Frequently Asked Questions

Microneedling Secret RF

What is secret? 

Secret RF is a novel approach to deliver fractional radio frequency (RF) energy to all layers of the skin with minimal damage to the skin’s surface. The multi-layered treatment is tailored to each individual and their skin type while addressing their unique skin concerns during each customized treatment. Secret is simply the product name for the Cutera device which delivers energy to levels of the dermis to reorganize and restore collagen and tighten your skin.

What skin conditions does it treat? 

The Secret RF treatment is ideal for improving aging skin, photodamage, fine lines and wrinkles on the face and neck, scars, acne scars, skin quality and striae. The treatment is safe, effective and suitable for all skin types and patients seeking skin revitalization.

How does it work?

Secret RF uses mirconeedles to deliver radio frequency energy into varying levels of the skin including deeper layers where treatment is most beneficial. Unlike other devices which only deposit energy into the upper layer of the skin, Secret RF delivers RF energy below the surface where it’s needed most to help revitalize and regenerate the tissue. This unique delivery of energy allows us to achieve optimal results with little to no downtime on all skin types.

What is the Secret RF procedure like?

Depending on the area(s) being treated, Secret RF can be performed in a quick 15 to 30 minute treatment session. During the treatment, you will feel slight heating and some pressure on the treatment area. For most patients, the treatment is tolerable but your physician will work with you to maximize your comfort level.  Prior to the procedure, the spa staff will apply a numbing cream to the treatment area to increase comfort during the treatment.

How many treatments are needed to see results?

Patients typically need 3-4 treatments spaced 4-6 weeks apart, to achieve optimal results (of course, depending on their customized treatment plan). Most patients report seeing improvements after the second treatment; however, results are optimized 3 months after the last treatment.

What can I expect after my procedure? 

After the treatment, an ointment will be applied to the skin and you will be asked to refrain from wearing makeup for several hours. Any minor redness or swelling resulting from the treatment should subside in 12-24 hours. After the treatment, you can expect to return to normal activities.


Can I bring my own vials?

No. Turquoise Springs adheres to the strictest standards of the medical practice act and only uses the best products and medications.  We make absolutely certain the substances injected and the medications we use are stored properly and manufactured with the highest standards determined by the FDA and pharmacy manufacturing professionals.

Does skin type matter?

No, as long is there is no obvious abnormality of the skin.  It is not appropriate to inject if there is evidence of infection, inflammation, severe or uncontrolled acne, viral/herpes infection, fever blisters, or cold sores present.

How quickly could I see results?

With botulinum toxin the results will be noticed in 7-10 days.  With dermal filler for lips, creases and mid face volume loss, results will be noticed immediately.

How long do results last?

Botulinum toxin last for about 3 months depending on dose and whether or not it is used regularly.  If you come in regularly or at least every 3 months the dose will likely decrease slightly over time and the effect will last slightly longer.  With filler, duration is dependent on the product used and the tissue injected. Tissue which moves more, such as lips or areas around the mouth, tends to have shorter duration than less animated regions like mid face, temple, and tear trough regions.

Laser Skin Treatments

How long does the treatment take?

It depends on the area being treated and how many passes are necessary.  It might take 15 minutes for a small area or as much as an hour for an extensive treatment.  Your clinician will always explain the plan of treatment prior to starting the procedure.

What’s the difference between Laser Genesis and IPL Limelight?

Laser Genesis is a non-ablative laser using a 1064 Yag beam to stimulate tissue with heat to reduce wrinkles, stimulate collagen and reduce inflammatory redness from sun damage.

The Limelight IPL (Intense Pulsed Light) laser uses broad band light to reduce discoloration, sun damaged pigment spots, and stimulate the tissue to reduce redness and promote healing from sun damage.

I have sensitive skin. Will this hurt my skin?

It is important you let your doctor know so a spot test can be given to see you your skin reacts.  The clinician will start with low energy administered gently to see you how your skin reacts.  You may be asked to pre treat with a topical cream for several weeks before the actual treatment is given.

I have melasma (pregnancy mask). Can I still have this treatment?

Melasma can be made worse by heat energy treatments.  You may need to be treated for up to six months with oral and/or topical medications before light and laser treatment would be appropriate.  Melasma is a difficult problem but not impossible to treat if you have patience.  Patience is the most important tool to bring to the battle against melasma.

Is there downtime after these treatments?

There is very little downtime with non-ablative laser and light treatments.  Laser Genesis and Limelight IPL are such non-ablative treatments. Laser Genesis is known as the “lunch time facial”.  Ablative and fractionated treatments have more downtime but your doctor will make you aware if you should schedule well ahead of special events for more ablative therapies.  It is always important to protect your skin from sun immediately after a treatment. Sun screen, sun screen, sun screen. And bring a hat or cap to the treatment to wear home.

Are their requirements for pre- and post-sun exposure? 

Yes.  No exposure to direct sun 3 days prior to the treatment and immediately after the treatment.  Use sunscreen immediately after the treatment for the trip home.

How often can they be done? 

Most treatments as done no sooner than one to two weeks apart.  The Limelight IPL and Laser Genesis can be done at the same time or same clinic appointment if your doctor feels it is appropriate.

Laser Hair Removal 

What does it feel like?

Most patients say that at the least the treatment is slightly warm and at the worst a slight sting of a small rubber band.

Does hair color matter?

Yes, dark coarse hair is more easily treated.  Gray, blonde, and red hair is the most difficult to treat.  Hair color or dye makes no difference because the laser treats the bulb and root of the hair, not the surface hair.

How many treatments will I need to see results?

As few as one or two and as many as 4-6 treatments, depending on your individual needs. Your second treatment will happen when your hair is starting to grow again.  Treatment is only effective in Anagen phase (active growth phase) of the hair follicle.

Do I need to shave prior to my appointment?

Yes.  Since we are treating the follicle we do not need to “Burn” your surface hair.  It only causes smoke, smell, and toxins in the air. Shaving makes it safer for all and more pleasant for you and the clinician.

Can I wear make-up/ deodorant after the treatment?

Make-up may be worn immediately along with the necessary sunscreen.  Refrain from deodorant for 12 hours after treatment.

Will I be red or sore after treatment?

Slight redness, follicular inflammation (slight redness at the base of each hair), and very little soreness may be present after a treatment.  Most patients have no soreness.  Sunscreen is important for any skin that is exposed to the sun after a treatment.

Laser Vein Treatments

What does it feel like?

It may feel like a small rubber band being snapped against the skin.  It should not be any more intense than a short, small sting.  Always let your clinician know if it is uncomfortable and the laser intensity can be adjusted for your comfort.

Will I bruise?

It is very likely there will be some darkening of the vein that has been treated.  This may last for several weeks to several months.  Overt bruising is unlikely, but possible if the vein ruptures due to the application of the laser heat.

How many treatments will I need to see results?

One treatment may be as many as is needed, but most of the time follow up treatments will be required. Vein treatment can sometimes be like “whack a mole” as others will rise up after some veins have been closed.  Your doctor may decide the best initial treatment is sclerotherapy to close larger vessels, before closing the smaller “spider” like veins with heat or laser energy.

What happens to the vein/ blood that is treated?

It closes down due to the heat energy delivered and no longer functions.  Your body will dissolve it and get rid of it.  The blood flow your body needs will then run through other vessels deeper, under the skin, without missing a beat.

Body Contouring 

Am I a candidate for truSculpt 3D?

The provider will determine whether you are a candidate for TruSculpt HD during the consultation. Typically, appropriate patients have a BMI of less than 30.  Radiofrequency dissolution of fat cells can be very effective for bothersome pockets of fat in locations that are undesired by you and other patients. Your doctor may discuss overall fat reduction with diet and exercise, as well as the use of the TruSculpt HD device to obtain the best result for you.

Can truSculpt 3D be used on all skin types?

Yes, this treatment can be done on all skin types.

How long does a treatment take?

Treatment time depends on the specific area treated. The treatment of both sides of the abdomen takes 15 minutes for each side.  The flank area or “love handles” will take 15 minutes on each side. Treatment of all four zones will take about one hour.  Treatment of the fatty area under the chin will take 15 minutes.  The back of the upper arms will take about 15 minutes on each side, as will upper back fat pads.

How many treatments will be needed?

Studies have shown the TruSculpt HD will reduce 22-27% of the fat mass in the treated area.   Results may begin to be noticed after 6-8 weeks.  A second treatment may be indicated at 8 weeks if indicated or recommended by your doctor.  The radiofrequency heat delivered to the fat cells cause the fat cells to break down and the contents are taken away to be metabolized and eliminated.  The heat also tightens the coils of collagen and helps to tighten the tissue as the volume of fat is reduced. This one-two punch of fat volume reduction and skin tightening is the best form of body contouring short of invasive liposuction.

What will the treatment feel like?

The treatment is performed using a technique that requires the operator to lightly glide the handpiece over the area being treated. The temperature will slowly heat up as the treatment continues. Most patients comment that the procedure feels like a hot stone massage.

Can I return to normal activities after my treatment?

Yes, this is a non-invasive procedure and you can return to normal activities immediately after the procedure.

Is there any downtime after the treatment or side effects?

There is no downtime after this treatment. The treatment area may feel tender with possible redness following the treatment, but this will resolve within a few days.

Hair Restoration

Can this be done in one visit?

No.  The best results in the medical literature have been seen after three to four treatments spaced about 4 weeks apart.  For that reason, our medical director will only do this procedure if you agree to do at least 3 treatments.  We wish to make sure we can give you the best result possible.

What results can I expect?

It is possible your hair follicles cannot be stimulated to produce a viable hair follicle again.  In most patients, however, hair growth will begin with wispy, fine hair and progress to thicker and more viable hair growth by the end of the third treatment.  A fourth treatment may be indicated depending of progress.

How many treatments do I need to see results?

At least three treatment, four weeks apart.   At times a fourth treatment is necessary.

Does hair color matter?

However, the younger the patient, the more likely the treatment will be successful.It is better to start when hair is first thinning than to wait until the hair is thinning, greying, or absent.

Vitamin Infusion

How long does the infusion take?

An infusion takes about 45 minutes to one hour.




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