the face and may mark areas where injections are recommended. The entire process is typically complete within 15 to 20 minutes. Microneedling with PRP/PRF is also brief, taking approximately 30 minutes from start to finish. What happens after the PRP/PRF Procedure? Patients can resume normal activity immediately following their PRP/PRF procedure. Slight redness and swelling should be expected. Some patients notice minor bruising. These side effects typically disappear within the first day after treatment.

Prescription Dysport® injectable is a U.S. Food and Drug Administration-approved treatment for temporarily lessening or eliminating moderate-to-severe frown lines between the eyebrows. Like BOTOX® Cosmetic, Dysport injectable is placed directly into the muscle underneath a furrow, weakening the muscle to the point where it cannot contract. Dysport, also known as Reloxin, is made from a neurotoxin produced by the bacterium Clostridium botulinum; it is the same neurotoxin used in BOTOX Cosmetic. Applications for Dysport Injectable Medically, Dysport injectable is used to treat excessive underarm sweating; symptoms of cervical dystonia, which include neck pain and abnormal head position; and muscle spasms. Cosmetically, Dysport injections are used to treat the following: Forehead furrows Frown lines Crow‘s feet Skin bands on the neck Dysport Injectable Procedure and Results Using a very fine needle, Dysport injectable is placed directly into facial muscles that are causing furrows and lines. No anesthetic is required, but some doctors choose to numb the area to be injected with ice packs or a topical anesthetic cream. Results can usually be seen within a few days of treatment, and typically last up to 4 months, although areas that are treated on a regular basis may retain results longer. Injections should be given only by qualified medical professionals. Candidates for Dysport Injectable According to the manufacturer‘s website, candidates for Dysport injectable are “adults less than 65 years of age” who want “temporary improvement in the look of moderate-to-severe frown lines between the eyebrows (glabellar lines).” It may not be suitable for those with the following: Allergies to Dysport injectable or its ingredients An allergy to cow‘s milk protein Surgical facial changes Very weak muscles in the treatment area A face that looks very different on each side Inflammation or infection in the area to be injected Droopy eyelids or sagging eyelid folds Deep facial scars Thick, oily skin Wrinkles that cannot be smoothed when spread apart Anyone who is pregnant or breastfeeding, or has a neuromuscular disease, should not receive Dysport injectable. Differences Between Dysport Injectable and BOTOX Cosmetic Although made from the same bacterium, there is anecdotal evidence that Dysport injectable may last longer, spread farther and take effect more quickly than BOTOX Cosmetic. Side Effects of Dysport Injectable Side effects of Dysport injectable are usually mild and temporary, and normal activities may be resumed immediately after receiving injections. Injection-site side effects include the following: Pain Infection Inflammation Tenderness Swelling Redness Bleeding Bruising Eyelids can droop when Dysport injections are made in the glabellar region; they usually return to normal within 3 weeks. Side effects of Dysport injectable are the same as those of BOTOX Cosmetic.

Chemical peels remove damaged outer layers of skin to make skin smoother, reduce scarring and remove blemishes. Ranging from mild to strong, there are three types of chemical peels: alphahydroxy acid (AHA), trichloroacetic acid (TCA) and phenol. The strength of each peel is tailored to the patient. Peels can be combined with other procedures, such as facelifts, for additional improvement to skin. Chemical peels may be covered by insurance if they are performed for medical rather than cosmetic reasons. Chemical peels are performed in a plastic surgeon‘s or dermatologist‘s office, or an outpatient surgical center. Anesthesia is not required because TCA and phenol have anesthetic properties, and AHA produces only a slight stinging. Chemical Peel Procedure During a TCA or phenol peel, the skin is cleansed and the solution is applied, which may cause a brief stinging sensation. Petroleum jelly or a waterproof adhesive tape may be put on the skin following a phenol peel. During an AHA peel, the skin is cleansed and the solution applied; there is no need for post-peel ointment or covering. Side Effects of Chemical Peels A phenol or TCA peel can result in tingling or throbbing, reddened skin, a crust or scab, and significant swelling that lasts, depending on the strength of the peel used, about a week. With a phenol peel, eyes may be swollen shut at first, and the patient may be put on a liquid diet and advised to keep talking to a minimum. Any tape used is removed after a day or two. AHA peels can cause temporary stinging, redness and irritation, as well as flaking or crusting. After a chemical peel, it is essential that the skin be protected from the sun.

Microneedling creates microscopic openings in the surface of the skin. It causes the tissue to develop new collagen and elastin, resulting in smoother, firmer skin. The treatment is completely non-surgical and requires little downtime. What is Microneedling? Microneedling is a rejuvenating skin treatment that addresses: Wrinkles and fine lines Hyperpigmentation Sun damage Mild inelasticity Acne scars Large pores Rough skin Dull skin You may hear microneedling referred to as percutaneous collagen induction, because the treatment increases collagen in your skin. Collagen is the supportive scaffolding of youthful, smooth skin. It naturally declines with age. By inducing the creation of collagen (as well as elastin), microneedling leads to smoother, plumper, firmer skin. The Microneedling Process Modern treatments use an automated pen-like device. It’s handheld. The head of the device contains a circular arrangement of tiny needles. The device is set to penetrate the skin at a certain depth, making the treatment highly customizable. As the provider passes the head of rotating needles across the skin, the needles make tiny openings in the epidermis. These minuscule punctures prompt a healing response in the skin without damaging tissue. Opening the skin’s pores for nourishing topicals: Another benefit of microneedling is that the skin is essentially opened up via the tiny channels made, and can thereby better absorb any variety of rejuvenating topical ointments, creams and other skin products chosen by you and the provider. How Long Does it Take to Heal from Microneedling? Microneedling is minimally invasive, but your face will be flushed and red for about 24-72 hours after the appointment. During this time, don’t apply facial cosmetics. We know it is tempting to conceal the redness, but microneedling opens up the pores of your face, so the last thing you want to do is clog all those channels into the epidermis with makeup. For 24-48 hours, it is normal to experience peeling, dryness, swelling and bumps. Follow our directions for which moisturizers and cleansers to use during this time. Your skin will start looking radiant and fresh after a few days, and results will continue to improve over the next couple of months as new collagen and elastin forms.

Your hormones play an important role in how you feel each day. These so-called “messengers” of the body regulate many different functions and processes, including those related to sleep, metabolism and reproduction. As you age, or as a result of certain health conditions, hormone levels decrease. Especially important are the levels of testosterone, estrogen and progesterone. They have a big impact on how you feel. The right balance of hormones keeps you feeling energetic and active. Hormonal decline leads to a wide array of undesirable outcomes: sleeplessness, fatigue, foggy thinking, low energy, weight gain and loss of lean muscle. Hormone replacement therapy (HRT) restores the levels in order to improve the way you feel and to reduce the negative effects of hormone decline. What are Bioidentical Hormones? Regenerative medicine practitioners most often utilize bioidentical hormones in their treatment protocols, as differentiated from other synthetic hormones. The differences come down to how they are made, what they are made with and their molecular structure. Bioidentical hormones are manufactured in a lab to be identical to naturally occurring hormones, which is why they are favored by regenerative medicine practitioners. They are most often sourced from plants. What do Bioidentical Hormones do? Your doctor may recommend hormone replacement therapy as a way to alleviate: Lack of energy Poor sleep Decreased libido Lack of interest in sex Lack of interest in your favorite activities Weight gain or weight fluctuations Loss of muscle mass Difficulty concentrating Vaginal dryness Hot flashes High cholesterol High risk of heart disease Loss of bone density Thinning hair Once your baseline has been established through blood testing, we will be able to determine whether you can benefit from hormonal replenishment. Hormones may be administered in pill form, as a gel or cream, or as an implanted pellet. The dose is based on the symptoms you are seeking to alleviate, as well as your age and health history. Follow-up discussions are very important to monitor how the dose is working or not working for you. Will I Have to Stop Hormone Replacement Therapy at a Certain Age? Not necessarily. There is not a predetermined age at which it is no longer safe. Instead, your health will need to be carefully evaluated to make sure you are still a good candidate. As a person ages, they may be more likely to have the risk factors that increase the side effects possible with HRT. Are Bioidentical Hormones Only for Women? Absolutely not. Men and women alike can benefit from HRT because both men and women experience hormonal imbalance and hormone decline. Oftentimes bioidentical hormones are offered as a remedy for certain changes caused by menopause, but post-menopausal women are only one group of many that can benefit. Get Started on the HRT Process In some situations, stem cell therapy can be combined with bioidentical hormone replacement therapy. But it also often makes sense to perform HRT as a standalone treatment. Schedule a consultation to find out what’s right for you.

Vitamin B12 is an important component of a healthy diet, contributing to the functioning of the brain, nerves and blood cells. While everyone requires this vitamin for healthy functioning, pregnant women and nursing mothers require somewhat more than average.Vitamin B12 is found naturally in many foods, including fish, seafood, liver, beef and dairy products and is added as a supplement to foods like cereals, to help ensure proper nutrition. The vitamin, which may also be produced in the laboratory, is usually injected into the muscle of the thigh, upper arm or hip when necessary. Dosage and frequency of injections varies depending on the patient's condition. Reasons for Vitamin B12 Injections There are many reasons vitamin B12 injections may be prescribed or recommended. In some cases, patients may be deficient in the vitamin and suffering symptoms, while in others, B12 may be considered potentially helpful in preventing or treating certain conditions. Vitamin B12 Deficiencies Vitamin B12 is necessary for patients with a low serum level of vitamin B12 because they take particular medications or because they suffer from: Pernicious anemia Gastrointestinal or autoimmune disorders Alcoholism Patients may also have low levels of vitamin B12 if they have had bariatric surgery, are strict vegetarians, or have used antacids or proton pump inhibitors for a prolonged period. Vitamin B12 deficiency is also more frequently found in individuals of advanced age. Conditions Vitamin B12 Prevents or Improves Vitamin B12 is believed to be helpful in preventing or improving the following conditions: Memory loss, Alzheimer's disease, or other dementia Fatigue or lack of concentration Weakened immune system Heart, kidney and liver disease Infertility Osteoporosis Allergies or asthma Tinnitus Skin disorders Lyme disease As an alternative to being injected with vitamin B12 for these conditions, patients are sometimes offered B12 supplements to be taken orally or applied as nasal gels. In many cases, though, patients' disorders prevent them from absorbing the B12 unless it is administered by injection. Symptoms of Vitamin B12 Deficiency Vitamin B12 deficiency results in symptoms common to a variety of disorders, so blood work and other diagnostic testing may be necessary to rule out other problems. Symptoms of vitamin B12 deficiency include: Anemia Intestinal disorders and weight loss Fatigue, weakness, lightheadedness Memory loss or confusion Depression or dementia Rapid heartbeat and respiration Mouth or tongue soreness or bleeding Excessive bruising Injections are the most effective means of administration of vitamin B12 since they do not depend on the body's ability to absorb the substance through the gastrointestinal tract. Although vitamin B12 injections can increase energy and improve quality of life for individuals with a deficiency, patients whose vitamin B12 levels are normal will not have improved health from this treatment.

If you’ve ever tried to lose a significant amount of weight, you know it’s never quite as simple as the antiquated “calories in, calories out” advice. In reality, your energy level, appetite, stressors, hormones, metabolism, and other factors influence how easy or difficult it is to lose excess body fat. When diet and exercise alone aren’t enough, semaglutide/tirzepatide injections overseen by a medical professional could help you achieve a healthy weight. What Is Semaglutide? Sold under the brand names Ozempic®, Wegovy®, and Rybelsus®, semaglutide is a prescription medication for type 2 diabetes and long-term weight management. Available in injectable and tablet form, this drug works by mimicking a hormone called glucagon-like peptide 1 (GLP-1) which the body naturally produces to regulate hunger and blood sugar levels. Semaglutide helps your body produce more insulin when your blood sugar levels are too high. It also works in the GI tract by slowing gastric motility, which means food stays in your stomach longer and prolongs the feeling of fullness. For that reason, it can be a great weight loss aid. What is Tirzepatide? Tirzepatide is a medication designed to assist with weight management and glycemic control in individuals with type 2 diabetes. It belongs to a class of medications known as GLP-1 receptor agonists, but it’s unique because it also targets another receptor called GIP (glucose-dependent insulinotropic polypeptide). This dual-action mechanism enhances insulin secretion, slows digestion, and reduces appetite, making it highly effective for managing blood sugar levels and supporting significant weight loss. By mimicking natural hormones involved in glucose regulation and appetite control, Tirzepatide helps improve metabolic health. Its benefits extend beyond blood sugar stabilization—it has shown promise in reducing body fat, improving cardiovascular markers, and supporting overall wellness. Administered as a once-weekly injection, Tirzepatide offers a convenient and effective solution for those looking to achieve better health and sustainable weight loss. Can I Take Semaglutide/Tirzepatide if I Am Not Diabetic? Semaglutide and tirzepatide were developed as an antidiabetic medication, but you don’t need to have type 2 diabetes to experience the benefits. A randomized controlled trial from 2021 found semaglutide was an effective weight loss drug for overweight and obese non-diabetic adults. It may also lower your risk of obesity-related conditions like heart attack and stroke. How Do I Use Semaglutide/Tirzepatide for Weight Loss? Semaglutide can be administered subcutaneously or orally. The dose will vary depending on the brand and the individual. Typically, adults taking Wegovy for chronic weight management inject 2.4 mg once weekly. However, adjustments can be made as needed under medical guidance. What Should I Do if I Forget a Dose of Semaglutide/Tirzepatide? While the following recommendations may be helpful, you should ask your provider for specific instructions. If you miss an Ozempic injection, take the missed dose as soon as you remember. However, you should skip the dose if it’s been more than five days since you missed the injection. If you’re using Wegovy, you can take the missed dose as soon as possible as long as your next dose is more than two days away. Otherwise, skip the missed dose and continue with your regular schedule. You shouldn’t double your injections to make up for a missed one. Missing a dose of Rybelsus works differently. Rather than taking the missed dose as soon as possible, you should skip it and take the next tablet when you usually would. If you’re consistently missing oral doses of semaglutide, it could help to switch to an injectable form. What Side Effects Can This Medication Cause? Semaglutide and Tirzepatide are safe and effective medication for many people struggling with weight loss or type 2 diabetes management. However, potential side effects include nausea, vomiting, diarrhea, abdominal pain, heartburn, constipation, or burping. In rare cases, semaglutide and tirzepatide can cause serious side effects, some of which may require medical attention. That said, adverse reactions are usually limited to mild gastrointestinal upset. Contact Us About Semaglutide and Tirzepatide If you’re interested in semaglutide or tirzepatide to help with weight loss, contact our office. Our provider can determine if it’s a good match for you.

Peptide therapy is an exciting development in healthcare. Peptide therapy has the potential to help with several conditions, including cancer, autoimmune diseases, and metabolic disorders. Peptides are short chains of amino acids that can act to stimulate the body's natural healing process. They are small molecules that can work to modulate cell behavior. This type of therapy is still in the early stages of research. Still, it is a promising option for people interested in regenerative medicine. What Are Peptides? Peptides are chains of amino acids that are the building blocks of proteins. They are essential for many biological processes, including cell growth and repair, hormone secretion, and immunoregulation. Peptides can appear in all body tissues, including the skin, muscles, organs, and glands. There are two main types of peptides: natural and synthetic. Natural peptides are produced by the body, while synthetic peptides originate in laboratories. Synthetic peptides are often used in research and medicine, as they are thought to mimic the beneficial effects of natural peptides. Peptides have a wide range of potential applications. They are undergoing research for their ability to improve wound healing, boost immunity, and increase muscle mass. Peptides may also play a role in treating or managing conditions like arthritis, diabetes, and obesity. What Is Peptide Therapy? Peptide therapy is a type of treatment that uses short chains of amino acids known as peptides to address various health conditions. Peptides are found naturally in the body and are involved in numerous processes, including cell growth and repair, hormone regulation, and immunity. While peptide therapy is still in the early stages of research, it is thought to help with various conditions, including muscle loss, osteoporosis, and diabetes. Peptide therapy has been investigated as a potential treatment for Alzheimer's disease and other forms of dementia. If you're considering peptide therapy, it's crucial to work with a healthcare professional specializing in this type of treatment. There are different types of peptides that can be used. What Are The Potential Benefits of Peptides? Natural peptides have a wide range of functions in the body, including playing a role in cell signaling, metabolism, and immunity. Synthetic peptides may offer similar benefits. For example, some peptides have demonstrated the ability to promote wound healing, fight inflammation, and boost immunity. Synthetic peptides are also being studied for their potential to help fight certain diseases, including cancer, Alzheimer's disease, and diabetes. While more research is needed to confirm the potential benefits of peptides, they hold promise as a possible treatment for various conditions. How Often Do You Need Peptide Injections? There is no one-size-fits-all answer to this question, as the frequency of peptide injections will vary depending on the individual's needs. Peptide injections can potentially help improve athletic performance, increase muscle mass, and reduce body fat. They can also be used to help address conditions such as joint pain, digestive issues, and even sexual dysfunction. The frequency of peptide injections will also depend on the specific peptide chosen. Some peptides need to be injected multiple times per day, while others can be injected once or twice per week. Some peptides can even be taken orally as pills or powders. If you're considering peptide injections, be sure to speak with a qualified medical professional to determine the best frequency for you. Book a Peptide Therapy Consultation Today Your health is important to us, which is why we offer peptide therapy consultations to help you feel your best. Peptide therapy may help improve your overall health and well-being. If you're interested in learning more about peptide therapy and how it can help you, please book a consultation with us today. We'll be happy to answer any of your questions and determine if peptide therapy is right for you.