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PATIENT GUIDE

Longevity &
regenerative aesthetics.

Skin and hair reflect what is happening beneath them. We evaluate both as part of your health, not apart from it.

At Vivier, aesthetic care begins with the same question as every other plan: why is this change occurring? Hormonal shifts, metabolic health, nutrient status, sleep, stress, and sun exposure may all influence skin quality and hair health over time.

Where it is appropriate, we combine that evaluation with regenerative treatments designed to support the body's own repair processes — platelet-rich plasma, microneedling, and copper-peptide support — rather than covering visible change.

No treatment is appropriate for everyone. Recommendations are based on your evaluation, your goals, the available evidence, and individual risk factors.

PRP pricing →BOTOX® pricing →

What regenerative aesthetics covers

  • Platelet-Rich Plasma

    I

    Platelet-rich plasma — PRP — is prepared from a small sample of your own blood. The sample is processed in a centrifuge to separate and concentrate plasma and platelets, which contain naturally occurring growth factors and signalling proteins involved in healing and tissue repair.

    Once prepared, PRP is delivered to the treatment area by injection, microneedling, or a combination of both. Because it comes from your own blood, it offers a highly personalized approach without introducing synthetic filler material.

    PRP works with your existing biology. Rather than covering visible changes, it is used to support repair and remodeling beneath the skin's surface — which is why results develop gradually as the treated tissue responds, and why a series of treatments may be recommended.

    PRP by treatment area

    • Undereye
    • Face
    • Neck
    • Face and neck
    • Hands
    • Décolleté

    Which areas are appropriate, and in what order, is decided in consultation. Listing them is not an offer to treat any of them.

    PRP by treatment area

    Which areas are appropriate, and in what order, is decided in consultation. Listing them is not an offer to treat any of them.

    What it isPotential benefitsCommon candidates
    UndereyeThe undereye area contains some of the thinnest and most delicate skin on the body. PRP is carefully placed beneath the eyes to support tissue quality and gradual remodeling.
    • Thin or crepey undereye skin
    • Fine lines
    • Mild skin laxity
    • Uneven texture
    • Dark circles associated with thin, translucent skin
    		PRP cannot correct every cause of dark circles. Pigmentation, allergies, prominent blood vessels, and structural hollowness may require a different approach.
    Facewith microneedlingMicroneedling creates controlled microchannels that activate a natural repair response. PRP is then applied or precisely delivered to complement the process and support collagen remodeling.
    • Fine lines
    • Uneven or rough texture
    • Enlarged pores
    • Mild skin laxity
    • Dull or tired-looking skin
    • Certain acne scars
    		Considered after evaluation of your skin, concerns, and goals, which also determines whether PRP should be incorporated at all.
    Neckwith microneedlingThe neck frequently develops visible changes in elasticity and texture. PRP with microneedling is designed to support collagen remodeling within this delicate area.
    • Fine lines
    • Crepey texture
    • Mild skin laxity
    • Uneven texture
    		Skin here is thinner and more mobile than on the face, so technique and staging are selected for the area rather than carried across from it.
    Face and neckA comprehensive regenerative treatment addressing the face and neck together, for a balanced and cohesive result across the two areas.
    • Fine lines
    • Uneven texture
    • Mild skin laxity
    • Crepey skin
    • Dullness
    		Considered where treating one area alone would leave a visible difference in quality at the jawline.
    HandsThe hands are continuously exposed to sunlight and environmental stress, yet are often overlooked in conventional skin care. PRP is used to support tissue quality and a smoother, healthier-looking appearance.
    • Thin or crepey skin
    • Fine lines
    • Loss of elasticity
    • Uneven texture
    • Visible sun-related change
    		Sun-related change is cumulative, so photoprotection is part of the plan rather than an afterthought to it.
    DécolletéThe upper chest, extending from the base of the neck across the collarbones and breastbone. This delicate, sun-exposed area can gradually develop fine lines, uneven texture, and loss of elasticity.
    • Fine lines and crepey texture
    • Mild loss of elasticity
    • Uneven skin texture
    • Visible sun-related change
    		As with the hands, results are supported by ongoing sun protection between treatments.

    6 rows

    Every area listed requires evaluation and screening first, and none of these uses is FDA-approved. Response is gradual and varies by area, baseline tissue quality, and individual biology. A series of treatments may be recommended. Specific techniques, scheduling, and charges are discussed in consultation rather than published here.

    Read the PRP guide →

  • Microneedling

    II

    Microneedling creates precise microchannels in the skin, initiating a controlled repair response and encouraging collagen remodeling. It may be performed on its own or combined with PRP, depending on your skin, concerns, and treatment goals.

    It may help improve the appearance of fine lines, enlarged pores, uneven or rough texture, certain acne scars, dull-looking skin, mild changes in firmness, and certain types of uneven tone.

    A consultation determines the appropriate technique and whether PRP should be incorporated.

  • Copper-Peptide Support

    III

    Copper-binding peptides are naturally occurring and have been studied for their role in skin biology, cellular signalling, and tissue-remodeling processes.

    Where appropriate, a carefully selected preparation may be incorporated into a personalized skin-quality, scalp, or post-procedure support plan — considered for overall skin quality, collagen-related processes, the appearance of fine lines and uneven texture, recovery following selected procedures, and a broader healthy-aging protocol.

    Formulation and route of administration matter. Topical and injectable preparations are not interchangeable, and all medical applications require an individualized evaluation and a discussion of the available evidence and potential risks.

  • BOTOX® Cosmetic

    IV

    BOTOX® Cosmetic is a prescription neuromodulator that temporarily reduces the muscle activity responsible for dynamic lines — wrinkles that develop through repeated facial expressions such as frowning, smiling, and raising the eyebrows. When placed with precision, it can soften these lines while preserving natural expression.

    Although BOTOX® is not a regenerative treatment, it can complement a broader aesthetic plan by addressing the muscular component of facial aging while regenerative and skin-focused therapies address concerns such as skin quality, texture, and collagen support.

    More on BOTOX® →

  • Hair Restoration

    V

    Shedding, thinning, and reduced density have many possible causes, and the cause determines the approach. Hair restoration at Vivier starts with a dedicated evaluation — including hormonal and nutritional assessment when clinically appropriate — before any regenerative or scalp treatment is considered.

    Regenerative care is most useful while follicles are still present, and it is not the right answer for every presentation.

    Read the hair restoration guide →

  • From the Inside Out

    VI

    Changes in skin and hair can be the first visible sign of something else — a thyroid or iron problem, a hormonal transition, a nutritional gap, or a medication effect. Treating the surface without looking for the cause can delay the evaluation that matters.

    That is why an aesthetic plan here draws on the same laboratory testing and monitoring as the rest of your care, and why the two are reviewed together.

  • Setting Honest Expectations

    VII

    Regenerative treatments work with your existing biology. They are not a surgical lift, a filler, or a transplant, and they cannot restore tissue or follicles that are no longer present.

    What they may offer, for appropriately selected patients, is gradual support for tissue quality — reviewed against your baseline, and changed or stopped if it is not doing anything for you.

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OUR APPROACH

What an aesthetic plan may include

The plan starts with the evaluation, not with the procedure. Which of the following apply to you, and in what order, is decided in consultation.

OUR APPROACH MAY INCLUDE:

  • 01Comprehensive medical and aesthetic evaluation
  • 02Targeted laboratory testing, including hormonal and nutritional assessment, when clinically appropriate
  • 03Platelet-rich plasma, with or without microneedling
  • 04Copper-peptide support, where a preparation is appropriate
  • 05A dedicated hair-loss evaluation and scalp protocol, when hair is the concern
  • 06Baseline photography, progress monitoring, and integration with your broader plan
BOTOX® COSMETIC

Thoughtful treatment. Natural movement. Results that still look like you.

At Vivier Health & Longevity, aesthetic care is not about changing your face or chasing an artificial standard of youth. It is about helping you look refreshed, balanced, and aligned with how you feel.

BOTOX® Cosmetic is a prescription neuromodulator that temporarily reduces the muscle activity responsible for dynamic lines — wrinkles that develop through repeated facial expressions such as frowning, smiling, and raising the eyebrows. When placed with precision, it can soften these lines while preserving natural expression.

Why We Offer BOTOX® Cosmetic

Healthy aging includes both how we function and how we feel in our own skin. Although BOTOX® is not a regenerative treatment, it can complement a broader aesthetic plan by addressing the muscular component of facial aging while regenerative and skin-focused therapies address concerns such as skin quality, texture, and collagen support.

Treatment may be considered for:

  • Frown lines between the eyebrows
  • Horizontal forehead lines
  • Crow’s feet
  • Platysmal bands of the neck
  • Masseter prominence associated with muscle activity
  • Other individualized areas identified during consultation

Some treatment areas or uses may be considered off-label. When applicable, this will be discussed during your consultation so that you can make an informed decision.

The Vivier Approach

We do not use a one-size-fits-all injection pattern or automatically treat every visible line. Before recommending treatment, we evaluate your facial anatomy, muscle strength, natural expressions, symmetry, previous treatment response, medical history, medications, and personal goals.

Your treatment plan is then designed around the lowest appropriate, individualized dose needed to achieve a balanced result. Our goal is not to create a frozen appearance. It is to soften excessive muscle activity while maintaining the expressions that make your face uniquely yours.

How Your Treatment Is Monitored

Every treatment begins with a clinical consultation and safety assessment. When appropriate, standardized photographs and facial movement assessments are used to establish a baseline and guide treatment planning.

The product used, treatment areas, number of units, injection pattern, and relevant product information are documented in your medical record. You will also receive clear aftercare instructions and guidance about what to expect as your results develop.

Because neuromodulator effects appear gradually, follow-up may be recommended approximately two weeks after treatment. At that visit, we can assess symmetry, muscle response, movement, and overall satisfaction before determining whether any refinement is clinically appropriate. Your response is also used to guide future treatments, allowing your plan to become increasingly personalized over time.

What Makes Vivier Different

At Vivier, BOTOX® is provided as medical care — not as a rushed, transactional beauty service.

Our approach is distinguished by:

  • A comprehensive consultation before treatment
  • Individualized dosing based on anatomy and muscle activity
  • Conservative placement intended to preserve natural expression
  • Careful documentation and follow-up
  • Attention to facial balance rather than isolated wrinkles
  • Integration with a broader skin-health and healthy-aging plan
  • Long-term continuity with a team that learns how your face responds over time

We will also tell you when BOTOX® is unlikely to address your concern. Lines caused primarily by sun damage, collagen loss, skin laxity, or volume changes may require a different approach — or no treatment at all. An honest recommendation is part of responsible aesthetic medicine.

What to Expect

Treatment is generally brief and requires minimal downtime. Results appear gradually and are temporary. Depending on the treatment area and individual response, results may last several months. Your provider will recommend an appropriate treatment interval based on your response rather than placing you on an automatic schedule.

Begin With a Consultation

Your consultation is an opportunity to discuss what you notice, what you would like to preserve, and what you hope to improve. Together, we will determine whether BOTOX® belongs in your personalized aesthetic plan.

The goal is not to look different. It is to look rested, balanced, and unmistakably yourself.

BOTOX® Cosmetic is a prescription medicine. Individual results vary. Treatment may not be appropriate for everyone and requires consultation with a qualified healthcare professional. Risks, benefits, alternatives, and applicable FDA-approved or off-label uses will be reviewed before treatment.

Care that shows. Grounded in what is beneath it.

Founding memberships open this fall. Join the waitlist and we'll reach out with availability, and what an initial evaluation covers.

JOIN THE WAITLIST(201) 475-4091

Educational use only. This page describes categories of regenerative aesthetic care; it does not diagnose a condition, recommend a therapy, promise a result, or replace a medical evaluation. Platelet-rich plasma, microneedling with PRP, and copper-peptide preparations are not FDA-approved for the cosmetic or hair-restoration uses discussed here, and evidence quality varies by therapy, by treatment area, and by patient. PRP is not a dermal filler and does not provide volume or structural correction. Response is gradual and variable, and a series of treatments is typical rather than exceptional. Hair loss needs its own diagnosis before treatment is selected. Candidacy is determined by clinical screening — including medical history, medications, bleeding and anticoagulation risk, platelet quality, active skin or scalp conditions, infection, and pregnancy status or pregnancy plans. Copper-peptide formulation and route are not interchangeable between topical and injectable preparations. Sudden, patchy, painful, inflamed, or scarring hair loss should be evaluated promptly. BOTOX® Cosmetic (onabotulinumtoxinA) is a prescription medicine that carries an FDA boxed warning: the effect of botulinum toxin may spread from the injection site hours to weeks after treatment, causing muscle weakness, double vision, drooping eyelids, hoarseness, or difficulty swallowing, speaking, or breathing — swallowing and breathing difficulties can be life-threatening. Seek medical care immediately if any of these occur. Some treatment areas, including the masseter, are off-label uses. Call 911 for emergencies.

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