Injectables · Patient Education

Why Even Twins Get Different Treatment Plans

“My sister got more Botox than I did. Why?” Candice Roberts, NP, hears versions of this all the time. The short answer: because you have different faces.

Even two people with the same complaint rarely get the same recommendation in our Houma, LA office. Here is why a personalized aesthetic treatment plan matters, and what goes into building one.

The Quick Answer

No two faces are the same, so no two plans should be. A personalized aesthetic treatment plan accounts for your skin quality, muscle strength, fat, volume loss, bone structure, sun exposure, and goals. That’s why the same concern can call for different amounts, different areas, or different treatments altogether.

Candice Roberts, NP, on why twins get different plans.

Same Complaint, Different Plan

“Not Everybody’s Face Is the Same”

If two patients came in with the same complaint, would they get the same recommendation? “No,” Candice says, “because we all come in different shapes and sizes. We all have different things that bug us.”

She treats several sets of twins. “You would think, of all people, they would be the closest to each other. Wrong. They’re different.”

The Assessment

What Goes Into Your Plan

Every plan starts with a full facial assessment. “I start at the top, I work my way down,” Candice says. “We at least go to clavicles. Sometimes we do chest, body, depending on the situation.” Along the way, she looks at:

01

Skin quality

Texture, tone, sun damage, and breakouts. If skin is the main concern, skin quality may come before Botox and filler.

02

Muscles

How strongly your muscles move, and where they pull. Stronger muscles often need a different neurotoxin plan than lighter ones.

03

Fat and volume loss

Where volume has been lost, and where it has shifted. This decides whether filler belongs in your plan and where.

04

Bone structure

The framework underneath everything. Two faces with the same line can have very different support beneath it.

05

Your history and habits

Sun exposure, sunscreen habits, past treatments, and what bothers you most all change the plan.

“There are so many things that come into it. It’s next to impossible to create the same treatment plan twice.”
Candice Roberts, NP
The Sister Question

Why Your Dose May Be Different

It’s common for patients to compare notes with a sister or friend and wonder why their amounts were different. That difference is the plan working. Muscle strength, the size of the treatment area, and how your face moves all change how much neurotoxin you need.

The same is true for filler. One person may need support in the cheeks, while another with a similar concern needs very little. If you’re curious how the different neurotoxins compare, read Botox vs. Dysport vs. Jeuveau vs. Daxxify.

Before your first visit, many patients start with a free Future You plan, a custom roadmap sent ahead of time. Then we go deeper together in person.

Want a plan built around your face, not someone else’s?

Schedule a Consultation
Honest Candidacy

Who May Not Be Ready

A personalized plan suits almost everyone. You may want to wait if:

You want exactly what a friend got

We’ll design what’s right for your face, which may look quite different from hers.

You want a set package

Our plans aren’t one-size-fits-all menus. If you want a set bundle without an assessment, we may not be the best fit.

You’d rather skip the full exam

The assessment is what makes the plan work. Skipping it means guessing.

You’re pregnant or breastfeeding

Injectable treatments are typically postponed until after pregnancy and breastfeeding.

Common Questions

Your Questions, Answered

What is a personalized aesthetic treatment plan?

A personalized aesthetic treatment plan is built from a full facial assessment of your skin, muscles, volume, and bone structure, plus your goals and history. Instead of a standard package, it lists the treatments, areas, and timing that fit your face.

Why did my sister get a different amount of Botox?

Because your faces are different. Muscle strength, the size of the area, and how you move your face all change how much neurotoxin is needed. A different amount usually means your plan was tailored, not that something went wrong.

Do twins really need different treatments?

Usually, yes. Even identical twins can differ in sun exposure, sunscreen habits, muscle strength, and volume loss. Candice treats several sets of twins, and their plans are rarely the same.

How long does a full facial assessment take?

It’s part of your consultation. Candice works from the top of your face down, at least to the collarbones, explaining what she sees in each area. It takes as long as it needs to, so your plan is accurate.

Will my plan change over time?

Yes. Your face changes, your goals may change, and treatments build on each other. We adjust your plan at follow-up visits so it keeps fitting you.

Can I start with just one area?

Of course. Your plan can start wherever you’re most comfortable. We’ll still look at the whole face, so whatever we treat first fits into the bigger picture.

Your Next Step

Your Face. Your Plan.

Come in for a full facial assessment at our Houma office, and leave with a plan built for you, not copied from anyone else.

Prefer to talk first? Call or text 985-247-0115
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