Frequently Asked Questions
Grouped by topic, with links to the relevant page where there is more to read. If your question isn’t here, call or text the practice.
About the practice
Who owns Luminess Lounge?
Keanna Wolcott, MSN, ARNP — a board-certified nurse practitioner. She owns the practice and she treats patients in it. Read more on our about page.
Who will actually treat me?
Keanna treats patients herself, and a registered nurse may perform some treatments. When an RN performs a treatment, Keanna completes a good faith exam first — in person or via face-to-face telehealth — to meet Washington's safety guidelines. You are not booked straight to an RN.
Is there a medical director?
No. Washington is a full practice authority state, so under RCW 18.79.050 Keanna practises within her own scope without a collaborative agreement. She is the responsible clinician, not a delegate. Read more on who can treat you in Washington.
Where are you located?
325 South Sullivan Road, Suite B, Spokane Valley, Washington. Parking is at the door.
How do I book?
Book online, or call or text the practice at (509) 870-3747.
Do you offer evenings and weekends?
Hours are by appointment, including some evenings and weekends. We do not publish specific opening or closing times. Call or text to find a time that works.
Before you come
Do I need a consultation?
Yes — every new patient is evaluated before any treatment. That is a clinical appointment, not a sales conversation, and it can happen in person or via face-to-face telehealth. Read more on your first visit.
Will I see Keanna?
Yes. Keanna evaluates you herself, in person or by telehealth. If a registered nurse performs a treatment later, Keanna has already completed the good faith exam.
What should I bring?
A list of your current medications and any relevant medical history. Please don't put medical details in the website form — history is taken during your evaluation.
What happens if I'm told no?
Being told a treatment isn't appropriate for you is a normal outcome of an appointment, not a wasted visit. It is part of what you are paying for.
Wrinkle relaxers
Why do you carry three wrinkle relaxers?
Botox, Dysport and Xeomin are different formulations that behave differently in different people. A patient who responds poorly to one may do better on another. Read more on wrinkle relaxers.
How is one chosen?
It is a clinical decision made at your appointment based on your anatomy, your history and what you are trying to achieve — not a menu choice.
What does the treatment involve?
A prescription medication injected into specific facial muscles to temporarily reduce the muscle activity that creates certain lines. You are assessed at your evaluation first.
Who should not have a wrinkle relaxer?
It is not appropriate during pregnancy or breastfeeding, for people with certain neuromuscular conditions, over an active skin infection, or with a known allergy to the product or its components.
Dermal filler
What does filler do, and what doesn't it do?
It adds volume, supports structure, and softens certain folds and hollows. It does a different job from a wrinkle relaxer, and it cannot achieve a surgical result. Read more on dermal filler.
Which areas do you treat?
Lips, cheeks and midface, jawline and chin, under-eye hollows, temples, and hands and neck. Each is assessed as part of the whole face. See the individual pages linked from the filler hub.
What does recovery look like?
Swelling, bruising and tenderness are common and can last several days. Lumps or unevenness can occur and are usually addressed at a follow-up. You are given aftercare instructions and a way to reach the practice.
Who should not have filler?
Not during pregnancy or breastfeeding; not over an active infection or inflammation; and patients with a history of severe allergic reactions should discuss it before treatment.
Weight loss
What medication is used?
Compounded semaglutide. It is a GLP-1 receptor agonist used in a medically supervised programme. Read more on medical weight loss.
What does compounded mean?
The medication is prepared by a pharmacy rather than manufactured as an FDA-approved product. Compounded medications are not themselves reviewed or approved by the FDA for safety or effectiveness.
Is the semaglutide FDA-approved?
Semaglutide is an FDA-approved medication, but the formulation used here is compounded, and compounded formulations are not themselves FDA-approved. Read more on compounded semaglutide.
Who is not a candidate?
Not during pregnancy, while trying to conceive, or while breastfeeding; not with a personal or family history of medullary thyroid carcinoma or MEN type 2; not with a history of pancreatitis without careful evaluation. Read more on whether it is right for you.
What happens when I stop?
What happens when a patient stops is a real question that should be discussed before starting rather than after. It is part of the consultation.
IV and vitamins
Why isn't IV therapy a walk-in service here?
In Washington, an IV hydration bag is a medication, so a medication order is required before IV hydration therapy is started. Keanna evaluates you and writes the order. There is no menu to order from. Read more on IV therapy.
What is a medication order?
It is the authorization from a prescriber that allows a medication — including an IV hydration bag — to be administered. It has to come from a clinician with prescriptive authority, and here it comes from Keanna.
What does the evidence show for NAD+?
NAD+ is widely marketed with claims about aging, energy and cellular repair. The evidence for those claims in healthy people is limited, and we do not tell patients it will do things it has not been shown to do. Read more on NAD+ therapy.
Skin treatments
What does RF microneedling do?
Fine needles create controlled micro-injuries in the skin while radiofrequency energy is delivered into the deeper layer. The skin’s healing response to that controlled injury is what produces the change over time. Read more on RF microneedling.
What doesn't it do?
It is not a substitute for surgery, it does not remove deep folds, and it does not address volume loss — that is what filler is for. They are different tools for different problems.
Cost
Why aren't prices published?
Because the cost of most of these treatments depends on what you actually need, which is assessed at your evaluation. A price quoted before anyone has seen your face is a guess. See what it costs.
What drives the cost?
For wrinkle relaxers, the number of units your muscles require and which product is used. For filler, how many syringes and which areas. For RF microneedling, the area and number of sessions. For weight loss, the medication and dose. For IV and vitamins, what is ordered for you.
Is there a consultation fee?
Some services carry one. It varies by service, and it is not credited toward the cost of treatment. We'd rather tell you that up front.
Do you offer payment plans?
Yes, for Allergan treatments, which includes Botox and Juvederm. If a payment plan is used for a treatment that is not an Allergan product, 10% of the financed amount is added to cover the processing cost. See what it costs.
Safety and rules
What license does the provider hold?
Keanna Wolcott is a board-certified nurse practitioner practising under Washington’s full practice authority. She treats patients herself and writes her own orders. Read the full reference on who can treat you in Washington.
How do I verify that?
Anyone can search a Washington health care provider’s credential on the Department of Health’s provider credential search. It is public and free. See who can treat you in Washington.
Book your appointment
Every treatment starts with an evaluation with Keanna. Book online, or call or text the practice.