Lorin, Kacia, and Jen sitting on a couch inside Gem Aesthetics & Wellness clinic

Frequently Asked Questions


What are Wrinkle Relaxers?

Wrinkle relaxers, or neuromodulators, work by partially blocking the signal that tells our muscles to contract. When muscles are less active, deeper lines and wrinkles are relaxed. GEM carries several different options for treatment of wrinkles including Botox (R), Xeomin (R), and Dysport (R). The choice of which wrinkle relaxer is right for you can be discussed with your provider at your appointment.

How much are Wrinkle Relaxers?

Treatments with Botox (R), Xeomin (R), and Dysport (R) are dosage based and depend on how strong your muscles are, your age, skin health, and how many areas we are treating. Some patients are surprised to know that generally, the number of units you need can often correlate with your age! So if you are 50 years old, you may need somewhere around 50 units. This is not always the case, but is a good general rule of thumb to figure out cost. Dosages are in “units” and units are priced between $14 and $15 depending on the product used.

How should I prepare for my wrinkle treatment?

Treatment with wrinkle relaxers is a relatively quick office visit with little to no downtime. You can return to your normal activities after treatment. For most patients the only concern is a small bruise at injection sites which can be avoided by stopping fish oil, vitamin E, aspirins, ibuprofens, and alcohol 3-5 days in advance of your appointment. Please check with your provider before stopping any medications.

What should I avoid after my wrinkle treatment?

Please avoid vigorous exercise, massages, saunas, tight fitting headbands, hats or helmets for 12 hours after treatment. Do not rub injection sites.

What should I expect after treatment?

Your treatment will start working around day 2-3 so you may look in the mirror and notice softer lines and wrinkles. Your final results will be visible at the two week mark. During this time period you may have slight differences or asymmetries in eyebrows or in other treated areas. This is normal as some muscles may respond to treatment faster or slower. Any adjustments to or touch ups must be done after two weeks.

When should I have my next wrinkle treatment?

Generally every 3-4 months.

If I stop getting wrinkle treatment will my wrinkles get worse?

No. Many patients may need to stop treatment for brief periods of time such as during pregnancy or breastfeeding. This does not make their wrinkles worse, although they will return much like before you started treatment. If patients need to stop wrinkle relaxers for pregnancy or breastfeeding we have other safe treatments we can recommend during this time.

If you are experiencing any unusual pain, swelling, or eye drooping please call or text: 406.640.3802


What is filler?

Filler is, much like it sounds, used to fill or replace volume. With age, we loss volume in our faces in the form of shrinking fat pads and bone loss or signs of decreased hydration, such as in the lips. Filler is hyaluronic acid based and looks very much like a clear jelly. Depending on where it is injected, your provider will determine how firm or soft of a filler you need. For example, filler that is used to mimic cheek or jaw definition is much firmer than one that might be used in the lips.

Does filler fix wrinkles?

Filler is different from wrinkle relaxers such as Botox (R), Xeomin (R), or Dysport (R). It does not work directly on the muscle movement that causes wrinkles. However, when it is injected it can plump the skin thereby softening wrinkles. One component of aging skin is loss of collagen and elastin, and hyaluronic acid which is why we start seeing wrinkles in the first place. Filler is made of hyaluronic acid which helps hydrate and plump the skin. It can be effective especially in wrinkles that show up around the mouth.

How should I prepare for my filler appointment?

Please avoid blood thinning medications which can result in bruising, such as fish oil, vitamin E aspirins, ibuprofens and alcohol for 3-5 days prior to treatment. Please check with your provider before stopping any medications. Come to your appointment well hydrated and make sure you have something to eat beforehand.

What should I avoid after filler treatment?

Please avoid vigorous exercise for 24-28 hours after treatment as this can worsen any bruising. Do not rub injection sites and avoid makeup for 12 hours. It is ok to apply clean ice packs after treatment and ibuprofen or Tylenol may be used for mild discomfort.

How often should I have filler treatment?

That depends. We now know that filler can last a long time, years in fact. There are some places where filler lasts longer (such as in the cheeks, jaw, or chin) and some places where it seems to metabolize faster (such as the lips). Your provider will be able to assess whether or not you need more filler, and sometimes, based on your best interests, may say “no” to filler.

Can filler be dissolved?

Yes. We carry only reversible fillers that can be dissolved with a reversal agent called Hylenex.

Are there risks with filler?

Yes. There are risks of bruising, swelling, lumps and bumps (which often resolve) and in very rare cases a risk of something called a vascular occlusion. This is when filler inadvertently gets into a blood vessel. Patients are advised on the signs of this at their appointment and will be checked on the day after their filler appointment. A vascular occlusion is NOT considered an “emergency” so please do NOT go to the ER, but should be addressed in an urgent manner by your provider. Hylenex is a reversal agent that is used to manage a vascular occlusion and is kept in our office at all times.

If you are experiencing any unusual pain, bruising that is not normal, or swelling, please call or text: 406.640.3802

What is BBL?

What is BBL?

BBL stands for Broad Band Light. It is a newer version of IPL or Intense Pulse Light. BBL is NOT a laser, it is actually light therapy or a “photo facial”. BBL is used to address pigments in the skin such as sun spots, age spots, broken capillaries, rosacea, and cherry angiomas.

Does BBL reverse the aging of the skin?

Yes! Sciton (R) BBL was studied at Stanford University (link) where it was proven to reverse the aging of our cellular DNA. Patients had an average of 3 BBL treatments per year and their skin began to behave like younger skin.

What should I do to prepare for my BBL?

Come with clean skin. It is ok to continue your retinol up until your appointment, but you may be asked to stop after your treatment for a few days. Please avoid sun exposure, tanning, or sunless tanner for two weeks prior. Avoid any medications known to increase photo sensitivity.

Is everyone a candidate for BBL?

No. Some patients with hyperpigmentation disorders, such as melasma, may not be a good candidate for BBL. Patients with very dark skin tones may also not be a candidate. It is best to schedule a consult so you can discuss with your provider.

Is there any “downtime” with BBL?

For most patients, no. Some patients with a lot of vascularity, such as rosacea, may experience more redness and swelling. In rare circumstances patients can get bruising. When treating pigments such as brown spots, these will darken over a few days and then microscopically fade.