I had an appointment for juvederm to be injected into my lips on Friday the 15th at 3:30. I was told to arrive 15 minutes earlier than my appointment . I arrived at 3:10 , my first consultation was with a lady named Claudia at 3:30 , I don't even know what she was there or if she was any sort of registered nurse at all. Afterwards I was told to I would consult with a nurse and then have my injections done immediately after . I sat in the reception area for another 25 minutes or so and finally Joanne came to meet me and bring me for a consultation to see exactly what I wanted . She spoke to me for about 5 minutes and seemed a little bit unorganized and wasn't very friendly . I feel it's part of the nurses job to build a trusting relationship so the patient feels more comfortable and safe. She then asked Doctor mulholland to come into the room and meet me . It was very brief and after he had left she told me she couldn't inject me until 4:30. So I then had to return to the reception area for an additional 25-30 minutes and finally had my juvederm administered . The process seemed too fast and she didn't use very much finesse as the past nurses I've been with have . After the billing and going over after-care it was almost quarter to five . So I had been at the medical office for more than an hour and a half for such a small procedure which is completely ridiculous and not worth the discounted price at all. It's been 3 days since my appointment and I have 2 large bumps on my upper lip which are noticeable to other people . I did online research and there's been many articles that say the bumps are likely caused due to poor technique when inserting and removing the needle. I would not reccommend anyone going to spa medica because they have horrible customer service and quickly get their patients in and out without doing a proper job.