Hormone Replacement
14 April 2025

When Should You Start Hormone Replacement Therapy?

Are you experiencing mood swings, night sweats, brain fog, weight gain, or lower sex drive? These symptoms may signal a hormonal imbalance, a common occurrence as we age. Hormone Replacement Therapy in Lakewood Ranch, FL, offers a solution by replacing hormones that are being produced in lower amounts by your body. Hormone Replacement Therapy offers a solution by replacing hormones that are being produced in lower amounts by your body. Knowing when to start hormone replacement therapy can help you address these symptoms early and improve your overall well-being.

What Is Bioidentical Hormone Replacement Therapy (BHRT)?

Unlike conventional hormone therapy, BHRT uses plant-derived compounds that precisely match human hormones at the molecular level. This approach aims to restore hormonal balance with potentially fewer side effects than synthetic alternatives. As chemical messengers that regulate reproduction, bone health, mood, and metabolism, hormones affect nearly every system in your body, which explains why hormonal imbalances can cause such widespread symptoms.

BHRT treatments come in various forms, including pellets, creams, patches, and injections. Pellet therapy, like that offered by Biote, involves placing small custom-compounded pellets under the skin, providing consistent hormone release over several months.

How to Spot Symptoms of Hormonal Imbalance

Hormonal imbalances manifest differently in men and women, though some symptoms overlap. Recognizing these signs early enough can lead to more effective treatment. These symptoms can significantly impact the quality of life and overall well-being.

For women, common symptoms include:

Hot flashes and night sweats
Insomnia and disrupted sleep patterns
Mood swings, irritability, and anxiety
Brain fog and difficulty concentrating
Vaginal dryness and decreased libido
Weight gain, especially around the midsection
Fatigue and low energy
Thinning hair and dry skin

For men, hormonal imbalances often present as:

Decreased libido and erectile dysfunction
Fatigue and lack of energy
Irritability and mood swings
Anxiety or depression
Decreased muscle mass and increased body fat
Difficulty concentrating
Sleep disturbances
Reduced bone density

Ideal Life Stages for Starting BHRT

The timing of BHRT initiation depends on individual factors, though certain life stages commonly benefit from therapy. For women, these include perimenopause (typically in the 40s), when hormone levels begin fluctuating; menopause, when symptoms often intensify; and the period following reproductive organ removal surgeries. Men may consider BHRT during andropause (when testosterone declines 1-2% annually starting in the 40s or 50s), after testicular injury, or during treatments affecting hormone production.

Benefits of Starting BHRT Early

Starting BHRT before symptoms become severe can do more than just ease discomfort—it can support your overall well-being for years to come. Here’s what you can expect when you begin therapy early:

Supports bone density preservation
May offer cardiovascular protection
Could reduce the risk of cognitive decline
Helps maintain muscle mass
Improves sleep quality and mental clarity
Stabilizes mood and emotional well-being
Enhances sexual function
Maintains skin elasticity and health
Eases weight management
Boosts stress resilience
Preserves physical strength
Reduces risk of age-related conditions

Early intervention can prevent cascading effects where one symptom triggers others—such as night sweats disrupting sleep, leading to fatigue and weight gain, which further imbalances hormones. While BHRT primarily benefits middle-aged adults, younger individuals with diagnosed hormonal deficiencies may also find relief through treatment.

Factors To Consider Before Starting BHRT

While BHRT offers significant benefits for many, it’s not appropriate for everyone. Important considerations include:

Medical history and risk factors:

Personal or family history of hormone-sensitive cancers (breast, uterine, ovarian)
History of blood clots or stroke
Liver disease
Untreated high blood pressure
Pregnancy or breastfeeding

Provider selection:

Experience with BHRT
Certification and specialization
Comprehensive approach to treatment
Commitment to regular follow-up

Lifestyle factors:

Nutrition and exercise habits that support hormonal health
Stress management techniques
Sleep quality improvement strategies
Environmental exposure reduction

Before beginning BHRT, have an in-depth conversation with a qualified healthcare provider who can help you weigh potential benefits against risks based on your individual health profile. At Premiere Concierge & Wellness, we offer personalized guidance, comprehensive testing, and tailored treatment plans to address your specific hormonal needs.

Remember that BHRT is most effective as part of a holistic approach to wellness that includes nutrition, exercise, stress management, and regular health monitoring. When properly administered and monitored, BHRT can help restore balance and vitality, allowing you to enjoy optimal health throughout all stages of life.

Frequently Asked Questions

What are common symptoms indicating a need for BHRT?

Common symptoms can include hot flashes, night sweats, vaginal dryness, decreased libido or painful sex, sleep disturbances, fatigue, weight gain, mood fluctuations, and cognitive issues like memory loss or confusion.

At what age or life stage is it best to start BHRT?

The timing of starting BHRT is a personal decision that should align with your individual needs and comfort level. Your general practitioner provides a comprehensive evaluation of your symptoms, medical history, and personal risk factors. During your consultation, your doctor should explain both the potential benefits and possible risks associated with hormone replacement therapy, enabling you to make a well-informed decision about your treatment path. Remember that early intervention often provides optimal symptom relief while potentially offering additional preventive health benefits.

How soon should I expect to start feeling better?

Typically, patients start to experience relief within a few weeks of the procedure, but the complete benefits when you start hormone replacement therapy can take up to 3 months to fully manifest.

What should I expect during my pellet procedure?

During your Biote pellet procedure, a healthcare provider first numbs the hip area before making a small incision. They then insert the bioidentical hormone pellet under your skin through this opening. The entire process typically takes under 15 minutes to complete. Recovery is minimal, allowing you to return to your normal activities almost immediately after the procedure is finished.

What types of diagnostic tests are required before beginning BHRT?

Before proceeding with BHRT pellet therapy, Biote Certified Providers conduct extensive lab work to evaluate a patient’s suitability for treatment. Your provider will thoroughly review these test results with you to determine if pellet therapy is appropriate for your specific situation before beginning any treatment.

How often is pellet insertion necessary?

Since each patient’s symptoms are unique, their journey to hormone optimization is as well. The Biote Method is tailored to meet the individual needs of each patient.

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Fillers
23 June 2025

How Much Do Dermal Fillers Cost?

Skin care is an essential part of self-care, and for those seeking to enhance their skin without surgery, dermal fillers have become a reliable option for restoring volume and smoothing out lines. If you are considering this treatment, you may be wondering how much dermal fillers cost. In this guide, we will break down the factors that affect the cost to help you feel confident in your investment.

A Comprehensive Guide To Dermal Fillers and Their Cost

Dermal filler cost can depend on several factors, including the type of filler used, the area(s) being treated, the experience of the provider, the location of the practice, and the provider’s reputation. Dermal fillers are designed to address various concerns using different ingredients, which can affect their price. For example, hyaluronic acid-based fillers like JUVÉDERM® and Restylane® may have different pricing compared to collagen-stimulating options like Sculptra® or Radiesse®.

The amount of filler needed for your treatment can also vary by area. Lips usually require less product than restoring volume in your cheeks or jawline. More experienced and medically certified providers may charge higher fees for their services, but their expertise often ensures safer, more precise results. These prices can also vary by region, with urban or high-demand areas typically charging more. Premium medspas that offer personalized, concierge-level care may include added value and benefits in their pricing, which can also affect costs.

Average Cost Range for Different Types of Dermal Fillers

While exact prices of dermal fillers may vary, the following ranges offer a general idea of what you might expect to pay:

Hyaluronic Acid Fillers (JUVÉDERM®, Restylane®): $500-$800 per syringe
Calcium Hydroxylapatite Filler (Radiesse®): $600-$900 per syringe
Poly-L-lactic Acid Filler (Sculptra®): $800-$1,200 per vial
Polymethylmethacrylate Filler (Bellafill®): $1,000+ per syringe

Most patients require 1-2 syringes per treatment area, and some may need additional sessions for optimal results.

Your Dermal Filler Provider Matters

Your choice of provider for dermal fillers and their location can greatly influence the final cost. At Premiere Concierge & Wellness, we blend advanced medical techniques with personalized aesthetic treatments, all provided by highly experienced, board-certified professionals. Our pricing reflects the premium, personalized care and expert precision we offer, ensuring safer procedures and superior, longer-lasting results. In contrast, providers in smaller markets or with less experience may offer lower prices but may not provide the same level of expertise and tailored care.

Why Choose Dermal Fillers?

When evaluating dermal filler cost, it is important to also consider the transformative benefits they provide alongside the price. Dermal fillers do more than add volume—they smooth fine lines, restore youthful contours, and enhance facial harmony with minimal downtime. Many clients also experience a significant boost in confidence and enjoy natural-looking results from professionally administered treatments.

Frequently Asked Questions

What factors can influence the cost of dermal fillers?

Dermal filler costs can vary based on several factors. The type of filler used and the specific area(s) being treated, such as the lips or cheeks, significantly influence the price. Additionally, the provider’s experience and skill level play a crucial role, often leading to higher charges for more experienced professionals. Geographic location also affects costs, with urban clinics typically being more expensive. Finally, a clinic’s reputation and the quality of personalized care can further impact pricing, as patients may prefer to pay more for exceptional service.

How do different types of dermal fillers vary in cost?

Dermal filler cost can vary depending on the type you select. Hyaluronic acid fillers are widely used in cosmetic procedures to enhance skin volume and restore moisture. They are a popular choice for individuals seeking immediate results at a reasonable cost. Long-lasting fillers, like Sculptra® and Bellafill®, are well-known for their collagen-stimulating properties and extended effects, but they typically come with a higher price per treatment. These options tend to deliver more durable results, making them a worthwhile investment for those looking for long-term solutions in facial rejuvenation.

Are there additional fees or considerations when getting dermal fillers?

Some clinics may charge additional fees for consultations or suggest follow-up touch-up appointments, which can significantly impact the overall cost of your treatment. To avoid any unexpected expenses, it’s essential to ask detailed questions about what is covered in your treatment quote, ensuring you have a clear understanding of all associated costs before proceeding.

How can I find a reputable provider for dermal fillers?

When looking for a practitioner, focus on those who are board-certified and have extensive knowledge of facial anatomy. Be sure to take the time to explore client reviews and examine before-and-after photos that showcase their work. Additionally, confirm that the facility operates under proper licensing and meets medical-grade standards to ensure the highest level of safety and care.

What should I expect during my first consultation for dermal fillers?

At Premiere Concierge & Wellness, your provider will assess your facial structure and consider your unique features. They will talk with you about your aesthetic goals to make sure they understand what you want. They will also review your medical history for factors that might affect your treatment options. Based on this assessment, they will create a personalized treatment plan for you. Before any procedures begin, you will get a clear outline of the costs involved, so you can make informed decisions without any surprises.

How long do dermal fillers last?

The longevity of dermal fillers depends on the type of filler used, the treatment area(s), and your body’s metabolism. Hyaluronic acid fillers (like JUVÉDERM® or Restylane®) typically last 6-18 months, while longer-lasting options such as Sculptra® can provide results for up to 2 years or more. Areas with more movement, such as the lips, may require more frequent touch-ups. Your provider at Premiere Concierge & Wellness will help you choose the right filler based on your goals and desired maintenance schedule.

Enhance Your Natural Beauty With Dermal Fillers

Investing in dermal fillers is not only about enhancing your appearance—it’s about trusting the right hands to help you make decisions that support your confidence and well-being. At Premiere Concierge & Wellness, we prioritize your safety and satisfaction, offering a range of results-driven treatments customized to fit your individual beauty goals.

Our experienced team takes the time to understand your vision and create a personalized plan that enhances your natural features. We are committed to ensuring you feel valued and cared for throughout your beauty journey, as we believe that each person deserves to look and feel their best. If you’re ready to enhance your natural features with dermal fillers, book your consultation today and take the first step toward refreshed, youthful-looking skin.

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Botox
23 June 2025

How Long Does BOTOX® Last?

BOTOX® is one of the most popular non-surgical cosmetic treatments available today—and for good reason. It’s a safe, quick, and highly effective injectable for reducing dynamic wrinkles, softening lines, and giving your skin a smoother, more youthful appearance. But one of the most common questions at Premiere Concierge & Wellness is: How long does BOTOX® last?

In this guide, we’ll walk you through exactly how BOTOX® works, what affects its longevity, and how you can get the most out of every treatment.

Introduction to BOTOX® Treatments

BOTOX® (short for botulinum toxin type A) is an FDA-approved injectable that temporarily relaxes the facial muscles responsible for expression lines. With just a few small injections, BOTOX® can visibly smooth crow’s feet, forehead lines, frown lines, and more.

It’s no surprise that many of our patients choose BOTOX® to refresh their appearance with virtually no downtime. But like most cosmetic injectables, BOTOX® isn’t permanent. So let’s dive into the question: How long does BOTOX® last—and what can you do to extend your results?

How BOTOX® Works

BOTOX® works by blocking the nerve signals that tell your muscles to contract. When these muscles stop moving as forcefully, the overlying skin gets a chance to rest and smooth out. This is what makes it is so effective at treating expression lines that deepen over time from repeated movement.

Common treatment areas include:

Forehead lines
Frown lines (also called “11s” between the brows)
Crow’s feet
Bunny lines on the nose
Smile lines
Lip lines and lip flips
Chin dimpling
Jawline slimming and TMJ relief
Neck bands

You’ll start to notice results begin to appear within 1-2 days, with full effects showing in 14-30 days. But the big question remains—how long does BOTOX® last once it kicks in?

What Affects How Long BOTOX® Lasts?

Although most patients enjoy smooth skin for several months, the exact duration of BOTOX® varies depending on several key factors. Here’s a more detailed look at those factors:

1. Treatment Area

Different facial areas metabolize BOTOX® at different speeds. Larger, stronger muscles—like those in the forehead or jaw—tend to break down the product more quickly. Smaller, more delicate areas—such as crow’s feet—may retain results a touch longer.

2. Dosage and Injection Technique

How long BOTOX® lasts also depends on how much product is used and how it’s administered. A higher dose typically lasts longer, but going too high can look unnatural. Skilled injectors, like the physician-led team at Premiere Concierge & Wellness, can strike the perfect balance between medical technique and individual aesthetics for a match designed to your features.

3. Your Metabolism

Just like how your body processes food or medication, your metabolism affects how fast you break down BOTOX®. Those with a fast metabolism may notice their results fade sooner, especially if they’re very active.

4. Lifestyle Choices

Your habits can influence BOTOX® longevity too. Excess sun exposure, smoking, and frequent alcohol use may cause the treatment to wear off faster. On the flip side, a healthy lifestyle, daily SPF, and a gentle skincare regimen can help preserve results.

How Long Does BOTOX® Last in Different Areas?

On average, BOTOX® lasts between 3-4 months. However, the duration of BOTOX® varies by its injection location.

Forehead & Frown Lines: Typically last 3–4 months
Crow’s Feet: Often lasts 3–4 months
Lip Lines & Lip Flips: 2–3 months
Jawline & TMJ Treatments: 4–6 months
Neck Bands: 3–4 months

Some patients see their results last up to 6 months, especially with consistent treatment and a strong aftercare routine.

At Premiere Concierge & Wellness, our physician-led team develops a personalized BOTOX® plan tailored to your goals and facial anatomy. Over time, you and your skilled injector will get a clearer sense of your unique treatment timeline.

Tips for Prolonging the Effects

As an injectable, BOTOX® is not a permanent treatment. However, just because BOTOX® doesn’t last forever doesn’t mean there isn’t some TLC you can do to help it last as long as possible.

Stick to a Consistent Schedule

Don’t wait until all movement returns before booking your next appointment. Scheduling BOTOX® every 3-4 months can help maintain your results and prevent wrinkles from deepening again.

Follow Your Aftercare Instructions

Proper aftercare is essential to ensure your BOTOX® settles correctly and delivers optimal results. By avoiding activities like rubbing the treated area, lying down too soon, or exercising within the first 24 hours, you help prevent the product from migrating and support more precise, longer-lasting effects. Remember to:

Stay upright for at least 4 hours post-treatment
Avoid rubbing or touching the treated area
Skip intense workouts for at least 24 hours
Avoid alcohol and excessive heat (like saunas) immediately after treatment

Protect Your Skin From the Sun

UV rays can break down collagen and speed up BOTOX® metabolism. To prevent this, apply a broad-spectrum sunscreen daily to keep your skin healthy and your results intact.

Maintain a Healthy Lifestyle

Drink plenty of water, eat a balanced diet, and avoid smoking. These small changes can slow the breakdown of BOTOX® and improve the health and radiance of your skin overall.

Consider Complementary Treatments

Pairing BOTOX® with dermal fillers or a personalized skincare regimen can enhance and extend your results. At Premiere Concierge & Wellness, we take a whole-person approach to aging—combining aesthetic treatments with internal wellness solutions to support lasting, radiant results from the inside out.

Planning for Continued Benefits

The best results come from thoughtful, ongoing care. Rather than a one-time fix, think of BOTOX® as part of your long-term skincare and anti-aging routine. Most patients benefit from treatments every 3-4 months, and your provider will guide you on the ideal schedule for your goals.

At Premiere Concierge & Wellness, we tailor every treatment to your face, lifestyle, and desired outcome—whether you’re looking for a subtle refresh or a more noticeable rejuvenation.

Frequently Asked Questions

What is the typical duration of BOTOX® results?

Most patients enjoy soft and smooth skin for 3-4 months, although some see effects lasting up to 6 months with consistent care.

What factors can impact how long BOTOX® lasts?

Your metabolism, treatment area, dosage, and lifestyle habits all play a role in your BOTOX® results. Proper aftercare and a consistent treatment schedule can help extend results.

How can I make BOTOX® results last longer?

Stay hydrated, protect your skin from the sun, avoid smoking and excessive alcohol, and follow all post-treatment instructions provided by our physician-led team.

How often should I schedule BOTOX® treatments?

Most people book their BOTOX® treatments 3-4 months apart. If you’re new to BOTOX®, we’ll help you establish a timeline that keeps your results looking fresh.

What should I do if BOTOX® wears off early?

If you start to notice that your BOTOX® wears off early, please talk to your provider. They may recommend adjusting the dosage or frequency of treatments. In some cases, combining BOTOX® with other services can offer longer-lasting improvement.

Let’s Keep You Glowing

So, how long does BOTOX® last? While the typical answer is around 3-4 months, the truth is that your results depend on your body, your lifestyle, and your injector. The good news? With expert care and a consistent schedule, you can enjoy smoother skin and fewer wrinkles month after month.

At Premiere Concierge & Wellness, we take pride in delivering BOTOX® results that look natural, feel empowering, and fit into your life seamlessly. Our experienced injectors focus on artistry, safety, and balance, so you leave feeling confident in your skin.

Ready to schedule your consultation?

Microneedling
15 May 2025

The 5 Major Benefits of RF Microneedling

Looking to revitalize your skin? RF microneedling is a great option. This treatment combines the power of radiofrequency energy with microneedles to firm, smooth, and rejuvenate your skin. Whether you’re targeting fine lines, uneven texture, or acne scars, RF microneedling benefits deliver noticeable, long-lasting results with minimal downtime.

What is RF Microneedling?

RF microneedling in Lakewood Ranch, FL is a non-surgical skin treatment that combines tiny microneedles with radiofrequency (RF) energy to target deep layers of the skin. It stimulates collagen and elastin production, which firms and rejuvenates the skin. This treatment triggers the body’s natural healing response by creating micropunctures in the skin while delivering heat energy to tighten it.

At Premiere Concierge & Wellness, we use the FDA-cleared Pixel8 Pro, which offers customizable energy levels, ensuring smoother, firmer skin after just one session. We’ll personalize your treatment to bring you the amazing benefits of RF microneedling.

Collagen Production and Skin Tightening

RF microneedling stimulates collagen and elastin production deep within the skin. These proteins help keep the skin firm, smooth, and rejuvenated. As we age, collagen and elastin production naturally decrease, leading to the appearance of wrinkles, fine lines, and sagging skin.

This treatment stimulates collagen and elastin production to rejuvenate the skin. Here’s a closer look at the RF microneedling benefits you can experience.

1. Reduction of Wrinkles and Fine Lines

As we age, the skin’s ability to produce collagen and elastin diminishes, causing wrinkles and fine lines to form. By triggering the body’s natural healing response, RF microneedling stimulates collagen production, resulting in firmer, smoother skin.

Over time, this increased collagen reduces the depth of the wrinkles and fine lines, making your skin appear more rejuvenated. Many patients notice visible improvements after a few sessions.

2. Improvement in Skin Texture and Tone

RF microneedling also improves skin texture and tone. This treatment creates micro-channels in the skin, which stimulate collagen production and improve the overall structure of the skin. These RF microneedling benefits make it an ideal solution for people struggling with rough, uneven skin texture or enlarged pores.

Additionally, RF energy tightens the skin, smoothing scars and rough patches and addressing uneven skin tone. This treatment reduces the appearance of post-acne scars, sun damage, or other skin discolorations as RF microneedling stimulates the production of new skin cells.

3. Targeting Skin Concerns

RF microneedling benefits include treating many different skin concerns. This treatment improves the appearance of acne scars, hyperpigmentation, stretch marks, and large pores.

For those struggling with acne scars, microneedling creates controlled micro-punctures in the skin, which stimulates the body’s healing process. As a result, it promotes the remodeling of the skin’s surface, which can help flatten and fade acne scars over time.

People with other pigmentation concerns, like sun spots or melasma, can get a more even skin tone. As this RF microneedling boosts collagen production, it stimulates the growth of new, healthy skin cells. This enhances skin elasticity and firmness, leading to smoother skin texture.

4. Minimal Downtime and Quick Recovery

One of the biggest benefits of RF microneedling is its minimal downtime compared to other skin treatments. Most patients experience only mild redness or a slight sunburn-like sensation immediately after the procedure. This usually subsides within a few hours to a couple of days. Some people may experience slight swelling or minor bruising, but these effects usually fade quickly. As a result, RF microneedling allows most patients to return to their daily routine within 24 to 48 hours, making it a convenient option for people with busy schedules.

Additionally, since RF microneedling stimulates the skin’s natural healing process, the collagen and elastin production continues for several weeks post-treatment, enhancing skin appearance over time. This means you can enjoy smoother, younger-looking skin with very little disruption to your lifestyle.

5. Long-Lasting Results

Unlike temporary skin treatments, RF microneedling offers long-lasting results. The increased collagen and elastin production help build firmer, tighter skin that improves over time. The effects of the treatment can last for several months, with some patients enjoying results that last up to a year. The longevity of your results will depend on your skin’s response to this procedure, lifestyle, and aftercare.

With maintenance treatments every 6 to 12 months, RF microneedling benefits your skin by helping it look youthful in the long run. Encouraging your skin’s natural regenerative processes, it offers sustained improvement in texture, tone, and firmness, providing natural-looking results without surgery.

Frequently Asked Questions

How does RF microneedling stimulate collagen production?

RF microneedling combines microneedling with radiofrequency energy to create micro-punctures in the skin. This process triggers the body’s healing response, stimulating collagen and elastin production to firm and rejuvenate the skin.

What skin concerns can RF microneedling effectively address?

It can treat many skin conditions, including fine lines and wrinkles, acne scars, enlarged pores, stretch marks, and hyperpigmentation. RF microneedling benefits include improving skin texture, tone, and elasticity by boosting collagen and elastin production.

Is RF microneedling safe for all skin types?

RF microneedling is generally safe for all skin types. However, it’s important to consult with a qualified practitioner before undergoing treatment. Some individuals with more sensitive skin may experience temporary redness or swelling, but these side effects usually subside within a few days.

How many sessions of RF microneedling are typically needed to see results?

Some patients start seeing results within a few days after the first treatment. However, to achieve optimal results, most patients need 3-6 sessions spaced 4-6 weeks apart. The number of sessions you need will depend on your skin concerns and desired results.

Are there any side effects or risks associated with RF microneedling?

RF microneedling is generally considered safe, but as with any cosmetic treatment, there are potential side effects. These side effects may include redness, swelling, or mild bruising. In rare cases, some individuals may experience infection or scarring. To reduce the likelihood of serious side effects, choose a qualified professional to perform your procedure and help you achieve incredible RF microneedling benefits.