Services

Before We Get Started, A Note on Services

In this business of beauty, it is more important to focus on results rather than individual treatments. During your first appointment we will discuss your aesthetic goals and what it is YOU find beautiful. We will formulate a care plan tailored specifically to you and your desires. Maintaining a fresh, youthful appearance requires just that: maintenance. You will have your own program where your friends and family will start to notice that you look fresher and happier, but not entirely know why. It’s that youthful, Gilded glow that will have you looking and feeling ah-MAZE-ing.

GILDED MEMBERSHIP

20% off all treatments and retail products + monthly chemical peels for one year

GOLDEN MEMBERSHIP

15% of all treatments and retail products for one year

Tox (aka wrinkle relaxers, neurotoxins, botulinum toxin)

Frequently Asked Questions

What are neurotoxins?

Botox ® is a brand name for a type of neurotoxin. There are many other neurotoxins that work by the same mechanism. We offer Botox, Dysport, Jeuveau and Xeomin. Neurotoxins temporarily paralyze muscles (fully or partially, depending on the dose), which help decrease the appearance of lines and wrinkles. They are best utilized as a preventative measure, so start early and often. They can help soften permanent lines, but may not get rid of them entirely (but don’t dismay, there are other options for those). Neurotoxins combined with other treatment modalities will yield the best results and happiest spa-goers.

What should I expect?

Neurotoxins are injected with a teeny, tiny needle (yes, that’s the technical term) that feels like a little bee sting, so usually only ice beforehand is all you need. The procedure itself takes only a few minutes. You will look like you have some mosquito bites in the area for a few hours afterward. We don’t recommend leaving the spa and going directly to a blind date. It is possible to have some mild bruising. A bruise from neurotoxin lasts as long as, well, a bruise. They’re usually small and easily covered with makeup. Worst-case scenario: facial asymmetry or drooping. Both will eventually go away by themselves and both are also usually easily treated at a follow-up appointment.

When will I see results?

Depending on the specific neurotoxin, the person, and the position of the moon, some people see results as soon as 2-3 days, but usually closer to a week. The peak effect occurs around 30 days. (So, if you have a big event scheduled, plan for treatment approximately one month in advance.)

How long do the results last?

Depending upon similar factors to above, the results may last from three to six months (usually longer if you have been injecting regularly and for a longer period of time).

In what body areas can I get it?

A better question is where can’t you get it. Follows is a brief, but nowhere near exhaustive list: forehead, crow’s feet, eleven lines, smile lines, smoker’s lines, bunny lines, neck. Some more creative uses: overactive sweat glands, “gummy” smile, lip enhancement, microneedling (to decrease pore size and acne), chin (to reduce dimples), jawline (to reduce TMJ pain and jaw muscle size). The list goes on…

Dermal Fillers

Frequently Asked Questions

What are dermal fillers?

Most dermal fillers are hyaluronic acid (which, unless you’ve been living under a rock, you’ve been hearing a lot about these days). Hyaluronic acid is what gives us that full, youthful-looking plumpness. In fillers, hyaluronic acid is cross-linked to give it volume and structure. Most aging is associated with volume loss, so we can inject fillers to decrease the appearance of aging. Another beautiful thing about hyaluronic acid fillers is that, if necessary, they can be reversed! So, they’re not too scary. Like everything on this list, dermal fillers yield the best results when combined with other modalities on this list.

What can I expect?

In most injection areas, you will be numbed up first. The injection process is slightly more uncomfortable than with neurotoxins because we are adding volume, which creates a pressure sensation. As is the case with any procedure performed with a needle, there is a potential for bruising.

When will I see results?

Another wonder of dermal fillers is immediate results! Many of them also draw in more water over a few days to weeks after injection, so results may become even be more dramatic.

How long do the results last?

Depending on the filler, the patient and location of injection, it can last anywhere from 6-24 months.

In what body areas can I get it?

Lips, cheeks and nasolabial folds (parentheses around the mouth) are some of the more common areas. Other possible areas include the under-eyes, earlobe, hands and marionette lines, to name a few.

Lip Enhancement

Frequently Asked Questions

What is lip enhancement?

Most people think about fillers when they hear the words “lips” and “medispa” together. That is certainly an option. But, there are other options as well. If you’re searching for a subtler or more natural-looking effect, PDO threads, a neurotoxin “lip-flip” or a combination of two or three procedures, might be a good option for you.

What should I expect?

Your lips will be numbed up beforehand, as this is a sensitive area. Depending on the technique, there will be a few injections in and around the lip area. After the procedure, your lips may be swollen and red for 1-2 days. You may experience slight bruising. All cold sore sufferers know that injecting into the lips can sound scary. But we’ve got a trick up our sleeves so that everyone can have enhanced, beautiful lips.

When will I see results?

Depending on what combination of treatments we use, your results could be as soon as immediate to as long as a few weeks. It all depends on what combination of individual therapies we use for you.

How long do the results last?

All fillers are FDA-approved for different amounts of time and there are other client-specific variables, but on average, you can plan on it lasting about six months to one year.

Chemical Peels

Frequently Asked Questions

What are chemical peels?

Chemical peels are a kind of like a chemical exfoliation/abrasion. These peels cause all the old, icky skin cells that cause discoloration, acne, scars and fine lines to slough (or peel) off and regrow new, baby-fresh cells on your face. So it will be as soft, silky and smooth as a baby’s you-know-what. Most spa-goers will require 3-4 treatments.

What should I expect?

You will have an agent applied to your skin at the spa. It will be left on for a few minutes and you may feel slight tingling. Some peels will need to be neutralized with a second agent and some won’t. Like anything, depending on the patient, the strength of the peel, the post-procedure hydration and the phase of the moon, everyone will have different amounts of peeling and some people may not notice any peeling at all.

When will I see results?

This depends on the type of peel. You will usually have peeling and flaking of the skin for about three days to one week, after which time you will begin to see the new, fresh skin begin to regenerate.

How long do the results last?

Results are quite varied and depend upon the patient, how many times you have had it done and what we are treating. You can expect results to last anywhere from two months to two years. The more you baby your skin, the longer your results will last.

In what body areas can I get it?

Face, neck, décolleté, back and buttocks are the most common areas.

PRP (aka Gilded Facelift, Gilded Facial, Hair Restoration)

Frequently Asked Questions

What is PRP?

There is a chance you’ve heard of the Vampire Facial™. It is a type of PRP facial with a trademarked name that is not entirely dissimilar to the Gilded Facial. PRP stands for platelet-rich plasma (aka liquid gold, because this stuff is incredible). Platelets are the little guys who rush to the site of a wound to form a clot. Cleverly, they also carry lots of good things (cytokines and growth factors) with them to help said wound heal. These growth factors will also cause growth and collagen formation in the face and scalp (and virtually anywhere, if we’re being honest with each other). Your own blood is used to create PRP and then injected back into the areas of concern.

What should I expect?

You will have a few tablespoons of blood drawn which will then be spun for about 15 minutes in a sophisticated centrifuge to get the platelets concentrated to nearly 7-8 times higher than they normally occur in your body. The PRP is then injected back into the skin, so it can be a bit uncomfortable while you are having it done. But there options to numb you up prior to the procedure, which makes it all worth it!

When will I see results?

The results are not immediate. Patience is a virtue in this case. It will take your skin a while to grow and regenerate. Most spa-goers combine this with microneedling, so you can expect to be red for about 2-3 days.

How long do the results last?

Since your body is creating collagen and elastin, the results are permanent. That being said, you will need further maintenance treatments in a year or two to keep up with old Father Time.

In what body areas can I get it?

You’ve probably heard about PRP being used in sports medicine. That’s because we can inject it just about anywhere to achieve incredible results. But, since Gilded Palm is an aesthetic spa and not a sports medicine spa (for now, anyway) we focus on scalp and facial rejuvenation. (It yields astonishing results for women with thinning hair or hair loss.)

Microneedling (aka collagen induction therapy)

Frequently Asked Questions

What is microneedling?

Microneedling is something wonderful that sounds terrible. It is the creation of lots of tiny, little needle-sticks (yes, you will be numbed up) all over the face. When the body heals, it brings to the surface lots of cytokines and growth factors, which create more collagen and elastin (the factors of youth!). It can help reduce fine lines, wrinkles, skin laxity, acne, pore size, dark spots and scars. As such, it usually helps to increase happiness! We will add in serum based upon your skin concerns. The micropunctures in the skin also create the perfect opportunity for skincare products to penetrate and exert their effects.

What should I expect?

Your will be numbed up by one of two different methods. You may feel a slight pinch or pressure as the procedure is performed. You will be red with some slight bleeding afterward for 1-3 days, but there is otherwise little downtime.

In what body areas can I get it?

While the face is the most common and popular, it can be done anywhere on the body where collagen needs a boost!

When will I see results?

Patience, my dear. You will not see immediate results; it will take 4-6 weeks. And the best results come after a few treatments. Some people will have some peeling and flaking of the skin (but not usually as much as with a deep chemical peel).

How long do the results last?

Results are quite varied and depend on the patient and how many times you have had it done and with which serums. You can expect results to last anywhere from six weeks to two years.

Sclerotherapy (aka spider vein removal, broken capillary removal)

Frequently Asked Questions

What is sclerotherapy?

Sclerotherapy is a fancy word for vein removal. Simply, it is injecting a medication into unsightly veins to make them go away like magic. People are loving lasers these days, but when it comes to veins, sclerotherapy is where it’s at! It is the gold standard for leg vein removal.

What should I expect?

In the past, a harsh chemical was used that burned when injected, but now, the medication we use is nearly pain-free. You will feel the pinch of a small needle at each site, but other than that, there is not much pain. If we’re treating your legs, you will have to wear compression stockings for a few days afterward. But that’s easy peasy.

In what body areas can I get it?

We can safely inject veins in just about any body area excluding the face.

When will I see results?

You will notice visible improvement in 3-7 days. After one session, you should have an 80% improvement in your veins. Some veins may require a second treatment.

How long do the results last?

If you treat only the little veins and don’t treat the big, feeder veins, just like a little creek off a river, they will come back in 6-8 months. At Gilded, we will do our best to treat the little and big ones. So they get gone and stay gone! As such, the results should be permanent.

Sculptra

Frequently Asked Questions

What is Sculptra?

Sculptra is the trade name for PLLA or polylactic acid. It is classified as a filler, although it’s not the filler about which you’re most used to hearing in today’s beauty culture. Unlike the typical hyaluronic acid filler, which immediately volumizes through mass effect, Sculptra causes collagen and elastin regeneration and subtle volumization of large areas over time, following a few treatments. It is great for the insidious volume loss that occurs over the years, causing that tired, aged look.

What should I expect?

Sculptra is injected into the deep dermis through a small needle or cannula. There will be some numbing medication in the injected filler to help with discomfort, although it is fairly minimal.

When will I see results?

The day of your treatment, you will get a glimpse into the results you can expect in a few months, but that is only from the actual fluid that is injected and will go away within about 24 hours. Your first time receiving Sculptra, you will typically require three (3) treatments spaced a few weeks apart. You will begin to see results within a few months.

How long do the results last?

Here’s the great news: since it’s your own body’s collagen, your results are forever! But since we lose about 1% of collagen per year, you should be getting one (1) treatment yearly just to keep up with Mother Nature.

In what body areas can I get it?

Just about anywhere! Yay! But the face is most popular…

PRX-T33 (aka biorevitaliser, “non-peel” peel)

Frequently Asked Questions

What is PRX-T33?

They are calling PRT-T33 a biovitalizer. I like to call it a “non-peel” peel. They have been using it in Europe for years and it finally just came to the U.S. (thanks, FDA!). PRX-T33 is a terrible name for a lovely treatment that helps restore collagen and elastin, thereby improving skin tone, laxity and the appearance of scars and “crepe-y” skin. And best of all, it doesn’t make you more sensitive to the sun and is safe for all skin types!

What should I expect?

PRX-T33 is massaged into the skin with four (4) pounds of pressure, which actually feels somewhat pleasant. It is massaged into the dermis (past the epidermis), so, unlike peels, it rarely flakes or peels. (Notably, it can be combined with microneedling, in which case, the recovery will be that of the microneedling recovery.)

When will I see results?

It tightens and firms after even the first treatment. Most clients notice “glowing”, healthy skin for the week following treatment. Get ready for the compliments!

How long do the results last?

The results will last longer after each treatment until they become more permanent (usually after the fourth (4th) treatment). Body areas may require a few more treatments.

In what body areas can I get it?

PRX-T33 can be used in any body area you desire an improvement in skin texture and laxity. Clients having their faces treated as well as neck, décolleté, arms and stretch-marked abdomens, to name a few. It can also be used in targeted treatments for depressed scars and stretch marks.

Kybella (aka double chin treatment)

Frequently Asked Questions

What is Kybella?

Kybella is the trade name for deoxycholic acid. Deoxycholic acid is a naturally occurring molecule that is injected into fat cells to break them down. It is everyone’s dream: a fat dissolver! Kybella is a type of mesotherapy (which is a generic term). Who is ready to melt some fat?!

What should I expect?

The procedure takes only 15-20 minutes and consists of multiple small injections in the treatment area. Discomfort is minor and generally best treated with only some ice. You will immediately have swelling and perhaps some bruising for a few days. This could be a good time for a cute scarf as generally, you will look worse for a few days before you notice improvement (no pain, no gain, right?).

When will I see results?

You will first notice results in four to six (4-6) weeks, but will usually require a few treatments and therefore, final results will be realized in a few months.

How long do the results last?

The results are permanent.

In what body areas can I get it?

The most common (and FDA-approved) area is the neck, but it is also being used off-label for other areas of unwanted fat, such as that elusive “bra fat”.

PDO Thread Lift

Frequently Asked Questions

What is a PDO thread lift?

PDO stands for polydioxanone. Quite literally, a PDO thread is a type of surgical suture, which has been around for over 50 years. When inserted into human tissue, PDO causes collagen and elastin production. PDO threads used for a thread lift are very different from the smooth PDO threads discussed elsewhere. PDO lifting threads are thicker and longer and have small “barbs” on them, to help pull, lift and tighten the skin. If you are going for the facial thread lift, you can expect to have a total of four to ten (4-10) threads used in your face.

What should I expect?

You will be numbed up with some local anesthetic (think: dental office numbing). It feels odd more than anything, with minimal pain. It takes only about 15-20 minutes and there is virtually no downtime. You may notice the threads for a few weeks. You will feel that they are there, and it may feel slightly odd, but not painful. You may be slightly limited in certain facial expressions (for instance, opening your mouth very wide) for a few weeks while your body becomes accustomed to them.

When will I see results?

Results are INSTANTANEOUS. Aside from a small insertion site (think: a drop of blood), you will look amazing and rejuvenated IMMEDIATELY. It is possible to have a small amount of bruising afterward.

How long do the results last?

Again, results vary, but you can expect them to last from six to twelve (6-12) months and often even longer as the thread is absorbed by your body and replaced with collagen and elastin. Please never forget that a PDO thread lift is NOT a surgical facelift; it is a subtle rejuvenation. People will notice that you look more awake and youthful, but they will not know why. It’ll be our little secret. You’re welcome.

In what body areas can I get it?

The most common areas are face and neck, but they are also sometimes used in the body as well (think abdomen and arms). We’re also loving the trendy fox eye, cat eye and brow lift.

Smooth PDO Threads

Frequently Asked Questions

What are smooth PDO threads?

PDO stands for polydioxanone. A PDO thread is a type of surgical suture, which has been around for over 50 years. It was discovered that when inserted into human tissue, PDO causes collagen and elastin production. It also leads to increased skin regeneration, tissue adhesion and the breakdown of cellulite. As such, these threads can be used to plump and tighten skin. Smooth PDO threads are small and fine (similar to a strand of hair) and range in length from 1mm to 2.5 inches.

What should I expect?

You will have some topical numbing cream placed on the treatment area for 15-30 minutes. The procedure itself only takes about 10-15 minutes. You may have a small amount of localized swelling and redness for a day or two, but this is fairly minimal and should not interfere with social activities. You will generally require three to four (3-4) treatments to achieve optimal results.

When will I see results?

You can expect to see results after a few months and a few treatments.

How long do the results last?

After a few treatments, as your body absorbs the thread and replaces it with collagen and elastin, you can anticipate results that can last 12-18 months and often even longer. (As with anything, as we age, we will likely need to combat gravity with some maintenance treatments.)

In what body areas can I get it?

Again, where CAN’T you get it? They can be used to help define the borders of the lips, to smooth fine lines, to tighten loose skin, to un-crepe crepe-y skin, and to improve the appearance of depressed scars and dimpled skin amongst many other things.

Non-Surgical Facelift

Frequently Asked Questions

What is non-surgical facelift?

This should go without saying, but a non-surgical facelift is NOT a surgical facelift. It is more subtle and gradual. This is for the client who desires to fight gravity and aging, but also has time and patience. It is usually the synergistic results of a few different procedures. The most common treatments include PRP, Scupltra, dermal fillers, neurotoxins and PDO threads. Chemical peels, PRX-T33 and microneedling can also help with skin tone, pigmentation and texture.

What should I expect?

No pain, no gain. Is it okay to say that? The vast majority of these procedures have slight discomfort and carry with them a risk of temporary swelling and bruising. We will anesthetize when necessary/possible. Arnica and ice can always help decrease the risk of bruising and swelling. For the most part, any discomfort is usually during the procedure and not afterward.

When will I see results?

Your results will be gradual: months, to years. You might notice a difference most when you look at your old “before” photos. Or when a friend comments that something looks different or that you look really “good” or “glowing”. They might ask if you have done something to your hair or have changed your makeup. You will have natural-looking results that keep you looking like you, but less tired and more refreshed and rejuvenated.

How long do the results last?

It depends. But the key idea is that once you achieve your desired results, you will require some regular maintenance. It’s no different than attaining a fit physique: you can’t expect to maintain your results if you start eating junk and stop working out.

In what body areas can I get it?

I mean, it’s a FACElift.

PlasmaPen (aka skin tightening, fibroblasts)

Frequently Asked Questions

What is PlasmaPen?

PlasmaPen (TM) is also known as fibroblasting. Fibroblasts are the lovely cells in the body that create collagen, elastin and hyaluronic acid (yay!). The Plasm Pen ionizes gas in the atmosphere to create an arc of plasma which, when it comes into contact with the skin causes contraction and tightening and also stimulates the fibroblasts to do their thing.

What should I expect?

Your skin will be numbed with a topical numbing agent. The PlasmaPen device is brought within one millimeter of the skin, but does not actually touch it. The plasma arc touches the skin and creates a "dot" of microtrauma that stimulates the skin cells. There is usually no bleeding and no open wound. You will have swelling for a couple days and the carbon crust "dots" for a few days longer. Once the carbon crusts fall off, you will need to be extremely vigilant to protect your new, baby skin from sun exposure. The treatment price also includes an AnteAGE stem cell aftercare kit to aid in recovery.

When will I see results?

You may see some tightening immediately, but the primary results will be realized in three months when the new collagen and elastin are created. Often just one treatment will yield the desired results, but occasionally a second treatment will be desired.

How long do the results last?

Since we are stimulating your body's own collagen and elastin, the results are permanent! That being said, you will continue to age and new lines and skin laxity will form over time.

In what body areas can I get it?

Anywhere! Some of the more popular areas are the eyes (aka non-surgical blepharoplasty or eye lift), neck (non-surgical neck lift or neck tightening), jowls/lower face and loose skin on knees and elbows. Just use your imagination!

Non-Surgical Liposuction (aka mesotherapy, fat-melting)

Frequently Asked Questions

What is mesotherapy?

Mesotherapy literally means injection of medication, but it frequently refers to injection of fat cell-destroying medications. Today, we use a medication called PC/DC (phosphatidylcholine/ deoxycholate), which is injected to cause breakdown of fat cells. PC/DC has been used for years for this purpose and is very safe. The pharmaceutical company, Allergan, has taken the deoxycholate from PC/DC and patented deoxycholic acid, which is known as Kybella®.

What should I expect?

The area to be treated will be numbed up prior to treatment. You will then be injected in multiple sites (approximately 1 cm apart) with a very small needle. The area will swell immediately and there may be mild aching and/or bruising. You will be noticeably swollen for about one week and then it will progressively decrease over the next four weeks. Most body areas require 3-4 treatments spaced one month apart.

When will I see results?

Results are seen approximately four weeks after each session.

How long do the results last?

The results are permanent as the fat cells are destroyed and reabsorbed by the body.

In what body areas can I get it?

Pretty much any area in which you have stubborn fat: from belly to bra fat and under-eye fat pads to saddlebags.