What Makes Us Different
Physician Led from the Start
This program is led by Dr Federico Fenton MD, who brings the same standard of clinical rigor and personalized care to weight management that defines everything we do at PI Aesthetics.
Medical Assessment, Not Just a Prescription
Medication assisted weight loss at PI Aesthetics begins with a thorough medical evaluation. We do not simply supply medications. We assess your health, your history, and your goals to determine whether this approach is right for you and what that looks like specifically for you.
An Individualized Plan
There is no one size fits all approach to weight management. Your plan is built around your specific medical profile, your goals, and ongoing monitoring to ensure you are progressing safely and effectively.
Overview
Medication assisted weight loss has become one of the most discussed topics in medicine, and for good reason. For patients who have struggled to achieve meaningful results through diet and exercise alone, medical intervention can make a significant difference. At PI Aesthetics this program is led by our physician and grounded in the same philosophy that guides everything we do: thorough assessment, honest recommendations, and care that is built around you as an individual rather than a protocol applied to everyone.
We use both pharmaceutical and compounded medications as part of individualized treatment plans. The right approach depends on your specific health profile, your goals, and a careful medical evaluation. Your provider will have an honest conversation with you about your options and what makes the most sense for your situation.
This is not a program where you receive a prescription and check in occasionally. It involves ongoing medical oversight, regular assessment, and a genuine partnership between you and your provider throughout the process. If you are considering medication-assisted weight loss and want to understand whether this is the right path for you, the best place to start is a conversation with our physician.
"The medications available for weight loss today are truly groundbreaking. We are achieving results that would have been unimaginable just a few years ago, and the impact goes far beyond the number on a scale. Meaningful weight loss translates into better health outcomes, renewed confidence, and a dramatically improved quality of life. More years lived better, with the people you love and doing the things you enjoy. That kind of transformation in how someone feels about themselves is exactly what PI Aesthetics is about. It does not get any better than that."
- Federico Fenton, MD
Provider & Co-Founder
"So many of my patients have worked incredibly hard to lose weight and felt guilty when the results did not match the effort. That guilt is not deserved, and being able to help them finally see the progress they have been fighting for fills me with so much joy. What I love most are the conversations during treatment follow-up when patients tell me they went shopping for a completely new wardrobe. Seeing them genuinely excited about that, proud of themselves and their progress, is very gratifying."
- Thoa Fenton, DNP
Medical Director, Provider & Co-Founder
What our doctors have to say about wrinkle relaxers
Patient Testimonials
Our Patients, In Their Own Words
Chamath Gunathilake
via Google
I’ve had an amazing experience at PI Aesthetics Medical Spa! Dr. Thoa and Dr. Federico have both been incredible. Dr. Thoa helped me lose weight. I went from 307.6 lbs to 249.6 lbs in just six months, and guided me through my first-ever skincare routine. She gave me excellent advice on how to improve and maintain my skin health. Dr. Federico was also very supportive and knowledgeable throughout my visits. The entire team is friendly, professional, and truly cares about their patients. I’m so thankful for their help and highly recommend PI Aesthetics Medical Spa to anyone looking to improve their health, confidence, and overall well-being!
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
Frequently asked questions
What is medication assisted weight loss?
Medication assisted weight loss is a physician supervised approach to weight management that uses prescription medications alongside ongoing medical assessment to support meaningful and sustainable weight loss. It is designed for patients who have struggled to achieve their goals through diet and exercise alone and who are appropriate candidates based on a thorough medical evaluation.
Am I a good candidate for this program?
Candidacy depends on your health history, current medications, weight history, and overall medical profile. Not every patient is an appropriate candidate, and an honest assessment is the only way to determine whether this approach is right for you. Your physician will evaluate all of these factors during your consultation and give you a direct and honest answer.
What medications are used?
We use both pharmaceutical and compounded medications as part of individualized treatment plans. The specific medications appropriate for you depend on your medical profile, your goals, and a careful evaluation by your physician. Your provider will have an honest and thorough conversation with you about your options during your consultation. We do not discuss specific medications or products outside of that clinical context.
Is this program supervised by a physician?
Yes. This program is led and supervised by our physician from start to finish. Every treatment plan is established by our physician based on a thorough medical evaluation, and ongoing oversight is a required part of the program. This is not a program where medications are supplied without meaningful medical involvement.
How is this different from other weight loss programs or clinics?
Many programs offering medication assisted weight loss focus primarily on supplying medications with limited ongoing medical assessment. At PI Aesthetics this program is physician led and built around individualized care, regular monitoring, and honest guidance throughout the process. We do not recommend what we do not genuinely believe is right for you, and we hold this program to the same clinical standard we apply to everything we do.
How often will I need to be seen?
This depends on your individual treatment plan and how you are responding to treatment. Ongoing medical assessment is a required part of this program rather than an optional add on. Your physician will establish a monitoring schedule during your consultation based on your specific situation.
Does PI Aesthetics accept insurance for this service?
No. Medication assisted weight loss at PI Aesthetics is a self pay service. We do not bill insurance for this program. Your physician will provide you with accurate pricing information during your consultation once your treatment plan is established.
How do I get started?
The first step is a consultation with our physician. During that conversation we will review your health history, assess your candidacy, discuss your options honestly, and determine whether this program is the right fit for you. If you are ready to take that step we would be glad to have that conversation.
What is medication assisted weight loss?
Medication assisted weight loss is a physician supervised approach to weight management that uses prescription medications alongside ongoing medical assessment to support meaningful and sustainable weight loss. It is designed for patients who have struggled to achieve their goals through diet and exercise alone and who are appropriate candidates based on a thorough medical evaluation.
Am I a good candidate for this program?
Candidacy depends on your health history, current medications, weight history, and overall medical profile. Not every patient is an appropriate candidate, and an honest assessment is the only way to determine whether this approach is right for you. Your physician will evaluate all of these factors during your consultation and give you a direct and honest answer.
What medications are used?
We use both pharmaceutical and compounded medications as part of individualized treatment plans. The specific medications appropriate for you depend on your medical profile, your goals, and a careful evaluation by your physician. Your provider will have an honest and thorough conversation with you about your options during your consultation. We do not discuss specific medications or products outside of that clinical context.
Is this program supervised by a physician?
Yes. This program is led and supervised by our physician from start to finish. Every treatment plan is established by our physician based on a thorough medical evaluation, and ongoing oversight is a required part of the program. This is not a program where medications are supplied without meaningful medical involvement.
How is this different from other weight loss programs or clinics?
Many programs offering medication assisted weight loss focus primarily on supplying medications with limited ongoing medical assessment. At PI Aesthetics this program is physician led and built around individualized care, regular monitoring, and honest guidance throughout the process. We do not recommend what we do not genuinely believe is right for you, and we hold this program to the same clinical standard we apply to everything we do.
How often will I need to be seen?
This depends on your individual treatment plan and how you are responding to treatment. Ongoing medical assessment is a required part of this program rather than an optional add on. Your physician will establish a monitoring schedule during your consultation based on your specific situation.
Does PI Aesthetics accept insurance for this service?
No. Medication assisted weight loss at PI Aesthetics is a self pay service. We do not bill insurance for this program. Your physician will provide you with accurate pricing information during your consultation once your treatment plan is established.
How do I get started?
The first step is a consultation with our physician. During that conversation we will review your health history, assess your candidacy, discuss your options honestly, and determine whether this program is the right fit for you. If you are ready to take that step we would be glad to have that conversation.
What is medication assisted weight loss?
Medication assisted weight loss is a physician supervised approach to weight management that uses prescription medications alongside ongoing medical assessment to support meaningful and sustainable weight loss. It is designed for patients who have struggled to achieve their goals through diet and exercise alone and who are appropriate candidates based on a thorough medical evaluation.
Am I a good candidate for this program?
Candidacy depends on your health history, current medications, weight history, and overall medical profile. Not every patient is an appropriate candidate, and an honest assessment is the only way to determine whether this approach is right for you. Your physician will evaluate all of these factors during your consultation and give you a direct and honest answer.
What medications are used?
We use both pharmaceutical and compounded medications as part of individualized treatment plans. The specific medications appropriate for you depend on your medical profile, your goals, and a careful evaluation by your physician. Your provider will have an honest and thorough conversation with you about your options during your consultation. We do not discuss specific medications or products outside of that clinical context.
Is this program supervised by a physician?
Yes. This program is led and supervised by our physician from start to finish. Every treatment plan is established by our physician based on a thorough medical evaluation, and ongoing oversight is a required part of the program. This is not a program where medications are supplied without meaningful medical involvement.
How is this different from other weight loss programs or clinics?
Many programs offering medication assisted weight loss focus primarily on supplying medications with limited ongoing medical assessment. At PI Aesthetics this program is physician led and built around individualized care, regular monitoring, and honest guidance throughout the process. We do not recommend what we do not genuinely believe is right for you, and we hold this program to the same clinical standard we apply to everything we do.
How often will I need to be seen?
This depends on your individual treatment plan and how you are responding to treatment. Ongoing medical assessment is a required part of this program rather than an optional add on. Your physician will establish a monitoring schedule during your consultation based on your specific situation.
Does PI Aesthetics accept insurance for this service?
No. Medication assisted weight loss at PI Aesthetics is a self pay service. We do not bill insurance for this program. Your physician will provide you with accurate pricing information during your consultation once your treatment plan is established.
How do I get started?
The first step is a consultation with our physician. During that conversation we will review your health history, assess your candidacy, discuss your options honestly, and determine whether this program is the right fit for you. If you are ready to take that step we would be glad to have that conversation.
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.
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.
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’ve had an amazing experience at PI Aesthetics Medical Spa! Dr. Thoa and Dr. Federico have both been incredible. Dr. Thoa helped me lose weight. I went from 307.6 lbs to 249.6 lbs in just six months, and guided me through my first-ever skincare routine. She gave me excellent advice on how to improve and maintain my skin health. Dr. Federico was also very supportive and knowledgeable throughout my visits. The entire team is friendly, professional, and truly cares about their patients. I’m so thankful for their help and highly recommend PI Aesthetics Medical Spa to anyone looking to improve their health, confidence, and overall well-being!
Jessica Klos
Chamath Gunathilake
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.