Shelly Trubenbach, Concierge Nurse

02/15/2026

Yes I come to you , where ever you are!!!! As your Injector this Is what I want you to know!!!! I feel every Injector wants this:

Trust Your Injector Enough to Speak Up 💉✨

One of the most important parts of getting neurotoxin or filler isn’t the needle…

It’s the relationship.

When you sit in my chair (in my black scrubs and black gloves, of course 🖤), you’re not just a client — you’re someone trusting me with your face. That trust goes both ways.

If something doesn’t feel exactly like what you envisioned…
If a brow is a little higher than you expected…
If your lips feel different than you imagined…

Tell me.

Not because something is “wrong.”
Not because you’re being picky.
But because your satisfaction matters.

Injectables are a collaboration. I bring the training, the eye, the experience. You bring your goals, your preferences, and your honest feedback. The magic happens when we communicate.

The best outcomes don’t come from silence.
They come from trust.

I love my clients. I want you to feel confident, refreshed, and still like YOU — just elevated. And sometimes that means tweaking, adjusting, or simply talking it through.

So if something isn’t exactly what you pictured?
Say it. I can handle it. 😉

Confidence looks good on you — and so does open communication.

02/14/2026

01/27/2026

https://youtu.be/aShq9O77o30

Do NOT 🛑 do this if you have active cancer, deep vein thrombosis diagnosed by a doctor, heart issues diagnosed by a doctor, or if you have acute illness, a ...

01/18/2026

Timing for facials and neurotoxins - either Facial first, then tox OR waiting 1-2 weeks after your tox Injections before having a facial!

Why the Delay is Important:
Settling Period: Xeomin (or any of the neurotoxins )takes time (days to weeks) to fully reach the nerve endings and block muscle movement; intense facial treatments can interfere with this process.
Risk of Migration: Pressure from massage, suction (extractions), or steam can cause the Xeomin to move from the intended injection site, leading to unintended muscle weakness or uneven results.
Full Effect: Waiting ensures you see the complete results of your Xeomin treatment before adding other procedures, allowing your provider to assess if touch-ups are needed.
What to Avoid (First Few Days/Week):
Facial Massage: Any rubbing or pressure on the treated area.
Steam & Heat: Saunas, hot tubs, or intense heat.
Deep Exfoliation: Chemical peels, microdermabrasion.
Heavy Pressure: Extractions or aggressive facials.
Recommended Timeline:
First 24-48 hours: Avoid massage and pressure.
7-14 Days: Wait for a full facial with massage or exfoliation.
2 Weeks: Ideal time for a full check-in and to schedule other intensive treatments, as Xeomin is usually fully effective by then.

01/16/2026

Some great tips to prolong the life of your neurotoxin!

Share this with your BFF!!!

💋Extend the Life of Your Botox and Filler💋

3 Key Tips for you!

If you want to make the most of your injectables and stretch the time between appointments, there are a few simple but powerful habits that can help boost and maintain your results.

💋1. Prioritize Hydration
Keeping your skin well-hydrated is essential for maintaining the plump, smooth effect of fillers. Hyaluronic acid—a key ingredient in many fillers—is a moisture magnet, and the more hydrated your body is, the better your results will look and last. Aim to drink at least one liter of water each day, and apply a hyaluronic acid serum to your face and neck nightly to keep skin dewy and supple.

💋2. Support Your Skin with Targeted Products
Incorporating skincare that contains peptides can help extend the effects of Botox. These ingredients work to relax facial tension and smooth the appearance of fine lines, particularly around the eyes, forehead, and brows. For best results, apply a peptide-rich serum regularly—especially at night. To prolong lip filler results, a quality lip plumper can help maintain volume. And if you’re not using filler but still want fuller lips, a lip-enhancing system can be a great non-invasive alternative.

💋3. Consider Zinc Before Your Appointment
Zinc plays a crucial role in how well Botox works. Research shows that Botox needs to bind to zinc in the body in order to activate effectively. If you’re low in zinc, you might not get the full benefit of your treatment. Taking a daily zinc supplement for about a week before your appointment may help support better, longer-lasting results.
♥️♥️♥️♥️♥️♥️♥️♥️♥️♥️♥️

01/14/2026

Hyaluronic Acid Is my favorite 1st thing Ive been putting on since I belatedly started taking care of my skin!😜

Key Benefits
Intense Hydration: It attracts moisture from the air and deeper skin layers, locking it into the surface for a dewy, refreshed look.

Anti-Aging: By restoring moisture, it temporarily "plumps" the skin, which significantly reduces the appearance of fine lines and wrinkles.

Barrier Support: It strengthens the skin's natural protective barrier, making it more resilient against environmental pollutants and UV damage.
Universally Safe: Because it occurs naturally in the body, it is gentle and suitable for almost all skin types, including sensitive and acne-prone skin.

Why You Need It as You Age
Your body’s natural production of hyaluronic acid begins to decline in your 20s and drops significantly by your 40s. Supplementing it topically helps replace this lost moisture, maintaining skin elasticity and preventing a "thin," papery texture.

How to Use It Correctly
Apply to Damp Skin: For maximum results, apply HA serums while your face is still slightly wet from cleansing. Applying it to completely dry skin in a dry environment can sometimes pull moisture out of your skin.
Seal with Moisturizer: Always follow with a moisturizer to "trap" the water the HA has drawn in; otherwise, the hydration may evaporate.
Check Molecular Weight: Look for products containing multiple molecular weights (low, medium, and high). High molecular weights hydrate the surface, while smaller "nano" molecules pe*****te deeper for long-term health.
Frequency: It is safe and effective to use twice daily, both morning and night.

01/13/2026

Message me for your complimentary consult!!!!!

01/09/2026

I have posted on here about my terrible skin care regime growing up and thru the years, In the sun all the time, and just the perks of getting older! I was late to the game as far as anti aging but Im here now and very excited to study, learn and experiment with everything I’ve had training In! I do my 2nd microneedling on myself this weekend!!! ♥️ Im hoping by Easter which will be after my 3rd treatment, others will be able to see my Improvement !!!

How It Works
A handheld device with tiny needles punctures the top layer of skin, creating microscopic channels.
This controlled injury signals the skin to repair itself, boosting collagen and elastin production.
New, collagen-rich tissue forms, leading to smoother, plumper, and more radiant skin over time.
What It Treats
Acne scars and surgical scars, Fine lines and wrinkles, Enlarged pores, Uneven skin tone and texture, and Stretch marks.
The Procedure
A topical numbing cream is applied to minimize discomfort.
A professional uses a pen-like or roller device to create punctures across the treatment area (face, neck, body).
It's generally well-tolerated, with some minor redness, tightness, or flaking expected for a few days.
Results & Expectations
Results develop gradually as the skin heals.
Multiple sessions (e.g., 3-6), spaced a few weeks apart, are usually recommended.
Maintenance treatments may be needed annually.

1st treatment- everything is put into motion to start the improvement!
2nd treatment builds on the first getting you closer to your skincare goals
3rd treatment is when you really start to get excited about your results!!!!

01/05/2026

BOTOX, DAXXIFY, JEUVEAU, XEOMIN ETC….Is CONTRAINDICATED in people with infections at the injection site, known allergies to botulinum toxin, neuromuscular disorders (like Myasthenia Gravis, ALS, Lambert-Eaton syndrome), pregnancy, breastfeeding, or hypersensitivity to its components.

Relative contraindications include concurrent use of certain antibiotics (aminoglycosides), bleeding disorders, or active skin issues. A medical provider should always assess candidacy to ensure safety, especially with underlying conditions.

🚫🚫🚫
Absolute Contraindications:
Infection: Active infection, inflammation, or wounds at the injection site.
Allergies: Hypersensitivity to botulinum toxin or any ingredients in the formulation.
Neuromuscular Disorders: Conditions like Myasthenia Gravis, Lambert-Eaton Syndrome, ALS, or other motor neuron diseases.
Pregnancy & Breastfeeding: Botox is generally not recommended due to potential risks.
Specific Bladder Issues: For intradetrusor injections, urinary tract infections or retention (without catheterization).

Relative Contraindications & Precautions:
Medications: Certain aminoglycoside antibiotics (e.g., streptomycin, gentamicin) can increase risk.
Bleeding Disorders: May increase bruising.
Skin Conditions: Keloidal scarring or excessive skin laxity.
Psychological Factors: Unrealistic expectations or body dysmorphic disorder.
Age: Safety not established for all uses in very young children. Must be 18 or older.

Who Should Be Cautious (Consult a Doctor):
People with respiratory issues like asthma or emphysema.
Those with compromised immune systems.
Individuals on anticoagulant medications (blood thinners).

Always discuss your full medical history, medications, and expectations with a qualified healthcare provider before getting Botox or other neuromodulator, to determine if you are a suitable candidate.

01/01/2026

Cheers to the New Year!!! Cant wait to continue on this skincare journey , Thank you for an amazing 2025 🥂💋

12/30/2025

Why some providers will not do less than 32 units on their clients .

Here are the key reasons for this approach:

Ensuring Efficacy and Longevity: Using too few units (under-dosing) may result in lines and wrinkles remaining visible, a weak or minimal improvement, or results that fade much faster than the typical 3-4 months.

A dosage of around 32 units helps ensure the treated muscles are adequately relaxed for a satisfactory duration.

Comprehensive Treatment: A typical full upper-face treatment often uses at least 30-50 units total. For example, standard ranges are 10-30 units for the forehead, 10-25 units for frown lines, and 5-15 units per side for crow's feet. A total of 32 units allows for effective coverage of these multiple areas.

Patient Satisfaction: Under-dosing can lead to patient disappointment and the need for a touch-up appointment soon after the initial treatment, which is inconvenient for the patient and can end up costing more in the long run. Starting with an appropriate, effective dose minimizes these issues.

Muscle Strength and Anatomy: Individual facial anatomy, particularly muscle size and strength, plays a significant role in determining the required dosage. Stronger muscles, which are common in men or individuals with very expressive faces, require more units to achieve the desired effect. A 32-unit minimum helps account for a wide range of individual variations.

Avoiding an Unnatural Look from Under-Dosing: When specific areas are under-dosed, it can sometimes cause surrounding, untreated muscles to work harder, leading to an unnatural appearance or unwanted bulges at the edges of the treated area. Proper dosing across relevant muscle groups ensures balanced, natural-looking results.

Professional Expertise: Experienced injectors develop proprietary dosing protocols based on their expertise to ensure consistent and high-quality outcomes for their patients. A 32-unit minimum may be part of their established protocol for effective treatment.

Ultimately, the goal is to provide a safe, effective, and lasting result tailored to individual needs, which often necessitates a certain minimum amount of product.

I have not Implemented this protocol but I urge my clients to read and consider these key points when deciding how many units they want to get , patient satisfaction is my ultimate goal and if you arent getting the results you want , under treatment may be the reason, I am always happy to visit with you about any concerns or treatment goals!!!!