Eclipse Medical Aesthetics By Cassandra Rommel, ARNP

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 muscle spasms around the eyes, 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 medical providers 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, but can take up to two weeks, 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 Most normal activities may be resumed immediately after receiving injections.

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 medical providers 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. 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 Side effects of Dysport injectable are the same as those of BOTOX Cosmetic.

JUVÉDERM® injectable gel is a U.S. Food and Drug Administration-approved dermal filler that, according to its manufacturer, Allergan, Inc., is designed to "temporarily treat moderate to severe facial wrinkles and folds such as nasolabial folds" in people older than 21. Eclipse Medical Aesthetics exclusively uses dermal fillers that are infused with lidocaine which make injections more comfortable. JUVÉDERM is a smooth-consistency gel that restores volume to the skin, and smooths away moderate-to-severe facial wrinkles and folds. It is made of hyaluronic acid (HA), a sugar that occurs naturally in the body. In terms of the skin, HA's role is to deliver nutrients and hydration, and act as a cushioning agent. Young, healthy skin contains an abundance of HA, but many factors including aging and sun exposure reduce the amount of naturally occurring HA, causing skin to lose structure and volume. JUVÉDERM fillers are some of the most effective in improving the appearance of wrinkles, depressions, hollows and folds in the aging face. One example are the nasolabial folds, the lines that run from the bottom of the nose to the corner of the mouth on both sides of the face. JUVÉDERM XC Injectable Gel Procedure JUVÉDERM injections take about 30-90 minutes to administer in a doctor's office. A fine needle or cannula is used for the administration, which is given under the skin in the targeted area to add volume or fill in wrinkles and folds. Because JUVÉDERM contains lidocaine to improve comfort, an anesthetic may not be needed. However, here at Eclipse Medical Aesthetics anesthetics are used in the targeted areas before giving the injection. Afterword, the provider may gently massage the treated area(s). Once treatment is completed, most patients can return, with virtually no downtime, to their regular activities. Exceptions will be discussed at your appointment. Please abstain from alcohol at least 3 days prior to your appointment to lessen the chance of bleeding and bruising. If your primary care provider approves, please also abstain from agents that may thin your blood such as fish oil, ibuprofen, aleve, naproxen, excessive garlic, etc. Please no dental work or vaccinations 2 weeks before or after your dermal filler appointment. For the first 24-48 hours after treatment, to reduce the risk of complications, patients should avoid strenuous exercise, excessive sun or heat exposure, and alcohol consumption. Results of JUVÉDERM XC Injectable Gel The results of JUVÉDERM are visible immediately after injection & continue to improve over the next 2-3 weeks; any swelling and bruising, to which ice and arnica gel can be applied, should subside during the next few days up to 3 weeks. Results can last 12-24 months, depending on the product. However, according to it’s manufacturer, "Results from injectable dermal filler vary and correction is temporary. Supplemental 'touch up' treatments will be required typically annually to achieve and maintain optimal correction of . . . wrinkles and folds." Customized Treatment For customized treatment, Allergan, Inc., offers 5 types of JUVÉDERM: JUVÉDERM VOLUMA – to lift and contour the cheeks and chin VOLLURE – to soften and smooth lines, wrinkles and folds VOLUX – to shape jawline VOLBELLA – to add volume and plump lips, and into under eye hollows ULTRA XC – (same application as Vollure).

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 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 PRF held for the body’s largest organ: the skin. We are pleased to offer PRF treatments to help our patients address their cosmetic concerns. Why PRF? Maybe you have heard of PRP. So what is PRF and why? PRP originally gained popularity in the 1990’s, but since 2001, PRF has since become the superior product due to how it’s derived, its composition, and the benefits it offers. PRF is derived from you, the patient! PRF is extracted from a simple, basic blood draw and here at Eclipse we are experts at blood draws. Unlike PRP, PRF does not require any additives, namely blood thinners, to be added to it for injections. It is 100% naturally derived (from you!). PRF is composed of different cell types: platelets (10x more than PRP!), leukocytes, red cells, an extracellular fibrin matrix, and many bioactive molecules, mainly growth factors. The benefits of PRF include a fibrin scaffold (think protein) and longer presence of growth factors. The fibrin scaffold that forms helps support the tissue regeneration process and also extends the presence of growth factors longer than that of PRP, generally about 3 months. Additionally, PRF has a concentration of mesenchymal stem cells of 0.5-2% which further augments the regenerative process. What Does This Mean? It means that PRF is more potent than PRP. Once injected beneath the skin in the targeted areas, it stimulates collagen proliferation through which a number of benefits occur. PRF 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 as can wrinkles and folds. Due to ongoing collagen remodeling, PRF injections also promote softer, smoother, tighter skin over time. These wonderfully natural results do require visits typically every 3 to 4 months. What are the benefits of platelet-rich fibrin injections? The growth factors contained in platelet-rich fibrin are involved in almost every regenerative process in the body. When PRF is injected just beneath the skin, it stimulates collagen proliferation through which a number of benefits occur. PRF 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, PRF injections also promote softer, smoother, tighter skin over time. Injections of platelet-rich fibrin 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 PRF work for aesthetic rejuvenation? 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 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 PRF injections take? 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 is also brief, taking approximately 30 minutes from start to finish. What happens after the PRF Procedure? Patients can resume normal activity immediately following their 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.

Sculptra® Aesthetic injectable is used to reverse the signs of facial fat loss that occur with aging. By restoring collagen, which decreases as the body ages, it softens shallow-to-deep wrinkles and folds that run from the sides of the nose to the corners of the mouth (nasolabial folds). It is not appropriate for use in the eye and lip areas. Sculptra Aesthetic's main component is an alpha hydroxy acid called poly-L-lactic acid (PLLA), which is a safe and long-lasting synthetic (artificially created), biocompatible (can be used harmlessly in the body), biodegradable (able to be broken down by the body) substance. PLLA has been used for more than 20 years in many surgical products, including dissolvable sutures and soft-tissue implants. Benefits of Sculptra Aesthetic Facial Injectable U.S. Food and Drug Administration-approved for the treatment of nasolabial folds, Sculptra Aesthetic is considered safe and effective for most patients. Because it works gradually, patients achieve a more youthful, natural-looking appearance with subtle, yet noticeable, results. Although not FDA-approved to treat them, according to manufacturer Galderma Laboratories, Sculptra Aesthetic can be used to soften marionette lines (at the corners of the mouth) and chin wrinkles. Because it contains no animal, human or bacterial components, allergy testing is not necessary prior to treatment. There is little-to-no downtime after receiving Sculptra injections; most patients return to their normal activities immediately. Treatment and Results of Sculptra Aesthetic Facial Injectable Sculptra Aesthetic injection sessions can have up to 4 injection sessions, which are spread 3 weeks apart. When injected into shallow-to-deep folds and lines, the additional collagen that is produced smooths them out, and adds volume to the skin. Results of Sculptra injections vary but, in a clinical study, their effects were shown to last for up to 2 years in most patients. Maintenance visits annually are needed after initial session(s), may need 4 sessions 4 weeks apart and then annually to every 18 months to maintain results thereafter. Side Effects of Sculptra Aesthetic Facial Injectable Possible side effects of Sculptra injections include localized bleeding, tenderness, discomfort, redness, bruising and swelling. Side effects usually fade within a few days, although can last longer. According to Valeant Aesthetics, "Other side effects may include small lumps under the skin that are sometimes noticeable when pressing on the treated area. Larger lumps, some with delayed onset with or without inflammation or skin discoloration, have also been reported."

Lumenis® Stellar M22™ is a non-invasive laser and light-based skin rejuvenation treatment designed to improve overall skin tone, clarity, and texture. Using advanced IPL and laser technology, Stellar M22 targets multiple skin concerns in one customizable treatment by addressing pigment, redness, acne, and early signs of aging while stimulating collagen production for healthier, more radiant skin. What Does Lumenis® Stellar M22™ Treat? IPL (Intense Pulsed Light) Sun damage and age spots Uneven pigmentation and discoloration Freckles and lentigines Facial redness and diffuse erythema Rosacea and broken capillaries Spider veins (face) Active acne and acne inflammation Unwanted hair reduction ResurFX Laser (Fractional Non-Ablative) Fine lines and wrinkles Uneven skin texture Enlarged pores Acne scars Surgical or traumatic scars Overall skin resurfacing that drives robust collagen stimulation Photofractional Rejuvenation Improves skin tone and texture in a single treatment Targets redness and pigmentation simultaneously Treats sun damage and textural irregularities Ideal for dull, uneven skin needing overall rejuvenation Combines IPL + ResurFX™ for comprehensive skin renewal Stimulates collagen for smoother, firmer, healthier-looking skin Why Patients Love Lumenis® Stellar M22™ Minimal downtime, making it easy to fit into busy schedules. Note: The Fractional Photofacial has longer downtime. Quick, comfortable treatment sessions Fully customizable based on individual skin concerns and goals Safe and effective for a wide range of skin types Gradual, natural-looking results that continue to improve over time

What Are PDO Threads? At Eclipse Medical Aesthetics, we use EuroThreads®, a type of PDO (polydioxanone) thread. PDO threads are dissolvable sutures that have been safely used in medicine for decades — commonly in heart and eye surgery — and are now FDA-cleared for use in aesthetics. When placed just beneath the skin, EuroThreads® deliver a dual benefit: An immediate, subtle lift of sagging tissue. A longer-term improvement in firmness and elasticity as the body naturally produces more collagen around the threads. The threads gradually dissolve over about 6–9 months, but the new collagen they stimulate can last up to 12 months, giving you results that are both natural and lasting. What They Do & Benefits EuroThreads® are an excellent non-surgical option for enhancing facial contours and tightening skin. Benefits may include: Instant Lift – A visible tightening effect right after placement. Collagen Stimulation – Ongoing collagen production helps skin look smoother, firmer, and more youthful over time. Natural Results – Enhancements look refreshed and authentic, not artificial or “overdone.” Versatility – Threads can treat cheeks, jawline, jowls, neck, brows, and other areas with mild to moderate laxity. Minimal Downtime – Most patients return to normal routines within a day or two. Why EuroThreads®? Not all PDO threads are created equal. EuroThreads® are among the most advanced options available, designed for superior strength, safety, and consistent outcomes. Their unique construction features tiny barbs that act almost like a gentle Velcro® effect, allowing the threads to anchor securely beneath the skin. This anchoring creates an instant lifting effect while also triggering the skin’s natural healing response, stimulating new collagen for long-term support. The result is skin that looks lifted right away — and continues to firm and rejuvenate over the months that follow. The Eclipse Difference At Eclipse, PDO threads are not treated as a “quick fix.” Each treatment is part of a personalized plan designed to restore balance, harmony, and authenticity. Threads are placed with precision to provide immediate support and long-term regenerative benefits — always with safety and artistry at the forefront.

SkinPen® is the first FDA-cleared microneedling device — designed to safely and effectively stimulate your skin’s natural healing process. By creating controlled micro-injuries, SkinPen® encourages collagen and elastin production, helping skin repair itself from within. What It Treats Fine lines + wrinkles Acne scars Enlarged pores Uneven skin tone + texture General loss of firmness or radiance Why Patients Love It Safe & Proven – SkinPen® is FDA-cleared, backed by clinical research, and safe for all skin types. Natural Results – No chemicals or fillers — just your own skin’s regenerative power. Minimal Downtime – Redness typically fades within 24–48 hours. Most patients return to normal routines quickly. Lasting Change – Collagen stimulation continues for months, improving texture and resilience over time. The Eclipse Difference At Eclipse, SkinPen® microneedling is customized for your skin goals. Whether you’re looking to soften scars, smooth texture, or boost radiance, this regenerative treatment works in harmony with your skin — helping you feel refreshed, confident, and authentically you. What sets SkinPen® apart from other microneedling devices is its unique mechanism. Unlike stamping devices that can tug or tear the skin, SkinPen® uses an articulating arm that allows the needles to glide smoothly across the surface. This creates precise micro-injuries rather than tears — promoting faster healing, less trauma, and more consistent results.