1701 East Prospect Road, Fort Collins, CO 80525

Meet September,
PSA’s New Aesthetic Nurse Provider

Her approach to aesthetics is born from a desire to instill confidence and beauty in her patients. No two patients are the same, and September takes that to heart with thoughtful consults aimed at resolving the patient’s issues and achieving their particular goals. Attention to detail and an eye towards natural enhancement of the patient’s own beauty are trademarks of September’s style. 

She’s currently accepting new patients for 

The Aging Face

As we go about expressing ourselves on a daily basis, dynamic lines appear with movement (the activity of the facial muscles). Static lines are unchanged with muscle movement. Eventually, dynamic lines become static. This transition of dynamic to static lines contributes to the aging face:

Neuromodulators for Forehead Lines and Brow Position

29-year-old patient with “accordion-like” effect due to frontalis contraction and lateral brow droop. 

Brow correction “the golden ratio”:
1. The medial origin of the brow should be in the same vertical line as the lateral surface of the external nose.
2. The peak of the arch should be at a line above the lateral limbus of the cornea.
3. The lateral part of the brow should end at an oblique line connecting with the lateral canthus and lateral surface of the external nose.

Neuromodulators for Glabellar Lines

29-year-old with severe glabellar frown lines before treatment:

Un-retouched, maximum frown 11 days after neurotoxins:

24-year-old with glabellar frown with frontalis “push”

Patient at maximum frown 4 days following Dysport (50 units) – Dysport has an earlier onset of action than Botox does.

Patient 11 days following Dysport, she is happy with her result and feels like she looks less “worried”

Neuromodulators for Negative Expressions

This 31-year-old had an unusual frowning appearance. Procerus animates very strongly.

Four days following Xeomin injection, the grouchy look is hard to duplicate.

Further Neuromodulator Considerations

  • What to expect with treatment: 
    • The most commonly used needle to administer is an insulin needle that is 31-gauge.
    • We use a 34-gauge ultra-thin needle to make the treatment much more comfortable.
    • The most common side effects include bruising, headache, and discomfort at the injection site.
  • Patients with dynamic wrinkles demonstrate the most dramatic improvements from botulinum toxin injection and are ideal candidates for treatment.
  • Patients with static wrinkles that are visible at rest or deep static lines, may not fully respond to botulinum toxin injection alone and may require combination treatment with filler.
  • Progression of onset:
    • 24-72 hours: beginning to look smoother
    • 2-3 weeks: full effect
    • 1-3 months: results maintain
    • 3-4 months: lines start to return

Getting to Know Her:

   “For over 5 years, I worked as a key member of a healthcare team for a busy, adult medical practice specializing in cardiology. This rewarding and supportive employment opportunity allowed me to continue to further my education in the medical field and in 2017, I was awarded entrance into an elite nursing program at Regis University. After completing my degree, I decided to leave cardiology in pursuit of a nursing career in medical aesthetics. This was a hard transition because I really loved my patients and coworkers, but I knew it was not a permanent fit for me. I needed a positive change in my life and decided to enroll at the National Laser Institute in Scottsdale, AZ to learn more about neurotoxins, dermal fillers, and lasers. I loved the idea of providing services that make people feel beautiful and confident. Not only that, I wanted to work in an industry that inspires positivity and artistry.
   After completing my training, I was lucky enough to find Plastic Surgical Associates. Though I interviewed many different med spas, I connected with Dr. Duncan because of her emphasis on education and safety. As much as I wanted to be in aesthetics, I wanted to make sure I chose a reputable physician that would provide the appropriate training with established safe methods of practice. She’s a great mentor, and it was so refreshing to finally meet someone I was excited to learn from. I thoroughly love the field of medical aesthetics and look forward to being apart of its ever-evolving therapies. After meeting her and her staff, I knew I was exactly where I was supposed to be. In my spare time, I enjoy spending time with my family and three French Bulldog’s named Leia, Chewy, and Yoda.”

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