Orillia’s only Nurse Practitioner led injectable cosmetic provider of Neurotoxin and Dermal Fillers.
Our goal is to provide expert, confidential cosmetic injections. Our services include the administration of Neurotoxin “wrinkle relaxers” and Hyaluronic Acid Dermal Fillers such as Teosyal® and Restylane®. All treatments provided and devices used are Health Canada approved. Contact us today for a consultation!
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All clients are offered a consultation where they can have their questions answered, and we can discuss your treatment desires in an unpressured, professional environment.
Gift Certificates Available!
About Face First Medical Aesthetics
Emily Greb is a Nurse Practitioner trained in the administration of Neurotoxins (ex. Botox®, Dysport®) and Hyaluronic Acid Dermal Fillers (ex. Teosyal®/Restylane®). Emily has over 16 years of experience as a nurse, with almost a decade spent working as a Nurse Practitioner in Primary care.
Nurse Practitioners (NPs) have additional education and licensing to provide care to individuals and families. NPs can diagnose and treat chronic and acute conditions, order diagnostic tests such as x-rays and ultrasounds. NPs also order and interpret lab tests and prescribe medications. NPs work autonomously under their own licences.
Emily graduated from Ryerson University in 2002 with her Bachelor of Science in Nursing and began her career in Toronto, working in one of the cities’ busiest Emergency Departments. She made the move to beautiful Simcoe County in 2004, continuing to work at Orillia Soliders’ Memorial Hospital. Emily returned to graduate school and obtained her Nurse Practitioner Certificate from Laurentian University in 2009. Since then Emily has worked in Primary Care in Orillia.
For more information about the role of a Nurse Practitioner click here.
Emily Greb, BScN, NP-PHC
Medical Director/Nurse Practitioner
PUT YOUR FACE FIRST
Face First Gallery
Face First is Orillia’s only Nurse Practitioner led cosmetic injectables practice.
Emily Greb, BScN, NP-PHC.❤️Botox❤️Dysport❤️Xeomin
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Services & Pricing
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Neurotoxins: Botox®, Dysport®(3:1) or Xeomin®
Examples of approximate unit use (will vary client to client based on physical exam and individual client concerns):
- Frown Lines (Glabella area between the eyes) – approx. 20-30 units
- Forehead Lines – approx. 12-20 units
- Crows Feet (Sides of eyes) – approx. 30 units
These are estimates only. Individual assessment will be done, and individuals may require less or more units for the desired effect.
Every face is unique, and every client is unique!
Hyaluronic Acid Dermal Fillers (Teosyal® and Restylane®)
• Full Lip Injections/Enhancement – $575.00
• Mini Lip Injections/Enhancement – $375.00
• Marionette Lines, Nasolabial Folds, Cheeks, Chins, Forehead – $550.00/syringe
Platelet Rich Plasma (PRP)
• $550/treatment or 3 for $1500
Microneedling With Hyaluronic Acid or Mesotherpay
• $350/treatment of 3 for $900
Microneedling with PRP
• $550/treatment or 3 for $1500
• $375.00/treatment – Each treatment will be tailored to individual needs.
• $550.00/syringe – Treatment Protocol of 3 syringes for $1500.00
Gift Certificates Available! Contact us for more information.
Many of the wrinkles we see on our face are due to the dynamic facial expressions we perform everyday, often without conscious awareness. Botulinum Toxin A (BTX-A) works by weakening or relaxing the muscles of facial expression which insert into the surface of the facial skin. Once the resting tone of these muscles is weakened, the pulling action of these muscles relaxes and the skin flattens out. Fine lines and wrinkles begin to soften and in many cases are eliminated.
Lip enhancement, also known as lip plumping or lip injections, can be achieved using injectable fillers. The filler is used to plump the lips and smooth the lines in the surrounding skin area. Lip filler can be used to highlight the lips, create a fuller shape, and rejuvenate aging lips. Final results aim to provide a rewarding and natural result. Results typically last between 6 months to 1 year, but this varies from person to person. We use injectables that are specifically formulated for lips.
Hyaluronic Acid Dermal Fillers (Teosyal® and Restylane®)
Many factors contribute to skin changes as we age; such as genetics, sun exposure and lifestyle factors. The formation of wrinkles and sagging skin is due to a loss of volume in the underlying tissues. Hyaluronic Acid Dermal Fillers have been approved by Health Canada to help improve this lost volume. The effects of Hyaluronic Acid Dermal Fillers can last anywhere from 6 months to one year, sometimes more! Results vary from person to person.
Concept: MESOGOLD is a Micro-needling system that regenerates the skin naturally through physical stimulation, enhancing the absorption of effective ingredients through micro-holes of the skin.
Application: Spiral Groove micro-needling system that can be personalized with any kind of combined serum infusion – commonly Botox, filler, Vitamin C and Hyaluronic Acid and DMAE (Dimethylaminoethanol – an amino acid proven to reduce the signs of aging). Emily will assess your skin and tailor the serum to your skin’s specific needs.
Benefits: Easy, safe, effective and painless procedure improving the skin health with 24K gold plated micro-needles which are thinner than human hair(0.13mm). No down time!
Results: Plumped, brighter skin, softened lines, and even a reduction in acne scarring.
ZO Skin Health®
A wide range of products, regimens, and programs help maintain the results of therapeutic treatments, and provide effective daily skincare and protection from the environment. Under the guidance of Dr. Zein Obagi, ZO Skin Health, Inc. has developed a wide spectrum of therapeutic treatment protocols and daily skincare solutions that create and maintain healthy skin.
Based on the latest advances in skin therapy technologies – unique delivery systems, bio-engineered complexes, and exclusive formulations – these products and protocols help physicians provide continuous skin health for all skin types, genders, and ages. ZO Skin Health products will ensure that your injectable treatment results last and your skin will look it’s best! Emily will assess your skin and prescribe the best ZO Skin Health Products that are best for you.
Feel the difference in your skin!
Do you wish for skin with a radiance and smoothness that you will see, feel and love? Restylane® Skinboosters™ will make you feel great about your skin again.
After a few treatments, skin will becomes smoother, more radiant, and more elastic. The skin of your face, hands, neck and décolletage can be improved. The results can make a world of difference to the way you feel about your skin.
- Injections are typically administered over the course of 2-3 treatment sessions, 2–4 weeks apart, to restore your skin’s elasticity and smoothness in a gradual way
- Regular maintenance sessions (approximately every 6 months) occur as planned with your practitioner ensuring lasting results
Clinical studies prove the lasting impact of a Restylane Skinboosters treatment with improvement in skin elasticity of the face and hands for up to 12 months after the initial treatment
Platelet Rich Plasma (PRP) Injections
Platelet-rich plasma (PRP) has emerged as a promising autologous (meaning coming from you – the client!) treatment for use in aesthetic and regenerative medicine.
PRP is a high concentration of platelets derived from whole blood which is isolated by centrifugation to separate and concentrate platelet-containing plasma from red blood cells.
PRP has a number of benefits. The treatment can improve skin texture and tone, reduce fine lines and scarring, stimulate collagen and skin cell production for a plumper, more radiant complexion.
PRP is great for anyone who is concerned by any areas of skin that are starting to lose elasticity and volume. It’s also a highly effective method for stimulating your body’s cells to produce new, healthy looking skin. It is extremely effective for that delicate under eye area where some clients are not candidates for filler.
It is also used to increase the structural integrity and health of the skin, particularly sun damaged skin.
PRP can also be used for hair rejuvenation. The platelets and growth factors are collected and then injected into the scalp where the hair is thinning. This will stimulate hair follicles and make hair grow. It improves the quality of hair and thickens fine hair as well.
Microneedling is a safe facial skin treatment that works to stimulate new collagen production, reducing the appearance of wrinkles, acne scars, fine lines, brown spots, stretch marks and improves the skin’s texture.
Microneedling is a minimally-invasive procedure that uses a handheld device containing very fine needles that inflict micro-punctures to the skin. These controlled injuries trigger the skin’s natural repair processes, stimulating collagen and elastin production.
This service can be done with hyaluronic acid, mesotherapy or PRP. For best results a series of 3 treatments, spaced apart by 4 weeks is recommended.
Medical Director Services
If you are a Registered Practical Nurse, or a Registered Nurse requiring Medical Director services, contact Emily to discuss options.
10 consults/orders, 40 consults/orders and Monthly Packages Available.
Arlene Zipagang, RN, BScN, Nurse Injector
Servicing Brampton and Peel Region
PAYMENT METHODS ACCEPTED:
Frequently Asked Questions
Have a question we haven’t answered?
If you have any questions or concerns that are not addressed in the FAQ’s please do not hesitate to send us a message or give us a call, we would be happy to answer any of your questions.
These are pre-treatment requirements that apply for any of our offered treatments.
• Avoid alcoholic beverages 24 hours prior to treatment (alcohol thins the blood and increase the risk of bruising)
• Avoid anti-inflammatory and blood thinning medications, if possible. Some of these may include Vitamin E, Ginseng, Omega 3/Fish Oil, St. Johns Wort supplements, ASA, Ibuprofen/Advil, and other NSAIDS.
• Schedule your Dermal Filler or BTX-A appointment at least 2 weeks prior to a special event. Results from the Dermal Filler and Neurotoxin injections will take approximately 3 to 10 days to appear. Also bruising and swelling may be apparent in that time period.
• Discontinue Retin-A two days before and resume two days after treatment.
• Reschedule your appointment at least 24 hours in advance if you have a rash, cold sore or blemish on the area. If you have a history of cold sores please let the Nurse Practitioner know
• You are not a candidate if you are pregnant or breastfeeding.
Repeated muscle contractions from frowning and squinting over time causes frown lines and crows feet. Emily can inject the neurotoxin into these muscles to temporarily reduce muscle activity. You will notice a visible smoothing of the areas injected.
The Neurotoxin that is used contains minuscule amounts of a high purified botulinum toxin protein, from the bacterium Clostridium Botulinum. These products are all approved by Health Canada.
Yes! Cosmetic injections are one of the safest NON-Surgical cosmetic procedures. Emily has advanced training in cosmetic injections and uses the highest quality products available.
Both Neurotoxin Injections and Dermal Fillers are only available by prescription. In Ontario, only Nurse Practitioners and Physicians can prescribe these products legally.
Botulinum Toxin A is one of the safest non-surgical procedures. It has many positive benefits, both cosmetically and medically. As with all medical procedures there are also risks. Some of these may include, pain at the injection site, bruising, or a temporary droopy brow/lid. Our Nurse Practitioner injector and would prefer to under-correct rather than over-correct – We can always add a little more later! This will significantly reduce your risk of an unnatural appearance.
Every effort is taken to ensure your comfort. Many patients have little to no discomfort with Neurotoxin injections. When performing Hyaluronic Acid treatments, the area to be treated can be numbed using a topical or injectable agent. Some of the products that Emily uses have lidocaine manufactured into the product which helps to improve patient comfort.
Neurotoxin treatments start to take effect in approximately 5 days, with full results evident in 2 weeks. Typically results last for 3 months, however after regular treatments, results can last for up to 4 months. This varies person to person. When the effects start to wear off, the treated area will gradually return to how it was prior to treatment. In some cases the appearance of fine lines and wrinkles is not as severe as it was before, but this is usually the result of repeated treatments.
Neurotoxin injections are both preventative and corrective. The minimum age requirement is 18. People as young as their early twenties can use these procedures as a method to help prevent the formation of fine lines and wrinkles.
Those who have been diagnosed with an autoimmune condition may not be candidates for Neurotoxin Injections. Pregnant (or those who may become pregnant) and breastfeeding women are not candidates.
Facial fillers replace lost volume to smooth away wrinkles and define contours, and the results are immediate! Teosyal® and Restylane® are formulated to act like your body’s own hyaluronic acid to visibly reduce moderate to severe facial wrinkles and folds, leading to a more youthful appearance.
These products can also be used in the lips to enhance their volume and overall shape.
When can you see results? How Long Will They Last?
The results of facial fillers are immediate! Depending on the product used, and the area treated, results can last anywhere from a few months to a year. This varies from person to person and changes based on factors such as activity level and metabolic rate etc.
All are equal and made from Botulinum Toxin Type A. They all have medical and cosmetic uses. They help ease wrinkles caused by the movement of facial muscles. They all work the same way: they block the nerve impulses of the injected muscles to temporarily paralyze muscle movements that cause wrinkles. The most common targets are horizontal lines across the forehead and perpendicular frown lines between the brows (also called “The Elevens”), but many also rely on Neurotoxin Injections for crow’s feet, nasal squint lines, lines around the neck, eyebrow lifting, and even profuse underarm sweating and migraines. These procedures have become the most popular cosmetic procedures worldwide and are considered very safe. Botox® has been approved for cosmetic use in Canada since 2001. Xeomin® was introduced in 2009 and Dysport® 2012. All are Health Canada approved. Dysport® is considered to have an earlier onset and could even last slightly longer. Xeomin is considered the “cleanest” and least amount of preservatives. The products used are safe for all skin types and skin colors. However, people who are pregnant, breastfeeding, or have any neurological diseases are not recommended to use these products.
The sensation of microneedling is often described as feeling “prickly”, and does not hurt. For the best results, avoid sun exposure and make up application prior to and 24-48 hours after treatment. Microneedling results will be visible after 2-4 weeks. Immediately after treatment, your skin may experience redness, minor swelling, itching and discomfort. These effects generally subside within a day, but can take up to one week to fully resolve. Expect skin to peel and flake 3-5 days after, as an important part of the healing process. Avoid touching the skin, and always keep skin moisturized to aid the healing process.
BOTULINUM TOXIN “A”
POST TREATMENT INSTRUCTIONS
It usually takes 3-10 days for the results of your treatment to show. It is possible that during this time you may notice some slight unevenness during this time as the muscles absorb the products at different rates.
- No straining, heavy lifting, vigorous exercise for the day of treatment. It is now known that it takes the toxin approximately 2 hours to bind itself to the nerve terminal to start its work, and we do not want to increase circulation to inadvertently move the botulinum toxin from where it was injected.
- Avoid Manipulation of area for 3-4 hours following treatment. (For the same reasons listed above.)
- Avoid Aspirin or Ibuprofen (Advil) to minimize bruising. If you have discomfort, take Acetaminophen (Tylenol).
- Avoid lying flat for 4 hours post procedure.
- It is recommended that the touch up, if needed, be done no later than 2 weeks after the initial treatment. Makeup may be applied before leaving the office. Avoid Retin-A, Glycolic acid, Vitamin C, for 24hrs to the treated areas. If you should have any questions or concerns please call to arrange follow-up
Hyaluronic Dermal Fillers – Teosyal® and Restylane®
POST TREATMENT INSTRUCTIONS
Immediately after your treatment you may notice redness, swelling, tenderness or bruising near the treated area. This is a normal response to injections and disappears within a few days.
- To reduce selling, you may periodically apply ice packs to the treated areas for 24 hours. You may also benefit from taking an antihistamine. In case of pain/discomfort, use Tylenol only. Avoid Ibuprofen (Advil/Motrin/ASA) as they may worsen bruising.
- DO NOT drink alcohol on the day of your treatment, (may worsen bruising/swelling)
- NO straining, heavy lifting, vigorous exercise for 12 hours following treatment.
- Avoid manipulation of the treated areas. If there is a visible bump, you may lightly massage that area. The product will soften into the skin naturally within a few days.
- Avoid extreme not temperature until the swelling/redness resolves, saunas, hot tubs, sunbathing.
- Makeup and sunscreen may be applied before leaving the office. The area can be cleaned with a gentle cleanser. The results of Hyaluronic Dermal Fillers are best with regular and continued treatments over time. Be sure to schedule your next appointment as per the NP’s recommendations. If you should have any questions/concerns post treatment, please call for a follow-up consultation
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