Danielle Smith Miami Aesthetic Nurse practitioner treats all of her patients with the utmost respect and consideration for their needs and wants above all else.  Danielle Smith NP takes a unique approach in providing her patients care by conducting a thorough Aesthetic Assessment of her patients prior to recommending any services.  Some patients may come in with a request for botox because they want to eliminate certain wrinkles, however the Aesthetic Assessment may reveal that the patient actually requires filler or may just need some slight modification to their skin care regime.   As a new patient you can expect to spend at least 30 minutes with Danielle Smith NP during the review of your

Aesthetic Assessment.  At this time you will see how Danielle will become not only your provider but your EDUCATOR, your ADVOCATE, and your COLLABORATOR.  

Danielle Smith NP-C most often accomplishes her results with a combination approach to attack the problem from multiple vantage points.  Danielle Smith NP-C, treatment plans usually involve a consortium of Dermal Fillers, Botox and/or Skin Care Products.  Each patient's needs are extremely different, which is why Danielle Smith NP takes the time to specifically assess each patient to determine your specific needs and expectations.  Your aesthetic goals will determine the course of your treatment plan.  The amount of volume loss that you have experienced will determine the amount of volume replacement that you require.   Danielle Smith NP will work with you to develop a plan that works best for you.  Plans can either include a single procedure or treatment, or a series of small volume additions.  Danielle Smith NP-C will also address your skin care regime with you to optimize your skin care, prevent further aging and being to restore any skin damage.

 

THE PATIENT INTERVIEW

The first question Danielle Smith NP will ask when you come in for your complementary consultation is 

"When you look in the mirror, what bothers you the most?"

When you Danielle Smith NP-c comes to see you for your Bedside Botox appointment, make sure you have thought very carefully about this question and your answer.  If you cannot pin-point one thing, that is okay, a general answer will work as well.  The point is to give Danielle insight into what bothers you the most.  The second question Danielle Smith NP-C will ask you is, 

"What would you consider a successful result?" 

In other words, what do you want to accomplish? Do you want to look better than you ever have, or do you want to just erase a few years off your features?  The difference is between changing your topography and between enhancing/ rejuvenating what you already have.  The best example of this is with a Lip Augmentation (or using dermal filler in the lip/mouth region).  Lip Augmentations can be used to highlight the borders of your lips giving you more definition and helping to soften wrinkles around the mouth as well as helping to turn the corners of your mouth upward (enhancing/rejuvenating).  Or Lip Augmentations can be used to provide a new fuller, plumper look that you have never had before (changing topography).  If you are unsure, that is okay as well, Danielle Smith NP-C will assess your wants, your needs, and your goals and help you develop and design a treatment plan that works best for you.  

 

MEDICAL BACKGROUND

Danielle Smith NP will have you fill out a Past Medical History form upon arrival prior to any procedures or prep.  During the consultation she will also review this with you to make sure she has a complete medical picture prior to recommending any treatments or products. 

 

SKIN CARE PRACTICES

As an Aesthetic Nurse Practitioner, Danielle Smith NP-C will want to discuss your current skin care products and regime.  Be sure to take note of your current products so she can discuss them with you to ensure they are the best possible products for your skin care needs.  You will want to mention how often you receive other treatments as well, including facials, peels, masks or other cosmetic procedures and how they worked for you.  

 

THE CONSULT

After Danielle Smith NP has determined your wants, your needs, and your goals, she with preform the Aesthetic Assessment by evaluating your natural/ baseline Aesthetic features.  This will include your: 

·       Natural topography 

·       Physical signs of aging: Skin Changes, Fat Pad Loss, Bone Loss

·       Skin : Skin Type, Color, Texture, Elasticity 

·       Skin damage: Scarring, Sun Spots, Aging Spots, Acne

·       Symmetry 

·       Wrinkles in rest and Animation 

·       Volume loss: depth of skin folds, hallowed areas

 

At this time Danielle Smith NP-C will also assess your Pain tolerance.  Some patients are much more sensitive than others.  If you have had procedures before, she will ask you how you handled those, if you experienced discomfort, how you were able to manage it, and if you required extra anesthetic.  The discomfort associated with these procedures is extremely short.  After the procedures you may have some mild tenderness in the area, but nothing will require pain medication to relieve the symptoms.  At most Tylenol may be needed for the first day or so.  The purpose of assessing your pain tolerance, is to gauge how much local or topical anesthetic you may require prior to the procedure.  

 

LIFESTYLE CONSIDERATIONS

Danielle Smith NP is very considerate of how these procedures may affect your plans.  There is little to no down-time associated with these procedures.  However, you may experience some tenderness, redness, bruising and swelling in the area for a few hours to days depending on the procedure and your skin type.  If you are wanting to get procedures done so that you are ready for a specific event, make sure you schedule your appointment at least 2 weeks before that event to ensure that you will look your best.   Don't forget it takes botox anywhere from 3-7days to take full effect.  Danielle Smith NP-C prefers to see her patients for follow ups, 2 weeks after procedures.  At this point everything will have settled and allows her to see your true results and determine if additional procedures should be layered on at this point.  

 

PLAN DEVELOPMENT

Toward the conclusion of your Aesthetic Consult, Danielle Smith NP-C will sit with you and explain the results of her Aesthetic Assessment.  She will identify areas of concern and how best to approach both a corrective and preventative treatment plan.  Danielle’s plans can range from something as simple as altering your skin care regime, to a few injections of botox once or twice a year, to a series of treatments with filler to recontour and replenish volume loss.  Danielle Smith NP will discuss the plan with you and the two of you will collaborate to determine how to structure the best plan to best meet all of your needs.   This includes your personal considerations such as financial abilities, sensitivity, time schedule, current skin care products, and so on.  She will then keep this plan in your chart to refer back to on each visit.  At each visit, Danielle will revisit your plan and make adjustments accordingly.  You will also receive a generalized outline of the plan with specific instructions and tips related to each aspect of the plan via email after your appointment.  This will become your tailor made Anti-Aging guideline, so follow it closely.  If at anytime you have questions or concerns about the plan, the products, or the procedures feel free to email Danielle directly at danielle@bedsidebotox.com

 

PHOTOS

Once a plan has been decided on, Danielle Smith NP-C will take your "before" pictures to establish and document your baseline.  These pictures will be kept in your chart for future reference.  Each time Danielle Smith NP-C comes to see you, we will take your photos.  This allows us to tract your progress through your regeneration.  The quality that Danielle Smith NP is so highly acclaimed for is not just her honest and holistic approach, but also her mastery for drastic but subtle changes.  Often times patients say their friends comment on how fantastic they look, but that they cannot seem to identify what the change is.   You too may find that you can't quite put your finger on a single change but rather on an overall enhancement of your natural features, noting that you look amazingly refreshed and rejuvenated.