Frequently Asked Questions

General Questions

Why does Dr. Menezes require a new patient consultation if I already know what I want to have done?

Dr. Menezes will work with you to have a complete picture of your skin’s health and beauty needs. Then together you can prioritize your treatments.

Does insurance pay for an aesthetic consultation?

No. A credit card deposit will be accepted to secure your appointment time.

What is the cancellation policy?

Appointments need to be cancelled a full business day prior to your appointment to avoid loss of your deposit.

Is a total body skin exam covered by my insurance?

Insurance is complicated these days, but almost all Health Plans cover skin evaluations and biopsies. Check with your plan.  You many need a referral to see Dr. Menezes from your primary care physician. Dr Menezes’s office will submit a claim to your insurance plan, but payment is ultimately your responsibility. Dr. Meneze’s office does not accept Humana, Ohana, or Aloha Care Quest Plans.

I have a mole I want off, why does she have to look everywhere?

Skin damage can occur in places that may be hard to find. A total body skin exam is quick, painless and could help save your life.

Dr. Menezes is a Board Certified in Family Medicine, is she qualified to do a skin checkup and biopsies?

Dr. Menezes’ training includes dermatology and preventative services.


Am I a good candidate?

The CoolSculpting fat reduction procedure is specially designed for those who have unwanted fat that resists diet and exercise. Unlike gastric bypass surgery, the CoolSculpting procedure is not a weight loss solution for people who are obese. It is, however, a non-surgical alternative to liposuction. Good candidates have noticeable bulges in certain areas they’d like to get rid of. Request a one-on-one consultation with a CoolSculpting physician who will determine if the CoolSculpting procedure is right for you.

How much does the CoolSculpting Procedure Cost?

The price for CoolSculpting procedures varies depending on your areas of concern, the number of sessions needed, and your ultimate goals. Create a customized treatment plan, in person, with your physician that’s tailored to your body, your goals, and your budget.

How long is each session? How many sessions will I need?

Your CoolSculpting physician will help you create an individualized treatment plan tailored to your specific goals. The length of your CoolSculpting session will vary depending on the number of areas being treated during one visit. You and your provider may schedule additional sessions in order to meet your goals. Many people read, check email, or even take a nap during their sessions.

Where does the fat go? Are the results permanent?

Once the treated fat cells are crystallized (frozen), they die and are naturally processed and eliminated from the body. Once the treated fat cells are gone, they’re gone for good.

What does it feel like?

As the cooling begins during the first few minutes, you will feel pressure and intense cold. This soon dissipates. Many people read, watch videos, work on their laptop, or even take a nap during their treatment.

Is the CoolSculpting procedure safe?

The CoolSculpting procedure is FDA-cleared for the flank (love handles), abdomen and thighs. With over 1.5 million CoolSculpting treatments performed worldwide, it is proven to be a safe and effective treatment for non-surgical fat reduction.

Are there any side effects?

During the procedure you may experience deep pulling, tugging, pinching, numbness or discomfort. Following the procedure, typical side effects include temporary numbness, redness, swelling, bruising, firmness, tingling, stinging and pain. Though rare, additional side effectss may also occur. The CoolSculpting procedure is not for everyone. You should not have the CoolSculpting procedure if you suffer from cryoglobulinemia or paroxysmal cold hemoglobinuria. The CoolSculpting procedure is not a treatment for obesity. As with any medical procedure, ask your physician if the CoolSculpting procedure is right for you.

Can I return to normal activities after my treatment?

Yes, you can. The CoolSculpting procedure is completely non-surgical, so typically you can return to normal activities immediately. Some patients experience redness, minor bruising, tingling, numbness or discomfort in the treated area, but this is temporary and will resolve completely. Often times, patients return to work after their CoolSculpting session is over.

When will I see results?

You may start to see changes as quickly as three weeks after your treatment, and will experience the most dramatic results after two months. But your body will still flush out fat cells and will continue doing so for up to four to six months after treatment.

Do I need to take special supplements or follow a strict diet and exercise program?

No supplements or pills are required and you do not have to adopt new diet and exercise habits. Many patients feel more motivated to take care of themselves after their CoolSculpting treatment. It is as if they get a second lease on their body and want to start anew again by taking even better care of themselves.

What happens if I gain weight down the road?

Many people, after seeing the results from their CoolSculpting procedure, take even better care of themselves. However, if you do gain weight, you may gain it evenly all over your body, not just in the treated areas.


How Long Does It Last?

Results typically last from 6 months to a year.  Most patients like to maintain their results with brief “touch-ups” every 6 months or so. Adding Botox can help the Juvederm’s staying power.

Why not just use Voluma everywhere if it lasts longer?

Juvederm is much softer so it has places it works better than Voluma.

Will I look different?

Dr. Menezes has a light hand and gently restores natural smoothness where it belongs.  That being said, you may have some temporary bruising or swelling, so it’s best not to have a procedure right before a big event.  Dr. Menezes’ signature experience is that people think you look rested and relaxed.  Nothing fake.  No duck lips allowed.

Will it hurt?

Some areas of the face are more sensitive than others.  We can use facial nerve blocks with Lidocaine and ice to reduce discomfort.  Juvederm XC also has Lidocaine in it, so that really helps.  And we can use microcannula in many areas of the face which reduces risk of bruising and can be more comfortable.

I’d like to look more relaxed and refreshed.  What do I do next?

The first thing is to have a consultation so your goals and needs can be addressed and we can make a plan. Call the office or book online.  New patient consultation fees are credited towards procedures.

Botox Cosmetic™

How does Botox work?

Botox is a neuromodulator, so it blocks the signal from nerves that make the muscles contract.  Relaxed muscles allow the skin above to smooth out. Effects last 3-4 months. The longer you use Botox, the better your results.

Does it hurt?

In truth, no. Okay, maybe a little bit, but it’s so worth it! It is a few tiny needle pricks and we are done. Basically no pain. Easy. Lovely results in about a week. No anesthesia required. No down time. That is why Botox is so popular with our patients.

Will I look different?

You will look like you, just more rested.  Dr. Menezes’ style is to allow natural expression with moderate effects.  You can come in for a quick touch up if needed.

Why does Dr. Menezes cost more than other people who inject Botox?

Dr. Menezes’ prices are right inline with national and local averages for physician injectors.  She invests in her education, brings the best and latest techniques the industry has to offer, has the freshest product, and wants to make sure you are extremely happy with your results. And you know what is really expensive?  Botched Botox-weird, surprised eyebrows, drooped eyelids and frozen face.  Your investment in yourself is worth getting the best.

I am not sure why I haven’t tried Botox sooner.  What can I do to get rid of these wrinkles ASAP?

The first thing is to have a consultation so your goals and needs can be addressed. Call the office or book online.  New patient consultation fees are credited towards procedures.  Please let the staff know if you think you will want Botox on the day of your consultation so we can allow for extra time.

Medical Professional Peels

How intense are these peels?

There is no pain during the treatment. The Treatment takes about 15 minutes in the office. You can go back to your daily activities immediately after your appointment. When you leave your skin may look a little red. No strenuous exercise for the next 24 hours.

What if I don’t peel?

Sometimes really damaged skin won’t peel. That’s okay. You are sloughing the top layers without the flaking. The really magic is in the infusion of Retinol that stimulates healthy skin, so you will still see a noticeable improvement with your peels.

Who shouldn’t get a peel?

These peels are not appropriate if you are :

allergic to aspirin
take Accutane
recently waxed the skin area to be treated
are on chemotherapy

How do I take care of my skin while I’m in the peel process?

Best not to wear make-up. Wash with a very gentle face wash, like a baby wash or the SkinMedica Daily Cleanser. NO EXFOLIATING, no scrubs, no brushes and no picking or pulling the skin. You have new baby skin. Be really nice to it. When you are peeling, use a calming lotion to help the process along. Sunscreen is a must.

How do I take care of my skin after my peel series?

Healthy skin is beautiful skin. You have made an investment in improving your skin. It needs to be fed, hydrated and protected. A daily skin care regime, with products that are proven to nourish the health of the skin can be customized for you. Drink lots of water and always use sun protection. Find a sunscreen you enjoy wearing and keep it by the front door, in your bag or purse, and any other place that you frequent so it is easy to remember to put it on. Big hats and sun protective clothing are also essential. Avoid peek sun times.