Request a Sample Pack

Which Samples Would You Like? *

LipLuxe Lip Scrub, Balm, and Mask

HydraLuxe Acute Care Kit (Post Lip Injection After Care)

Uplift Post Microneedling Kit

Uplift Sculptra Post Procedure Kit

Uplift Post-Laser Face Kit

Uplift emFace Post Procedure Kit

Business Contact Name *

First Name

Last Name

Business Contact Phone Number *

(###)

###

####

Business Shipping Address *

This is the address we will be sending the samples

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What Products Do You Currently Sell?

Skin Care

Post-Cosmetic-Procedure After Care

Post-Dental-Procedure After Care

None

What Services Do You Provide?

Lip Filler Injections

Soft Tissue Fillers

Botox

Sculptra

Microneedling

emFace

Dental Procedures

Body Procedures

None