• Cosmetics

    Neuromodulators and Fillers


    The use of medical cosmetics has become increasingly popular. Newer practices have moved towards a more natural, beautiful look with the softening of lines and wrinkles. Facial character and expression is retained while creating soft, alluring skin rejuvenation.






  • Not just for beauty...

    The use of neuromodulators (commonly referred to by the brand name, "Botox") is not limited to cosmetic use only. There are medical indications for its use as well, including the treatment of migraines, depression, muscle spasms, and to achieve more facial symmetry after a stroke. Make an appointment with the clinic if you'd like to discuss the therapeutic use of neuromodulators.







    Skin Treatments

    Beautiful, natural results


    Prescription injection for wrinkles, frown lines, and "crow's feet."


    Known widely by the brand name, "Botox," botulinum neurotoxin is an acetylcholine release inhibitor and neuromuscular blocking agent. Injected into specific areas by a qualified medical professional, it temporarily prevents the muscle movements responsible for deep creases and frown lines. As a result, creases fade, restoring a smoother, more youthful appearance.


    Injectable gel for natural looking rejuvenation of skin, lips, and jawline.


    Hyaluronic acid fillers are a non-surgical cosmetic treatment that add volume around lips, cheeks, and jawline. Fillers are comprised of a smooth, clear gel that are injected into specific areas, creating fullness and lift, and smoothing parentheses lines and wrinkles around the nose and mouth. Lips appear fuller with decreased wrinkles and cheekbones have more contour.




    Frequently asked questions about the use of medical cosmetics.

    Who gets cosmetic work done?

    Anyone 18 years of age and older can get this kind of cosmetic work, typically women ages 30 and over. However, this is a growing industry with men and millennials. In the 20s and early 30s demographic, this kind of cosmetic work is termed "pre-juvenation," as this age group is increasingly interested in preventive skin care.

    How long before I notice results, and how long will these results last?

    Some people notice a difference within 3 days, but maximum results are at 2 weeks; treatment lasts for 3 to 4 months.

    Do neuromodulators just "wear off" after 3 or 4 months?

    Neuromodulators are acetylcholine release inhibitors and neuromuscular blocking agents: They work by blocking signals from nerves to the targeted muscles. Since the muscle stop contracting, wrinkles soften and fade. After 3 or 4 months, muscles reproduce their receptor sites and begin functioning again, so it appears the treatment has "worn off." After several treatments, some patients find their muscles have been trained to relax and their treatments last a little longer.

    Will I still be able to make facial expressions? Will my face look "frozen," or like I’m wearing a "plastic mask?"

    It depends on who you go to. For a nice, natural treatment, the new method of thought is movement and minimizing lines vs. the "frozen" look, which is old school. With this newer approach, you won't look like you're wearing a mask.


    It's important to understand that everyone has a different cosmetic eye. It's good to talk with the provider you plan to get treatment from, and get an idea of their opinion of “pretty." You want to find someone who has the same goals as you do.

    Will other people notice? Will it look like I “had some work done”?

    If you’re going for a natural look, usually people don’t notice. They will typically say you look well rested or like you just went on vacation.

    What do you typically hear from people after their first neuromodulator treatment?

    They love it and they want more of it. Many people start with a smaller amount, and then discuss making adjustments for future treatments.

    Is there swelling?

    Generally there is no significant swelling with neuromodulators. Some people notice minor swelling in the form of little "bumps" about the size of mosquito bites at the injection sites that last for about 45 minutes . Minor swelling is an anticipated side effect with filler, lasting 2 to 3 weeks. The use of ice and arnica ointment at the treatment area are recommended.







    Leah Umnitz, FNP

    Master Injector


    Leah Umnitz is a certified provider for neuromodulators and injectable fillers, and an expert injector. She has extensive cosmetic training and experience including:

    • Specialized training with dermatologists at Bend Dermatology, where she worked for 2 years doing cosmetic injections, body contouring, and laser skin rejuvenation
    • Trained by Dr. Maurico, Juvederm expert, and Dr. Shannon Humphrey M.D, a leading expert in cosmetic and medical dermatology and involved with FDA trial approval for medical cosmetics
    • Completed numerous courses on advanced, hands-on training provided by plastic surgeons, dermatologists, RNs, NPs, and leaders in the cosmetic industry at The Aesthetic Show each year
    • Certified O-Shot provider

    Leah believes in a natural beautiful look. Careful and thoughtful in her treatments, her goal is to enhance natural beauty and promote confidence.

All Posts