FREQUENTLY ASKED QUESTIONS
 
 
 
GENERAL
 

Do you accept insurance?

We do not currently accept insurance, although all our health and wellness procedures are eligible for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA).

Who performs the in-clinic procedures at Breck Aesthetic & Wellness?

All in-office procedures are performed by Breck Muller, MHA, PA-C or one of her highly trained PAs, NPs, RNs or Estheticians. Breck has over 13 years of Aesthetics and Wellness experience and is also Vice President of Medical Operations at AVANTA technology so she is very passionate about thorough on-going training for her staff. Providing safe and effective treatments is our number 1 priority.

 
 
 
WEIGHTLOSS
 

Can you explain the weight loss process?

Most of the consultations take place via telemedicine from the comfort of your home in AZ, GA, OK, TX, MO, KS, NY or FL. We review your medical history to ensure you are a candidate for treatment, discuss lifestyle choices such as diet and exercise and email over instructions for the process. We also send a supplement package via Amazon such as anti-nausea (the most common side effect the first 2 weeks), Magnesium supplements and a Biotin supplement for your hair, skin and nails. The 8 week prescription as well as syringes are shipped directly to your door. GLP1 is $450 which equates to around $60/week, that includes the Rx as well as the consult, Amazon medications and diet/exercise recommendations. We also provide Lipotropic MIC "skinny shots" that contain B12 and amino acids to detox your liver, convert stored fat to energy and increase energy and metabolism. I have personally been on these for months and love them, those injections are $200 for a 15-week supply.

How do I prevent potential side effects with weight loss medications?

An Amazon care package will be sent with all new weight loss prescriptions and that includes: anti nausea to take as needed, Biotin supplements to support hair, skin, nails and Magnesium to keep bowel movements regular and assist with sleep. It is recommended not to over indulge in alcohol, sugar or greasy foods within 24 hours of injection and to stay well hydrated. A Probiotic is also highly encouraged for gut health.

What are the benefits of GLP1?

- Reduce cravings
- Decrease appetite
- Controls blood sugar levels
- Reduces the risk of heart disease and stroke
- Reduces inflammation and the risk of dementia
- Can improve PCOS symptoms such as migraines

Where will I go to get my weight loss injections?

We are a telehealth practice so you will have the medication delivered to your home and you will self-administer the medication.

When will I start seeing weight loss results?

Results vary, but you should start seeing results in the first 4 weeks.

Will I gain all my weight back when I go off the medication?

Weight management is a chronic issue. While you are using GLP1, Tirzepatide or the Lipotropic “fat burning” injections you still need to make healthy lifestyle changes which will set you up for long term success. Research suggests to remain on a very low dose 2-3 times per month for maintenance and to reduce your risk of heart disease, stroke, dementia and inflammation.

 
 
 
LASER HAIR REMOVAL
 

What hair colors and skin types are treatable with laser hair removal?

At Breck Aesthetics & Wellness we use the newest in laser technology with the AVANTA TrioPro laser, meaning that we can safely and effectively treat ALL skin types.

Lasers target melanin in the hair so black and brown hair are treatable for hair removal. Red, white, gray and blonde hair do not contain melanin and therefore are not typically treatable with laser hair removal.

How is Laser Hair Removal different from home devices, Electrolysis and IPL?

Home devices are not near as powerful as professional aesthetic technology and therefore do not provide the same results. Home devices may or may not be safe for all skin types and could cause adverse reactions.

Laser Hair removal is much faster and more effective than IPL or Electrolysis, which targets only 1 hair at a time. We know that your time is valuable so providing safe, effective and efficient treatments is our main priority.

How does the AVANTA TrioPro laser differ from traditional laser hair removal devices?

The main concept behind the new advanced technology is that the energy delivered to the target area is cumulative. It involves heating up the skin in the entire treated area to the point where the hair follicles are destroyed. This process is done by using an “in-motion” technique, where the practitioner uses gliding motions with the laser applicator over the patients’ skin. So rather than lasing each hair follicle individually with a high-powered beam which is painful, the TrioPro uses lower energy with high repetition to achieve maximum results with little to no pain. Moreover, the “in-motion” technique ensures better and more uniform coverage and minimizes the risk of burns.

 
 
 
INJECTABLES
 

What is a neurotoxin/wrinkle relaxer (Botox, Xeomin or Dysport)?

It's an FDA-approved treatment to temporarily make moderate to severe frown lines, crow's feet and forehead lines look better as well as reduces headaches, migraines and TMJ syndrome.

Treatment requires minimal downtime; you can return to your daily routine immediately after you leave the clinic.

You may begin to notice results within 24 to 48 hours. Full results can take up to 21 days.

How does Botox work?

Botox targets one of the underlying causes of frown lines, crow’s feet and forehead lines — the repeated muscle contractions from frowning, squinting, smiling and raising the eyebrows over the years.

Will my face look unnatural after injections?

You can trust Breck to deliver natural-looking results as she is licensed, trained and a medical expert in facial anatomy. So, you’ll look like yourself—only with less noticeable lines and wrinkles.

At what age should I start wrinkle relaxer?

It's not your age that determines when injections are right for you, it's the severity of your lines and the proactiveness to prevent the wrinkles in the first place.

How long do injectable treatments take?

We will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you. Typically wrinkle relaxer treatments are 20-30 minutes and filler treatments are 45-60 minutes. Treatment requires minimal downtime, so you can return to your daily routine immediately after you leave the office.

What are dermal fillers?

Dermal fillers are injectable gel-like substances made up of ingredients naturally found in your body. They are used to restore lost volume for a more youthful appearance, soften wrinkles and creases, plump lips and even smooth out the skin on your hands. With instant results, dermal fillers offer a general rejuvenation to create lift, plump and smooth skin.

How long do dermal fillers last?

Most dermal fillers can last anywhere from six months to two years based upon which filler is selected & the patients metabolism.

Do injections hurt?

Some patients report that being injected with Botox feels like a pinch. If you are concerned about discomfort, we can apply a topical numbing cream before administering your treatment.

 
 
 
CO2 LASER
 

What are the Therapeutic benefits of CO2 laser treatment?

• Treatment of actinic and seborrheic keratosis, warts, moles and skin tags.
• Treatment of scarring from acne, trauma, or surgical procedures.
• Feminine rejuvenation- tightness, lubrication and urinary incontinence.

What are the Aesthetic benefits of CO2 laser treatment?

• Reduce fine lines and wrinkles
• Facial resurfacing
• Acne scars
• Hyperpigmentation
• Melasma
• Treatment and prevention of photoaging

How many CO2 treatments are recommended?

Depending on the desired outcome, a package of 3 treatments is recommended for optimal results. Treatments are 6-8 weeks apart for aesthetic concerns and 4 weeks apart for feminine rejuvenation.

What should I expect post CO2 treatment?

Post CO2 treatment, the skin may be red, swollen and have pinpoint bleeding that turn to scabs. Post treatment discomfort is typically minimal, it may feel like a sunburn at first and then becomes tight and dry.

Some peeling usually starts 72 hours post procedure and may last for 2-3 days. Do not pick or scrub your skin as you may also damage the newly developed skin.

The area will need to stay hydrated with Aquaphor or moisturizer for proper healing. Care should be taken to prevent trauma to the treated area for the first week following the treatment: avoid hot baths, saunas and Exposure to Sunlight -Tanning after treatment may enhance melanin regeneration, which could result in hyper-pigmentation.

 
 
 
ORTHO & PAIN MANAGEMENT
 

Can I exercise after a joint injection?

We recommend no strenuous activity for 24 hours post injection, then activity will be as tolerated by the patient.

How often can I get a joint injection?

Every 4-6 months

What is the difference between a steroid and gel joint injection?

Steroid injections contain a short and long-acting anesthetic in addition to the steroid to reduce pain and inflammation for a period of time.

The gel injections contain Hyaluronic acid and are given in 3 weekly injections to the elbows, shoulders and knees. The gel injections are used as a second line defense when patients are no longer getting relief from steroid injections.

Do you offer joint injections for ankles, wrists or hips?

Not at this time.

How do I remove Kinesio taping?

Very carefully by pulling up from one end, do not rub the tape off as it can cause skin irritation.

 
 
 
TESTOSTERONE
 

Is it true that if a person has a normal sex drive, then he must have normal T levels?

No, low T can show up in a variety of ways and the sex drive, also known as libido, for some men seems to be unaffected by low T, even though they may have other symptoms that respond to testosterone therapy. In addition, the decline in T levels usually occurs over many years and it can be exceedingly difficult to compare the intensity of one’s sex drive today to that of a few years ago.

What is the difference between symptoms of low T and signs of low T?

Symptoms are things we experience and signs are things that can be measured by another person or a machine. The most common symptoms of low T are diminished libido, erectile dysfunction, low energy, increased fatigue, reduced strength, depressed mood and decreased sense of vitality. The most common signs of low T are reduced bone density and a red blood cell concentration that is low which is called anemia.

If someone does have a strong sexual desire but it occurs infrequently would that also be considered low libido?

Low libido can mean reduced overall desire infrequent desire or absent desire low T can cause all of these.

Don't many things cause low energy other than low T?

Yes, the experience of feeling blah or having low energy does not necessarily mean that a man has low T.

Is Testosterone therapy an effective treatment for male infertility?

No. In fact, testosterone has been investigated as a possible male contraceptive because it tends to lower sperm values to 0, or close to 0. Adding testosterone to men activates the negative feedback system, which, in turn, results in reduced sperm production. However alternative treatments are available to stimulate higher testosterone production in the testicles, which may lead to greater sperm production in some men.

Does testosterone have anything to do with erections other than making a man aroused?

Yes. In the past, it was thought that testosterone sexual actions were entirely on the brain. We know now that testosterone also acts directly on the pennis and is involved in production of chemical messengers within the erectile chambers that control blood flow and hence the erection process.

Does the amount of body hair on a man reflect his testosterone values?

The most important factor influencing body hair is genetics. Men who develop low T will often notice that they have lost some hair on their body as well which will occasionally return with normalization of testosterone. However, raising testosterone levels will not cause body hair to grow in areas that it would not normally develop, like the palms of the hands.

Isn't it possible that my loss of interest in sex is due to depression?

Depression is certainly associated with loss of libido as well as other symptoms of low T, such as lack of motivation and feeling less upbeat. Despite this overlap between depression and low T, we typically do not find these conditions difficult to distinguish from each other. The loss of libido due to low T usually occurs without any other important symptoms of depression. On the other hand, if a man is feeling persistently sad rather than just blah, worthless, helpless or thoughts of suicide, it sounds like true depression, and requires urgent attention from a mental health professional.

At the gym I have never been able to achieve the same kind of muscle definition as other men. Could this be due to low T?

If this has been a lifelong condition, this is more likely due to how your body is built rather than low T. However, if a man finds that he no longer has the muscular response to exercise that he once had, then it may be worthwhile to see if his testosterone is low.

I put on 40 pounds over the last year, is this a sign of low T?

Not when there is so much weight involved. Low T can affect fat accumulation and distribution but usually to a mild degree & much slower. Although low T can be a factor, medications such as Semaglutide can greatly assist in the weight loss.

My testosterone values are in the low normal range, but I have many symptoms of low T. My physician refuses to treat me because he says my Testosterone levels are normal. What can I do?

Ask your doctor to repeat the test and also obtain free T and SHBG levels. If either the total T or free T value comes back low he may be willing to offer you a trial of treatment.

Do I need to fast before I have my blood test for testosterone?

No, the test will be performed in the AM when T levels are at their highest but fasting is not required.

Will testosterone therapy help reduce percentage of body fat?

Probably, Testosterone therapy increases the amount of lean body mass which is basically muscle and decreases fat mass. This should decrease the percentage of your body that is composed of fat. Exercise does the same thing and the combination of normal Testosterone together with exercise and medication such as Semaglutide produces the best results.

My original testosterone level was 295 when I was first diagnosed but after one month of treatment it has declined 275. Why would testosterone treatment lower my T level?

The levels likely aren't lower, they are unchanged. The variability in T results is so large that values within 50 of each other should be considered the same. Your problem is not that your T levels have decreased but that they haven't increased. One option is to increase the dosage.

I've been on testosterone treatment for several years but stopped it when I had surgery two months ago. I've recovered and want to restart treatment. Is it dangerous to start and stop treatment?

There is no evidence that stopping treatment suddenly causes any trouble nor is there a problem with starting it back up again. Some men who have had good T levels due to treatment will go through a downtime after discontinuing the medication that lasts up to a few weeks, but in general their T levels should return to their baseline.

I'm doing well with Testosterone treatment but I hate the idea of needing to be on this treatment for the rest of my life. For how long will I need it?

T treatment can be stopped anytime. Usually the original symptoms will return though and so most men who respond to treatment continue with it indefinitely. But this should not be regarded as a medical requirement, it is a personal choice for optimizing quality of life.

Will treatment with testosterone jump start my body so that I will make more testosterone on my own?

The vast majority of men with low T will continue to have low T if they discontinue treatment.

I'm 53 years old and I've been on testosterone therapy for two years, with good results. However my father was diagnosed with prostate cancer at age 75. Does this mean I need to stop testosterone?

There is a familial form of prostate cancer but only in families in which prostate cancer occurs at age 65 or younger. Even in those families where a family member develops cancer at a young age, this does not necessarily mean that every other male in the family will develop cancer. With a family history of prostate cancer be sure to have a yearly PSA your prostate exam. There is no need to discontinue testosterone treatment.

My physician started me on testosterone, but it never had a prostate biopsy. I am 64 years old period was this a mistake?

Because there is no evidence that testosterone treatment increases the risk of prostate cancer, it is fine to begin therapy as long as your PSA and DRE are normal.

My doctor is afraid that testosterone therapy is dangerous for me because I have a strong family history of heart disease. Is this justified?

No. T therapy is not dangerous for the heart. In fact, there is growing evidence that it may be helpful for cardiovascular health.

 

Breck Aesthetics & Wellness FAQ

Non-Invasive Aesthetic and Wellness procedures including Weight Loss, Wrinkle Relaxers, Fillers, Skin Tightening and Toning, IV Therapy and Energy Support. Servicing Oklahoma, Miami, New York, Austin, Dallas, Houston, Buffalo, Kansas City, St Louis and Tampa. #FuelConfidence. We offer IV Therapy, Weightloss Treatments, Botox and Fillers. Our service area includes Oklahoma, OK - Miami, FL - New York, NY - Austin, TX - Dallas, TX - Houston, TX - Buffalo, NY - Kansas City, MO - St. Louis, MO - Tampa, FL Breck Aesthetics & Wellness - Our services include: Weightloss, Telemedicine, Anti-Aging, Wrinkle Relaxers, Fillers, Skin Tightening, Toning, IVTherapy, Laser Hair Removal, IV Therapy, Skin Care, Skincare, Steroid Injections, Botox Injections, GLP1 Injections, NAD+, Dysport Injections, Xeomin Injections, CO2Laser, CO2 Fractional Laser Treatmens, Medspa Services. Servicing: Oklahoma, Miami, New York, Austin, Dallas, Houston, Buffalo, Kansas City, St Louis, Tampa. #FuelConfidence Non-Invasive Aesthetic and Wellness procedures including Weight Loss, Wrinkle Relaxers, Fillers, Skin Tightening and Toning, IV Therapy and Energy Support. Servicing Oklahoma, Miami, New York, Austin, Dallas, Houston, Buffalo, Kansas City, St Louis and Tampa. #FuelConfidence. Non-Invasive Aesthetic and Wellness procedures including Weight Loss, Wrinkle Relaxers, Fillers, Skin Tightening and Toning, IV Therapy and Energy Support. Servicing Oklahoma, Miami, New York, Austin, Dallas, Houston, Buffalo, Kansas City, St Louis and Tampa. #FuelConfidence. We offer IV Therapy, Weightloss Treatments, Botox and Fillers. Our service area includes Oklahoma, OK - Miami, FL - New York, NY - Austin, TX - Dallas, TX - Houston, TX - Buffalo, NY - Kansas City, MO - St. Louis, MO - Tampa, FL Breck Aesthetics & Wellness - Our services include: Weightloss, Telemedicine, Anti-Aging, Wrinkle Relaxers, Fillers, Skin Tightening, Toning, IVTherapy, Laser Hair Removal, IV Therapy, Skin Care, Skincare, Steroid Injections, Botox Injections, GLP1 Injections, NAD+, Dysport Injections, Xeomin Injections, CO2Laser, CO2 Fractional Laser Treatmens, Medspa Services. Servicing: Oklahoma, Miami, New York, Austin, Dallas, Houston, Buffalo, Kansas City, St Louis, Tampa. #FuelConfidence. We offer IV Therapy, Weightloss Treatments, Botox and Fillers. Our service area includes Oklahoma, OK - Miami, FL - New York, NY - Austin, TX - Dallas, TX - Houston, TX - Buffalo, NY - Kansas City, MO - St. Louis, MO - Tampa, FL Breck Aesthetics & Wellness - Our services include: Weightloss, Telemedicine, Anti-Aging, Wrinkle Relaxers, Fillers, Skin Tightening, Toning, IVTherapy, Laser Hair Removal, IV Therapy, Skin Care, Skincare, Steroid Injections, Botox Injections, GLP1 Injections, NAD+, Dysport Injections, Xeomin Injections, CO2Laser, CO2 Fractional Laser Treatmens, Medspa Services. Servicing: Oklahoma, Miami, New York, Austin, Dallas, Houston, Buffalo, Kansas City, St Louis, Tampa. #FuelConfidence Non-Invasive Aesthetic and Wellness procedures including Weight Loss, Wrinkle Relaxers, Fillers, Skin Tightening and Toning, IV Therapy and Energy Support. Servicing Oklahoma, Miami, New York, Austin, Dallas, Houston, Buffalo, Kansas City, St Louis and Tampa. #FuelConfidence. We offer IV Therapy, Weightloss Treatments, Botox and Fillers. Our service area includes Oklahoma, OK - Miami, FL - New York, NY - Austin, TX - Dallas, TX - Houston, TX - Buffalo, NY - Kansas City, MO - St. Louis, MO - Tampa, FL Breck Aesthetics & Wellness - Our services include: Weightloss, Telemedicine, Anti-Aging, Wrinkle Relaxers, Fillers, Skin Tightening, Toning, IVTherapy, Laser Hair Removal, IV Therapy, Skin Care, Skincare, Steroid Injections, Botox Injections, GLP1 Injections, NAD+, Dysport Injections, Xeomin Injections, CO2Laser, CO2 Fractional Laser Treatmens, Medspa Services. Servicing: Oklahoma, Miami, New York, Austin, Dallas, Houston, Buffalo, Kansas City, St Louis, Tampa. #FuelConfidence Custom Website Designer