She tells patients they can return as soon as two weeks later, suggests a series of four and then sessions as needed. Patients who can only come every couple of months are told to come when they can, and she often lines the next session up with visits they already have booked.

She spaces under-eye sessions further apart than full-face ones, about three to four weeks, so roughly monthly. She aims for about three sessions in a year, with a touch-up as needed.

She starts patients as early as their 20s when the under-eye skin is naturally thin. For older patients with marked puffiness or laxity she discusses expectations openly, including whether a surgical option is the better conversation, and says to be honest when someone is not the right fit.

Use a consent form as with any other procedure and review all allergies before starting. She specifically asks about salmon allergies and any earlier issues with peptides.

Yes. She uses about one 3 ml vial for a full face and sends the patient home with whatever is left to apply as a topical. She adds daily aftercare products so the routine continues between visits.

She explains at the first visit that a series is the recommended plan, writes the consultation plan out and hands it to the patient, books the next appointment and sends a reminder a week before it.