FREQUENTLY

ASKED QUESTIONS

GENERAL QUESTIONS

  • You can book an appointment with Dr. Hughes by calling our office at (808) 339-7474 to schedule your initial consult.

  • We do not currently accept insurance for appointments and procedures for several reasons. Firstly, the current views of the insurance ideology would prevent us from delivering the innovative therapies we offer our patients. We believe insurance companies are not financially motivated for patients to fully heal. We have seen first hand how they delay the process for a patient to get the care they need to alleviate their health concerns. As such, our approach to true medical care is not covered under the current insurance paradigm. We do however utilize insurance for labs and imaging services.

  • After your initial consultation, Dr. Hughes will provide you with educational resources including pre & post-treatment guidelines. You can also find these resources in our Patient Forms tab HERE.

  • To save time at your first visit please complete your new patient onboarding paperwork HERE. These forms will help our staff coordinate your electronic health profile. You can submit your paperwork HERE or bring with you to your appointment.

    Please bring your insurance card and driver’s license to your first visit.

  • New patient appointments typically last 60-90 minutes. This appointment will cover your current health concerns, medical history and physical exams along with a comprehensive treatment plan tailored specifically to your needs.

EMTT

  • You can book an appointment with Dr. Hughes by calling our office at (808) 339-7474 to schedule your initial consult.

  • EMTT is not currently covered by insurance providers.

  • After your initial consultation, Dr. Hughes will provide you with educational resources including pre & post-treatment guidelines.

  • Prior to all EMTT treatments, patients will be screened to ensure they have no electronic devices/implants or pace makers which are contraindications to therapy.

  • EMTT is a quick non-invasive procedure usually lasting 15-20 minutes. Treatments are typically performed 2x week for 4 weeks for a total of 8 sessions.

    • Quick Noninvasive

    • Tissue Regeneration

    • Pain reduction

    • Increased blood flow

    • Reduced inflammation

    • Reduced scar tissue

    • Increased range of motion

    • Minimized need for medications

REGENERATIVE AESTHETICS

  • Serious side effects are very uncommon following collagen induction therapy. Patients may experience the sensation of a sunburn, skin tightness and erythema (redness) following their procedure. We use the only FDA cleared microneedling device on the market for it’s efficacy and safety which has been rigorously tested in clinical trials.

  • While each patient and their respective conditions are different, the clinical efficacy tested during clinical trials came after 3+ treatments. The health of the skin continues to improve after each treatment. Every patient has varying levels of skin damage or desired outcomes which may determine how many sessions are required. We only use high concentrations of PRP during our microneedling procedures to provide our patients with the best opportunity for enhanced healing. Some patients elect to add exosomes to their procedures for more powerful treatment outcomes.

  • Following the microneedling procedure the skin will be red, tight and feel like a minor sunburn. Patients are encouraged to follow the post procedure protocol given to you following your treatment. Every patient has individual healing rates and we encourage our patients to take advantage of the healing process to give their body the best chance at success. Typical downtime is 2-4 days and we encourage limited sun exposure during the healing process.

  • Can you put a price tag on the health of your face? We agree its our brand to the world. As such we offer various competitive PRP microneedling packages based on the complexity of each patient’s case and the number of treatment(s) received. During your initial evaluation Dr. Hughes will educate you on all of the available treatment options and resources so you can make an informed decision about your aesthetic care needs that works within your financial health.

  • As with any medical procedure there are varying success & failure rates, however thousands of people everyday receive aesthetic treatments with varying levels of success. Not all patients are good candidates for this therapy. During your initial consultation Dr. Hughes will help determine whether you are a good candidate for PRP microneedling therapy and discuss all of your treatment options available. The majority of our patients report over 90% satisfaction with the quality of their skin tone, smoothness, and firmness post procedure.

SEXUAL OPTIMIZATION

  • Simply put, we want you to have the best sex of your life. In order to achieve this goal there are a myriad of treatments that we promote to optimize your performance, enjoyment and satisfaction with your sexual health. This may include hormone balancing, focused shockwave therapy, platelet rich plasma (PRP), peptide therapy and medications when necessary.

  • Serious side effects are very uncommon. Focused shockwave therapy is a painless procedure. When patients receive PRP therapy as part of their protocol, patients are given strong topical anesthetics and/or nerve blocks when necessary for maximum comfort during their procedures. Some patients may experience soreness or light bruising 24-72 hours following their injections.

  • While each patient and their respective conditions are different, the majority of patients will utilize focused shockwave therapy 4-6 times prior to their PRP injections. The goal is to increase blood flow exponentially encouraging tissue regeneration. Each treatment builds upon the previous.

  • Patients can resume their normal daily routines and we encourage both male and female patients to engage in normal sexual activities as soon as they are comfortable to increase healthy blood flow to the treated areas.

  • Can you put a price tag on great sex? We didn't think so. Therefore your individualized treatments are custom tailored to your needs and Dr. Hughes will educate you on the best treatment options and resources available so you can make an informed decision about your sexual health needs that also fits within your financial health.

  • As with any medical procedure there are varying success & failure rates. Not all patients are good candidates for this therapy however the majority of our patients experience an 85-90% satisfaction rate.

SHOCKWAVE THERAPY

  • Item descriptionTendinopathies

    • Tendinitis/Tendinosis

    • Calcific Tendinosis

    • Ligament Injuries

    • Muscle Injuries

    • Boney Edema

    • Shin splints

    • Joint Pain

    • Trigger Points

    • Erectile Dysfunction

  • The risks are very low based on proper patient selection. Treatments to injured tissues are often so specific that patients will frequently indicate "Thats the spot!" during therapy. We treat to the patient's tolerance. Most patients will feel little to no sensation over non-injured tissues. When treating injured tissues we increase the intensity as the patients's pain reduction occurs. Most patients report a significant decrease in the original pain following the procedure.

  • Studies have shown 3-6 treatments spread apart by 1 treatment per week creates a robust healing cascade from increased blood flow and tissue remodeling. We see significantly better outcomes after every treatment. In many patients we will perform PRP injections after their initial round of focused shockwave is complete.

    • Quick Noninvasive

    • Tissue Regeneration

    • Pain reduction

    • Increased blood flow

    • Reduced inflammation

    • Reduced scar tissue

    • Increased range of motion

    • Minimized need for medications

  • Can you put a price tag on reducing pain and improving your quality of life? We didn't think so either. Therefore your individualized treatments are custom tailored to your needs and Dr. Hughes will educate you on the best treatment options and resources available so you can make an informed decision about your health care needs that also fits within your financial health.

  • Focused ESWT sessions usually take 15-30 minutes per visit. We utilize ultrasound guidance to precisely target the tissues of concern. The sound impulse waves (shocks) are delivered in rapid succession and the intensity of the waves are tailored to the specific location and tissue/condition being treated. In most cases, 1000-3000 shocks will be used per region.

PRP | EXOSOMES | STEM CELLS

  • Serious side effects are very uncommon following regenerative injection therapy. Some patients may experience soreness or light bruising 24-72 hours following their injections due to the needle and not the solution. Patients may experience the sensation of soreness which is a common reaction following the activation the healing cascade necessary cellular actions for tissue remodeling to begin.

  • While each patient and their respective conditions differ, the majority of patients need 1-3 injections spread over 6 to 18 months. The healing process is different for everyone and overall patient health is a large determinant of healing. PRP, Exosomes & Stem Cells help reduce the total number of injections needed saving our patients time and money.

    Exosome IV therapy has shown best results with treatments every 3 months for systemic conditions like autoimmune disease, anti-aging benefits and other chronic disease conditions.

  • We recognize each patient’s condition and their rate of healing is different. Therefore, we recommend musculoskeletal procedures maintain reduced activity 3-5 days directly following treatment with light activity in the following week. We encourage gradual increases in activity with full activity if possible by week 4 unless the injury being treated requires substantial healing time.

    Other therapies like hyperbaric oxygen therapy, IV infusion therapy, ozone therapy and oral supplementation can help to accelerate the healing process even further. We encourage our patients to take advantage of the healing process (rest) to give your body the best chance at success.

  • Our patients are unique and so are their individualized treatment protocols. The pricing for PRP, Exosomes & Stem Cell therapy varies based on the complexity of each patient’s case and the biologics used in their treatments. During your initial evaluation Dr. Hughes will educate you on all of the available treatment options and resources so you can make an informed decision about your health care needs.

PEPTIDE THERAPY

  • Serious side effects are very uncommon following peptide injection therapy. Some patients may experience soreness or light bruising 24-72 hours following their injections due to the needle puncture. Patients may experience the sensation of soreness or slight itching periodically.

  • While each patient and their respective conditions differ, the majority of patients receive 9 week protocols that can extend out for several rounds before we discontinue medication to allow receptor recovery.

  • We recognize each patient’s condition and their rate of healing is different. Therefore, we encourage gradual increases in activity with full activity if possible following substantial healing time (12 weeks).

    Other therapies like hyperbaric oxygen therapy, IV infusion therapy, ozone therapy and oral supplementation can help to accelerate the healing process even further. We encourage our patients to take advantage of the healing process (rest) to give your body the best chance at success.

  • Our patients are unique and so are their individualized treatment protocols. The pricing for peptide therapy varies on the protocol issued. During your initial evaluation Dr. Hughes will educate you on all of the available treatment options and resources so you can make an informed decision about your health care needs.

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