Frequently Asked Questions

  • What's the difference between Morpheus8 and standalone microneedling?

    Morpheus8 combines microneedling with radiofrequency energy to penetrate deeper layers and stimulate collagen in skin that's lax or textured. Standalone microneedling uses controlled micro-channels at the surface level without RF, targeting tone and texture concerns with lower downtime. Morpheus8 addresses structural aging; microneedling refines surface damage.

  • Why does Butte's altitude affect how my skin ages?

    High-altitude UV index at Butte's elevation accelerates collagen breakdown, pigmentation, and vascular damage year-round — even in winter. Outdoor activity culture compounds exposure. Laser treatments like Lumecca IPL and Morpheus8 target this cumulative sun and wind damage that topical skincare can't reverse.

  • How does Diolaze laser hair removal differ from other laser systems?

    Diolaze uses diode technology with built-in cooling contact, delivering consistent energy across all skin tones with less discomfort than older alexandrite or IPL-based systems. It's part of the same clinical-grade platform that runs Morpheus8 and Lumecca, ensuring precision and provider oversight rather than franchised spa equipment.

  • What does full face rejuvenation actually mean at a medical aesthetics clinic?

    Full face rejuvenation treats the entire facial structure — volume, texture, fine lines, and skin quality — rather than isolating one area like lips or forehead. Providers assess proportions, educate patients on what's realistic, and individualize treatment combinations instead of following a preset menu or trend-driven requests.

  • Can I get lab work done for hormone optimization without seeing an endocrinologist in Butte?

    Top Deck is the only facility in Butte offering cash labs for hormone panels, allowing patients to access comprehensive testing and individualized protocols without endocrinology referrals. Hormone optimization is managed medically with ongoing monitoring — patients travel from as far as Cody, WY for this program specifically.

  • Why would I choose Lumecca IPL over other light-based treatments?

    Lumecca delivers higher peak power than standard IPL devices, targeting pigment and vascular concerns like sun spots and broken capillaries in fewer sessions. It's clinically supervised, runs on the same advanced platform as Morpheus8 and Diolaze, and addresses UV damage common in Montana's high-altitude environment.

  • What makes IV therapy more effective than taking oral supplements?

    IV infusions bypass the digestive system entirely, delivering nutrients and hydration directly into the bloodstream for immediate cellular uptake. High-altitude living in Butte increases hydration and micronutrient demands that oral absorption rates can't always meet, especially during recovery or illness.

  • Do I need to see a provider before getting injectables, or can I just book a treatment?

    Injector consultations at Top Deck prioritize education over selling — providers assess facial anatomy, explain what you need versus what you're asking for, and recommend individualized dosing. This isn't a walk-in menu service; treatment plans are built around full-face harmony and realistic outcomes, not trends.

  • How do chemical peels and facials differ from what I'd get at a day spa?

    Medical-grade peels and facials use clinical formulations and concentrations unavailable in retail spas, targeting barrier damage, pigmentation, and texture that over-the-counter products can't address. Treatments are performed in a medically supervised environment with access to ZO medical-grade skincare for home maintenance.

  • What does it mean that all three laser modalities are on the same platform?

    Diolaze, Lumecca IPL, and Morpheus8 all run on one clinical-grade system, demonstrating technology investment and provider training depth rather than piecemeal equipment. Patients can be matched to the right modality — hair removal, pigment correction, or skin tightening — without being limited to one-size laser approaches.

  • Why do hormone patients travel from Wyoming to a Butte clinic?

    Top Deck's hormone optimization program is built on comprehensive lab panels and ongoing monitoring, not symptom checklists alone. The clinic's medically rigorous approach and ability to run cash labs in-house attract patients from Cody, WY and across Montana who want answers from testing, not trial-and-error protocols.

  • What affects the cost of dermal filler treatments at a medical aesthetics practice?

    Filler cost depends on product type — hyaluronic acid, calcium hydroxylapatite, or biostimulators like Sculptra — volume needed, and treatment area complexity. Individualized dosing prioritizes facial proportion and long-term results over filling isolated zones, so pricing reflects full-face assessment rather than per-syringe menus.

  • What is your cancellation policy?

    Due to our schedules filling up fast, we request that you cancel or reschedule at least 24 hours before your appointment. This gives us the opportunity to fill that spot. 


    There is a $75 fee for any missed or cancelled appointments if not done within 24hrs.


    We love our patients, and want to continue to help those in Billings and Butte. We appreciate you trusting us for all your aesthetic and wellness needs.

  • Late Policy

    We will always try our best to accommodate you if you’re running late, especially due to the weather! Patients will generally be allowed a 10-minute grace period. Please see above for full late/cancellation policy.

  • Do I need to stop Retin-A or other actives before my treatment?

    Actives, including Retin-A, Retinol, etc. should be stopped one week prior to appointment. If you have any questions, just ask!

  • When can I work out again?

    We ask that all patients refrain from working out for 24-hours post-procedure.

  • Will I need a follow-up?

    Yes, you will likely need a follow-up 2 weeks after your toxin appointment.

  • Do you offer injectable parties?

    Yes! Ask us about special host/hostess savings! We can host it at our location OR come to you!

  • How do I schedule an appointment?

    To ensure the best care and communication, all appointments at Top Deck Medical Aesthetics & Wellness (Butte & Billings) must be scheduled by


    CALL or TEXT 406.302.2808


    (HIPPAA compliant communication protected through Weave)


    *We do not accept appointment requests through DMs, Email, Personal Calls or Texts.

  • Why can’t I book online?

    At Top Deck Medical Aesthetics & Wellness, our scheduling process is a little different & here's.why:


    Our team offers a wide range of treatments, each with different availability.


    We offer personalized scheduling!  Booking the right service often requires a bit of guidance similar to a doctor's office.


    We have clinics in both Billings & Butte with varying provider schedules.


    WE'RE HERE TO HELP!


    Our patient coordinator, Ronnie, will ensure you're booked with the right treatment and service provider to achieve your aesthetic + wellness goals.