Botox and Filler Injections

Brenda Cumming, RN, MEP-C, is a founder and member of the Board of Directors at Lira Clinical, a science- and nature-based global skincare company that provides cutting edge products and extensive education to licensed skincare professionals. Brenda lends her knowledge of the latest technologies and ancient aesthetic secrets to the development of corrective skincare systems and daily beauty essentials.

With over 30 years of experience in clinical and management roles in Critical Care, Trauma, Post Anesthesia, Urgent Care, and Family Practice, Brenda’s science-based knowledge of health and wellness provides Lira Clinical with an in-depth understanding of the professional skincare industry.

Prior to launching Lira Clinical in 2010, Brenda, a Registered Nurse, still owns and operates her own Medical Spa in Evergreen, Colorado. While she was the Territory Manager and Educator for Image Skin Care, she developed annual sales of over $1.8 million in her region. In August of 2002 Brenda completed her certification in Botulinum Toxin A (Botox®) Administration, Sclerotherapy, Microdermabrasion, and Chemical Peels, from the former Eclectic Skin Institute (currently the Esthetic Skin Institute). Brenda’s extensive professional background, dedicated work ethic, love of cosmetics, and positive attitude make her an essential pillar in the operations of Lira Clinical.


Botox® Cosmetic (onabotulinumtoxinA) causes relaxation of facial muscles. The product works by blocking the communication between nerve endings and their surrounding muscles. Botox is injected into specific regions to treat overactive muscles that cause wrinkles with facial animation. The effect of is temporary and repeat treatments are necessary periodically to maintain the softening of facial furrows and creases.

Combat the signs of aging and significantly reduce the appearance of fine lines and wrinkles with Botox. Botox is safe, effective, and causes relaxation of the muscle it is injected into, resulting in softening of fine lines and wrinkles for a more youthful appearance. Botox can be injected for forehead wrinkles, crow’s feet, lateral eyebrows, bunny lines, gummy smile, vertical lip lines, a downturned mouth, pebbled chin, neck wrinkles and undefined jawline.

Dermal Fillers

Juvedérm® is a gel-based filler composed of hyaluronic acid, a natural constituent of the dermis, the second layer of skin. Naturally occurring hyaluronic acid lends structure, firmness, and volume to the skin. Although abundant in youth, the passage of time and exposure to environmental factors such as ultraviolet light exposure decreases the presence of hyaluronic acid in the skin. Hyaluronic acid attracts water to the area of placement, “plumping” the treated areas and decreasing the presence of facial lines, wrinkles, and folds.

Generally, fillers are used for nasolabial folds (from the nose to the edges of the lips),  and may also be used to plump lips.

Kybella – Double Chin Treatment

Did you inherit your parent’s double chin? Come in for a consultation to see if Kybella is right for you. Kybella is an injectable that reduces the appearance of fullness in your neck area and can produce a more pronounced jaw line.

Please call to schedule your appointment and bring a friend! We will need 30 minutes for Botox injections and 60 minutes for Juvederm (with/without botox) injections.

Botox, Juvederm, Kybella, Blue Sage Spa, Breckenridge, CO