Facial Fillers

Dermal fillers can be used to help reduce fine lines, wrinkles, furrows, sagging skin, and other signs of aging. Dermal fillers can also be used to restore hyaluronic acid levels within your skin. These injections are used to hydrate, soften, and increase the volume of your skin

  • Hyaluronic acid (Restylane, Juvederm, others). This natural component of the skin’s connective tissue is the most common filler used for wrinkles. 
  • Calcium hydroxylapatite (Radiesse).
  • Fat grafting. 
  • Permanent soft tissue filler (Bellafill).
  • Poly-L-lactic acid (Sculptra).

Frown Lines
Marionette Lines

Vampire Facelift

Each Vampire Facelift treatment can last anywhere from 1 to 2 years depending on your skin care regimen and protection against sun exposure. For best long-term results it’s generally recommended to get a reinforcement treatment annually.

The hyaluronic acid ‘lifts’ collapsed areas, which helps restore a more youthful and natural structure to the face.
Dr. Alexander Roka and his staff would be happy to meet with you and discuss your personal Vampire Facelift plan. Call us today to book your free consultation!v

Facial Microneedling

Skin tightening results may be visible immediately after your Scarlet RF microneedling treatment, while the results of increased collagen production and dermal remodeling appear over time. Your most significant improvements will emerge gradually over two to three months.

Scarlet is safe on all skin types!
Most clients report only slight discomfort or no pain at all. We use a topical anesthetic for numbing and it is included in the cost of the treatment.
Agnes is the only RF device utilizing a newly engineered form of energy that uses single pin and three pin needles as its application electrodes. They are partially insulated to protect your skin during the procedure.
Your provider will apply a numbing agent to the treatment area to minimize discomfort. The micro insulated needles deliver RF energy only to the target areas while protecting the upper layers of the dermis.
The average patient can expect to see results 4-8 weeks from the first treatment.

Botox Frequently Asked

Maintenance is suggested every 4-6 months for optimum results.

Botox can be used to address lines and wrinkles on a number of different facial areas including forehead, eye area, and lip lines.

Botox treatments are quick with minimal discomfort. The treatment requires no anesthesia or downtime.


The results of each patient may vary. It usually takes three to five days to see the effects. For some it can take up to two weeks.


HydroFacial Frequently Asked

A Hydrofacial focuses on resurfacing the skin. It uses hydro microdermabrasion, a particularly gentle form of microdermabrasion, and employs jets of water instead of lasers or abrasive materials such as crystals to lightly exfoliate surface skin.


Each facial is customized to suit a patient’s needs and effectively address any issues that may arise during the process.


Hydrofacials help to improve overall skin texture, tone, and appearance. This is due to the deep exfoliation our team accomplishes to clean our patients pores, removing debris and allowing for better penetration of face serums tailored to your skin type.


Microdermabrasion Frequently Asked

This is a type of professional exfoliation where the skin is abraded and wounded at the microscopic level to plane-down superficial layers of skin cells and encourage collagen synthesis.

  • Stimulates collagen synthesis
    Improves the appearance of discolorations and age spots.
  • Improves the appearance of acne scarring.
  • Removes dull, dead skin cells to improve radiance.
  • Reduces fine lines and soften wrinkles.
  • Softens and smooth surface texture.
  • Decrease the frequency of acne breakouts and fade post- inflammatory lesions.
Some treatments may take up to one week for your skin to recover completely. During the repair/renewal period, you may, or may not, experience slight tingling, itching, burning or tightness of the superficial layers of your skin. These sensations will gradually diminish.
  1. Avoid sun exposure.
  2. No hot tub, steam room or sauna
  3. No strenuous activities or exercise
  4. Do not pick, peel, scrape or scratch your skin
  5. Do not use any hair removal creams or wax over the treat area.
  6. Avoid hair color, perm or other chemical solutions.

EMSCULPT NEO Frequently Asked

EMSCULPT is an excellent treatment option to tone and build muscle, creating a noticeably leaner target area. Due to the size difference between different muscles, EMSCULPT utilizes small, large, and chair applicators to ensure you receive the results you are searching for. Studies show a 15-20% muscle growth and fat reduction due to treatments. 


EMSCULPT is not a treatment designed to directly cause weight-loss and make the number you see on the scale move. However, it does expel fat cells which will cause weight loss to occur. The amount of weight you will lose can only be determined after assessing your body fat distribution. On average, you will see the muscle mass of the targeted area increase by 15-20%. 


After properly filling out patient forms and being assessed if you are an appropriate candidate, any questions will be answered by Dr. Roka or an assistant. During your EMSCULPT treatment, you will experience gentle warmth through the handpiece onto your skin. Many relate this feeling to a hot stone massage with intense mechanical vibrations. Your treatment session will last generally around 30 minutes depending on your treatment area. Afterwards, you will be free to go about your day as normal!


Emsculpt NEO is the first and only non-invasive body contouring procedure that provides simultaneous fat elimination and muscle building in a combined 30 minute session.


Post-treatment patients may experience redness that lasts up to 24 hours. It is also common to experience a mild soreness in your muscles as you would after a typical workout. This is due to how your muscles have been worked, creating a bit of muscle fatigue. These are all signs of effective treatment as it means that EMSCULPT is working your muscles! You may also experience extra thirst post-treatment similar to how you would after working out.


Please schedule an appointment today to discuss pricing and determine whether EMSCULPT is right for you!


EMTONE Frequently Asked

EMTONE is an excellent treatment option for significantly reducing the appearance of cellulite while toning and firming your skin for a smooth and youthful appearance. Radio frequency waves are able to warm the skin to 42-44 degrees Celsius (108-111 degrees Fahrenheit) which is the precise temperature that collagen begins to undergo structural changes – this is key to addressing the various factors that contribute to cellulite, including:

  • Poor circulation
  • Loss of skin elasticity
  • Accumulated metabolic waste
  • Rigid collagen fibers
  • Fat chambers beneath the skin

After properly filling out patient forms and being assessed if you are an appropriate candidate, any questions will be answered by Dr. Roka or an assistant. During your EMTONE treatment, you will experience gentle warmth through the handpiece onto your skin. Many relate this feeling to a hot stone massage with intense mechanical vibrations. The EMTONE treatment is performed in a relaxing, lying-down position. A treatment session will typically last around 20 minutes. Then, you can go about your day as normal!


Patients have reported that they see visible improvements after a single treatment session. EMTONE results will continue to improve over the next few months and last up to six months or longer. The exact duration of your final results depends on your body’s response to the treatment. 


New collagen growth has been kick-started in treated areas, gradually improving the appearance of cellulite and your skin’s laxity. Over the next weeks and months post-treatment, results will continue to become more noticeable creating smoother and tighter skin. A significant benefit of EMTONE is that treatments are non-invasive, require minimal downtime, and are scientifically proven to produce wonderful results. 


O-Shot Frequently Asked

The shot works by using Platelet-Rich Plasma (PRP) produced from the patient’s own blood. The PRP contains cell regenerating growth factors that, when injected into specific areas of the vagina, trigger stem cells to increase blood flow and generate healthy tissue growth as well as help improve the vascularization of the area.


The ideal candidate for the O-Shot include women who are seeking a non-surgical way to improve their sexual health. With a short, in-office appointment women can achieve long-lasting results without downtime

The O-Shot is a patented vaginal rejuvenation therapy that has the ability to increase sexual pleasure by enhancing sensitivity, increasing natural lubrication, and reducing urinary incontinence.

While the O-Shot can last up to 1-2 years, most women opt to maintain the results of the O shot by repeating treatment every 18 months


P-Shot for ED FAQ

A single treatment with a PRP shot injection can produce results that last 12-18 months.

Most men report an improvement in sensation and sensitivity in the first 24 hours. Within 2-3 months some men have an improved ability to sustain an erection.


Most men require a maintenance P Shot once a year.


PRP Shot treatment is ideal for handling the lack of sensation and decreased sex drive associated with erectile dysfunction. Other sexual health concerns that can be treated with P shot include:

  • Peyronie’s Disease
  • Maintaining an erection
  • Premature ejaculation and Decreased sexual stamina

Emsella Frequently Asked

The typical protocol for our EMSELLA® treatment is two sessions per week for three weeks, with each of these six sessions lasting for 28 minutes.
You may observe improvement after one session. The results typically continue to improve over the next few weeks. Following the first treatment, a difference in the affected area can be felt immediately.

BTL Emsella is a revolutionary treatment that treats incontinence by strengthening and tightening the pelvic floor muscles. It can also be used for vaginal rejuvenation, to help improve the tightness and sensation of the vagina giving you confidence in your sex life once again.


EMSELLA is a great option for women of any age who desire a solution for urinary incontinence, recovery after childbirth, and improvement in the quality of their intimate life. 

Relaxed and Loosened Pelvic Floor

ED Shockwave Frequently Asked

Most patients usually require 6 to 10 focus shockwave treatments.


Results of FSWT are typically seen within 1 to 3 months.


Focused shockwave is designed to penetrate deeper into the tissue and provides all of its power at the designated depth. Radial Shockwave provides its greatest energy at its source and weakens the further it travels. 


TRT Frequently Asked

Testosterone pellets are often sought for their consistency and ease of use. Patients get a steady release of hormones without having to do anything. Injections are often prescribed weekly causing a spike in levels. More frequent injections means more time and needles.
Testosterone is a hormone made by the body that is responsible for the normal growth and development of the male sex organs and for maintenance of other sexual characteristics.
Yes, adequate testosterone is required to have and maintain an erection. Lower than normal testosterone can mean lower quality erections.

Once your hormone levels are dialed in, those that are lacking can expect more energy and more motivation. 

Yes, balanced estrogen plays a pivotal role in sexual function and mental health. Some clinics will prescribe medication to suppress estrogen which can lead to patients feeling worse than before they began hormone therapy.

Using your new found energy at the gym will increase your chances of sustained success. Patients with high body fat will often convert more testosterone to estrogen. This means as patients get healthier their levels become more optimized and the improvement from TRT is magnified.