Current Promotions

Thank you so much for your interest in our current promotions. We are allowing patients who are interested in purchasing a special, to be able to do so online on our website. Just fill out the form below, and complete your transaction. Please allow up to 24-48 hours for this to be reflected back to your patient profile here with us. For questions or concerns, or to expedite the processing of this purchase, please send an email to [email protected] and we will assist you with this.

Are you planning to purchase this for yourself or as a gift for someone else?(Required)

I am planning to purchase these for myself

I am planning to purchase these for someone else

What is your first and last name we have on file?(Required)

First Last

What is your phone number we have on file?(Required)

What is the first and last name of the person you are purchasing this for?(Required)

First Last

What is the phone number of the person you a purchasing this for?(Required)

Which services are you interested in purchasing?

Botox $10.50/unit(Required)

Price:

Botox Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many units you would like to purchase.

Dysport $2.99/unit(Required)

Price:

Dysport Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many units you would like to purchase.

Xeomin $10.00/unit(Required)

Price:

Xeomin Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many units you would like to purchase.

Facial Sculptra Vial $699(Required)

Price:

Facial Sculptra Vial Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many vials you would like to purchase.

Any Dermal Filler $699/syringe(Required)

Price:

Dermal Filler Syringe Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many syringes you would like to purchase.

PRF EZ Gel $799/treatment(Required)

Price:

PRF EZ Gel Treatment Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many sessions you would like to purchase.

O-Shot Treatment $650/vial(Required)

Price:

O-Shot Vial Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many vials you would like to purchase.

Kybella Treatment $450/vial(Required)

Price:

Kybella Vial Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many vials you would like to purchase.

PRP Hair Growth Treatment $550/vial(Required)

Price:

PRP Hair Growth Vial Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many vials you would like to purchase.

Microneedling Package(Required)

Basic Microneedling Package ($825)

PRP Microneedling Package ($1500)

Exosome Microneedling Package ($1700)

Microneedling Treatment Package Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many packages of 3 treatments you would like to purchase. Quantity of 1 = 3 treatments of what you choose.

Non-Surgical Butt Lift Package(Required)

Full Vial Package ($9000)

Half Vial Package ($5000)

Non Surgical Butt Lift Package Quantity(Required)

Please enter a number greater than or equal to 1.

Please choose how many packages you would like. quantity of 1 package of full vials = 20 vials purchased.

Deep Peel Treatment $750/treatment(Required)

Price:

For Complexion Code Plus or Meladeep Intimate Treatment (Reg. $950/treatment)

Deep Peel Treatment Quantity(Required)

Please enter a number greater than or equal to 1.

Normally, patients only need 1 treatment, we do not suggest getting a larger quantity unless specifically told to do so.

VI Peel Treatment $300/treatment(Required)

Price:

VI Peel Treatment Quantity(Required)

Please enter a number greater than or equal to 1.

Choose how many treatments you would like to purchase.

Sclerotherapy $493/vial(Required)

Price:

Sclerotherapy Vial Quantity(Required)

Please enter a number greater than or equal to 1.

Choose how many vials you would like to purchase.

Deluxe Facial $212.50/treatment(Required)

Price:

Deluxe Facial Treatment Quantity(Required)

Please enter a number greater than or equal to 1.

Choose how many treatments you would like to purchase.

Billing & Payment Information

Name(Required)

First Last

Please use the exact first name and last name on your credit card

Email(Required)

For Your Email Receipt

Address(Required)

Street Address Address Line 2 City State ZIP Code

Please use the billing address for your credit card

Credit Card(Required)

Do you have any notes you would like to provide us about this purchase?

Total

By purchasing, I agree to the websites privacy policy statement and consent for my credit card to be charged in order to receive these monthly promotional specials at Elegance Aesthetics Med Spa. I am of legal age to purchase these treatments, or I have a legal guardian who is purchasing these treatments for me and are consenting to the treatments I may receive at Elegance Aesthetics Med Spa. I understand that if I am a new patient at Elegance Aesthetics Med Spa, that I must at minimum fill out office and treatment consent forms when I visit Elegance Aesthetics Med Spa in order to complete the treatments I am interested in receiving. I understand Elegance Aesthetics Med Spa has the final right to refusal on completing any treatments that providers may deem as unfit for myself to receive.

Signature(Required)

Treatments

Neurotoxins

Fillers

Skin Discoloration

Current Promotions

Billing & Payment Information

Treatments

Neurotoxins

Fillers

Skin Discoloration

Current Promotions

Billing & Payment Information

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