Your Consultation Is Where It All Starts
Before any treatment is discussed, your doctor sits down with you. Not a coordinator, not a patient intake manager. Your doctor.
​
Your doctor will begin by taking the time to understand what brought you in and what you are hoping to achieve. From there they will perform a comprehensive facial assessment, evaluating your unique anatomy, facial profile, skin condition, and movement patterns. They will share their findings, walk you through what they are seeing, and make sure you leave with a clear understanding of your options. This is not a formality. It is the foundation of everything that follows, because a plan that is right for someone else may not be right for you. We do not rush this part.
​
From there we walk you through your options honestly, discuss what we believe is appropriate, and build a personalized plan around your goals. We only recommend what we genuinely believe in, and we hold ourselves to the same standard we would expect for our own family.
​
You will leave with clarity, a plan you feel confident in, and every question answered. Whether you proceed with a treatment that day or not, you will leave informed.
BEFORE & AFTER
Every Result Has a Story
Treatment type: Regular Microneedling
Patient Concerns: After years of dealing with active acne, our patient had finally reached a point of control, only to be left with facial scarring that had become a daily reminder of that chapter. The scars were affecting their confidence in ways that showed up in everyday interactions, from how they carried themselves to how comfortable they felt being seen.
Treatment Plan: We designed a personalized microneedling plan based on the specific type and depth of the scarring present. Because not all acne scars respond the same way, the approach was built around what this patient's skin actually needed rather than a standard protocol.
Results: The improvement in scar appearance was meaningful and visible. More importantly, our patient felt it, showing up in how they engaged with the world around them. Acne scarring responds best to a series of treatments, and we are continuing to build on these results together. The progress so far speaks for itself.
FAQs
Frequently asked questions
What is microneedling?
Microneedling is a treatment that uses a device with fine needles to create controlled micro-injuries in the skin. This activates your skin's own healing pathways, stimulating collagen production and leading to smoother, more rejuvenated skin over time.
What skin concerns can microneedling treat?
Microneedling is effective for a range of skin concerns including acne scars, fine lines and wrinkles, uneven skin tone and texture, enlarged pores, and mild skin laxity. RF microneedling offers additional skin tightening benefits.
What is the difference between standard microneedling and RF microneedling?
Standard microneedling creates controlled mechanical micro-injuries to stimulate your skin's natural healing response. RF microneedling combines this with radiofrequency energy, delivering gentle heat into the deeper layers of the skin. Your doctor will help you determine which option is best suited to your goals and skin concerns.
How many sessions will I need?
Results from microneedling are cumulative, meaning that a series of treatments delivers the best outcome. Most patients benefit from 3 to 4 sessions spaced 4 to 6 weeks apart, though this depends on your skin concerns and goals. Your doctor will recommend a personalized treatment plan during your consultation.
What is the cost?
Cost depends on the type of microneedling treatment and the number of sessions recommended for your specific goals. Individual treatments at PI Aesthetics start at $450. We typically recommend bundling treatment sessions. Your doctor will provide you with an accurate estimate during your consultation once your treatment plan is established.
What are the risks and how do you manage them?
Like all medical treatments, microneedling carries known risks. We address these thoroughly during your consultation so you can make a fully informed decision. Our team is specifically trained to manage possible complications, and we approach every treatment with a high degree of clinical care and thoughtfulness.
What should I avoid before and after my appointment?
In the days before your treatment, we recommend avoiding alcohol and, if medically able, NSAIDs such as ibuprofen and other medications that can increase bleeding. Certain skincare ingredients such as retinoids and acids (AHA, BHA) should also be paused before treatment. Your doctor will review your specific medications and skincare routine during your consultation and advise accordingly.
What should I expect after treatment and is there any downtime?
Most patients experience redness and mild swelling after microneedling, similar in appearance to a mild sunburn. This typically resolves within 24 to 72 hours. There is minimal downtime (if any) expected with microneedling.
When will I see my results?
Some improvement may be visible within the first few weeks, but the most significant results develop gradually over 3 to 6 months as collagen production increases. Because results are cumulative, continued improvement is typically seen with each additional session in your treatment series.
When will I see my results?
Results typically begin to appear within 3 to 5 days and continue to develop over the following two weeks, by which time the full effect can be appreciated. We schedule your follow-up appointment after that point to assess your results once they have fully settled.
What is microneedling?
Microneedling is a treatment that uses a device with fine needles to create controlled micro-injuries in the skin. This activates your skin's own healing pathways, stimulating collagen production and leading to smoother, more rejuvenated skin over time.
What skin concerns can microneedling treat?
Microneedling is effective for a range of skin concerns including acne scars, fine lines and wrinkles, uneven skin tone and texture, enlarged pores, and mild skin laxity. RF microneedling offers additional skin tightening benefits.
What is the difference between standard microneedling and RF microneedling?
Standard microneedling creates controlled mechanical micro-injuries to stimulate your skin's natural healing response. RF microneedling combines this with radiofrequency energy, delivering gentle heat into the deeper layers of the skin. Your doctor will help you determine which option is best suited to your goals and skin concerns.
How many sessions will I need?
Results from microneedling are cumulative, meaning that a series of treatments delivers the best outcome. Most patients benefit from 3 to 4 sessions spaced 4 to 6 weeks apart, though this depends on your skin concerns and goals. Your doctor will recommend a personalized treatment plan during your consultation.
What is the cost?
Cost depends on the type of microneedling treatment and the number of sessions recommended for your specific goals. Individual treatments at PI Aesthetics start at $450. We typically recommend bundling treatment sessions. Your doctor will provide you with an accurate estimate during your consultation once your treatment plan is established.
What are the risks and how do you manage them?
Like all medical treatments, microneedling carries known risks. We address these thoroughly during your consultation so you can make a fully informed decision. Our team is specifically trained to manage possible complications, and we approach every treatment with a high degree of clinical care and thoughtfulness.
What should I avoid before and after my appointment?
In the days before your treatment, we recommend avoiding alcohol and, if medically able, NSAIDs such as ibuprofen and other medications that can increase bleeding. Certain skincare ingredients such as retinoids and acids (AHA, BHA) should also be paused before treatment. Your doctor will review your specific medications and skincare routine during your consultation and advise accordingly.
What should I expect after treatment and is there any downtime?
Most patients experience redness and mild swelling after microneedling, similar in appearance to a mild sunburn. This typically resolves within 24 to 72 hours. There is minimal downtime (if any) expected with microneedling.
When will I see my results?
Some improvement may be visible within the first few weeks, but the most significant results develop gradually over 3 to 6 months as collagen production increases. Because results are cumulative, continued improvement is typically seen with each additional session in your treatment series.
When will I see my results?
Results typically begin to appear within 3 to 5 days and continue to develop over the following two weeks, by which time the full effect can be appreciated. We schedule your follow-up appointment after that point to assess your results once they have fully settled.
Patient Testimonials
Our Patients, In Their Own Words
Moustafa Ismail
via Google
I had a wonderful experience at this clinic for my hyperhidrosis and microneedling treatments. The space is beautiful, upscale, and spotlessly clean, with the bonus of a free and spacious parking lot.
From the moment I walked in, the front desk staff was incredibly warm and friendly. Dr. Thoa and Dr. Federico are true experts; they are so knowledgeable and make you feel right at home. They gave me honest, personalized advice, just like family, and it’s clear they genuinely care about building a long-term relationship with their patients. That personal touch and commitment to care are what truly set this place apart for me.
I highly recommend them!
Rhonda B
via Google
This was the best day ever! Thoa is amazing. I had microneedling and botox - the appointment was so much fun. I've been looking for a small business that was interested in me as a person, not just a profit. Thoa is all of the things I wanted, and more - she's very careful and gentle with her work, fun to talk to, and a great hostess. Looking forward to my next visit with her!
Overview
Most people who come to us for wrinkle relaxers are not looking for a dramatic transformation. They want to look like themselves, just without the fatigue and tension that has quietly accumulated over time. What they want most is to feel confident and look their best, in a way that leaves people noticing something is different but unable to quite put their finger on why.
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That is exactly the outcome we design for. At PI Aesthetics, every treatment is planned around your specific anatomy, your facial movement, and what makes you look like you. Our aesthetic-trained doctors bring both clinical precision and artistic judgment to every consultation, because knowing where to treat is only half of the work. Knowing how much, and when to stop, is what separates a result you love from one you don’t.
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Wrinkle relaxers can also address TMJ-related jaw tension, teeth grinding, and chronic jaw discomfort by calming the muscles responsible for those patterns. If that is part of your picture, it is worth bringing up during your consultation.
Our Patients, In Their Own Words
I had a wonderful experience at this clinic for my hyperhidrosis and microneedling treatments. The space is beautiful, upscale, and spotlessly clean, with the bonus of a free and spacious parking lot.
From the moment I walked in, the front desk staff was incredibly warm and friendly. Dr. Thoa and Dr. Federico are true experts; they are so knowledgeable and make you feel right at home. They gave me honest, personalized advice, just like family, and it’s clear they genuinely care about building a long-term relationship with their patients. That personal touch and commitment to care are what truly set this place apart for me.
I highly recommend them!
Jessica Klos
Moustafa Ismail
This was the best day ever! Thoa is amazing. I had microneedling and botox - the appointment was so much fun. I've been looking for a small business that was interested in me as a person, not just a profit. Thoa is all of the things I wanted, and more - she's very careful and gentle with her work, fun to talk to, and a great hostess. Looking forward to my next visit with her!
Jessica Klos
Rhonda B
Every Result Has a Story
Treatment type: Wrinkle relaxers for Forehead, between the brows (11's) and Crows Feet
Patient Concerns: She was getting enough sleep but her face was not showing it. The tension in her upper face made her look more tired and serious than she actually felt, and her expressions were not reflecting how she wanted to come across.
Treatment Plan: We designed a personalized plan to relax the upper face and around the eyes just enough to soften that tension while keeping her expressions natural.
Results: She loves her results. She looks and feels more rested. People close to her noticed something was different and told her she looked great, but could not quite put their finger on why. That is exactly the outcome we design for.
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Treatment: Wrinkle relaxers for crow's feet.
Patient Concern: The lines around her eyes had deepened over time to the
point where they were the first thing she noticed in the mirror, making her look more tired and older than she actually felt on the inside. What bothered her most was that the tension around her eyes had gradually changed their shape, softening an almond shape she had always loved and that felt like a defining part of her face.
Treatment Plan: We focused treatment precisely around the outer eye area,
softening the muscles responsible for those deeper lines and that inward tension. Bringing her outside into alignment with how she feels inside, and to restore something she had quietly missed.
Results: The lines softened, the tension released, and the shape of her eyes came back in a way that felt completely natural. She looked rested. She finally felt like her face and eyes was matching the person she knew herself to be.
Treatment: Wrinkle relaxers for the forehead and between the eyebrows (11's)
Patient Concern: She had noticed gradual changes in her face over time, but it was hearing from people close to her that she looked tired or seemed to be aging quickly that finally brought her in. Her face was not reflecting how she actually felt.
Treatment Plan: We focused on the forehead and the area between the brows, where years of expression and tension had created lines that were reading as tiredness. We designed a plan to soften that tension precisely while preserving her natural expressiveness.
Results: The lines softened, the heaviness between her brows lifted, and her face came back into alignment with how she actually felt. The comments from people close to her shifted too. Instead of asking if she was tired, they told her she looked great. She left feeling like the outside had finally caught up with the inside.
What our doctors have to say about wrinkle relaxers
"Neuromodulators, also known as wrinkle relaxers, are one of my favorite treatments. The results require a higher degree of artistry than most people realize. There are plenty of standard approaches out there, but the best results come when your doctor has the experience and knowledge to adjust the treatment to your individual muscles and anatomy, creating something that is truly tailored to you. The difference it makes in appearance is remarkable, especially over time."
– Federico Fenton MD
"Wrinkle relaxers truly make a difference, and not just in how people look. When those lines soften and that tension releases, something shifts. Patients carry themselves differently, feel more at ease, and show up to their day with a quiet confidence they had been missing. My favorite moments are when patients come back and tell me that people close to them have been asking if they went on vacation or are getting more rest, or commenting that they look great but cannot quite put their finger on why. That is exactly what we are going for. It is our little secret."
– Thoa Fenton DNP
Your Consultation Is Where It All Starts
Before any treatment is discussed, your doctor sits down with you. Not a coordinator, not a patient intake manager. Your doctor.
​
Your doctor will begin by taking the time to understand what brought you in and what you are hoping to achieve. From there they will perform a comprehensive facial assessment, evaluating your unique anatomy, facial profile, skin condition, and movement patterns. They will share their findings, walk you through what they are seeing, and make sure you leave with a clear understanding of your options. This is not a formality. It is the foundation of everything that follows, because a plan that is right for someone else may not be right for you. We do not rush this part.
​
From there we walk you through your options honestly, discuss what we believe is appropriate, and build a personalized plan around your goals. We only recommend what we genuinely believe in, and we hold ourselves to the same standard we would expect for our own family.
​
You will leave with clarity, a plan you feel confident in, and every question answered. Whether you proceed with a treatment that day or not, you will leave informed.
FAQs
Wrinkle relaxers, also known as neuromodulators, are injectable treatments that work by gently relaxing targeted facial muscles to soften fine lines and wrinkles while preserving your natural expression. At PI Aesthetics, we carry multiple brands to ensure we select the right product for your specific goals and anatomy.
For many first-time patients, the biggest hesitation is seeing frozen or expressionless results in others and worrying that the same could happen to them. At PI Aesthetics, natural-looking results are not just a goal, they are our standard.
Results typically last between 3 and 4 months, though this varies depending on the areas treated, the product used, and individual factors such as muscle activity and metabolism. Around week 6 you will gradually begin to notice movement returning, with full baseline muscle activity resuming by the end of the cycle.
The most commonly treated areas are the forehead, the lines between the brows, and crow's feet. Wrinkle relaxers can also be used to treat jaw tension and teeth grinding by calming overactive chewing muscles, as well as other areas, depending on your goals. Your doctor will assess which areas are appropriate for you during your consultation
Cost depends on the areas treated and the amount of product required. Wrinkle relaxer treatments at PI Aesthetics typically start at $400 per session. During your consultation, we will assess the amount needed and provide you with an accurate price.
Like all medical treatments, neuromodulators carry known risks. We address these thoroughly during your consultation so you can make a fully informed decision. Our team is specifically trained to manage possible complications, and we approach every treatment with a high degree of clinical care and thoughtfulness.
In the days before your treatment, we recommend avoiding alcohol and, if medically able, NSAIDs such as ibuprofen and other medications that can increase bleeding.
There is no expected downtime. Some mild redness or tenderness at the injection sites is normal and typically resolves quickly.
Results typically begin to appear within 3 to 5 days and continue to develop over the following two weeks, by which time the full effect can be appreciated. We schedule your follow-up appointment after that point to assess your results once they have fully settled.
"Microneedling is one of the most versatile treatments we offer, and it consistently surprises patients with how much of a difference it makes. It can address so many concerns at once, but where it truly stands out is acne scarring. Medical grade microneedling is in a different category from what most people imagine when they hear the word. It is precise, it is effective, and the fact that it is virtually painless with minimal downtime makes it one of those treatments I genuinely love recommending."
- Federico Fenton, MD
Provider & Co-Founder
"Some of my patients have been living with acne scars for years, sometimes decades, convinced that this was simply how their skin would always look. Being able to tell them that it does not have to be that way, and then walking alongside them as their skin improves and their confidence grows, is deeply meaningful to me. Watching someone who once felt defined by their scars start to feel free from them brings me so much joy."
- Thoa Fenton, DNP
Medical Director, Provider & Co-Founder
What our doctors have to say about wrinkle relaxers
Overview
Microneedling works by activating your skin's own renewal process, stimulating collagen and elastin production in a way that produces real, visible improvements over time. For patients dealing with acne scarring, it is one of the most effective tools available. For those noticing changes in skin texture, tone, or laxity, it offers a path to skin that looks and feels genuinely healthier.
At PI Aesthetics we offer both standard microneedling and RF microneedling, two technologies that share the same foundational approach but differ in depth, intensity, and the specific concerns they address most effectively. You do not need to arrive knowing which one is right for you. That is exactly what your consultation is for. Your doctor will assess your skin, understand your goals, and recommend the approach that fits your specific situation.
Every treatment is planned with clinical precision and personalized to your skin. Because microneedling done well is not a one-size-fits-all procedure. The parameters, the depth, the number of sessions, and the technology all depend on what your skin actually needs, and getting that right is what separates results you notice from results that change how you feel about your skin.
What Makes Us Different
Results You Can
See Microneedling stimulates your own skin's natural healing process, producing real, measurable improvements in acne scars, texture, tone, and skin laxity over time.
Minimal Discomfort, Minimal Downtime
We apply a topical anesthetic before every treatment. Most patients experience little to no discomfort during the procedure and return to their normal routine within a day or two.
The Right Technology for Your Skin
We offer both standard and RF microneedling. During your consultation your doctor will assess your skin and recommend the approach that is right for your specific concerns and goals.
Physician Guided, Expert Delivered
Your treatment parameters are established by our aesthetic-trained doctors, ensuring every session is grounded in clinical expertise and personalized to your skin.