Cosmetic Injectables

Injectables & Fillers

Injectable medicines are known as neurotoxins.  These medications are used in aesthetic medicine to temporarily relax the muscles that cause moderate to severe wrinkling.  Most commonly they are used to treat frown lines, crow’s feet, and forehead wrinkles in adults. They are also used for a number of other medical conditions such hyperhidrosis (excessive sweating), migraines, and severe muscle spasms.  Both medications contain a purified protein that relaxes the small muscles that cause excessive contraction leading to wrinkles and other conditions.


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How Much Neurotoxin Do I Need?

"My treatment and overall experience at Cascade was exceptional !!!     Amanda's thorough attention to detail as she performed my micro needling w/PRP and botox was much less painful and stripy than the first treatment I had received from a nice, but also very expensive doctor in Tigard last month !!!
I am very pleased with my experience and recommend this beautiful gathering of sweet spirited professionals to anyone interested in receiving the very best in affordable aesthetic treatments!! It is obvious that they take pride in their work and are willing to go out of their way to give each guest that visits their wonderful establishment, the very best in service and personal attention !!!"
A. M. ????  June, 2018

What is a treatment like?

With a very delicate touch and careful precision, a few tiny injections are made with a small needle in the area you would like treated.  Our Practitioners will develop a plan specifically for you that will be based on your preference and treatment goals. The injections are quick and typically not painful.  However, for sensitive patients, a topical anesthetic may be used to gently numb the treatment area. The procedure itself takes no more than 15-20 minutes.  Our goal is to make you look your best, but not look "done".  It's true.. you can have botox and still have a very natural look without the wrinkles!

How long does it take for me to see the benefit?

Muscle relaxation is gradual, usually starting 24-48 hours after treatment and progresses to full correction within 2 weeks.

 How long do benefits last? 

For most patients, 3-6 months. 

What should I do after treatment?

Remain vertical for approximately 2 hours and avoid direct sun exposure for 3 days. Makeup may be used to cover any area of redness after the treatment.

When should I schedule my next treatment?

Hair Loss Portland PRP
Cascade's Aesthetic Treatment Room

Once you start having the ability to contract the troublesome muscles again, it’s best to schedule your next customized Botox or Dysport treatment with us.  The second treatment will typically last longer if administered before your wrinkles return to their full original state. It is normal for the treatment to start softening after about 2-3 months. We recommend scheduling your appointments about 3 months apart.

Who should avoid treatment?

If you are pregnant or nursing, have a neuromuscular disease, or you are taking certain antibiotics you should not have neurotoxin injections. If you have a cow’s milk allergy it is not recommended to use Dysport.

What are the possible side effects?

Side effects most commonly reported by patients include mild puffiness or bruising at the injection site (common), headache (13%), temporary eyelid droop (3%). Bruising risks can be minimized by avoiding aspirin, Advil, Aleve, Ibuprofen, Motrin, ginkgo biloba, ginseng, vitamin E, and high doses of fish oil for one week prior to injections.

*At Cascade we offer the highest quality injectables and fillers. But due to silly advertising rules, we are unable to list them on our website. Please contact us if you have any questions. Please view the difference between the neurotoxins via this link

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