Frequently asked questions
75 answers about consultations, booking, safety, aftercare and each treatment. Search below, or browse by topic.
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General
8 questionsWho performs the treatments?
All treatments are performed by Sophie Gatward, a board-certified Nurse Practitioner with advanced training in medical aesthetics.
Do I need a consultation first?
Yes. Every new client starts with a consultation so we can review your medical history, understand your goals and build a personalized plan.
How do I book?
You can book online any time through our secure booking page (Vagaro), call us at 416-604-0040, or send a text or WhatsApp message to 416-580-4600.
Are the products you use approved?
We use Health Canada–approved products from trusted manufacturers such as Botox®, Dysport®, Juvéderm®, Revanesse® and Sculptra®.
How much do treatments cost?
Pricing depends on the treatment and the amount of product required. You'll receive a clear quote during your consultation, before any treatment begins.
Is there anyone who shouldn't have injectable treatments?
Some treatments aren't suitable during pregnancy or breastfeeding, or with certain medical conditions or medications. Your health history is reviewed at every consultation.
Where are you located?
2461 Bloor Street West, Unit 4, in Toronto's Bloor West Village — a short walk from Jane subway station.
What is your cancellation policy?
We kindly ask for at least 24 hours' notice if you need to reschedule or cancel, so we can offer the time to another client.
Choosing a treatment
6 questionsHow do I know which treatment is right for me?
Start with a consultation. Tell Sophie what you'd like to change in your own words — you don't need to know treatment names. She'll review your health history, assess your skin and features, and explain which options may suit you, if any. Read more about how your plan is built.
What's the difference between botulinum toxin and dermal filler?
Botulinum toxin temporarily relaxes the muscles behind expression lines, such as frown lines and crow's feet. Dermal filler restores volume and contour, for example in the cheeks, lips or jawline. Some people benefit from one, the other or both — our guide to the differences explains more.
Which treatments work gradually?
Some treatments build results over weeks or months: Sculptra® biostimulation over 2–3 months, PRP over 4–6 weeks, skin rejuvenation progressively over several weeks and hair restoration over 3–6 months. Results vary from person to person.
Is there downtime after treatment?
It depends on the treatment. Botulinum toxin usually has no downtime; dermal filler may cause swelling or bruising for a few days; scar treatment can cause bruising and swelling for about a week; and fat dissolving can cause swelling and tenderness for several days. Each treatment page lists what to expect.
How long do results last?
It varies by treatment and by person: botulinum toxin about 3–4 months, dermal filler 6–18 months depending on the area, and Sculptra® up to 2 years. Skin, PRP and hair results are maintained with a series and periodic sessions.
Can I combine treatments?
Often, yes — many plans combine treatments that address different concerns, such as expression lines and volume loss. The order and spacing are decided individually at your consultation. Learn how personalized treatment plans work.
Botulinum Toxin
7 questionsDoes it hurt?
Most clients describe a quick pinch. Ultra-fine needles are used and the appointment is brief.
Will I look frozen?
No. Dosing is tailored to your anatomy and goals so you keep natural expression.
Is there anything to avoid afterwards?
For the rest of the day avoid lying flat, strenuous exercise and rubbing the treated area. You'll receive full aftercare instructions.
How often will I need treatment?
Results usually last about 3–4 months, so many people return around then to maintain them. Timing is personal — some people choose to wait longer, and Sophie can help you find a schedule that suits you.
What is preventative, or baby, botulinum toxin?
It usually means a lighter, conservative approach to early expression lines, before they become deeper. Whether it makes sense for you depends on your skin, how your muscles move and your goals, which Sophie reviews at your consultation.
What is a lip flip?
A lip flip uses a small amount of botulinum toxin to relax the muscle around the mouth, so the upper lip gently rolls outward. It doesn't add volume the way lip filler does, and the effect is subtle and temporary.
Who shouldn't have botulinum toxin?
It isn't recommended during pregnancy or breastfeeding, and it may not be suitable if you have certain neuromuscular conditions, an infection in the treatment area, or an allergy to any ingredient. Your health history and medications are reviewed at your consultation before any treatment.
Dermal Filler
7 questionsHow natural will it look?
The goal is always balance. Sophie favours gradual, subtle enhancement that fits your face.
Can filler be reversed?
Hyaluronic acid fillers can be dissolved with an enzyme if needed.
Is it painful?
Most fillers contain lidocaine for comfort, and topical numbing can be used.
When should I book filler before a big event?
Ideally at least two weeks before, so any swelling or bruising can fade and your result has time to settle. If it's your first treatment, a little extra time is even better.
How long does dermal filler last?
Usually about 6–18 months, depending on the area treated, the product used and how your body naturally breaks it down. Filler in areas that move a lot, such as the lips, often doesn't last as long as filler in areas like the cheeks.
Who shouldn't get dermal filler?
Filler isn't recommended during pregnancy or breastfeeding, or if you have an active infection, cold sore or rash in the treatment area. Some medical conditions, allergies and medications, such as blood thinners, also need to be reviewed first — that's part of your consultation.
Can I get lip filler if I get cold sores?
Often, yes — but tell Sophie at your consultation, because lip treatment can trigger an outbreak and she may recommend steps to lower that risk. Treatment is postponed if you have an active cold sore.
Sculptra® Biostimulation
6 questionsHow many sessions will I need?
Most clients need 2–3 sessions spaced about 4–6 weeks apart. Your plan is personalized at consultation.
Is aftercare different?
Yes — massage of the treated area for several days helps even distribution. You'll get clear instructions.
Does Sculptra hurt?
Most people feel pressure and some brief stinging during the injections. Numbing options can be used to keep you comfortable, and the area may feel tender for a few days afterwards.
Can Sculptra be dissolved if I change my mind?
No. Unlike hyaluronic acid filler, Sculptra® can't be dissolved with an enzyme. That's one reason a careful assessment and a gradual, step-by-step plan matter.
Is Sculptra a good option before an event?
Not as a last-minute fix — results build over 2–3 months and most plans include more than one session. If you have a date in mind, start several months ahead and ask about timing at your consultation.
Who shouldn't have Sculptra?
It isn't recommended during pregnancy or breastfeeding, or if you have an active infection or inflammation in the treatment area. A tendency to form raised or keloid scars, some medical conditions and allergies also need to be reviewed first at your consultation.
Skin Rejuvenation
6 questionsWhich treatment is right for me?
It depends on your skin type, concerns and timeline. Your consultation includes a full skin assessment.
Can I combine it with injectables?
Often, yes — combined plans are very common. Sophie will advise on timing.
Is there any downtime?
Usually very little. LED light therapy has no downtime, while skin boosters can leave small bumps, redness or bruising at the injection points for a few days.
How far ahead of an event should I start?
Because results build gradually, it helps to start several weeks ahead, or earlier if your plan includes a series. If skin boosters are part of your plan, leave time for any small bumps or bruising to settle before the day.
Can I have skin treatments while pregnant or breastfeeding?
Some options aren't recommended during pregnancy or breastfeeding, including injectable skin boosters and certain skincare ingredients such as retinoids. Let us know at your consultation so your plan can be adjusted.
Do I need to buy skincare products too?
Not necessarily. A good home routine helps support and extend in-clinic results, but recommendations are tailored to your skin, and products that already work for you can often stay in your routine.
Platelet-Rich Plasma (PRP)
6 questionsHow many sessions are recommended?
A series of 3 sessions about a month apart is typical, followed by maintenance.
Is PRP safe?
PRP uses your own blood, which minimizes the risk of allergic reaction. A medical screening is completed first.
Does a PRP skin treatment hurt?
The blood draw feels much like a routine blood test. Numbing cream can be used before treatment to help with comfort, though you may still feel some pressure or stinging.
Who shouldn't have PRP?
PRP isn't recommended during pregnancy or breastfeeding, and it may not be suitable if you have a blood or platelet disorder, an active infection in the area, or certain other medical conditions. Medications such as blood thinners also need to be reviewed at your consultation.
When should I start PRP before an event?
Because results build gradually over 4–6 weeks and PRP is usually done as a series, it helps to start a few months ahead. For a single session, leave at least a few days for any redness or swelling to settle.
Can PRP be combined with other treatments?
Yes — PRP is often part of a combined plan, for example alongside scar treatment for acne scarring. Sophie will recommend what fits your skin, goals and timeline.
Scar Treatment
6 questionsHow many treatments will I need?
Most people need a series. Your plan depends on scar type and depth.
Will my scars disappear completely?
The goal is meaningful softening. Results vary, and your expectations will be discussed honestly at consultation.
Does subcision hurt?
The area is numbed first, so most people feel pressure or a tugging sensation rather than sharp pain. It's normal for the skin to feel sore and tender for a few days afterwards.
Is scar treatment suitable for all skin tones?
Subcision works beneath the skin rather than on its surface, so it can be an option for many skin tones. Temporary darker marks can happen as the skin heals, especially with sun exposure, so daily sun protection is important.
Which acne scars can be treated?
Subcision is designed for depressed scars that are tethered, or pulled down, from below — such as rolling and boxcar scars. Very narrow, deep ice pick scars usually need a different approach, so each scar type is assessed at your consultation.
Who is not a good candidate for scar treatment?
Scar treatment may not be suitable during pregnancy or breastfeeding, if you tend to form raised (keloid) scars, or if you have an infection in the area. Some medical conditions and medications, including blood thinners and certain acne medications, are also reviewed at your consultation.
Cystic Acne Treatment
5 questionsIs this a long-term acne treatment?
It treats individual cysts. For ongoing acne, Sophie can discuss a broader skin plan.
Does the acne injection hurt?
You'll feel a quick pinch and a little pressure. A very fine needle is used, and the injection itself takes only moments.
How soon before an event should I come in?
As soon as you can once a painful cyst appears. Improvement is often seen within 24–72 hours, so coming in at least a few days before your event gives it time to settle.
Can any pimple be treated with an injection?
No — it's meant for deep, painful, inflamed cysts or nodules, not whiteheads, blackheads or small surface pimples. Sophie assesses each spot first, since some lumps need a different approach.
Should I try to pop a cystic pimple first?
No. Squeezing a deep cyst can push inflammation further into the skin and raise the risk of scarring, so it's better to leave it alone and book an assessment.
Hair Restoration
6 questionsHow many sessions are needed?
Typically 3–4 sessions about a month apart, then maintenance every 4–6 months.
Who is a good candidate?
People with active follicles and early to moderate thinning. A consultation confirms suitability.
Is PRP for hair loss an option for women?
Yes — it's used for early to moderate thinning in both women and men, and a widening part is a common reason women ask about it. Because thinning in women can have hormonal or other medical causes, these may be looked at first.
Why does it take months to see results?
Hair grows slowly and in cycles, so any change in thickness or shedding takes time to show, typically 3–6 months. Photos taken in the same light every few weeks can make progress easier to see.
Does PRP work for every type of hair loss?
No. Hair loss has many possible causes, and some types, such as scarring forms of hair loss or areas where follicles are no longer active, are unlikely to respond. Your assessment looks at the pattern of your thinning and may include checking for underlying medical causes.
Can PRP be combined with other hair-loss treatments?
Often, yes. PRP is frequently used alongside at-home therapies, and Sophie can suggest options that suit your type of thinning and explain how to fit them into your routine.
Fat Dissolving
6 questionsHow many treatments will I need?
Most people need 2–4 sessions spaced 4–6 weeks apart.
Is it a weight-loss treatment?
No — it's designed for small, localized areas in people close to their goal weight.
Does fat dissolving hurt?
Most people feel warmth, stinging or a burning sensation during and shortly after the injections, and the area can feel tender for several days. Cooling or numbing can be used to help keep you comfortable.
Will the fat come back?
The treated fat cells are cleared by your body, so results are long-lasting. However, the fat cells that remain can still grow with weight gain, which is why a stable weight matters.
How long before an event should I book?
Swelling can be noticeable for several days and results develop over 4–6 weeks, so allow at least two weeks before an event. If you want to see the result of a full series, start several months ahead.
Who is not a good candidate for fat dissolving?
It isn't recommended during pregnancy or breastfeeding or with an infection in the area, and because it treats fat, not loose skin, it may not help if laxity is the main concern. Some medical conditions and medications, such as blood thinners, are also reviewed at your consultation.
Products & skincare
6 questionsHow do I get a skincare recommendation?
Book a skin assessment or ask at your next visit. Sophie will look at your skin type, your concerns and any treatments you're having, then recommend a routine. You can also send us a WhatsApp message with questions.
What does “medical-grade” skincare mean?
“Medical-grade” isn't a regulated term in Canada. It usually describes professional skincare lines sold through clinics, such as AlumierMD, that are recommended after a skin assessment so the products suit your skin and goals.
Why does sunscreen matter so much?
Daily broad-spectrum sun protection helps protect your skin from UV damage, which can cause pigmentation and premature aging and can undo the benefits of skin treatments. Ask us about options such as EltaMD® sun protection.
Can I use my skincare right after a treatment?
It depends on the treatment. Some active ingredients, such as retinoids or exfoliating acids, may need to be paused before or after certain skin treatments. Sophie will tell you what to use, what to pause and when to restart.
How do I get Latisse®?
Latisse® is a prescription product, so it's only available after a brief medical assessment with Sophie. Ask about it at your consultation.
Are products available at the clinic?
Ask about availability at your next visit, or send us a WhatsApp message and we'll let you know.
Ask our assistant any time, or message us — we reply during clinic hours.
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