Bridget Alsup, PA-C

Bridget Alsup, PA-C Integrative Aesthetic Medicine | Skin Health + Wellness
📍 Winston-Salem, NC

09/06/2026

Your face does not belong in the bargain bin — so, why is this the question you ask before anything else?

When the first question you ask is “what’s your tox price per unit” or “how much does this procedure cost,” it’s a signal.

It tells me you value price over outcomes, safety, training, experience, and the level of care you’ll receive as a patient — is that true?

I want to be clear: price matters. Budget and payment planning are part of a real conversation. But, when price is the only question you ask about, that’s a problem.

Before you book with any aesthetic medicine provider or cosmetic injector, ask about these 5 things instead:

1 Credentials — Are they board-certified and licensed? Where were they trained? Do they pursue ongoing education, and where? Is this their full-time specialty, or a side hustle on top of another job?

2 Experience — How long have they performed this specific procedure? How many cases do they see in an average week? If they’re in a dermatology or surgical practice, will they actually treat you, or someone else? Are injectables their primary focus, or secondary to surgery or medical dermatology?

3 Results — What is their own aesthetic? Look at their face. Ask to see before-and-afters of their actual work. Read their reviews online and check out their social media. Are they building a full treatment plan and having a real consultation around facial balancing and skin health, or just scheduling you for procedures?

4 Complications — How are they handled if something goes wrong? Do you have a direct line to your injector? Do they keep reversal agents on hand?

5 Follow-up — Do they follow up, and when? Are before-and-after photos taken? Do they map out your full treatment course and discuss multi-modal plans built around your goals?

Follow for more education like this. Like this post and share it with someone considering an injector. Save it so you have it on hand before your next appointment.

🤍 Bridget Alsup, MPAS, PA-C, FMCP-M
Aesthetic Medicine + Wellness | W-S, NC

09/04/2026

My most enthusiastic child obviously came with a health sprinkle of separation anxiety.

09/01/2026

Just some neutral thoughts to bring in the month of September 🫢

What do you agree / disagree with? Drop it in the comments!

The truth is … the patch works, but the adhesive doesn’t always cooperate.If yours has ever curled at the edges early in...
08/31/2026

The truth is … the patch works, but the adhesive doesn’t always cooperate.

If yours has ever curled at the edges early in the week — or come off entirely in the shower — it isn’t a flaw in your skin. Estrogen patch adhesion is a mechanical problem with mechanical solutions, and most come down to three things: how the skin is prepped, how the patch is applied, and where it’s placed.

A few specifics worth knowing:

Preparation matters most. Clean, fully dry skin holds adhesive far better than skin that’s warm and damp from a shower, or carrying any trace of lotion, oil, or sunscreen. If you use an alcohol wipe to remove residue, let the skin dry completely first — alcohol on damp skin can undercut the adhesive.

Technique is worth thirty extra seconds. Peel from the edges without touching the adhesive, then press firmly with the palm of your hand for ten to fifteen seconds, sealing the edges last. A little gentle warmth — a hand, or a hair dryer on low — helps the adhesive bond before that final press.

Placement and timing do real work. The lower abdomen and upper outer buttock hold better than the waistline or anywhere clothing rubs. Rotate the site with every change, and give a new patch at least an hour to set before a workout, swim, or hot shower. Still lifting? A clear waterproof medical dressing (Tegaderm, sold OTC) over the top is a reasonable, low-effort fix.

None of this is a shortcut — it’s the mechanics of adhesive and skin, and it’s worth getting right, since consistent absorption is the goal of hormone replacement therapy.

Follow along for more. Share with someone who needs to hear this information.

Please note: this is general education, not a substitute for a personalized plan or medical advice — discuss with your provider, or schedule a consult to establish female HRT care if you live in NC.

Bridget Alsup, MPAS, PA-C, FMCP-M
Aesthetic + Wellness Medicine
Winston-Salem, NC

08/28/2026

Is this how you thought a filler treatment went?

It seems like somewhere along the way, people were led to believe that we can just address the lines that are obvious without doing a full face assessment and balancing out the other places that have lost support, structure, and volume that, in fact, are contributing to those obvious lines in the middle of the face.

Drop any thoughts / comments below 😉
And, don’t forget to follow for more!

Bridget Alsup, MPAS, PA-C, FMPC-M
Aesthetic + Wellness Medicine

Two years in brings even more clarity around:•who my patients are•why I continue to show up every day•where I’m goingMy ...
08/27/2026

Two years in brings even more clarity around:

•who my patients are
•why I continue to show up every day
•where I’m going

My practice isn’t for everyone, and that’s okay — but I’m damn proud of what I’ve built in just two years:

• An aesthetic medicine practice with comprehensive offerings — from skin health to advanced injectables, cosmetic dermatology, and hair loss prescription plans, to weight loss and female hormone replacement therapy

• Transitioned from concierge care to an in-person, brick-and-mortar office space

• An 85% patient retention rate (industry average is 40-50%!)

I must be doing something right. So if you’re looking for a different level of aesthetic medicine, I’d be happy to work with you.

Bridget Alsup, MPAS, PA-C, FMCP-M
Aesthetic and Wellness Medicine
Winston-Salem, NC

08/25/2026

https://shopmy.us/shop/collections/7221757

This is one of the most common questions I’m getting right now from patients whose kids are entering that pr***en or teen hormonal shift, and experiencing the skin changes that come with it especially at the start of a new school year.

Here’s the beginner AM/PM starting routine I recommend, plus how to know when it’s time to go beyond OTC products.

AM:
*Gentle, non-stripping cleanser (pat dry w/clean towel)
*Hypochlorus acid mist
*Lightweight, oil-free moisturizer
*Broad-spectrum SPF 30 or higher, every day (ideally all-mineral, non-comedogenic)

PM:
*Double cleanse with oil based cleanser followed by benzoyl peroxide or salicylic acid cleanser (pat dry w/clean towel)
*Moisturizer to buffer any dryness or irritation
*Option to add targeted retinoid (adapalene) introduced slowly (a few nights a week to start)
*Option to add another layer of moisturizer to buffer any dryness or irritation

Remember: Consistency matters more than any single product.

Give a routine 8 to 12 weeks before judging whether it’s working.

When it’s time to consider more than OTC care:
▪︎Deep, painful bumps under the skin (nodules or cysts), not just surface pimples
▪︎Breakouts that leave behind dark marks, red or purple marks, or textural scarring
▪︎Widespread inflammation across the face, chest, or back rather than a few isolated spots
▪︎No meaningful improvement after 8 to 12 weeks of consistent OTC use
▪︎Acne that’s affecting your child’s confidence, social life, or mental health

These are the features that tell me a topical or oral prescription is the more compassionate and effective next step, not a failure of the OTC routine.

Comment ‘TEEN ACNE’ and I’ll send you my go-to product picks for each step above.
SAVE this post to refer back or SHARE with someone who need it!

*This content is for educational and informational purposes only and is not intended as personal medical advice. Please consult a licensed provider for guidance specific to your teen.*

Sculptra is the treatment patients ask about most — and, the one most often misunderstood. Here are 7 Sculptra FAQs, ans...
08/24/2026

Sculptra is the treatment patients ask about most — and, the one most often misunderstood.

Here are 7 Sculptra FAQs, answered plainly (and, if you don’t see yours answered here - drop it in the comments!)

What exactly is it?
▪︎Poly-L-lactic acid (PLLA) — a biostimulator, not a filler. It doesn’t add gel volume; it asks your skin to rebuild its own.

How does it work?
▪︎PLLA microparticles trigger a controlled, purposeful response: fibroblasts lay down new type I collagen over roughly 4–12 weeks while the PLLA breaks down into lactic acid, then CO₂ and water. That new collagen in the dermis and subdermis is what people read as “glow” — a thicker dermis that scatters light more evenly, refined texture and softened crepiness, and restored support at the deep planes (temples, cheekbone, jawline) that lifts shadow off the face. Results build over months and generally last around two years, because the result is your own tissue.

Is it painful?
▪︎A needle is used to place the product, but it is mixed with lidocaine at reconstitution — most patients find the treatment quite tolerable.

What about nodules?
▪︎Thoughtful dilution, injection technique, and the post-procedure 5-5-5 protocol have made this an uncommon outcome. Technique is the safeguard.

Can it be dissolved?
▪︎No — but it wears off on its own over time. Because Sculptra imparts no immediate volume and treatments are staged deliberately - the result reads natural, never overfilled.

Can I still have a facelift later?
▪︎Yes. Highly regarded plastic surgeons have put this myth to rest. Your surgeon may simply ask you to wait a certain period of time between injectables and lift.

Can I combine it with filler, tox, or microneedling?
▪︎Yes. A biostimulator doesn’t close any doors. I can sequence your treatments together so each one supports the next — the best result, and the most value for your investment.

🗓Collagen is a long game, and it rewards planning.

Looking to establish care? Begin with a virtual or in-person consultation and we’ll build the plan around your face, your timeline, and your goals.

Address

840 W. 4th Street
Winston-Salem, NC
27101

Website

,

Alerts

Be the first to know and let us send you an email when Bridget Alsup, PA-C posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Business

Send a message to Bridget Alsup, PA-C:

Shortcuts

Share

Category