We offer a limited menu of concierge medical services to help make your health care more affordable and convenient.  Examples of this include: Lab draws, bridge prescriptions, vital sign checks, hearing and vision screens, and more. We are frequently adding to our menu of services so check back often to see what's new. 

Our services are ALL cash pay with exception of Quest Labs. You can use HSA for qualified services. We gladly take Care Credit and Cherry for payment plans as well as all major credit cards. Payment is due at the time of your service.

**Medicare enrolled patients may use the concierge lab draw services we send through Quest Diagnostics only.

Direct primary care offers a meaningful alternative to primary care services where patients pay their medical provider directly, instead of using insurance. 

How it works

• -Patients pay a monthly, quarterly, or annual fee to their medical provider.
  • -The average monthly DPC fee ranges from $50-100
    • -The fee covers a set of basic primary care services. 
      • -Types of services that are included vary by practice but may include: Annual physicals, basic lab work, chronic disease management, basic office procedures, and sick care visits.

Benefits 

• -Easier access to primary care.
• -Services may be cheaper.
• -Extended visit times.
• -Direct access to the healthcare team, including the medical provider.

Drawbacks 

•  -DPC practices often suggest that patients acquire a high-deductible wraparound medical insurance policy to cover emergencies, high cost diagnostic testing, specialty care, or hospital stays.
  • -Membership fees don't count towards insurance deductibles.
• -Membership fees might not qualify for Health Savings Accounts (HSAs).
• -DPCs do not accept insurance or participate in government programs. 
  • -They rely solely on patient fees.
  • -Some cannot see patient enrolled in Medicare.

Hormone replacement therapy (HRT) is a medical treatment that can help relieve symptoms of hormonal imbalances. 
 
In women HRT can help with:

• -Hot flashes
• -Joint pain 
• -Low libido
• -Vaginal dryness
• -Urinary incontinence and frequent urinary tract infections caused by vulvovaginal atrophy
• -Night sweats
• -Mood swings
• -Reduce the risk of osteoporosis & heart disease
• -More

In men HRT can help with:

• -Energy levels
• -Low libido
• -Erectile dysfunction
• -Cognitive function
• -Muscle mass
• -Strength
• -More

How it Works

• -HRT involves taking hormones like estrogen, progesterone, and testosterone. 
• -HRT can be taken orally (pills), topically (creams & patches), injected (injections), or implanted (pellets).

Conditions Treated

• -Perimenopause
• -Menopause
• -Andropause (low testosterone)
• -Adrenal disorders 
• -Thyroid disorders 
• -Osteoporosis
• -Sleep problems
• -Depression
• -Anxiety

Meeting The Needs Of Our Clients...
Our service menu is constantly evolving to meet the needs of our customers. How can we offer all of these great services? In addition to continued education and training, we work with independent contractors who own small businesses that offer services that are a good fit for our center. These individuals must be appropriately credentialed for the services that they provide in order to use our facility. Graceful Secrets Medspa & Wellness Center is not directly affiliated to the Independent Contractors working within our facility.

IV Vitamin Therapy

IV vitamin therapy delivers fluids, vitamins, minerals, and other medications directly into the bloodstream (intravenously). It's an alternative to oral supplements and can help address nutritional deficiencies. This is especially beneficial when a person has trouble with digestive issues or dehydration. 

There are multiple recipes or mixes available for IV Vitamin Therapy. For your safety, it is important to disclose your health history and the current medications and supplements that you take to the provider administering the therapy.

We use a Diode 808 laser. Our laser has technology that pulls water into the treatment piece and cools it to deliver painless treatment. The energy from the laser is picked up by the pigment from the hair follicle causing destruction of the root. 

OUR LASER ONLY WORKS ON DARK PIGMENTED HAIR. IT WILL NOT WORK ON BLONDE OR GRAY HAIR.

You will need anywhere from 8-12 treatments, spaced 4-6 weeks apart, to achieve desired initial results. It is important to attend all sessions. Most people see results after 6-8 sessions. 

Laser hair removal is not always permanent. Sometimes the hair can grow back after a period of time. It is recommended to get maintenance treatments every 6-12 months to maintain optimal results.

Laser hair removal is generally safe, however, there is a risk of burns, blistering, pigment changes, scaring, and redness.

The laser cannot go over tattooed skin due to a risk of burns.

PRE-TREATMENT
Before your treatment you must shave (not wax or tweeze) the area so that the laser can target the root of the hair instead of any hair on the skin, as the the laser can singe the hair which can cause a burn. Do not bleach any hair for 1 month prior to treatments as the laser is attracted to pigment. 

You will need to avoid excessive sun exposure in the areas to be treated prior to your procedure. Additionally, any photosensitizing medications will need to be stopped 1 week before your treatment as well as any skin care products with strong active ingredients such as retinoids, AHA, or BHA. 

POST-TREATMENT
After your treatment you will want to wear sunscreen or cover the treated areas. Between treatments, you will want to shave the hair, do not wax, pluck, or thread.

We use an Nd:YAG Picosecond laser for laser tattoo removal. 

WHAT TO EXPECT
The procedure may or may not be uncomfortable. For those who find it uncomfortable, they report the feeling being similar to being snapped by a rubber band. During recovery the area will feel tender and sensitive to touch due to swelling and blistering. Once these side effects subside over the next few days, the pain improves. Pain can be managed by over-the-counter analgesia such as acetaminophen. You can also use some topical lidocaine. There is little to no downtime. You can even return to your usual activities shortly after treatment with the exception of workouts that cause sweating. Keep the area covered when there is a chance of other clothing causing friction to the area as it is healing.

Tattoo clearance WILL require several sessions. The laser uses light to breakdown the pigment. Once the laser breaks down the ink, your immune system removes the pigment particles over the following weeks. After a couple treatments you will notice your tattoo beginning to lighten. It will continue to do so with every session until the pigment is no longer visible. 

Please note: Cosmetic tattoos, such as eyebrows can turn red/orange during the tattoo removal process due to the break down of the iron oxide pigments.  

Side effects are an expected part of laser tattoo removal. In fact, some of these are an important part of the immune response that helps eliminate the ink from the skin.

Common side effects include:

• -Redness
• -Tenderness
• -Blistering
• -Swelling
• -Crusting/Scabs
• -Bruising
• -Hyperpigmentation
• -Hypopigmentation

You may notice frosting of the treated skin immediately following the treatment. Swelling, tenderness and redness begins to occur shortly after the frosting disappears. Redness, tenderness and swelling usually subsides a day or two after treatment. Blisters can start forming within 24 hours after treatment. They may appear alarming, but these indicate that your body is healing as it should. Avoid picking at your blisters because they will drain on their own and dry into scabs. The crust will eventually fall off within 10-14 days after treatment.

Pigmentation changes on the targeted areas can occur when the body’s melanin production is thrown off balance after a laser treatment. Hyperpigmentation results when your body overproduces melanin. Hypopigmentation is when the areas appear bleached as melanin gets depleted by the laser treatment. Typically, hyperpigmentation and hypopigmentation are temporary, and they resolve with time.

Poor aftercare can increase the likelihood of scarring, delayed healing and infection. Remember that you have an important role for the outcome of your laser tattoo removal!


PRE-TREATMENT INSTRUCTIONS 

• -Sun exposure, including tanning beds and the application of sunless tanning products, must be avoided for 2 weeks prior to and after the treatment, preferably 4 weeks. Sun exposure, tanning, and sunless tanning products decrease the effectiveness of the laser treatment and increase the chance of post-treatment complications. 
• -An optional pre-treatment kit containing topical lidocaine and Tegaderm film can be picked up during business hours prior to your scheduled appointment. Please apply the lidocaine 30-60 minutes prior to your scheduled appointment and cover with either the provided Tegaderm film or some plastic wrap. 
• -Accutane and any other photosensitizing medication should be discontinued for a period of at least 6 months prior to receiving treatment and should not be used during the course of treatment.
• -Waxing and/or the use of chemical depilatories must be avoided in the treatment area for 2 weeks before and 2 weeks after the treatment to avoid skin sensitivity. Shaving is allowed before treatment to remove surface hair in the areas to be treated. 
• -You must not be pregnant! 
• -During the course of treatment, notify the provider of any changes to your medical history, health status, or personal activities that may be relevant to your treatment.

POST-TREATMENT INSTRUCTIONS 

• -Post Treatment Kits are available for purchase ($25) and include: Skin cleanser, ice pack, gauze, tape or Tegaderm, healing ointment, sunscreen.
• -Immediately after treatment, there may be “frosting” on the area that was treated. Redness and swelling is typical. Pinpoint bleeding may also occur. 
• -A cool compress may be applied. 
• -Tylenol is recommended for discomfort. 
• -The treated area should be cared for delicately until healing is complete. Care should be taken to avoid trauma to the area for the first 7 days after treatment. 
• -Clean the treated area twice per day with a gentle cleanser, allow water to run over the wound, and then pat the area dry. Do NOT scrub the area. 
• -Apply a healing ointment such as: Aquaphor, Bacitracin, or Vaseline to wound area 2-3 times a day. 
• -Cover the treated area with a nonstick gauze (after ointment is applied) until the wound is healed. Do NOT pick, peel, rub, scrub, or scratch at the skin in the treatment area throughout the healing process. If crusting occurs, do not shave or pick area. Let the scabs fall off on their own. 
• -Blisters and scabs can be a normal response to tattoo removal, although some patients may not experience them. In the case that you do, it is important not to pop or pick at them. If the blister pops on its own, keep the skin over it covered with a healing ointment and gauze to promote healing and prevent scarring. 
• -No swimming or using bathtubs, hot tubs/whirlpools until the wound heals. 
• -Don’t apply makeup or any potentially irritating product on treated skin while it heals.
• -Avoid shaving treated areas until the skin is healed.
• -Physical exercise that causes perspiration should be discontinued for at least 2-7 days after treatment as excessive perspiration may disrupt the healing process. 
• -Avoid excessive sun exposure. When the treatment area is exposed to the sun, use a thick layer of 30+ SPF sunblock with zinc oxide and reapply every 2 hours. 
• -Follow up treatment sessions can be scheduled 6-8 weeks apart (if the area is completely healed). 
• -Please contact us if you feel the area is not healing as expected or if you have questions or concerns. 

DIODE 808
ONLY used for: Laser Hair Removal/Reduction

The energy from the laser is picked up by the pigment from the hair follicle causing destruction at the root. Our laser includes contact cooling to deliver a painless experience. 

MOST LASERS ONLY WORKS ON DARK PIGMENTED HAIR. THEY WILL NOT WORK ON BLONDE OR GRAY HAIR.

You will need anywhere from 8-12+ treatments, spaced 4-6 weeks apart, to achieve desired initial results. It is important to attend all sessions. Most people see results after 6-8 sessions. As with any other treatment, incomplete response or recurrence may occur.

Laser hair removal is not always permanent. Sometimes the hair can grow back after a period of time. It is recommended to get maintenance treatments every 6-12 months to maintain optimal results.

Laser hair removal is generally safe, however, there is a risk of burns, blistering, pigment changes, scaring, and redness.

The laser cannot go over tattooed skin due to a risk of burns.


Nd:YAG PICOSECOND LASER 
Primarily used for: Laser Tattoo Removal/Reduction

Tattoo clearance WILL require several sessions. The laser uses different wavelengths of light to breakdown the pigment. Once the laser breaks down the ink, your immune system removes the pigment particles over the following weeks. After a couple treatments you will notice your tattoo beginning to lighten. It will continue to do so with every session until the pigment is no longer visible. As with any other treatment, incomplete response or recurrence may occur.

Please note: Cosmetic tattoos, such as eyebrows can turn red/orange during the tattoo removal process due to the break down of the iron oxide pigments.  

The procedure may or may not be uncomfortable. For those who find it uncomfortable, they report the feeling being similar to being snapped by a rubber band. During recovery the area will feel tender and sensitive to touch due to swelling and blistering. Once these side effects subside over the next few days, the pain improves. Pain can be managed by over-the-counter analgesia such as acetaminophen. There is little to no downtime. You can even return to your usual activities shortly after treatment with the exception of workouts that cause sweating. 

Side effects are an expected part of laser tattoo removal. In fact, some of these are an important part of the immune response that helps eliminate the ink from the skin.

Common side effects include:

• -Redness
• -Tenderness
• -Blistering
• -Swelling
• -Crusting/Scabs
• -Bruising
• -Pigment changes

PULSED DYE LASER
Primarily used for: Vascular Lesion Removal/Reduction

Pulsed dye lasers (PDLs) use short bursts of intense light to target and destroy blood vessels in the skin. PDLs emit a wavelength of light that is specifically absorbed by hemoglobin, the protein in red blood cells. This absorption creates heat, which causes the targeted blood vessels to coagulate and break down. 
Over time, the body removes the damaged blood vessels, resulting in a reduction in redness and discoloration. As with any other treatment, incomplete response or recurrence may occur.

PDL treatment sessions usually take only a few minutes. The procedure may or may not be uncomfortable. For those who find it uncomfortable, they report the feeling being similar to being snapped by a rubber band. Most patients will usually need between 1-3 treatments, with some conditions requiring more. 

They are primarily used to treat vascular lesions, such as: 

• -Port wine stains
• -Rosacea
• -Spider veins
• -Hemangiomas
• -Facial redness
• -Others

Common Side Effects Include:

• -Redness
• -Tenderness
• -Blistering
• -Swelling
• -Crusting/Scabs
• -Bruising
• -Pigment changes

Our medical aesthetics services are designed to enhance your natural beauty and address various cosmetic concerns. We get it! It's not simply about how you look, it's about how you feel! Everyone deserves to be able to look in the mirror and see confidence staring back at them. You got this! We can help. 

General Program Information:
Minimum BMI for program: 25 kg/m2 
Age Restrictions for Program: 18-64
Minimum Time Commitment for Program: 3 months
(We will see people outside of the BMI and age restrictions on a case by case basis.)

Initial “Start-Up” Visit: $150 (Medication cost not included)
In-Person Visit Includes:

• -60 minute visit to go over program, medication, and quick overview on getting started
• -InBody body composition
• -Vital signs: BP, HR, Wt, T, SpO2%
• -Body Measurements
• -Starting picture
• -In office labs: cholesterol, A1c, glucose
• -Help with first injection (if applicable)

Telemedicine Visit Includes:

• -60 minute visit to go over program, medication, and quick overview on getting started
• -UPS shipping of starter kit with all supplies need to start program

Monthly Fee:$75 (Medication cost not included)

• -Discounted to $50 with 2 or more household members in active phase of program. (Proof of address required.)
• -Starts month 2

Includes:

• -Body Site wellness app with tools & education
• -Shipping (if applicable)
• -Injection supplies (if applicable)
• -InBody body composition assessments (In-Person)
• -Support

Medication Costs:

• -Variable
  • -Several different types of medications can be used to help with weight loss. 
    • -A medical provider will work with you to decide which medication is right for you based on your individual circumstances. 

Payment:

• -We DO NOT accept insurance for our service fees.
• -Active credit card must be kept on file for charges. No prepaid cards/ No locked cards!
• -We DO NOT accept checks.
• -Compounding pharmacies DO NOT accept insurance. 
• -Weight loss programs and prescription medications are usually HSA eligible with a letter of medical necessity and an itemized receipt that we will gladly provide upon request. 
• -We accept most major credit cards and Care Credit for this program. 

The following services are offered as membership programs:

• -Medical Weight Loss
• -Hormone Replacement Therapy
• -Direct Primary Care

(A monthly membership fee is required for these services.)

We do 3 hour group appointments for up to 10 guests. Additional guests can be accommodated but require extra time and product. Parties must have a minimum of 4 people. 

You can host your party in our space in St. Ansgar, Iowa or we will travel up to 70 miles from our location in Saint Ansgar, IA for parties. If you are farther away we will consider appointments on a case by case basis. 

REGISTRATION & DEPOSIT
Often times parties are booked on weekends or evenings and our provider(s) make a commitment to spend this time with you and your guests instead of being home with their families. Sometimes we even close our business early in order to accommodate certain date and time requests. When we travel to a location away from our clinic, travel time and gas money is spent. Additionally, certain quantities of products need to be ordered specifically for parties and events to ensure we have enough. The party host also has invested time, money, and energy in this party. It is for this reason that we require 100% commitment from all guests 5 days in advance. The best way we have found to ensure people are serious about securing one of the limited party spots is to require a registration & deposit. 

A $50 deposit is required from each guest at the time of registering for the party. This amount will go toward each guest's final bill on the day of the party. If there is any money remaining after the bill has been settled, the excess will be credited back to the guest. If a guest fails to notify the provider 5 days before the party that they will not be attending, the $50 will NOT be refunded.  

Registration closes 7 days prior to the event to enable waitlisted guests the opportunity to join as well as to allow enough time for ordering needed products. 

All information on the registration form is required for your medical record. It will be kept private. This is for legal reasons and to ensure a safe medical procedure. All consent forms are required to be signed prior to treatment. If you have questions or concerns, please reach out in advance of your service. You will have an opportunity to discuss your individual needs in more detail at the time of the service. Consent forms only need to be signed once per service type. You will be provided a consent form for the service of your choice after the registration has been completed.

TIPS & TRICKS

• -Most procedures that are done at Botox Parties take 15 minutes to complete for each person. People having lip filler will want to arrive 15 minutes early for topical numbing. 
• -Some hosts like to have people come in at staggered times and leave after their services are completed, while others have people stay for the entire time of the party. This is up to the host. 
  • -The injector will leave when everyone has had their treatments when the event is located somewhere other than our facility.
  • -We know it is fun to visit, but the host is responsible to help end the party on time (within 3 hours) when the party is held in our facility. 
    • -You may enjoy our facility for the entire time you have blocked if you choose. 
• -It is nice to have ice packs in the freezer for pre- and post- Botox or dermal filler injections. 
• -Comfortable seating is needed for guests having IVs. 
• -Botox, Filler, and IV starts require good lighting. Lighting can be dimmed for IVs after they are started. 
• -Many hosts have some type of light refreshments available for their guests. 
  • -It is ok to drink wine or cocktails during your party, but we reserve the right to decline to proceed with any procedure if we feel that the guest is not legally able to make informed decisions and consent to the procedure, or participate safely. Additionally, the consumption of alcohol may cause additional bruising at the injection sites. We will NOT refund the deposit in this instance.
  • -Our injectors thank you for offering to include them in your fun, but they are not allowed to drink alcohol prior to caring for patients.
• -Payment for the service(s) is due immediately following each procedure from each individual. 

Forms of payment accepted: Cash, all major credit cards, Care Credit, and Cherry. 

TYPES OF PARTIES
We have a shortened list of services that we can provide at parties due to the time, equipment, sanitizing, and various regulations some procedures require. 

The 2 types of parties we currently offer are: 

• -Botox & Filler
• -IV Vitamin Infusions & Oxygen Bar

VISIT OUR WEBSITE
While we wish we had time to discuss all of the services we offer with guests at these parties, it can significantly delay services for other guests. Thank you in advance for scheduling your separate consultation for other services. 

Visit our website to learn more about other service we provide:
www.gracefulsecrets.com

GOOGLE STREETVIEW LINK: https://g.co/kgs/fYBG8Sn 




HOSTS
BOTOX & FILLER PARTY:

• botulinum toxin-type A: 
  • -$8.50/unit
• Dermal Filler: 
  • -1 Syringe: $589 (Regular Price $650)
  • -1/2 Syringe: $389 (Regular Price $450)

IV VITAMIN THERAPY & OXYGEN BAR PARTY:

• -Free upgrade to 1000 ml bag of fluids (normally 500 ml)
• -Free 1000 mcg cyanocobalamin Add-On
• -Free Oxygen Bar usage for the party/event

GUESTS
BOTOX & FILLER PARTY:

• botulinum toxin-type A: 
  • -$10/unit
• Dermal Filler: 
  • -1 Syringe: $589 (Regular Price $650)
  • -1/2 Syringe: $389 (Regular Price $450)

IV VITAMIN THERAPY & OXYGEN BAR PARTY:

• -$5 upgrade to 1000 ml bag of fluids (normally 500 ml)
• -$10 cyanocobalamin 1000 mcg Add-On
• -$15/15 min Oxygen Bar 

*Discounts are per guest. No sharing.


Full menu for IV Vitamin Therapy & Oxygen Bar Party is currently being created. 

Being well, is NOT just being free of disease. Don't just survive, THRIVE!