Permanent Makeup (also known as cosmetic tattooing or micropigmentation) is a beauty enhancement procedure that uses specialized tools to implant pigment into the skin, mimicking the look of makeup. This semi-permanent treatment is designed to define and enhance facial features such as eyebrows, eyeliner, lips, and even camouflage scars or skin discoloration.

The process typically involves:
• Eyebrows: Techniques like microblading, powder brows, or ombré shading to create natural-looking, fuller brows.
• Eyeliner: Adding pigment along the lash line to define the eyes.
• Lips: Enhancing lip color, symmetry, and shape with treatments like lip blush.
• Other areas: Corrective pigmentation for scars, alopecia, or vitiligo.

Permanent makeup is tailored to each individual, taking into account their skin tone, facial structure, and personal preferences. Results can last from 1-5 years depending on skin type, lifestyle, and pigment retention, with occasional touch-ups recommended to maintain vibrancy.

It is a popular choice for those seeking a low-maintenance beauty routine or who have difficulty applying traditional makeup.

Intense pulsed light (IPL) is a cosmetic procedure that uses light energy to treat skin conditions and remove unwanted hair. IPL is also known as a photofacial.

What it does:
Treats sun damage, freckles, age spots, and other skin discoloration
Treats rosacea, acne, and other skin conditions
Treats broken blood vessels and spider veins
Treats wrinkles and fine lines
Treats birthmarks, stretch marks, and scars
Removes unwanted hair from the face, neck, back, and more

How it works:
A handheld device emits multiple wavelengths of light into the skin
The light heats and destroys unwanted pigment, redness, and fine blood vessels
The body reabsorbs the destroyed structures

Safety:
IPL is generally safe for most people
Side effects are usually minimal, but may include skin discoloration, bruising, or swelling
IPL is not safe for pregnant women and those on blood thinners

Evidence‑Based Weight‑Loss Therapies

Semaglutide (Wegovy®/Ozempic®) – This once‑weekly GLP‑1 receptor agonist was tested in the 68‑week STEP‑1 trial, where adults with obesity receiving semaglutide lost about 14.9 % of their starting weight
. Nearly 86 % of participants achieved ≥ 5 % weight loss
. Semaglutide works by mimicking the gut hormone GLP‑1; it triggers insulin release, slows stomach emptying and increases feelings of fullness, which reduces appetite and calorie intake

Tirzepatide – A dual GLP‑1/GIP agonist, tirzepatide produces greater weight loss than semaglutide. In a 72‑week SURMOUNT‑5 head‑to‑head trial, participants taking tirzepatide lost 20.2 % of their body weight, while those taking semaglutide lost 13.7 %. It also reportedly has less side effects including nausea and fatigue
. Earlier trials showed a 20 % reduction over 72 weeks, and continued therapy for an additional year led to around 25 % total weight loss
. Tirzepatide mimics GLP‑1 and GIP hormones, which decrease appetite, slow gastric emptying and enhance insulin release, helping you feel satisfied on smaller portions

Retatrutide (investigational) – This triple‑hormone receptor agonist targets GLP‑1, GIP and glucagon receptors. In a phase‑2 study, adults receiving the highest dose lost about 24.2 % of their starting weight after 48 weeks

What to Expect & Why Professional Guidance Matters
These medications are tools to complement healthy lifestyle changes. They are most effective when taken consistently; real‑world data show that early discontinuation or low maintenance doses lead to smaller weight reductions.
. Because obesity is a chronic condition, staying on therapy and working with your healthcare team is key to maintaining results
. Your provider will tailor the treatment, monitor for side effects (often mild gastrointestinal upset and adjust doses as needed.

If you’re considering semaglutide, tirzepatide or future therapies like retatrutide, we invite you to schedule an appointment. During the visit, we’ll discuss your medical history, goals and insurance coverage, and determine whether one of these options fits your overall weight‑management plan.

You will also receive a personalized meal plan, exercise plan and some healthy recipes to help make sure that we aren't just medicating but addressing the cause of obesity to help create life long habits to effect positive long term change.

Hormone Therapy – Restoring Balance with Expert Care

Hormones influence everything from mood and sleep to bone strength and sexual function. When your body stops producing adequate amounts of certain hormones—whether during menopause, because of low testosterone, or as part of gender‑affirming care—targeted therapy can restore balance and improve your quality of life.

Menopausal Hormone Therapy (HRT) – Estrogen and progesterone decline during perimenopause and menopause, which can trigger hot flashes, night sweats and vaginal dryness. Prescription hormone therapy replaces some of the estrogen and progesterone that your ovaries no longer produce, easing symptoms and helping maintain bone density
. Estrogen can be taken alone after hysterectomy or combined with progesterone to protect against endometrial cancer
. Therapy is available as pills, skin patches or low‑dose vaginal creams and is most effective when used at the lowest dose for the shortest duration needed

Most healthy women under 60 who are within ten years of menopause may find that the benefits of symptom relief and fracture prevention outweigh the risks
. However, systemic hormone therapy slightly increases the risk of blood clots, stroke, gallbladder disease and breast cancer, especially in women with a history of heart disease or blood clots
. For women with only vaginal dryness, low‑dose topical estrogen can relieve symptoms with minimal systemic absorption
. We’ll discuss your symptoms, medical history and personal goals to decide whether HRT, topical therapy or non‑hormonal options are right for you.

Bioidentical and compounded hormones – Some products marketed as “bioidentical” are compounded in pharmacies and not reviewed by the FDA. These formulations may contain untested ingredients and their safety and effectiveness have not been proven
. We can talk about FDA‑approved “body‑identical” hormones and help you make an informed decision

Testosterone Therapy – Testosterone levels can fall due to medical conditions such as hypogonadism. Testosterone replacement might improve energy, libido and muscle mass; however, it is not a treatment for normal aging. Potential side effects include sleep apnea, acne, enlarged prostate, breast enlargement, reduced sperm production, a rise in red blood cells (polycythemia) and possible increased risk of heart disease
mayoclinic.org
. Before starting therapy, we measure your testosterone levels and explore lifestyle changes like weight loss and strength training. If therapy is appropriate, we’ll monitor you closely to minimize risks.

Our Approach – Hormone therapy isn’t one‑size‑fits‑all. Each plan starts with a thorough review of your medical history, symptoms and personal goals. We will explain the benefits and risks, help you weigh alternatives and monitor your therapy with regular follow‑ups and lab work. Together, we can find a path that helps you feel your best—safely and confidently.

Holistic Well Visits & Functional Medicine
Our practice offers more than a basic physical — we deliver comprehensive well visits grounded in functional and integrative medicine. During your visit, we take time to understand you as a whole person, not just a collection of symptoms. We focus on prevention and address the root causes of health concerns so you can thrive.

What is functional medicine? Functional medicine seeks to answer “why are you ill?” by looking at your entire medical history, lifestyle and environment

. We partner with you to identify underlying reasons behind chronic symptoms, such as genetic predispositions, nutrition, stress, toxin exposure, allergens and gut health

. Based on this in‑depth assessment, we help you design a plan to support optimal wellness through food, movement, sleep, mental and emotional health

. Rather than replacing conventional medicine, functional medicine complements it and is especially useful for chronic conditions like metabolic syndrome, thyroid disorders, digestive issues, autoimmune disease and cardiovascular disease

. We work collaboratively with physicians, dietitians, health coaches and mental health therapists to provide coordinated, patient‑centred care

Integrative approach – Integrative medicine acknowledges that physical, emotional, mental and spiritual needs are interconnected

. It combines evidence‑based conventional treatments with complementary therapies (such as nutrition counselling, stress‑reduction techniques or acupuncture) to enhance healing

. Your relationship with your provider is a partnership: you are an active participant in your healing process, and your nurse practitioner coordinates care with your primary care provider and specialists

What to expect during a well visit – Your well visit gives us a “snapshot” of your health and helps create a personalized prevention plan

. A nurse practitioner will measure your height, weight and blood pressure, evaluate your fall risk, screen for depression and cognitive impairment, review your medical and family history, and offer referrals for additional preventive services

. We’ll ask about your diet, physical activity, stress, sleep and social factors to understand how these influence your health. Depending on your age, sex and risk factors, we may perform a physical exam, check your heart and lungs, palpate your abdomen, and inspect your skin, hair and nails

. Lab tests (such as complete blood counts or metabolic panels) and screening tests (cholesterol, diabetes, cancer screenings) may be ordered based on your personal health history and risk profile

. Together we’ll discuss your goals and design a plan for maintaining or improving your health.

A truly holistic perspective – Holistic health means recognizing that wellness encompasses the physical, mental, emotional, social and spiritual dimensions of life

. Our goal is to empower you to make sustainable lifestyle changes that support all aspects of your well‑being. Whether you’re managing a chronic condition or simply striving for optimal health, our functional medicine‑informed well visits provide the time, tools and partnership you need to take control of your health journey.