Most patients report discomfort scores of 1-3, with some sensitive areas maxing out at 5-6 on a scale of 1-10. Providers rarely use topical anesthetic because, compared to other treatments, 3DMIRCLE is very comfortable. This saves you in-office numbing time and potential skin irritation from the topical anesthetics.

Dr. Scott Gerrish recommends staying out of the sun for 3-4 weeks pre and post-treatment. Treating tanned skin with a laser is never recommended and can result in unexpected side effects. Your provider will recommend stopping using exfoliating products (scrubs & peels) one week before treatment to ensure your skin is not overly sensitive. Hydrate and keep your skin protected with SPF 30+ daily.  You will receive a 7-day post-recovery kit that addresses hydration and repair as a part of your Gerrish MedEsthetics 3DMIRCL Treatment Plan.  

3DMIRCL™ is an incredibly versatile, safe, and effective skin solution for virtually everyone. Anyone looking to rejuvenate skin,  address sun damage, or treat fine lines,  3DMRICL is suitable for you. FDA-cleared for all skin types.  3DMRICL offers safe skin solutions for skin of color since it has been proven safe on ALL Fitzpatrick skin types I-VI. Which is extremely unique in the world of skin lasers and resurfacing.

During your consultation with Dr. Scott Gerrish or Gerrish MedEsthetics Expert, they will review your health history and confirm your treatment goals. With over 25 years of experience, Dr. Gerrish does not believe there is a one-machine-fits-all approach. 3DMIRCL may, in fact, be the ideal solution or a combination of protocols to help you achieve your desired results.

During your private consultation with Dr. Scott Gerrish or Gerrish MedEsthetics Expert, a Treatment Plan will be outlined. Depending on your goals, your skin may need a short series of 3DMIRACL™ treatments OR a combination approach utilizing multiple UltraClear™ modes to address deeper lines, wrinkles, and scars. Nothing is “one-and-done,” but since UltraClear offers a better laser experience for patients, it is an easy skin solution to incorporate into your skincare plan.

The recommended “prejuvenation” treatment plan to slow the aging process is a package of six 3DMIRACL treatments spaced two months apart.

It is recommended to stay out of the sun for 3-4 weeks pre and post-treatment. Treating tanned skin with a laser is never recommended and can result in unexpected side effects. Your provider may also recommend stopping using exfoliating products (scrubs, peels) one week before treatment to ensure your skin is not overly sensitive. Hydrate and keep your skin protected with SPF 30+ daily.

Most patients report discomfort scores of 1-3, with some sensitive areas maxing out at 5-6 on a scale of 1-10. Providers rarely use topical anesthetic because compared to other treatments, UltraClear is very comfortable. This saves you time and potential skin irritation from the topical anesthetics.

With no numbing cream (topical anesthetic) required, your 3DMIRACL™ Treatment with UltraClear should take an average of 10-15 minutes. It indeed can be done over a lunch break.

According to Dr. Scott Gerrish, it is usual for patients’ skin response post-treatment to vary significantly. Some patients feel nothing except a slightly warm feeling. Other patients may the sensation of sunburn.  Either way, this tingly heat resolves relatively quickly, within minutes to a few hours.  It is extremely common to head straight back to work or head out to dinner immediately after your 3DMIRCL treatment at Gerrish MedEsthetics.


Everyone’s definition of downtime is different.


Because the treatment works superficial (meaning only on the uppermost layer of the skin), there is no dermal exposure – there is minimal to no downtime.  Many patients report post-treatment minimal pinkness and slight puffiness (feeling like you have been in the sun) for several days. You may have some dry, flaking skin which is a good thing.


You may begin to notice results within 24 to 48 hours, with full results in 30 days, with results lasting up to four months for moderate to severe frown lines. Remember that results vary from patient to patient though, so your physician will plan your next appointment based on your results and aesthetic goals.

Start talking about your goals with one of our nurse injection specialists today and find out what you could expect.

Your specialist will discuss your treatment goals and perform a facial analysis to determine the appropriate treatment areas for you. If Dr. Gerrish or one of our outstanding Injectors deems you to be an appropriate candidate, the injection may take place on that same day. Some patients report that being injected with BOTOX Cosmetic feels like a pinch. Your specialist may use ice to numb the treatment area. Or, if you are concerned about discomfort, your specialist may apply a topical numbing cream before administering your treatment.

Treatment requires minimal downtime. So you can return to your daily routine immediately after you leave our office.

It’s not your age that determines when BOTOX® Cosmetic is right for you, it’s the severity of your lines. In fact, 64% of plastic surgeons report seeing a rise in cosmetic surgery or injectable treatments for patients in their early 30’s.

The truth is, everyone’s lines form differently. The timing can be influenced by a combination of factors, from cellular changes that may occur over time, to reduction of collagen, to genetic factors, or damage caused by free radicals from the sun and the environment.

Whenever your lines start to bother you, it’s time to talk with us. Dr. Gerrish and our amazing team of award winning Injectors will design the ideal treatment plan for you. go speak with your doctor. They can help you determine if treatment is right for you.

Check out these before and afters done by the Gerrish MedEsthetic Team. 

Not at all! Many men make BOTOX® Cosmetic part of what they do to care for their appearance.

The number of men choosing treatments like BOTOX® Cosmetic has risen fast – in the past three years alone, men have received over one million botulinum toxin treatments. When surveyed, the majority of men say they want to look good and they’re bothered by the changes they see in the mirror. 80% would choose to treat their crow’s feet first, while 74% would prioritize their forehead lines, and 60% would most like to treat their frown lines.

Results from a survey of men to determine most likely treatment areas and top areas of concern for injectable-naive,
aesthetically-oriented men aged 30 to 65 years (N=600). Proportion of respondents selecting that area as highest priority to treat using the Maximum Difference (MaxDiff) scaling system.

BOTOX® Cosmetic is a technique-sensitive treatment. You can trust BOTOX® Cosmetic to deliver subtle results when you are treated by someone who is licensed, trained, and a medical expert in facial anatomy. So you’ll look like yourself—only with less noticeable lines. No one should be able to tell you’ve had anything done.

Compare the before and after pictures of real patients in our gallery, and see the difference for yourself.

Gerrish MedEsthetics Real Patients Real Results Before and After Gallery 

BOTOX® Cosmetic 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. Your specialist will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity. You will begin to notice your frown lines between your brows, your crow’s feet lines and your forehead lines temporarily look better.

BOTOX® Cosmetic is the #1 selling treatment of its kind*:

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BOTOX® Cosmetic is the #1 selling treatment of its kind*:



  • Its the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow’s feet, and forehead lines look better in adults
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  • Treatment requires minimal downtime. You can return to your daily routine immediately after you leave your specialist’s office
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  • You may begin to notice results within 24 to 48 hours for moderate to severe frown lines. Full results in 30 days
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  • It delivers predictable, subtle results, so you look like you, only with less noticeable facial lines
  • \r\n


Join the millions of men and women who make BOTOX® Cosmetic part of what they do to care for their appearance. Ask for the first and only BOTOX® Cosmetic by name.


See Why BOTOX® Cosmetic Is Different


*Data collected through 2020.

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  • Its the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow’s feet, and forehead lines look better in adults
  • Treatment requires minimal downtime. You can return to your daily routine immediately after you leave your specialist’s office
  • You may begin to notice results within 24 to 48 hours for moderate to severe frown lines. Full results in 30 days
  • It delivers predictable, subtle results, so you look like you, only with less noticeable facial lines

CO2RE Intima

You will be treated by the best at Gerrish MedEsthetics. Nurse Cheryl Scaaf is Scottsdale’s leading women’s health expert. In fact, Nurse Cheryl has trained more than 2000 other medical practitioners worldwide on the art and science of Intimate Therapies – Vaginal Rejuvenation. Having performed more than 3000 procedures, she is the go-to expert if you want the best.

  • Treating dryness, itching, pain, and dyspareunia associated with loss of estrogen
  • Treating Pigmentation, dystrophy, and laxity
  • Restoring Vulva and Vaginal tone, flexibility, and shape

Additionally, CO2 RE Intima utilizes a CO2 laser. CO2 lasers have been proven to remodel tissue with the formation of collagen and elastic fibers in atrophic skin. CO2 technology also provides physicians with the ability to treat both superficial and deep skin layers simultaneously and with the precision control they need over the intensity, pattern, and depth of ablation, which is very important for treatments to this intimate area.

CO2RE Intima is FDA cleared to treat all 3 of a woman’s intimate areas – the vaginal canal, the introitus, and the external vulva/labia. CO2RE Intima uses laser energy to relieve the signs of aging and childbirth and the changes and symptoms women may be experiencing related to vaginal wellness

With CO2re Intima, there is virtually no downtime. Patients can return to normal activities right after the procedure but should refrain from sexual activity for 7 days.

Many CO2RE Intima patients feel and see improvement after the first treatment, although the procedure calls for three treatments spaced 3-4 weeks apart for optimal results. After the third treatment, patients should expect an annual maintenance treatment to sustain results.

The procedure is virtually painless, requires no anesthesia when performed intravaginally. Vulvar anesthesia is achieved with topical medication. The procedure typically takes around 15 minutes to treat both internally and externally.


CoolSculpting Elite offers a number of improvements over CoolSculpting Legacy, including the following:


Improved Applicators

CoolSculpting Elite applicators are no longer U-shaped but C-shaped, and come in 7 different shapes and sizes. This new and improved design better fits the body’s natural curves. CoolSculpting Elite’s advanced applicators make treatments more comfortable and more efficient.

Enhanced Fat Removal

Thanks to improved contact between the applicator and the skin’s surface, cooling is faster and results are improved. CoolSculpting Elite removes 20-25% fat in a single treatment, versus its predecessor which removed 18-20% fat at each visit.

Faster Results In Fewer Treatments

CoolSculpting Elite makes contact with the body in a more efficient manner, as Elite applicators cover up to 18% more skin surface than CoolSculpting Legacy. This means larger treatment areas can be targeted in less time (shorter treatment sessions). Not only that, but each device has the ability to use two applicators at the same time (commonly referred as Dual Sculpting). Each CoolSculpting Elite machine can address two different treatment areas at the same time. This shortens appointment times considerably, since multiple areas can be treated at one.

Enhanced Comfort

Improvements to the CoolSculpting machine itself means treatment is quieter and more precise. CoolSculpting may feel like mild pinching or pulling until the area is numbed. Superior freezing technology reduces discomfort by freezing the treatment area faster. Not only does this reduce physical discomfort but allows for sessions to feel more relaxing.

The result of 10 years of research and design improvements, CoolSculpting Elite provides a better overall experience and results that are visible sooner.


5 Ways New CoolSculpting Elite Is Better Than Ever

CoolSculpting has been the leader in fat freezing body contouring treatments. With over 8 million procedures preformed worldwide.  The makers of CoolSculpting have taken their extensive 10 year proven track record and improved the entire procedure.

  1. Eliminates up to 20-25% of treated fat cells. For good.  CoolSculpting ELITE removes more than 20-25% of unwanted fat – an improvement on the classic model, and the best fat-freeze stats out there!
  2. 18% More Coverage It’s true:  CoolSculpting Elite covers 18% more skin surface, targeting more fat cells in the same treatment time. You get more body surface coverage at no addition cost.
  3. Dynamic Duo.  The new CoolSculpting Elite is always a DualSculpting session. Whereas the old model had only one lonely applicator, ELITE has two.
  4. Eliminates up to 20-25% of treated fat cells. For good.  CoolSculpting ELITE is the culmination of 10 years of CoolSculpting research, development, and widespread use. The device is now sleeker, more compact, and offers superior freezing technology.
  5. 9 Treatment Areas  The one and ONLY treatment FDA-cleared to eliminate stubborn fat in 9 different areas of the body including under the chin and jawline areas, thighs, abdomen and flanks, along with bra fat, back fat, underneath the buttocks, and upper arms.
    You wouldn’t buy an old iPhone, so don’t compromise on your fat freezing treatments! Get CoolSculpting Elite at Gerrish MedEsthetics Vienna, VA and Scottsdale, AZ

Over the last 20 to 30 years the history of non-invasive cosmetic procedures has been very tumultuous. There have been a number of technologies that have disappointed both physicians and patients in delivering the results they have promoted. A conservative and very critical physician will approach new technology with skepticism until proven otherwise. Since CoolSculpting’s commercial launch in the fall of 2009, over 4 million treatments have been performed to date worldwide. Many physicians are now adopting Coolsculpting based on its proven track record of delivering consistent and reliable results.

As to where the fat goes, there are two main pathways. The first is your body could utilize or “burn” the stored energy of the fat during your daily activities or exercise. In this case, the fat is metabolized to H2O and CO2. The water is eliminated in the urine and the carbon dioxide is expelled when you breathe/exhale. The second process is through your body’s natural mechanism of removing damaged or unhealthy cells. Through a sophisticated process, the fat cell is removed via the lymphatics, liver, and bowel movements.

Lastly, the fat cells are permanently removed. Your body contour should remain stable as long as your weight remains consistent. The remaining or untreated fat cells in the treated area will be able to expand or increase in size if you were to gain weight but should not be more than if the area was not treated.

What kind of applicator is best suited for my abdominal area – how many cycles?

Unfortunately to get an accurate treatment plan you should have an in-person consultation with an experienced CoolSculpting provider. Most practices offer complimentary consultations along with discussing realistic expectations and a detailed fee quote.

This Q was submitted to Dr. Gerrish but initially treated in another clinic

Redness and hotness are normal in the short-term following CoolSculpting.  It is also normal to experience transient numbness, bruising, soreness, and mild warmth in the treated area. It is however unusual to experience redness and hotness at the 2-week mark. I have seen patients with a post-treatment course similar to yours as a result of mild panniculitis (an inflammatory process of the fat layer) following CoolSculpting. I recommend a follow-up with the treating physician for an accurate diagnosis.

The instances of paradoxical adipose hyperplasia (PAH) is very rare. The new Advantage applicators have reduced the instances of PAH even further. At this point, the etiology of PAH is unknown and there is currently no evidence that diet and/or exercise would influence the instances of PAH. Diet and exercise will however complement your CoolSculpting results and offer the best possible overall outcome.


Hello – I went to Ideal Image for a consultation for CoolSculpting. I’m 5’5 and 145 pounds. To do upper and lower abdomen she gave me a quote with 8 applicators – I’m assuming she quoted me with the smaller applicators – each being 35 minutes and all in one sitting. I haven’t seen any reviews with this many applicators – does this seem right?


Unfortunately, without an in-person examination, it is very difficult to assess the number of cycles you would need to completely treat your upper and lower abdomen. However, I can say that multiple cycles in one appointment are completely safe. For the best results, it is recommended to follow the Treatment to Transformation protocol. The Treatment to Transformation protocol dictates that the entire cosmetic area (i.e. stomach, love handles, back, etc) be treated fully to obtain the best body contouring response. Blood work looking at cholesterol, liver function, triglycerides, etc were analyzed and found to be stable in the studies used to obtain CoolSculpting’s FDA clearance.


How do I know if my therapist is qualified in CoolSculpting?


One of the very unique opportunities for medical offices that offer CoolSculpting is the ability to send their staff to a CoolSculpting Training Center, also known as CoolSculpting University (CSU). Currently, there are two training centers in the United States (Virginia & California). As the East Coast Medical Director of the Virginia CSU, the comprehensive programs teach medical professionals from around the world the latest techniques and best CoolSculpting practices through the 3-day intensive training program. In addition to CSU training. I would also recommend you feel comfortable with the treatment plan that will address your body contouring concerns.

NOTE: Dr. Gerrish is the Medical Director of CoolSculpting University. To date, Dr. Gerrish has trained over 5,000 medical professionals on how to get the best patient results.


CoolSculpting on inner and outer thighs. One side feels normal, the other side is tender. Does that mean it didn’t work?

My outer right thigh is swollen and much more tender yet numb than any other part of my thighs. I have slight tenderness on the left inner thigh. The treatments were done to the right inner and left outer and then switched to the opposite sides 5 days ago. Is it possible only one side worked? Is it possible that the tender swollen side is Paradoxical hyperplasia that people speak of? I’m a little concerned. I’ve been massaging the area and drinking tons of water as directed. Please advise.



It is very common to experience varying degrees of numbness and tenderness in CoolSculpted areas. The good news is that there is no correlation between post-treatment tenderness and the effectiveness in fat reduction. Paradoxical Hyperplasia (PAH) is a very rare occurrence (1 in 25,000 with the new Advantage applicators) and is typically not seen until about 4 months after treatment. Additionally, there appears to be no correlation between the amount of bruising, tenderness, or numbness and the development of PAH. Massaging the area is an important aspect of the treatment immediately after removing the applicator. Continued massage days after the treatment will not offer additional benefit and may actually increase the tenderness you are experiencing.


I measure every week with no change today is my 6th week —at least the soreness has lessened some–still same “belly”-due for the second procedure on August 16th if I can handle pain–what should I get for after –rub on cream???? should I have it done again on 16th-past 6 weeks have been awful–HELP



With CoolSculpting you may begin to see an initial response around the 6th week. On average, it will take 12 to 16 weeks to see the final result. With you being at 6 weeks, I would not expect to see any significant changes yet. You still have another 6 to 10 weeks of improvement. While soreness can be present several weeks after the treatment, it is unusual to persist into the 6th week. I would recommend you follow up with your CoolSculpting provider to discuss your ongoing discomfort and to possibly push your second treatment further into the future until the area has fully recovered


I went for a Coolsculpting consult for my saddlebags at a new medical spa. The doc said the procedure will take two hours long: one hour for each side. I saw the applicator and it is not the one that uses suction. From what I’ve been reading, the process should take 2 hours on each side=4 hours total. Can someone clarify, please?



The outer thigh or saddlebag area can not be treated with the traditional suction applicators. There are two generations of applicators currently available to physicians that can treat the outer thigh, the CoolSmooth, and the CoolSmooth Pro. The CoolSmooth has a treatment time of 2 hours (4 hours in total) and the CoolSmooth Pro is 75 minutes (2 1/2 hours in total). Both applicators will have similar efficacy. Keep in mind that practice with two machines may be able to halve the treatment time by DualSculpting (using both machines at the same time).


Would it be helpful to wear a compression hose following to alleviate swelling?


The post-treatment course has changed significantly since the release of the new Cool Advantage applicators. The amount of swelling, bruising, and post-treatment discomfort has been dramatically reduced. From a medical standpoint, compression following CoolSculpting is not necessary. With that being said, some patients have reported that compression garments do help with the soreness they may experience during the first week after CoolSculpting. I always advise patients to try compression if they do experience some post-treatment soreness and assess if it offers some relief.


So I was curious I have the basics of where CoolSculpting is done on the lower body. However is it possible to do the front sides of the legs and beside the knees? I wanted to have slimming done on my lower half however I’d prefer not to go invasive if possible.


Over the last several years CoolSculpting has expanded its FDA clearances to include areas on the legs, specifically the inner thigh, the outer thigh, the ‘banana roll’ – the bulge just below the buttocks, and above the knee. For all of these areas, a careful evaluation must be performed to assure the bulge is amenable to treatment and the applicator geometry. To date, there is not an applicator for treating the front side of the leg other than just above the knee.


I had coolsculpting on my stomach but the technician only very briefly rubbed the area. I have read that massaging is very important to the coolsculpting results. Will I still see a good difference in the treated area even without the massage?


The most up-to-date protocol we teach at CSU is to perform a 2-minute manual massage after removing the treatment applicator. CoolSculpting will cause fat reduction with or without the massage, however, it has been shown that the manual massage will further increase the fat cell destruction, i.e. results when done properly. An experienced CoolSculpting provider may limit the massage or forgo it completely if the goal is to ‘feather in’ a bulge that purposefully needs less fat reduction. A discussion with the treating practitioner may help you in understanding your treatment


How cold do you have to freeze the fat with a cool Machine for it to really freeze those cells like -10 below? And will it ” burn” the skin being that cold?


The temperatures used in Coolsculpting have been rigorously evaluated to maximize fat reduction while maintaining a substantial safety margin. Continual temperature monitoring is utilized during the treatment to assure safety. During the treatment, the skin reaches about -11 degrees Celsius with the superficial fat getting to about -8 or -9 degrees Celsius and the deeper fat reaching approximately 0 to +4 degrees Celsius. The temperature of the fat is the critical aspect of CoolSculpting to achieve cryolipolysis or fat cell destruction. The special CoolSculpting wipes used on the treatment area lowers the freezing point of the skin and allows the skin to withstand the colder temperatures


I had CoolSculpting done to my outer thighs yesterday. By the time I got back home, I was hardly sore and now there is only a dull ache. No itching, tingling, numbness, and not that much or no swelling (non that I can notice). Did I just get lucky or is my body too resistant to the treatment/ the treatment isn’t working?  I went to a very professional well-reviewed and certified office to get this done.


The applicator used for treating the outer thighs has a drastically different post-treatment course than the traditional CoolSculpting suction applicators. In general, the outer thighs have less swelling and rarely bruise. Itching and tingling, if you are to experience it, usually happens several days after the treatment. You should expect to see the beginning of your results in 4 to 8 weeks.


Does Coolsculpting get rid of or change the number of fat cells on your body?


As adults, the total number of fat cells is fixed and we are not able to create new fat cells unless we become morbidly obese. With CoolSculpting the treated fats cells are destroyed permanently. Since CoolSculpting has reduced the number of fat cells and we are not able to create new ones, the total number of fat cells in the body will be permanently reduced.


CoolSculpting: Would getting rid of extra water weight before a session help freeze more fat cells?


Altering your body’s water balance prior to CoolSculpting will not influence your final results. The cooling profile from the treatment is delivered and monitored accurately so each patient gets safe and consistent results.


may I know Zimmer Cryolipolysis is a CoolSculpting treatment but just using a different machine? how was the result for Zimmer? Does any surgeon recommend Zimmer compare with Zeltiq? because the prices are very different and my biggest concern is the EFFICIENCY and result. I plan to go for lower abdomen treatment. please advise me as I’m a bit confused now.



The Zimmer Corporation manufactures a medical-grade cooling device that assists in both skin cooling and pain control for dermatological procedures. The Zimmer does not have the ability to create any changes and/or reductions in the fat layer. CoolSculpting on the other hand uses cryolipolysis to cause fat cell death resulting in non-invasive body contouring. In regards to the most efficient and successful non-invasive body contouring treatment, it is my feeling that CoolSculpting is the current gold standard.


I had coolsculpting 4 weeks ago nearly on my upper and lower stomach but I still haven’t seen results? Also, I want to get in on the roll of fat just under my bra line but would this be classed as upper stomach?


It is absolutely normal and to be expected that at the 4-week mark you do not see much or any results from the CoolSculpting treatment. On average, patients will see the start of the results at 6 weeks. By 8 weeks patients typically see 50% of the results and by 12 to 16 weeks the full response is obtained.

The upper abdomen bulge just under the breast can be treated with Coolsculpting as long as the geometry of the applicator and the bulge match. An examination by an experienced Coolsculpting provider can qualify if the area is appropriate for treatment.


Varying based on the treatment area, Cooltone™ treatments take 20-30 minutes per area. Many of our patients book back-to-back Zone Sessions since CoolTone works for abs, buttocks, and thighs.

A complimentary consultation with Dr. Gerrish or one of our other top providers will help determine the number of treatments needed for your desired result. Pricing is per treatment area and is based on the number of treatments required.

People with excess fat or certain health conditions and medical implant devices may not be good candidates. Possible contra-indicators include metal or electronic implants, cardiac pacemakers, implanted defibrillators and neurostimulators, drug pumps, malignant tumors, hemorrhagic conditions, and epilepsy, pregnancy, nursing, menstruation, and recent surgical procedures.  The only way to know for sure if CoolTone will work for you is a complimentary, private consultation with our team at Gerrish MedEsthetics.

The best way to learn if you are a candidate for CoolTone is to come in for a consultation. However, if you are in good physical condition with a low body fat percentage and visible muscle movements, you could most likely benefit from CoolTone.

While we all would love a one and done, CoolTones does require a series of treatments. For optimal results, most people require six treatments, within a three-month time frame. After that, maintenance is recommended every three to four months. The number of treatments you need to meet your goals will depend upon your current condition, medical history, and lifestyle. During your consultation, we will work with you to develop a treatment plan to provide you with the results you desire.

We have many patients who are not yet comfortable or allowed back into their gyms, so CoolTone has become their “exercise of choice” to keep working out the body.

Results include firmer, toned, and stronger muscles. Local fat reduction may also occur, which can help show off your newfound results. It’s recommended that patients get six CoolTone treatments to see their ideal results.

Some people report seeing noticeable muscle tone and increased ab definition one day after a full treatment cycle. As far as clinical trials go, CoolTone measured a 16% increase in muscle mass and fat reduction two months after the treatment cycle.

Keep in mind everyone and everybody is different.

Areas of treatment.

CoolTone is FDA-cleared to strengthen, tone, and firm three separate areas. Envision a more toned stomach, tighter thighs, and firm buttocks.


The primary difference is that CoolSculpting works to eliminate fat, and CoolTone works to tone and strengthen muscles. Together, these innovative treatments can provide the transformational body contouring results you’ve been striving to achieve. Many of our patients find that combining them both helps to fast-track their results. Keep in mind one is for reducing the fat within the body and the other works the muscles to tighten and tone. Think shrink. Think tight.

There are so many ways you can benefit from CoolTone! This innovative treatment can help you lift and tone your buttocks, define your abs, and thigh. Look to CoolTone to help you increase your core strength for better posture, and improve your overall appearance, fitness, performance, and confidence.

CoolTone® uses Magnetic Muscle Stimulation (MMS) to selectively deliver strong pulses to muscle tissues in a noninvasive manner. CoolTone’s MMS technology penetrates into the muscle layers and induces involuntary muscle contractions, all in a safe and effective treatment. CoolTone® is FDA-cleared to strengthen, tone, and firm the abdomen, buttocks, and thighs.

The CoolTone applicator generates a magnetic field that creates a current when it passes through a conductive material. Muscles are good conductors of magnetic fields, unlike skin and fat, which are poor conductors. The induced current is stronger in the muscle layer and the body responds to these contractions by strengthening its muscle fibers and improving muscle conditioning. The result is a stronger, firmer, and more toned abdomen, thighs, and buttocks.


In short, no, and here’s why. Units are like fingerprints—they are a proprietary measurement of a treatment’s unique potency.

Because of the differences in how treatments are formulated and tested, you cannot compare or convert Units between them, just like you cannot compare 2 fingerprints.

A clearer way to understand dosing is to look at how many nanograms of active ingredient (botulinum toxin type A) a product has.

Double the Units does not mean double the dose.


Approved frown line dose: 40 Units

Amount of active ingredient: 0.18 nanograms

BOTOX® Cosmetic

Approved frown line dose: 20 Units

Amount of active ingredient: 0.18 nanograms

As you can see, despite the number of Units, DAXXIFY® isn’t 2x the dose of BOTOX® Cosmetic. Talk to your provider about DAXXIFY® and your aesthetic goals.

DAXXIFY® is the only long-lasting frown line treatment powered by a peptide.

Results last on average 6 months and up to 9 months for some.

All frown line treatments require a special ingredient to stabilize botulinum toxin A, the protein responsible for helping smooth moderate to severe frown lines. For instance, BOTOX® Cosmetic uses human serum albumin (HSA), a blood product, as its stabilizer. Dysport®, another frown line treatment, uses HSA as a stabilizer and cow’s milk protein as a protectant.

DAXXIFY® is unique because it is the only formulation that uses a novel peptide as a stabilizer and does not contain human or animal byproducts.

†At least 50% of patients in clinical studies had no or minor frown lines 6 months after treatment. Between 3% and 5% of patients in clinical studies had no or minor frown lines 9 months after treatment. In other safety studies, between 5% and 17% of patients still had noticeable improvement 9 months later.


All frown line treatments require a special ingredient to stabilize botulinum toxin A, the protein responsible for helping smooth moderate to severe frown lines. For instance, BOTOX® Cosmetic uses human serum albumin (HSA), a blood product, as its stabilizer. Dysport®, another frown line treatment, uses HSA as a stabilizer and cow’s milk protein as a protectant.

DAXXIFY® is unique because it is the only formulation that uses a novel peptide as a stabilizer and does not contain human or animal byproducts.

Is your frown line treatment not lasting as long as you would like? If so, DAXXIFY® could be the solution for you. Discuss your treatment goals with your aesthetic services provider. It all starts with a private consultation with Dr. Scott Gerrish or one of Gerrish MedEsthetics nurse injectors where they will design the ideal treatment plan for you.


VIENNA 703.255.5580 

ALEXANDRIA 703.549.9940

SCOTTSDALE 480.651.8110

DAXXIFY® is FDA-approved to smooth moderate to severe lines between the brows. It is the only long-lasting frown line treatment powered by a peptide with results that last on average 6 months and up to 9 months for some.*

The active ingredient in DAXXIFY® is a purified protein called botulinum toxin type A.

*At least 50% of patients in clinical studies had no or minor frown lines 6 months after treatment. Between 3% and 5% of patients in clinical studies had no or minor frown lines 9 months after treatment. In other safety studies, between 5% and 17% of patients still had noticeable improvement 9 months later.


The cost depends on you and your needs. Everyone’s a little bit different. It’s important to come into our center for a complimentary consultation and discuss exactly what your needs are. You will receive a personalized Gerrish MedEsthetic Treatment Plan with pricing at your in-person or virtual consultation.  Keep in mind that Botox and Dysport “units” are priced differently so it is not apples to apples. But rest assured you will know exactly what is needed and the fees to achieve your look.

Treatment is quick and safe. Many people even get treatment during their lunch break, as sessions only last about 10 to 20 minutes.  Many of our patients are treated with Dysport and additional fillers in the same appointment.

You’ll see the effects of Dysport® for up to four months. It’s important to note that you should not be treated with Dysport® more frequently than every ninety days.

One injection. Five points.

Dysport temporarily treats moderate to severe frown lines between the eyebrows by reducing specific muscle activity.

Wrinkles are caused by repeated movements and muscle contractions.7 One injection into each of the 5 points between and above the eyebrows temporarily prevents muscle contractions that cause frown lines.

In other words: natural-looking results that look and feel like you.

Dysport® is a prescription injection for temporary improvement in the look of moderate to severe frown lines between the eyebrows (glabellar lines), forehead wrinkles, and crow’s feet. It’s FDA-approved and it helps diminish the appearance of unsightly lines by reducing muscle contraction in the brow and forehead area, and in turn, improves moderate to severe frown lines.\

Don’t let your frown lines between your eyebrows define you. For adults who want a natural look, Dysport is a natural-looking, fast-acting1-3, long-lasting1,2,4 prescription injection proven to help smooth moderate to severe frown lines between the eyebrows—without changing the look or movement of the rest of your face.

Dysport is approved in 69 countries5 and has 25 years of clinical experience worldwide.6* Find out why 97% of women treated with Dysport say they’d do it again.7†‡

*Includes therapeutic and aesthetic uses.
Subject’s satisfaction and self-perception reported 3 weeks after treatment (n=531).
Design: Multicenter, prospective, non-interventional observational study conducted in France, Germany, Spain, and the United Kingdom (n=533). Subjects were eligible if the investigator had decided to prescribe Dysport according to the labeling. Subjects completed questionnaires at 3 weeks and 4 months after treatment.


Do not receive JUVÉDERM® injectable gel fillers if you have a history of severe allergic reactions (anaphylaxis), or if you are allergic to lidocaine or the proteins (Gram-positive bacterial proteins) used to make hyaluronic acid (HA) in JUVÉDERM® injectable gel fillers.

Results may last one year to two years, with optimal treatment and depending on the formula used. Please read each product description to see how long results last with each formula, based on what was observed in clinical studies.

You will see results immediately/instantly.

Join AllēSM, the new and improved loyalty program by the makers of JUVÉDERM®, for savings on treatments within the JUVÉDERM® Collection. With AllēSM, you can earn 200 points for qualifying JUVÉDERM® treatments that you can redeem for savings on future treatments.

AllēSM also rewards you for getting a variety of in-office treatments from other brands too. Then, redeem points for savings on your favorite Allergan Aesthetics brands. Use points as you go, or store them in your Wallet for big savings later. 100 Points = $10 toward qualifying products and treatments. * current rewards. subject to change by Allergan.

The cost not only includes the price of the product but, more importantly, the skill and expertise of the specialist or healthcare professional who is administering your treatment. Look for someone who is licensed and trained and has experience treating patients with the JUVÉDERM® Collection. Be wary of discount products or “cheap” JUVÉDERM®Collection treatments —if it sounds too good to be true, it probably is.

It is more important to find an experienced specialist who will take the time to understand your treatment goals and develop a treatment plan that is right for you.

JUVÉDERM® injectable gels labeled with “XC” contain pain-reducing lidocaine to help manage pain or discomfort during the injection. You may also ask your aesthetic healthcare provider about a topical numbing cream or ice to help further minimize discomfort.

Your aesthetic healthcare provider will take your medical history and provide a facial analysis. Be prepared to discuss your aesthetic areas of concern. This is not a surgical treatment. The actual treatment with JUVÉDERM® injectable gels can take 15 minutes to 60 minutes, depending on which area of your face is being treated.

The JUVÉDERM® Collection of Fillers is made from hyaluronic acid (HA). HA is a natural substance in the skin that delivers nutrients, helps the skin retain moisture and softness, and adds volume. Each product in the JUVÉDERM® Collection of Fillers is made from a modified form of HA.

Different formulations are approved to either volumize cheeks, smooth parentheses lines, smooth vertical lip lines, or plump the lips. The results are subtle and long-lasting.

  • JUVÉDERM VOLLURE XC softens moderate to severe parentheses lines and wrinkles by adding subtle volume around the nose and mouth in adults over the age of 21.
  • JUVÉDERM VOLUMA® XC adds volume to the cheek area to correct age-related volume loss in adults over 21.
  • JUVÉDERM VOLBELLA® XC adds subtle volume to lips and softens the appearance of vertical lip lines.
  • JUVÉDERM® XC smooths moderate to severe parentheses lines and wrinkles around your nose and mouth.
  • JUVÉDERM® Ultra XC adds fullness and plumps lips as well as smooths and corrects moderate to severe parentheses lines in adults.

JUVÉDERM® is the #1 selling collection of hyaluronic acid fillers in the U.S. Each product in the JUVÉDERM® Collection of Fillers adds volume to a different area of the face—without surgery. All JUVÉDERM® fillers are smooth, crystal-clear gels that are administered by injection in your aesthetic healthcare provider’s office.

Juvederm Volux

While women aim for slimmer jawlines, men dream of chiseled profiles with perfectly angled jaws and straight lines. This is possible with a jawline filler treatment, considering and understanding both genders’ key differences in facial anatomy.

It’s all about feminine curves versus straight lines. Square jawlines versus oval/heart-shaped ones! So, dermal fillers are suitable for men and women alike to enhance their bone structure.

Yes, Juvéderm Volux can be used in combination with almost all of our other facial rejuvenation treatments – including Botox, other dermal fillers, peels, microneedling and more to achieve a more comprehensive facial rejuvenation.

Good candidates for Juvéderm Volux jawline enhancement are individuals who are looking to improve the definition and contour of their chin and jawline. It is extremely effective for individuals who have lost volume in the jawline due to aging or weight loss. Many of our male patients who have a “weak chin” love Volux for creating a stronger, more masculine jawline. And our female patients frequently use Volux to turn a round face into a more desirable “V” or oval shape.

Most patients report minimal discomfort during the injection process, as the Juvéderm Volux contains lidocaine, a local anesthetic that helps to numb the area.

Yes, Juvéderm Volux is considered safe for jawline enhancement when administered by a trained and experienced injector. Hyaluronic acid fillers are a well-established treatment in the aesthetic industry and have a long track record of safety. Juvéderm Volux is an FDA-approved dermal filler. This approval was based on clinical trials that demonstrated the safety and efficacy of the filler for jawline enhancement.

Juvéderm Volux is a long-lasting filler, with results lasting 12 months, and on some patients it can last up to 18 months. Individual results will vary depending on personal factors such as age, lifestyle (smoking, tanning, facial expressions), and metabolism

There is typically no downtime associated with Juvéderm Volux jawline enhancement, and patients can return to their normal activities immediately after treatment. However, some swelling and bruising may occur in the injection area, which can take a few days to resolve.

Juvéderm Volux is injected into the jawline area using a fine needle. The injections are made along the jawline to add volume and improve definition. The treatment will be customized to the individual patient’s needs, with more or less filler used depending on the desired result. When administering Juvéderm Volux for jawline enhancement, our highly skilled injectors will first assess the patient’s jawline to determine the appropriate injection sites. Using a comination of art and science they will detemin the ideal amount of filler needed to achieve the desired results.

The Juvéderm Volux filler is then injected to add volume, definition, and/or symmetry to the jawline, which can help to create a sharper or more angled chin and jaw in women – or a more square and masculine jawline in men. In more mature patients who have lost chin definition due to sagging skin or loss of plumpness, defining the jaw line with Volux can create a more youthful appearance. It can also help smooth out wrinkles and fine lines in the lower face by building up the jaw.

Juvéderm Volux adds volume to the jawline area, improving the definition and contour of the jawline. It is approved for use in adults aged 21 and older to correct age-related volume loss in the chin and jawline area. The FDA approval specifically indicates adding volume and improving the definition and contour of the jawline. The hyaluronic acid in the filler acts like a sponge, attracting water and hydrating the surrounding tissue. This results in a plumper, more defined jawline that looks natural and youthful. Because Volux is a thicker formula of Juvéderm, it firmly holds its shape and position and looks and feels like one’s natural jaw.


Kybella is a non-surgical solution to the double chin. Kybella is used specifically to treat small fat pockets without plastic surgery but with injections instead. With limited downtime and almost no pain – Kybella allows you to return to your regular life instantly.

Liposuction is an invasive surgical procedure that does have some additional risks since you are going under anesthesia. Recovery time is longer than Kybella injections and can leave a small scar in the treated area.


Kybella is approved by the FDA to improve the look and profile of submental fullness caused by submental fat. What’s that you ask? Submental describes the area underneath the chin. The fullness (fat) in this area is historically referred to as a double chin. Treatment of the double chin using Kybella has seen excellent results without the surgical intervention of liposuction.

Kybella, an injectable medication approved by the FDA, is used to remove fat in the area underneath the chin. Gerrish MedEsthetics is pleased to offer this treatment with our expertly trained staff.


If you are looking for the best in non-surgical results, Dr. Scott Gerrish has developed his signature Silent Lift.  Yes, in fact, it is a great compliment to other treatments such as IPL, Infini, and Hollywood Laser Peel and can be done in the same treatment session to enhance results without adding any additional healing time. Book your private in-person or virtual consulation.   

For best results, a Customized Treatment Plan will be created by Dr. Scott Gerrish or one of our Laser Technicians. A typical treatment will start with a series of 3 treatments, performed about 4 weeks apart.

Treatment will begin with your provider discussing your treatment goals and applying a topical numbing cream to your skin. Next, your skin will be cleansed and treatment will begin. You will likely feel some heat and tingling as the laser is passed over the skin. The LaseMD treatment can be customized to the individual, (mild >moderate >active) ranging from no downtime to a few days of mild redness and sloughing. You’re back in makeup the next day. You know you had a treatment done, but no one else does.

LaseMD is appropriate for patients looking for a brighter skin tone and improved texture. This may include patients with melasma, sun damage, mild scars, fine lines, and more. If you want to see if LaseMD is right for you, click to schedule your private in-person virtual consultation. 

Well, here is the DRAMATIC DIFFERENCE with Gerrish MedEsthetics.  We incorporate an exclusive post-procedure step that knocks out all redness.  Otherwise, downtime varies from 4-6 hours of mild redness to a few days depending on which type of treatment and intensity. You can wear makeup 24 hours after the treatment, and even attend events, or even return to work. Most clients report returning to their normal routines within a day or two of their treatment sessions.

The number of LaseMD treatments needed in order to achieve optimal results will vary from patient to patient and depends on your skin conditions and goals. During your in-person or online consultation, your Gerrish MedEsthetics Expert will review your desired goals, skin type, and skin concerns. Your personalized treatment plan will be designed at that time. CLICK TO SCHEDULE 

Laser Hair Removal

The cost for laser hair removal treatments is highly individualized and is dependent on the area being treated. When compared to various other hair removal methods, laser hair removal is an extremely cost-effective alternative. While many clinics play with low-ball price quotes to get you in the door, we don’t do that. Durning your consultion you will be presented with a very clear treatment plan and pricing schedule.

A Gerrish MedEsthetics Laser Specialist will assess the area and explain the treatment to you in detail. Treatment times vary but can be as short as several minutes. Immediately following the laser procedure your skin may have minimal reddening that will resolve over the next several hours. Each patient will be individually advised if specific post-treatment skincare is necessary.

With each laser pulse, the patient experiences a mild heat sensation on the skin’s surface most commonly compared to the snap of a rubber band. In sensitive areas, anesthetic creams or cooling devices can be utilized to minimize the discomfort.

In ideal candidates, side effects are extremely rare but may include mild skin irritation that may take several days to resolve. Consult with your laser specialist regarding the possibility of rare side effects.

Because the laser only treats the follicle of hairs in the active growth phase, more than one treatment will be necessary. While results vary, as few as three or four treatments, 2 to 3 months apart, maybe all that is necessary to remove the majority of unwanted hair.



Don’t I need sweat glands?


Not in your armpits! You are born with approximately 2 million sweat glands throughout your body. Your underarms only contain about 2% of those glands. After your miraDry ® treatment you will experience the many benefits of dry underarms, and you will continue to perspire normally elsewhere.


What is the miraDry© procedure like?


You will be in a reclined position for about one hour. Dr. Gerrish has developed a signature numbing protocol that leaves you very comfortable. You aren’t likely to feel anything during the treatment since your underarms will be numbed prior to treatment. After treatment, you may experience swelling, soreness, tingling, and numbness in the treated area. These sensations typically clear-up within a few days to a few weeks.


How does miraDry© work?


The miraDry system uses proprietary miraWave energy that targets and destroys sweat and odor glands in your underarm. Once those glands are destroyed they do not grow back so that means once they are gone, they are gone for good.


What results can I expect with miraDry©?



You can expect to have an immediate reduction in your sweat. Sweat glands don’t grow back so you should experience results that last. The amount of sweat reduction you desire should be discussed with your miraDry© physician. As with any treatment, the results may vary from person to person.


Check out Lauren’s result after 1 miraDry© procedure !!


For as long as I can remember, I have had to worry about extreme perspiration on a daily basis. Social situations are especially stressful, and I only wear certain colors and styles of tops due to my hyperhidrosis. Today I saw Dr. Gerrish for miraDry, and it was an excellent experience. Dr. Gerrish is extremely knowledgeable and puts you at ease right away. His staff, couldn’t have been nicer or more accommodating. The procedure consisted of 2 steps – numbing the underarms and then applying the miraDry device. The numbing process was so easy, and I felt maybe one or two small pinches and that was it. Once the underarms were numbed, the miraDrydevice was applied as a series of short pulses. I did not feel any heat or pain during this phase at all. At the end of the treatment, Dr. Gerrish discussed post-care with me, and I began icing the area. This evening, I have minimal swelling and little to no pain. I am very excited about my results, and it will be a huge relief not to worry or be embarrassed by my sweating.

I would highly recommend Dr. Gerrish and his staff for this procedure!
From Dr. Gerrish’s Patient, Loren.
Post WorkOut Post Procedure After One miraDry Treatment



How many miraDry © treatments will I need?


You will see results in as little as one treatment. However, as with any aesthetic treatment, Dr. Gerrish will determine the best treatment plan for your desired results.



Is the miraDry© procedure painful?


Dr. Scott Gerrish at Gerrish MedEsthetics has developed a signature protocol that makes this virtually painless procedure! In fact, Dr. Gerrish’s technique is now being implemented by leading docs all around the world.
Many of Dr. Gerrish’s patients even take a nap while undergoing this life-changing procedure.



Is there any downtime after a miraDry© procedure?


Depending on what your typical day is like, downtime can be minimal to none. Most patients return to regular activity (like returning to work) immediately after miraDry. Exercise and vigorous activity is typically resumed within several days. You may experience mild discomfort in your armpits for several days post-treatment.

Note: every patient’s experience is different.


Is miraDry© safe?


Yes, miraDry has been used in over 150,000 treatments worldwide with an excellent safety record.


Are there any side effects with miraDry©?


After treatment, you may experience temporary swelling, soreness, tingling, and numbness in the treated area. These sensations typically clear up within a few days to a few weeks. There have been no reports of permanent side effects; however, some patients experience short-term altered sensation in the skin of their underarms or upper arms, which gradually disappears. Please consult with your physicians for all possible side effects and to see if miraDry is right for you.

Nordlys Ellipse IPL

The number of treatments depends on the location and the life cycle of your hair. Because every hair grows for a period of time, you may need to repeat the treatment at intervals until all hair follicles have been treated while growing.

Clinical studies have shown that 4 to 6 treatments are needed, and typically the intervals between treatments are 1 to 3 months.

The Nordlys™ system permanently reduces unwanted hair by delivering short, bursts of light directed at the target site. To ensure good contact with the skin, a thin layer of gel is applied to the skin prior to treatment.

Potentially harmful wavelengths and wavelengths that only heat up the water in the skin are removed using patented Dual Mode Filtering.12 The emitted light is absorbed by the pigment (melanin) in your hair. Melanin converts the light into heat, which travels down the hair, toward the root, and heats the hair matrix, preventing future hair growth.

You may notice sloughing or darkening of some pigmented spots for a few days post-treatment. After that, you will find that your skin looks smoother and fresher. Depending on your baseline condition and esthetic goals, you may require up to 3 Nordlys Ellipse IPL™ for the transformative results. Since everyone experiences the natural aging process, you might choose to have 1 or 2 annual maintenance treatments to keep your skin looking its best.

The number of treatments depends on the location and number of vessels to be treated. Depending on your skin condition, you may need a few treatments to achieve your desired outcome. You should see an improvement after the first treatment, but up to 3 treatments may be required to achieve the full effect. Our team of experienced providers will work with you to create the most beneficial treatment plan, recommending the ideal number of treatments for your specific concerns. CLICK HERE TO SCHEDULE 

Prior to your Nordlys Ellipse IPL™ procedure, you and your Gerrish MedEsthetic Laser Technician will meet to discuss your treatment goals and outline your personal plan. It is important to avoid tanning (sun, tanning salons, and self-tanning products) before and during the treatment period.

Patients with the following skin concerns may be treated with the Nordlys Ellipse IPL ™:

  • Dark Spots
  • Freckles
  • Age Spots
  • Uneven Pigmentation
  • Rosacea (redness and visible blood vessels)
  • Vascular Lesions (birthmarks)
  • Port Wine Stains
  • Telangiectasia (spidery looking surface veins)


You may notice some general redness to the treatment area. If you have sun-damaged skin with dark spots, some of these pigmented spots may turn darker for a few days following treatment, before eventually disappearing. One of our specialties is Dr. Gerrish’s Recovery Care Kit which naturally speeds up skin healing and eliminates or minimizes any redness or brusing.

No topical anesthetics are required and most patients describe the treatment as practically pain-free, You’ll feel a warm, prickly sensation, like a rubber band snap, as the energy enters your skin.

The number of treatments needed will depend on the severity of the condition and the area to be treated. A typical course of therapy includes 3-4 treatments, with 4-6 weeks between each visit. During your private consultation, you will be presented with a Gerrish MedEsthetics Treatment Plan which will outline the timeline, fees, and skin goals.  CLICK HERE TO SCHEDULE 

Nordlys Ellipse IPL For Acne

Acne occurs when your sebaceous glands overproduce an oily substance called sebum. When extra sebum gets trapped in your hair follicles, your skin can become irritated — leading to the appearance of pimples on your face. Left untreated, some types of acne can cause permanent scarring.

The Nordlys™ system treats acne by reducing the blood supply to the sebaceous gland to slow down the production of sebum. The system delivers short, bursts of Ellipse IPL™ directed at the skin. Using patented Dual Mode Filtering technology, the system filters the light to ensure that only the wavelengths necessary for the treatment are used. Because of this, only the blood vessels that supply the sebaceous gland are impacted, while the surrounding vessels are not affected.

Because acne is difficult to eradicate completely, your Gerrish MedEsthetic Provider will discuss your treatment plan with Nordlys Ellipse IPL™ in addition to recommended topical treatments. If you have a future acne outbreak, the treatment can be repeated. As individual results may vary, talk to your healthcare provider about what results you can expect with your treatment.

You may notice some general redness to the treatment area. If you have sun-damaged skin with dark spots, some of these pigmented spots may turn darker for a few days following treatment, before eventually disappearing. One of our specialties is Dr. Gerrish’s Recovery Care Kit which naturally speeds up skin healing and eliminates or minimizes any redness or brusing.

No topical anesthetics are required and most patients describe the treatment as practically pain-free, You’ll feel a warm, prickly sensation, like a rubber band snap, as the energy enters your skin.

The number of treatments needed will depend on the severity of the condition and the area to be treated. A typical course of therapy includes 3-4 treatments, with 4-6 weeks between each visit. During your private consultation, you will be presented with a Gerrish MedEsthetics Treatment Plan which will outline the timeline, fees, and skin goals.  CLICK HERE TO SCHEDULE 

The best results are achieved on inflammatory acne – red, aching, raised pimples. It is important that your skin not have a recent suntan. Prior to your Nordlys procedure, you and your provider will meet to discuss your treatment goals


The most common adverse events seen in clinical studies of RADIESSE® used in the hands include bruising, redness, swelling, pain, itching, nodules or bumps/lumps, difficulty performing activities, loss of sensation, and other local side effects. The most common adverse events seen in clinical studies of RADIESSE® or RADIESSE® (+) used in the face include bruising, redness, swelling, pain, itching, and other local side effects.

These are not all of the possible side effects with RADIESSE® or RADIESSE® (+). Merz collects information about adverse events seen with RADIESSE® and RADIESSE® (+) outside of clinical studies. These events are included in the RADIESSE® and RADIESSE® (+) Patient Information Guide based on an assessment of seriousness and potential causal relationship to RADIESSE® or RADIESSE® (+). Please see the Patient Information Guide available at www.radiesse.com for a list of these events. Tell your health care provider about any side effects that bother you or do not go away.

Important: For full safety information, please visit www.Radiesse.com or call MyMerz Solutions at 1-844-469-6379

RADIESSE® and RADIESSE® (+) are available by prescription only.

Tell your health care provider if you are taking blood thinners or medicines that can interfere with the clotting of blood, such as aspirin or warfarin. These medicines might make it more likely that you will experience bruising or bleeding at the injection site. Tell your health care provider if you have any diseases, injuries, or disabilities of the hand if you have a history forming large, raised scars, or if you have had any other skin treatments such as skin peels.

One of the risks of using these products is unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin. If you have changes in your vision, signs of a stroke (including sudden difficulty speaking, numbness or weakness in your face, arms, or legs, difficulty walking, face drooping, severe headache, dizziness, or confusion), a white appearance of the skin, or unusual pain during or shortly after treatment, you should notify your health care practitioner immediately.

As with all procedures that involve an injection through the skin, there is a risk of infection.

Do not use RADIESSE® or RADIESSE® (+) if you have a skin infection until it has healed.

It is not known if RADIESSE® or RADIESSE® (+) is safe or effective in the lips, or in the area around the eyes.

The microspheres in RADIESSE® and RADIESSE® (+) can be seen in X-rays and CT Scans. It is very important that you tell your health care provider that you have had RADIESSE® or RADIESSE® (+) dermal filler.

If you have a history of herpes, you may experience a herpes breakout after receiving RADIESSE® or RADIESSE® (+).

Injection in the back of the hand may result in temporary difficulty performing activities. RADIESSE® may cause nodules, bumps or lumps in the back of the hand and can last up to 1 year.

You should minimize strenuous activity and avoid extensive sun or heat exposure for about 24 hours after treatment and until any swelling or redness has resolved.

RADIESSE® and RADIESSE® (+) are dermal fillers that are used for smoothing moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth). RADIESSE® is also used for correcting volume loss in the back of the hands.


The Restylane family of products should not be used by people who:

  • Are pregnant, breastfeeding, or under 22 years of age
  • Have recently used drugs that thin the blood or prevent clotting
  • Have had previous bad allergies, particularly to microorganisms known as gram-positive bacteria
  • Have serious allergies to drugs that have previously required in-hospital treatment
  • Have bleeding disorders
  • Have a known allergy to lidocaine, if using Restylane Silk, Restylane Lyft, Restylane, Restylane Refyne or Restylane Defyne

Initial Restylane treatments are usually complete in one or two sessions, as needed. Depending on your individual body chemistry, you will work with your specialist to determine a maintenance schedule.

After your treatment, you may experience side effects, such as swelling, redness, pain, bruising, headache, tenderness, lump formation, itching at the injection site, and impaired hand function. These are typically mild in severity and normally last less than 7 days in nasolabial folds and less than 14-18 days in lips. Patients should be limited to 6.0 mL per treatment of moderate to severe facial wrinkles and folds. For the treatment of volume deficit in the hands, patients should be limited to 3.0 mL per hand per treatment. Swelling may be more likely in patients under 36 years, and bruising may be more likely in patients over 35 years. Please see below for Important Safety Considerations for the Restylane family of products.

There are several factors that figure into how much treatment will cost, including:

  • Number of treatment sessions needed
  • Amount of Restylane product used per session
  • Degree of necessary correction determined by you and your specialist
  • Specialist fees
  • Discounts and special offers
  • Geographic market

Since injection costs will vary from person to person, the only to know exactly is to have a free in-person or virtual consultation with Dr. Scott Gerrish or one of our Master Injectors and at that time they will design a treatment plan for you.

Coupon or rebate programs through Galderma and/or a specialist may be available from time to time. It’s a good idea to ask your specialist if there’s a discount program available at the time of consultation. We highly recommend joining ASPIRE Galderma Rewards, our loyalty program that rewards you with special points, offers, and rewards for every Galderma aesthetic treatment you receive — not just the Restylane family.

Depending on your volume needs, most Restylane treatment appointments last less than an hour and begin to work almost immediately by adding volume to smooth away wrinkles. A clear gel formulation of hyaluronic acid, Restylane products act like your body’s own hyaluronic acid (and eventually break down naturally). Each Restylane product is designed for a specific purpose.

With full treatment, you can see lasting results for up to 18 months in nasolabial folds with Restylane;10 up to 12 months in the cheeks, up to 6 months in the back of the hands, and up to 6 months in facial wrinkles and folds, such as nasolabial folds, with Restylane Lyft;3 6 months for lips and perioral rhytids with Restylane Silk;11 and up to 12 months in the facial wrinkles and folds (such as nasolabial folds and marionette lines) with Restylane Refyne and Restylane Defyne.12,13

Restylane Silk: In clinical studies, the results of Restylane Silk lasted approximately 6 months following treatment. In a U.S. clinical trial involving 221 mostly female subjects, 98% of subjects reported a visible improvement in lip fullness in the upper and lower lip (combined) 14 days after injection, and 77% still had lip improvement at 6 months following injection.11

Restylane Lyft: In a clinical trial involving 150 subjects, blinded evaluators observed that 90% of subjects treated with Restylane Lyft showed an

improvement in fullness in the right and left midface areas (combined) at 2 months, and 54% of subjects showed an improvement at 12 months. Additionally, 95% of subjects reported that they were satisfied with the appearance of their midface at 2 months, and 73% of subjects were satisfied at 12 months.3 In a clinical trial involving 89 treated subjects, blinded evaluators observed that 86% of subjects* treated with Restylane Lyft showed an improvement in the volume of the back of the hands at 3 months, and 76% of subjects* showed an improvement at 6 months. Improvement was defined as subjects with a Merz Hand Grading Scale (MHGS) score of ≥1 grade from baseline by the blinded evaluator’s live assessment.3

*n=85 subjects treated.

Restylane: In a clinical study treating the lines from the nose to the corners of the mouth (laugh lines), blinded evaluators reported that 95% of subjects improved for up to 18 months when they received an initial Restylane treatment, plus a follow-up treatment approximately 4.5 or 9 months later. Using this Restylaneregimen of treatments, blinded evaluators reported similar subject improvement, on average, at 18 months compared to their Week 2 Wrinkle Severity Rating Scale (WSRS) score.10

Restylane Refyne & Restylane Defyne: In a clinical study of subjects treated for laugh lines with Restylane Refyne and Restylane Defyne, investigators reported improvement in the appearance of wrinkles for up to 12 months in the majority of patients. Using the Wrinkle Severity Rating Scale (WSRS), a validated 5-point measure of the size and depth of the wrinkles, with grade 1 defined as the absence of wrinkles and grade 5 as extremely deep and long wrinkles, investigators reported that 79% of Restylane Refyne subjects and 77% of Restylane Defyne subjects had at least a 1-grade improvement on the WSRS after 6 weeks. Subjects also performed self-assessments (SSA) of wrinkle severity, with most reporting at least a 1-grade improvement in SSA scores with Restylane Refyne and with Restylane Defyne after 6 weeks.12,14,15

*The duration of effectiveness of Restylane for the correction of nasolabial folds (NLFs) was evaluated in a randomized, evaluator-blinded multicenter study. Restylane was shown to have an over

As part of the natural aging process, volume in the hands can deteriorate over time, making them appear aged.9 Veins, tendons and bones may become more visible.

Dermal fillers are facial injection treatments used to help diminish wrinkles while restoring volume and fullness in the face and hands. There are several types of dermal fillers, one being hyaluronic acid. All Restylane products are transparent hyaluronic acids, which are sugars naturally found in the skin that help provide hydration, fullness, and elasticity.

The Restylane family of products is a brand of hyaluronic acid dermal fillers, which includes Restylane Silk, Restylane Lyft, Restylane, Restylane Refyne and Restylane Defyne. Each is a clear gel formulation of hyaluronic acid specifically formulated to act like your body’s own naturally produced hyaluronic acid. Each Restylaneproduct is designed for a specific purpose.1

Restylane Silk is the first FDA-approved product specifically designed for subtle lip augmentation and the smoothing of wrinkles around the mouth. It is composed of a gel that is smaller and smoother than other Restylane products, resulting in a softer, more precise result — ideal for restoring and enhancing the lips. Additionally, Silk is administered via ultrafine needle, which is designed for improved accuracy and precision.

Restylane Lyft is approved by the FDA to correct volume deficit in the back of the hands, for cheek augmentation and the correction of age-related midface contour deficiencies, as well as the treatment of moderate to severe facial folds, such as the nasolabial folds (smile lines). Lyft is the first and only hyaluronic filler approved by the FDA to treat face and hands.2,3 Lyft contains 0.3% lidocaine, which is added to reduce the discomfort during treatment.

Restylane is used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane is also indicated for lip augmentation.

Restylane Refyne integrates with your skin to help smooth out the lines that run alongside the corners of your mouth (nasolabial folds and marionette lines)4 and the flexibility you need for natural-looking movement and expressions.5,6

Restylane Defyne is designed to act like your body’s own hyaluronic acid to help smooth out deeper lines around your mouth (nasolabial folds and marionette lines)4 while letting you look more natural through a range of facial expressions.7

Restylane products are approved only for patients over the age of 21.Wha


Semaglutide is not recommended for people with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2. It should also be avoided during pregnancy or breastfeeding. People with a history of pancreatitis should use semaglutide with caution

Some common side effects of semaglutide include nausea, vomiting, diarrhea, constipation, and abdominal pain. These side effects usually go away on their own or with dose adjustments. There is also a risk of more serious side effects such as pancreatitis and thyroid cancer, although these are rare.

Clinical studies have shown that semaglutide can lead to significant weight loss in people with obesity or overweight. In a 68-week study, participants who took semaglutide lost an average of 15% of their body weight, compared to 2.4% for those who took a placebo.

Semaglutide works by mimicking the effects of a hormone called GLP-1 in the body. This hormone regulates appetite and food intake. By activating the GLP-1 receptors in the brain, semaglutide can reduce hunger and promote feelings of fullness, leading to a reduced calorie intake and weight loss

Semaglutide is a medication that belongs to a class of drugs called GLP-1 receptor agonists. It is used to treat type 2 diabetes and has recently been approved by the FDA for weight management in adults with obesity or overweight with at least one weight-related health condition.


Dr. Scott Gerrish is a non-invasive medical esthetics expert with over 25 years of experience, (and sees patients daily) in the field of cosmetic medicine. He is a highly skilled injector and has a deep understanding of the anatomy of the face. Dr. Gerrish is also a leading expert in the use of SKINVIVE, and he has helped hundreds of patients achieve their aesthetic goals with this treatment as a stand alone solution or part of a personalized treatment plan.

In addition to his expertise, Dr. Gerrish and Gerrish MedEsthetics nurse injectors  offer a high level of personalized care. You will have the opportunity to meet with Dr. Gerrish or one of our top injectors in person to discuss your goals and concerns. They will then create a customized treatment plan that is right for you.

If you are considering SKINVIVE, I encourage you to schedule a consultation with Dr. Scott Gerrish and Gerrish MedEsthetics. You will be in good hands with Dr. Gerrish and his team, and you can be confident that you will achieve the results you desire.

With as little as one SKINVIVE injection, most patients report results lasting six months, with some reporting effects lasting for nine months or more. To achieve optimal results, some patients may need an optional second dose.

SKINVIVE by JUVÉDERM hydrates the skin from within for lasting benefit. Rather than augment the skin with a filler deeper within the skin layers, it acts to hydrate the skin on a level that cannot be achieved with lotions. The injectable HA gel flows easily into the skin. The gel includes a small amount of lidocaine (local anesthetic) to increase comfort during the injection.

SKINVIVE is a toxin-free, injectable hyaluronic acid (HA) gel. HA is naturally found in the body, so rejection is highly unlikely, and side effects are typically minimal. SKINVIVE injections are an incredibly safe procedure with very little discomfort and zero down time required

SKINVIVE  by Juvéderm is an FDA- approved  hyaluronic acid (HA) injectable for men and women seeking to achieve relief from fine lines in the cheeks, and a healthy, radiant glow that lasts for more than six months.


The final results of the PDO thread lift will vary from patient to patient but will most commonly appear within one to three months.

Treatment results, such as skin lifting and some of the contouring effects, are visible immediately after treatment.  Effects of collagen stimulation are usually seen within 2-3 months. 


How long the PDO threads last depends on several factorswhich include threads’ thickness, the brand integrity and quality of the threads and your body’s rate of metabolism. Most of our patients find that the threads have dissolved within six to nine months, but the collagen and elastin stimulation continues beyond that.

Because a PDO thread lift is so versatile, we can treat virtually any area of the face and body. The cheeks and the lower face/neck region are the most commonly treated.  All areas include:

  1. Neck
  2. Jowls
  3. Jawline
  4. Nasolabial folds
  5. Crow’s feet
  6. Under-eye area
  7. Eyebrows
  8. Cheeks
  9. Marionette lines
  10. Abdomen
  11. Knees
  12. Buttocks


Absolutely. And that is our specialty at Gerrish MedEsthetics. Our experts will design an ideal procedure plan just for you. For instance,  smooth threads are ideal for stimulating collagen. Thicker barbed threads are used to lift the brows or sagging skin of the lower face and neck.

This treatment is FDA cleared and completely safe. Moreover, hundreds of thousands of treatments have been performed, and there are no reports of allergic reactions, sensitivities to the threads, or serious side effects or risks.


No, the threads will gradually dissolve in the body over six months stimulating collagen production. The threads work to return some of the skin’s elasticity, resulting in a reduction in sagging, lines, and wrinkles.

There are several types of PDO threads, and each serves its unique purpose.  Barbed threads are utilized for lifting while smooth threads are utilized to stimulate collagen.  There are also specialized threads for specific areas, such as under the eyes or along the lip border. Depending on your aesthetic goals, your Gerrish MedEsthetic PDO provider may use one or many thread types during your anti-aging treatment.

Once the anesthetic has taken effect, your treatment will begin. The PDO threads are inserted via blunt tip needles, called cannulas. Once placed into the appropriate layer they act as anchors as the skin is lifted upwards. Then, the excess threads are cut off.  Smooth threads are inserted via a very fine needle. The needles are inserted just under the skin. The needle is withdrawn, leaving behind the thread.

Before treatment starts, we will apply a local anesthetic to the treatment site After that, you should only feel pressure during the treatment and very little discomfort.

One of the best things about this treatment is it only takes 15 to 30 minutes for brows or 45-60 for a non-surgical facelift. With zero recovery time!


Everyone’s definition of downtime is different.

UltraClear™ Customized Treatment

The beauty of the UltraClear laser machine is that it allows us to customize your treatment.  At Gerrish MedEsthetics, using the deeper modes in areas where fine lines, wrinkles, and acne scars are present does mean your dermis may be exposed. This means that 2-3 days of social downtime may be required. We will outline your ideal post-procedure home care steps, including using Aquaphor as a barrier cream for a few days to protect your skin as it heals. There may be slight swelling or pinpoint bleeding in areas that are treated more deeply, but compared to other ablative resurfacing devices, the downtime is very minimal.

UltraClear™ is an incredibly versatile safe and effective skin solution for virtually everyone. Anyone looking to rejuvenate skin, address sun damage, fine lines, wrinkles, scars, or remodel collagen – UltraClear is suitable for you. FDA-cleared for all skin types, UltraClear offers safe skin solutions for skin of color.  During your consultation with Dr. Scott Gerrish or Gerrish MedEsthetics Expert, they will review your health history and confirm your treatment goals. With over 25 years of experience, Dr. Gerrish does not believe there is a one-machine-fits-all approach.  UltraClear may in fact be the ideal solution or a combination of protocols to help you achieve your desired results.



Gerrish MedEsthetics is ready to design the ideal treatment plan so you love, love, love what you see!!