3 Steps to Solving Your Skin Concerns
Easily schedule your appointment online virtually or in-person
We will assess you and provide you with a diagnosis and treatment plan.
Benefit from email or text for any follow up questions if needed.
What is SkinRx?
From the comfort of your home—or wherever you are—you can access our expert dermatology services without the long wait for a traditional office visit. We diagnose and treat a variety of skin conditions and can even dispense certain medications right in the office for your convenience.
Why chose Four Sisters SkinRx?
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Immediate Access - Skip the long wait for a dermatology appointment! We offer same-day or within-the-week availability to get you the care you need right away.
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Expert Care- Elizabeth Rossetti, PA-C, has been a medical provider since 2008. She has experience in internal medicine and surgical specialties, and she uses her skills to help diagnose and treat acute skin problems with care and expertise.
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Convenience- Book your appointment from anywhere—whether you’re at home, work, or on the go.
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Comprehensive Treatment- We handle a wide variety of skin issues, from acne to poison ivy, ensuring you get the right care for your needs.
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Let us make your dermatology experience simple, fast, and effective!
Book Online Now
Book online for a virtual or in-person visit.
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IMPORTANT NOTE: These virtual medical skin visits are designed for acute conditions that can be addressed remotely. They do not replace the need for annual in-person skin checks with your dermatology provider. We cannot perform biopsies or other in-person procedures.
Common skin concerns:
Acne
Perioral Dermatitis
Eczema
Angular Chelitis
Rosacea
Hair Loss
Contact Dermatitis
Stye
Melasma
Dry Skin
Rash
Folliculitis
Seborrheic Dermatitis
Tinea Versicolor
Poison Ivy
Scar healing
What is the process?
1. Book an Appointment Online: Easily schedule your visit through our online booking system.
2. Fill Out an Intake Form: Complete our online intake form to detail your goals and concerns.
3. Send Photos if Needed: Submit pictures for assessment by Elizabeth.
4. Virtual Telemedicine Appointment: Speak with Elizabeth from the comfort of your home, car, or anywhere convenient.​
5. Prescriptions Delivered: Have your prescriptions sent directly to your local pharmacy, delivered to your door, or pick up in the office​
6. Post-Appointment Support: Benefit from email and text communication for any follow-up questions.​
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What is Botox and how does it work?Neurotoxins are used to relax and smooth wrinkles on the face and neck by softening muscle contractions beneath the skin. We offer Botox, Dysport, and Daxxify.
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Is Botox Safe And Well-Researched?Yes, Botox is backed by over 40 years of published studies, with its safety and efficacy documented in more than 500 scientific and medical journals.
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What alternatives to Botox are available?In the United States, there are 5 FDA approved wrinkle relaxers available. World-wide, however, there are many more. We carry Dysport and Daxxify as alternatives.
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Are Botox alternatives just as effective?Yes, all FDA approved wrinkle relaxers are clinically proven to be as effective as Botox in reducing wrinkles and fine lines. The choice between them often comes down to personal preference and specific treatment goals.
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Do wrinkle relaxing injections hurt?We use a hair fine needle to administer our wrinkle relaxing medications. Most patients tolerate the procedure very well as it is also quick.
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Is there any downtime after wrinkle relaxing treatments?No, there's no social downtime. However, avoid touching or manipulating the treated areas post-treatment for 24 hours, avoid rigorous exercise for 24 hours, and activities like facials or massages should be skipped for 2 days.
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What are the post care instructions after treatment?Remain upright for 4 hours after your treatment. Avoid rigorous sweaty exercise for 24 hours. Avoid professional massages (facials or being face down on a massage table) for 2 full days.
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When will I see the results of my treatment?Results can start to appear within 3-7 days, with full effects visible in up to 14 days after treatment.
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How long do the results last?Results typically last 3-4 months. Maintenance treatments are required to continue enjoying a smooth, youthful look.
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How often should I receive wrinkle relaxer treatments?Most people benefit from treatments 3-4 times per year to maintain a consistent youthful appearance and prevent deeper lines from forming.
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Will Botox or Dysport make my face look frozen or unnatural?When administered correctly, treatments like Botox and Dysport should not make your face look frozen or unnatural. Our goal is to provide natural-looking results that leave you looking refreshed and youthful.
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How can I ensure that I get natural-looking results?Using small amounts of Botox or Dysport regularly can gently reduce signs of aging and prevent future lines. Our experienced providers tailor treatments to your facial structure and aesthetic goals.
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How can I save money on Botox treatments?There are several ways to save! The best option is our Unlimited Botox Memberships. You can also enroll in Alle or Aspire rewards programs to enjoy savings through the manufacturers of our products. A certain times during the year we also offer bulk-buying discounts.
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Is cheaper Botox the same as regular Botox?Quality can be compromised with cheaper Botox. Providers offering low-priced Botox may dilute the product or use substandard injectables, leading to poor results or health risks. Always prioritize trusted providers to ensure safe and effective outcomes.
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Can I save money by getting fewer units?Using fewer units than recommended may result in less effective or shorter-lasting results. Our providers will discuss the correct amount needed to achieve great results while considering your budget.
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Does insurance cover Botox or related products?For medical uses, Botox may be covered by your insurance provider; you'll need to check with your carrier. At Four Sisters, we do not accept insurance. We do, however, offer financing.
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Can botched treatments be fixed?If you're experiencing an adverse event, we recommend booking a consultation with us. Our medical team can evaluate your treatment outcomes and discuss potential solutions.
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Why trust Four Sisters with your treatments?Injections are performed by Elizabeth Rossetti, a board-certified PA and medically licensed healthcare provider with over 20 years of healthcare experience. She prioritizes natural-looking results that leave you looking refreshed and youthful. Recognized as one of Vermont's most experienced cosmetic injectors, she offers safe, highest quality cosmetic treatments.