FAQ

Discover more about Hagen Health & Absolute Aesthetics and find answers to commonly asked questions in our comprehensive FAQ section. Whether you're exploring our services, curious about our procedures, or seeking information about appointments and payments, we're here to provide you with clear and detailed responses.

At Hagen Health & Absolute Aesthetics in Mukiteo, Washington we are committed to transparency and ensuring you have the information you need to make informed decisions about your medical, aesthetic and wellness journey. If you don't find the answers, you're looking for here, feel free to reach out to our team via phone: 205-330-6860  or email. We're delighted to assist you on your path to enhanced beauty and well-being.

Frequently Asked Questions (FAQ)

General Questions

Payments and Insurance

Appointment Cancellation and Rescheduling

Appointments & Office Information

Services & Conditions We Treat

Electrolysis FAQ

Laser Hair REmoval FAQ

Bioidentical Hormone Replacement Therapy (BHRT) FAQs

Medical Weight Management FAQs

Botox FAQs

Daxxify® FAQs

Chemical Peels FAQ

Microneedling FAQ

Laser Tattoo Removal FAQs

General Questions

What is Hagen Health & Absolute Aesthetics?

Hagen Health & Absolute Aesthetics is a concierge-style medical practice in Mukilteo, Washington, providing evidence-based primary care, hormone therapy, medical weight loss, dermatology, laser treatments, permanent hair removal, and medical aesthetic services. We combine advanced medical expertise with personalized care to help patients look, feel, and live their best.

What areas do you serve?

We proudly serve patients throughout Snohomish County and the greater Seattle area, including Mukilteo, Everett, Lynnwood, Edmonds, Mill Creek, Bothell, Marysville, Shoreline, Woodinville, Redmond, Kirkland, Bellevue, Issaquah, Sammamish, Mercer Island, Seattle, and surrounding communities.

Appointments & Office Information

Where is Hagen Health & Absolute Aesthetics located in Mukilteo, Washington?

Our office is conveniently located at 700 3rd Street, Suite B, Mukilteo, Washington, just minutes from the Mukilteo Ferry terminal with convenient parking nearby.

What are your office hours?

Our office is open:
Monday – Saturday
10:00 AM – 6:00 PM
Appointments are based in availability,  scheduling in advance is recommened.

How do I schedule an appointment?

Appointments can be scheduled online through our secure booking system use our Contact us tool to send us a message or us by call/text at 206-330-6860 .

What should I do if I'm running late?

Please contact us as soon as possible with an estimated time of arrival. You can reach us by call/text at 206-330-6860 or via email at elizabeth@absoluteaestheticsllc.com. Visit our Contact page for more ways to connect.

Payments and Insurance

What payment methods do you accept?

We accept HSA and all major forms of payment.  

Does Hagen Health & Absolute Aesthetics accept insurance?

We accept HSA payments  for health services and products, and we will provide you a super bill that you can submit to your insurance for reimbursement.

Appointment Cancellation and Rescheduling

What is your cancellation policy?

We understand that circumstances may arise. Please contact us at least 24 hours before your appointment to avoid being charged the full cost of the appointment.

Is parking available at your Mukilteo, Washington location?

Yes, our Mukilteo, Washington location offers ample on-street parking outside for your convenience.

Is parking free?

Yes, parking is free on street parking.

Are there accessible parking spaces for individuals with disabilities?

Yes, accessible parking spaces are in place to cater to the needs of individuals with disabilities.

Is there a time limit for parking at your facilities?

Generally, there is no strict time limit for parking. However, please be mindful of any specific signage or instructions posted in the parking areas.

Do I need to reserve parking in advance?

No reservations are required for parking. Our facilities provide sufficient parking spaces on a first-come, first-served basis.

What do I do if the parking lots are full when I arrive?

While our parking spaces are typically plentiful, in the rare event that they are full, we recommend exploring nearby street parking or alternative parking options in the vicinity.

Services & Conditions We Treat

What services does Hagen Health & Absolute Aesthetics offer?

We offer a comprehensive range of medical and aesthetic services designed to support whole-body health, hormonal balance, and skin wellness for women, men, and non-binary individuals.

Our medical services include perimenopausal and menopausal hormone optimization using bioidentical hormone replacement therapy (BHRT), evaluation and treatment for polycystic ovary syndrome (PCOS), ADHD management, and medically supervised weight management programs. Each treatment plan is personalized to address underlying hormonal, metabolic, and neurocognitive factors that impact overall quality of life and well-being.

Our aesthetic services combine advanced technology with medical expertise and include permanent hair removal with electrolysisl, state-of-the-art laser hair removal, skin resurfacing and tattoo removal, chemical peels, injectable therapies, microneedling, and medical-grade skincare. These treatments are designed to improve sun damage, hyperpigmentation, acne, rosacea, melasma, scarring, unwanted hair, stretch marks, tattoo removal, uneven skin tone and texture, skin laxity, fine lines, and wrinkles.

By integrating evidence-based medical care with advanced aesthetic treatments, we help patients achieve natural, long-lasting results that enhance both health and confidence. Visit our Services page for a complete list of offerings and to learn more about our personalized approach to care.

Do you have packages?

Yes, we offer package deals on specific services. Contact us to learn more.

Is the staff at Hagen Health & Absolute Aesthetics  licensed and experienced?

Yes, lead by Nurse Practitioner Elizabeth Hagen our team consists of highly trained and licensed professionals with extensive experience in health, aesthetics and wellness.

How long do the results of treatments last?

The duration of results varies depending on the treatment. Our experienced staff will provide you with information on the expected longevity during your consultation.

Are the treatments safe?

Electrolysis FAQs

What is Electrolysis?

Electrolysis is permanent hair removal performed by inserting a fine, sterile probe directly into the natural opening of the hair follicle. A small electric current is transmitted to destroy the dermal papilla, the matrix, and an area called “the bulge,” all of which cause hair to grow and regenerate.

Is Electrolysis permanent?

Yes. Electrolysis is the only FDA-approved method for permanent hair removal. Regardless of the cause — heredity, metabolic, or hormonal conditions — electrolysis permanently removes unwanted hair.

What is the difference between Electrolysis and Laser Hair Removal?

Electrolysis is effective for all skin types, hair types, skin colors, hair colors, and areas of the body. Laser hair removal typically only treats darker hair such as brown or black and is less effective on lighter hair colors.

What will my skin look like right after my Electrolysis treatment?

Individual skin responses and healing time will vary. Immediately following treatment, most people experience temporary redness, tenderness, and localized swelling. This usually subsides within a day. You will be provided with post-treatment instructions and any personal attention you may need.

What is the cost of Electrolysis?

Electrolysis is typically considered a medical procedure that requires a series of treatments to be effective. Prices vary depending on treatment areas, hair types, and skin sensitivity.

We encourage you to schedule a free consultation so we can accurately assess the cost of electrolysis and develop the treatment plan that is right for you. During your consultation, we evaluate your needs and address any concerns.

Laser Hair Removal FAQs

How does laser hair removal treatment work?

Light/Laser destroys the hair follicle by focused energy that travels through the skin targeting the brown or black-pigmented hair in the follicle. The brown or black pigment in the hair papilla absorbs the focused light creating a thermal reaction damaging the follicle and cutting it off from the blood supply than stimulates and nourishes the hair.

What areas are most common for laser hair removal treatment areas?

The most popular areas for laser hair removal for women are the face, chin, upper lip, under arms and forearms, legs, and the bikini. The most popular areas for laser hair removal for men are the back, chest, abdomen, front and back of the neck, ears, and facial hair.

What will my skin look like right after my laser hair removal treatment?

You may return to activities as normal following your treatment. Redness and swelling around the hair follicles that were treated is normal and will disappear soon after the treatment.

Will the hair eventually regrow after laser hair removal treatments?

Laser hair removal using the Soprano® ICE technology offers long-lasting results, but it's considered a semi-permanent treatment. While the majority of hair follicles are eradicated through the course of your treatment plan, some follicles may continue growing. Any regrowth is usually finer and much more manageable, and additional laser hair removal sessions can target new growth or stragglers. Our team will work closely with you to ensure you achieve and maintain the desired smooth, hair-free appearance.

What should I do before and after my laser hair removal session?

Preparation for laser hair removal at our  Mukilteo, WA office is relatively simple. Avoid sun tanning, waxing, or plucking the area to be treated for about 4 to 6 weeks before the treatment. Shaving is allowed, and the area should be clean-shaven before your appointment. After the treatment, avoiding sun exposure and using sunscreen to protect the treated area is essential. Some redness and swelling are normal, but these will subside shortly. Avoid hot baths, saunas, or strenuous activities for the first 24 hours. Your technician will provide specific aftercare instructions tailored to your treatment, and following these guidelines will optimize your results and comfort.

How many sessions will I need?

Most patients require five to seven treatments, performed at varying intervals ranging from every 6 weeks to 10 weeks and only if hair is present.

Chemical Peels FAQs

How much does a chemical peel cost?

Chemical peels range from $150 - $450 per treatment. We will discuss your costs during your consultation as soon as your chemical peel treatment plan has been decided. The cost of a chemical peel will vary based on the formula you choose. Hagen Health & Absolute Aesthetics accepts several payment methods and we often run specials on skin treatments like chemical peels. You may also consider buying a package of several chemical peel treatments.

What level should I choose for my chemical peel?

The best chemical peel for you will depend on your unique skin concerns and aesthetic goals. During your initial consultation, our team will work with you to select which peel is best for your skin. You might consider a few factors: your overall health, skin type, the depth of your skin concerns, how long you can recover, and what you want the peel to accomplish. For first-time patients, it's better to try a lighter chemical peel and decide how you like the results. From there, you and Dr. Hagen can tweak your treatment plan to find the best type of peel for you.

Should I get a chemical peel or dermabrasion treatment?

Dermabrasion and chemical peels are facial rejuvenation procedures that treat surface imperfections to give your skin a rejuvenated appearance. The main difference is that dermabrasion uses special tools (a shaving instrument or rotating brush) to remove the surface skin layer through careful scraping. A chemical peel applies a caustic solution to your skin to dissolve dead and damaged skin cells. In your initial consultation, Dr. Hagen will review each treatment’s pros and cons and help you choose if a chemical peel or dermabrasion is best for your skin goals.

What happens after?

The recovery time depends on the type of peel. For a superficial peel, recovery usually takes 1-7 days. Over the next week, your skin will feel dry and flaky, gently sloughing off the top layers of dead skin cells.

A medium peel may require 1-2 weeks for recovery. The first 3 days, your skin will feel very dry, from day 3 to day 7 days expect to generously peel.  

Chemical Peels are designed to stimulate and rejuvenate the deepest layers of the skin. The result is a smoother, clearer, and more radiant complexion.

After a chemical peel, it's important to wear at least a 30 SPF sunscreen to protect your skin from the sun and to keep it moisturized. Here at Hagen Health & Absolute Aesthetics, we will give you specific instructions based on the type of peel and your skin type.

Microneedling FAQs

What is microneedling?

Microneedling is a cosmetic procedure that produces small channels in the skin. The small channels stimulate the body's natural healing process to make more collagen and elastin, rejuvenating your skin. Microneedling is used to reduce the appearance of acne scars, wrinkles, and hyperpigmentation and more.

Is microneedling painful?

While microneedling involves creatin g tiny channels in the skin, a topical anesthetic is applied beforehand to numb the skin, causing minimal sensation. After the procedure, you may experience some temporary discomfort, similar to a mild sunburn.

What is the recovery time after microneedling?

Microneedling is considered a minimally invasive procedure with little downtime. Many people experience redness and swelling for a few days following the treatment, but most can return to normal activities within 24 hours.

What skin types are suitable for microneedling?

Microneedling is typically safe for all skin types and colors, as it doesn't involve heat like lasers do, which can affect skin pigment.

How many treatments will I need?

The number of treatments needed varies depending on your individual skin concerns. However, most people need a series of three to six treatments, spaced about four to six weeks apart for optimal results.

What are the potential side effects of microneedling?

Side effects are usually minor and temporary. They can include redness, swelling, and mild discomfort. However, in rare cases, people may experience more severe side effects such as bleeding, bruising, infection, or skin pigment changes.

Can I use skincare products after microneedling?

Immediately after microneedling, it's best to keep the skin clean and only use a gentle cleanser and moisturizer. You will be advised as to when to resume your normal skincare routine.

Is there anyone who should not get microneedling?

Microneedling may not be suitable for people with certain skin conditions, like an active herpetic infection. It's also generally avoided in individuals who have a history of poor wound healing or keloid scarring.

Each microneedling treatment is tailored to your specific situation and needs. Schedule your consult today.

Bioidentical Hormone Replacement Therapy (BHRT) FAQs

Botox Cosmetic® FAQs

What is Botox Cosmetic®

What is BOTOX Cosmetic?

BOTOX Cosmetic is an FDA-approved prescription medication containing onabotulinumtoxinA. It is injected into selected muscles to temporarily reduce the contractions that create dynamic lines and wrinkles.

What areas can BOTOX Cosmetic treat?

BOTOX Cosmetic is FDA approved to temporarily improve moderate to severe:

  • Frown lines between the eyebrows
  • Forehead lines
  • Crow’s feet around the eyes
  • Vertical bands connecting the neck and jaw, also called platysma bands

Your treatment plan will be based on your anatomy, muscle activity and individual goals.

When will I see my results?

You may begin noticing improvement within one to two days. Results continue to develop gradually, with full results generally evaluated approximately 30 days after treatment.

How long does BOTOX Cosmetic last?

Results can last up to four months, although duration varies depending on the treatment area, dosage, muscle strength and individual metabolism. BOTOX Cosmetic treatments should be spaced at least 90 days apart.

Will BOTOX Cosmetic make me look frozen?

It should not when thoughtfully dosed and placed. Treatment is customized to soften unwanted lines while maintaining facial balance and natural expression. During your consultation, we will discuss whether you prefer very subtle movement or a smoother, more relaxed result.

Does the treatment hurt?

Most patients describe the injections as a brief pinch. Treatment is performed using a very fine needle and commonly takes approximately 10–15 minutes.

Is there downtime after BOTOX Cosmetic?

Downtime is minimal, and most patients return to their normal daily activities immediately. Temporary redness, swelling, tenderness or bruising can occur around the injection sites. You will receive specific aftercare instructions following treatment.

Can I resume normal activities after Botox?

Yes, you can typically resume regular activities immediately after the procedure, though strenuous exercise should be avoided for the first 24 hours.

Am I a good candidate?

BOTOX Cosmetic may be appropriate for adults who want to soften expression-related lines and wrinkles. It may not be appropriate for individuals with an infection at the planned injection site, an allergy to a botulinum toxin product or certain medical conditions. Your health history, medications and previous injectable treatments will be reviewed before treatment.

What is the difference between BOTOX Cosmetic and dermal filler?

BOTOX Cosmetic temporarily relaxes targeted muscles that create expression lines. Dermal fillers add or restore volume and provide structural support. Depending on your concerns, one treatment or a carefully planned combination may be recommended.

How much does BOTOX Cosmetic cost?

Cost depends on the number of treatment areas and the number of units needed to achieve your desired result. You will receive a personalized treatment recommendation and cost estimate following your assessment. Contact us today for a consultation with our team who can provide a personalized estimate based on your specific goals.

Laser Tattoo Removal FAQs

How much does laser tattoo removal cost?

The cost of tattoo removal will vary by the number of sessions required, as well as the regions that are treated. Each person's situation varies. As an example, many individuals could require more sessions, while others could only need a handful.

Why do I need so many laser tattoo removal sessions?

Area coverage, pigment, location, and how aged the tattoo is will decide the number of sessions necessary to efficiently fade the tattoo. At your appointment, the treatment program will be reviewed, including the number of treatments necessary for you to achieve your goals.

When will I see results?

Improvements after laser-assisted tattoo removal may differ for every individual. Following each treatment, you should see the tattoo turn less visible. Because of the various types of inks used in tattooing, the results and the number of sessions could vary. In many cases, a number of treatments will be needed and are scheduled 2 – 4 weeks apart.

What are the side effects of laser tattoo removal?

Some individuals experience redness, swelling, tenderness, crusting, sunburn sensation, or itching following the procedure. Dr. Hagen will review your tattoo removal plan and explain what you can expect from your procedure.

Are there any alternatives to laser tattoo removal?

Laser tattoo removal is the most dependable and most convenient treatment to reduce skin damage and to effectively diminish the perceptibility of tattoos. In some situations, microneedling or dermabrasion might additionally be recommended as part of your treatment plan to complement the removal treatment and help promote your complexion’s wellness.

Is laser tattoo removal safe?

Laser tattoo removal, under the care of skilled practitioners like Dr. Hagen and the committed professionals at Hagen Health & Absolute Aesthetics, ensures safety and the highest standards of expertise. Patients can have confidence in the comprehensive evaluation, personalized treatment plans, and post-treatment care provided by such experienced professionals, contributing to a smoother and more effective tattoo removal experience.

Medical Weight Management FAQs

Weight Management – Frequently Asked Questions (FAQ)

What is medical weight management?

Medical weight management is an evidence-based, clinician-supervised approach to weight loss and metabolic health. It addresses underlying contributors to weight gain—such as hormones, insulin resistance, appetite regulation, sleep, stress, and lifestyle factors—rather than relying on diet and exercise alone.

Who is a candidate for medical weight management?

Adults who struggle with weight despite lifestyle efforts, have weight-related health concerns, or experience metabolic challenges (such as insulin resistance, PCOS, or perimenopausal weight gain) may be candidates. Candidacy is determined through a comprehensive clinical evaluation.

Do you prescribe GLP-1 or GIP medications (e.g., semaglutide, tirzepatide)?

When clinically appropriate, GLP-1 and/or GIP-based medications may be included as part of a comprehensive treatment plan. These medications are not appropriate for everyone and are prescribed based on medical history, risk factors, and individualized treatment goals.

How much weight can I expect to lose?

Results vary based on individual factors, adherence to the treatment plan, and the therapies used. Many patients experience gradual, sustainable weight loss over time. We focus on realistic goals and long-term metabolic health rather than rapid or extreme weight loss.

How long does it take to see results?

Some patients notice changes in appetite and early weight loss within the first several weeks of treatment, while more significant and sustained results develop over months. Progress is monitored regularly, and treatment plans are adjusted as needed.

Is medication required for weight management?

No. Medication is one tool among several. Some patients achieve meaningful progress with nutrition guidance, behavioral strategies, and lifestyle interventions alone. Medication is considered when clinically appropriate and aligned with patient preferences and goals.

What does the initial evaluation include?

The initial evaluation includes a review of weight history, prior weight-loss efforts, current medications, relevant medical conditions, and contributing factors such as sleep quality, stress, hormonal changes, and metabolic health. Labs may be reviewed or ordered when indicated.

How often will I need follow-up visits?

Follow-up frequency varies depending on the stage of treatment and whether medication is used. Visits are typically more frequent during initiation or dose adjustments and may become less frequent once a stable, effective plan is established.

What happens after I reach my weight goal?

Long-term success focuses on maintenance. Ongoing support may include lifestyle strategies, nutritional guidance, and, when appropriate, maintenance dosing or adjustments to help prevent weight regain and support long-term metabolic health.

Daxxify® FAQs

What is Daxxify®?

Daxxify® is an FDA-approved injectable wrinkle relaxer used to temporarily reduce the appearance of fine lines and dynamic wrinkles. It is formulated with a unique peptide technology designed to deliver longer-lasting results compared to traditional botulinum toxin treatments.

How does Daxxify® work?

Similar to other wrinkle relaxers, Daxxify® works by temporarily relaxing targeted facial muscles that cause expression lines. By reducing repeated muscle movements, the skin appears smoother and wrinkles soften while still allowing natural facial expressions.

What areas can be treated with Daxxify®?

Daxxify® is commonly used to treat frown lines between the eyebrows (the “11” lines), forehead lines, and crow’s feet around the eyes.

Is Daxxify® safe?

Yes, when administered by a licensed and trained medical professional. Side effects are generally mild and temporary, such as slight redness, swelling, or bruising at the injection site.

How long does Daxxify® last?

Results may last 6–9 months for many patients, which is longer than most traditional wrinkle relaxers. Individual results will vary depending on muscle strength, metabolism, and treatment area.

Is the procedure painful?

Discomfort is minimal. A very fine needle is used, and most clients describe the sensation as a quick pinch with only brief tenderness afterward.

What are the potential side effects of Daxxify®?

Common side effects include mild bruising, swelling, redness, or temporary headache. Serious complications are rare but will be reviewed during your consultation.

Who is an ideal candidate for Daxxify®?

Daxxify® is ideal for adults who want to soften facial wrinkles and maintain smoother skin for a longer period between treatments. Pregnant or breastfeeding individuals should avoid treatment.

How long does a Daxxify® session take?

A typical appointment takes about 15–30 minutes, making it an easy treatment to fit into a busy schedule.

Can I resume normal activities after Daxxify®?

Yes, most clients return to normal activities immediately. It is recommended to avoid strenuous exercise, lying flat, or excessive heat exposure for the first 24 hours.

How much does Daxxify® cost?

Pricing varies depending on the number of units and treatment area. A personalized consultation will provide an accurate estimate based on your goals.

Adult ADHD FAQs

What is ADHD and how is it diagnosed in adults?

ADHD (Attention-Deficit/Hyperactivity Disorder) is a neurodevelopmental condition that can persist into adulthood and affect attention, organization, impulse control, and executive functioning. Diagnosis in adults is based on a comprehensive clinical evaluation that includes a detailed history, symptom assessment, and review of functional impact across settings. There is no single lab test for ADHD; diagnosis is made clinically.

Do you treat adult ADHD?

Yes. We provide comprehensive evaluation and ongoing treatment for adults with ADHD. Care is individualized and based on clinical assessment, medical history, and patient goals.

Do you prescribe stimulant medications for ADHD?

When clinically appropriate, stimulant or non-stimulant medications may be considered as part of an evidence-based treatment plan. Medication decisions are made on a case-by-case basis following a thorough evaluation and discussion of risks, benefits, and alternatives. Not every patient is a candidate for medication, and prescribing is guided by medical appropriateness and safety considerations.

What does an ADHD evaluation involve?

An ADHD evaluation includes a detailed review of symptoms, developmental and medical history, current functioning, and screening for contributing or coexisting conditions such as anxiety, depression, sleep disorders, substance use concerns, or hormonal and metabolic factors. Prior records may be helpful but are not always required.

How long does it take to see improvement with ADHD treatment?

Response to treatment varies by individual and by the type of intervention used. Some patients notice improvement in focus and organization relatively quickly after starting medication, while behavioral strategies and lifestyle changes may take longer to show consistent benefits. Ongoing follow-up allows treatment to be adjusted over time.

Is ADHD treatment only medication-based?

No. While medication can be helpful for many individuals, ADHD care often includes a combination of medication (when appropriate), behavioral and organizational strategies, sleep optimization, stress management, and coordination with therapy or coaching resources to support long-term functioning.

How often are follow-up visits required?

Follow-up frequency depends on the stage of treatment and the therapies being used. More frequent visits may be needed during initial treatment or medication titration, with less frequent maintenance visits once symptoms are stable and treatment is optimized.

Do you offer telehealth for ADHD visits?

Telehealth availability depends on clinical appropriateness, regulatory requirements, and medication type. Some aspects of ADHD care may require in-person visits. Your provider will discuss what options are available for your specific situation.

Is ADHD treatment covered by insurance?

We are a self-pay office as we are not contracted with insurance companies, however you may use your HSA for payment as well as submit a receipt for insurance reimbursement. We recommend contacting your insurance carrier to verify reimbursement benefits for ADHD evaluation and treatment.

How do I get started with ADHD care?

Getting started begins with scheduling an initial consultation for a comprehensive ADHD evaluation. From there, a personalized treatment plan is developed based on your clinical needs, goals, and medical history.

Yes, all our treatments are evidence based and performed by qualified professionals follow industry safety standards, using state-of-the-art equipment.

Appointment Cancellation and Rescheduling