Medical Services in Missoula, MT

Neurotoxin decreases muscle movement in the areas injected, which results in a smoother appearance of the skin and a reduction in the appearance of fine lines and wrinkles that you see at rest.  Neurotoxin can reduce sweating, improve rosacea, and help reduce the appearance of large pores as well as aid in reducing pain associated with migraines and TMJ.

Neurotoxin can last 12-14 weeks on average. Results are individual.

• Neurotoxin is priced at $12/unit with all of our medical aesthetic providers.
• Typical treatments cost anywhere between $300 to $800 every 3-4 months depending on areas treated and the severity of muscle movement in those areas.  More movement will require a higher dosage of units to achieve desired results.

All three are the same medication manufactured by different companies in the aesthetics industry.  Dysport is a product of Galderma, Xeomin is a product of Merz, and Botox is a product of Allergen.  They all have slightly varying molecular structures.

We prefer the consistency, natural outcome, and longevity that Dysport provides.

Bespoke offers complimentary consults with our medical aesthetic providers!  Your provider will assess your level of muscle movement and will determine the number of units needed based on that assessment during a consult.  Bespoke follows the dosing guidelines per the FDA; therefore, we do not offer underdosing treatments, also known as “baby ‘tox.”

For the first 24 hours after treatment, please refrain from workouts, saunas, wearing tight baseball caps, and getting facial massages.  Please refrain from laying down for the first 4-5 hours after treatment and avoid wearing makeup, if you can.

Filler is a hyaluronic acid gel that replaces volume loss due to aging.

Sculptra is a biostimulator that stimulates production of your body’s own natural collagen, types 1 & 3.  This results in healthier, tighter-looking skin with an improved appearance of texture, fine lines, and crepiness.  Results appear gradually over time. 

With any injectable procedure, you should expect 10-14 days of downtime. Swelling, bruising, redness, irritation, and mild discomfort are all common occurrences.

Hylenex is a naturally occurring enzyme we make in our bodies that breaks down Hyaluronic Acid (HA), the main component in dermal fillers.  When an HA injection has an aesthetically displeasing outcome or an adverse reaction occurs, in very rare cases, Hylenex is injected to dissolve the product.  A local anesthetic is used to ease the discomfort during the dissolving process.  A skin patch test will be performed prior to receiving Hylenex injections.

A lip flip involves injecting neurotoxin (Dysport, Xeomin, Botox) above the upper lip to relax and lift the muscle, resulting in the appearance of a more defined, slightly fuller upper lip.  Lip filler involves injecting Hyaluronic Acid dermal filler into the lips, resulting in a more proportionate shape and an increase in volume and hydration.

PRP (Platelet-Rich Plasma) is not used at Bespoke.  Our practice uses PRF (Platelet-Rich Fibrin), which is the new and improved technology that achieves the same benefits as PRP while also releasing more growth factors several weeks after treatment, making it more effective.  PRF EZ Gel involves using PRF in a gel-like consistency to mimic the results of Hyaluronic Acid dermal fillers, but is completely natural! 

Yes, bruising and swelling is expected.  Swelling can be present anywhere from 1-3 days and bruising can be present for a few to 10 days, depending on the severity of the bruise. 

• A regular B12 injection is a way to increase B12 levels in the body. Injections allow for better absorption than oral B12 supplements, which have to pass through the GI system and only absorb a small fraction of the B12 as a result. B12 injections can help increase energy levels, boost concentration and the immune system, aid in digestion, improve sleep, help increase metabolism, and help decrease homocysteine levels, which decreases the risk of developing heart attacks, strokes, and dementia. B12 injections can also help with certain types of hair loss.
• MIC+B12 injections contain 3 amino acids (Methionine, Inositol, Chlorine) in addition to B12. This blend of nutrients also called Lipotropics, enhances your body’s fat-burning capabilities.

Microneedling is the process of creating a controlled injury to the tissue of the face in order to get an inflammatory response and kickstart the body’s healing process, which promotes the building of collagen, elastin, and fibrin.  Microneedling helps with fine lines and wrinkles, acne scarring, texture, pigmentation, pore size, and overall tightening of the face. 

Microneedling can be uncomfortable. To make this procedure more tolerant for our patients, Bespoke uses a topical anesthetic containing benzocaine, lidocaine, and tetracaine that is applied for about 20 minutes prior to treatment. 

Downtime is around 3-5 days.  During this healing time, patients should be very diligent at avoiding infections.  This includes no makeup, using clean linens, hand washing, and making sure makeup brushes are cleaned and disinfected prior to reusing. 

IV’S are custom infusions based on individual needs.  Our IV infusions are formulated by a pharmacy to give your body exactly what it needs!  We have several options to choose from, ranging from hydration to immune support.