FAQs

General

Appointments can be scheduled online Here or by calling our office at (210) 222-2694. We’re happy to help you find a time that works for your schedule. If you have questions before booking, feel free to reach out via phone or our contact form.

While we accept all major healthcare insurance providers, many aesthetic treatments performed at our practice are not covered by insurance. Some medically indicated services may be eligible, depending on your provider. We offer affordable pricing options for treatments not covered by insurance.

Click here for a list of accepted healthcare insurance providers and financing options. For billing or coverage questions, please contact Angie Aguirre at (210) 222-2694.

We’re happy to coordinate your care. You can submit medical records via our secure [Transfer Records Form], or call our office for assistance. Bringing previous labs or treatment history helps us create a more personalized plan from day one.

All services are designed and overseen by Dr. Neera Bhatia, a board-certified OBGYN with 25+ years practicing medicine. Unlike many telehealth options and medical practices with rotating providers, your care here is guided by a single physician who gets to know you personally.

We’re all about individualized medicine. We combine the precision of medical science with a holistic approach to beauty, wellness and longevity. Every treatment plan is developed with your health history, goals and long-term well-being in mind – not just cosmetic trends.

Unlike many retail-focused medical spas, our practice is located in a clinical environment to ensure the highest standards of safety, cleanliness and physician oversight. All treatments are performed or directed by Dr. Bhatia herself.

We specialize in non-invasive, medically-sound aesthetic services that include:

  • Facial aesthetics & skincare
  • Body contouring
  • Hair restoration
  • Hormone replacement therapy
  • Medical weight loss & GLP-1s
  • Sexual rejuvenation & incontinence
  • Gynecology & obstetrics

Medical Weight Loss

  1. Helps your pancreas release more insulin.
  2. Slows how quickly food leaves your stomach which makes you feel full longer. 
  3. Reduces appetite by acting on the brain’s hunger centers which makes people feel satisfied with less food and have fewer cravings. 
  4. Reduces excess sugar release from the liver which helps keep blood sugar more stable between meals.

GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic polypeptide) are natural gut hormones that help regulate blood sugar and appetite.

  • GLP-1 medications like semaglutide (Ozempic®, Wegovy®) mimic GLP-1 to slow digestion, reduce hunger, and improve blood sugar control.

  • Tirzepatide (Mounjaro®, Zepbound®) targets both GLP-1 and GIP receptors, offering “dual action” that may lead to greater weight loss and, for some people, fewer side effects such as nausea.

Most people start to notice changes within the first few weeks of taking Semaglutide or Tirzepatide, especially in appetite and portion sizes, but meaningful weight loss typically becomes more noticeable after 4–8 weeks as the dose gradually increases. 

Because these medications are started at a low dose to reduce side effects, full results—both for weight loss and blood sugar control—often appear after several months, with the greatest effects usually seen at 3–6 months. Individual results vary based on diet, activity level, and how your body responds.

Common side effects may include mild stomach issues such as diarrhea, constipation, or nausea. Other possible side effects include injection site reactions, dizziness, or mild fatigue.

Should be avoided in patients with history of thyroid cancer and/or pancreatitis.

The semaglutide we dispense is compounded from a reputable pharmacy with little side effects. This makes the cost more affordable and more well tolerated.

Your maintenance dose is the lowest dose that still helps control hunger and prevent rebound weight gain, also known as “micro-dosing.” Instead of stopping the medication abruptly, the dose is lowered gradually. This helps us assess how well your appetite control is maintained. 

The length of time you take these medications depends on your goals and ability to maintain healthy habits once you stop.

Benefits like appetite control, improved blood sugar, and weight loss can fade if old habits return. Many people use them long-term for type 2 diabetes or obesity, while others taper off after reaching their goals and building sustainable routines.

Your provider will recommend the best plan based on your progress and lifestyle.

While there are no strict food or medication restrictions with semaglutide or tirzepatide, certain choices can help reduce side effects.

Avoid large, greasy, or high-fat meals, limit sugary foods and alcohol, and take time-sensitive medications (like thyroid medicine, antibiotics, or birth control) at consistent times away from large meals. If you take insulin or other diabetes medications, your provider may adjust your dose to prevent low blood sugar.

Always inform your doctor if you have a history of pancreatitis, severe digestive issues, or certain thyroid cancers.

When using semaglutide, eat small, frequent meals to reduce nausea and aid digestion. Prioritize high-protein foods (lean meats, eggs, legumes) to stay full and protect muscle, and add moderate healthy fats (avocados, nuts, olive oil). Include fiber-rich vegetables and whole grains, increasing fiber gradually to prevent bloating. Limit sugar, refined carbs, and greasy foods, and stay hydrated with water or herbal tea. Avoid alcohol and carbonated drinks, which can worsen nausea.

Rapid weight loss from medications like semaglutide (Ozempic®, Wegovy®) or Tirzepatide can sometimes lead to “Ozempic face” or sagging skin, as fat volume decreases faster than the skin can tighten. If this happens, we offer several noninvasive and minimally invasive options to help restore a youthful, toned appearance.

Our EMFace technology uses synchronized radiofrequency and HIFES™ energy to tone facial muscles and tighten skin without needles or downtime. For the body, EMsculpt targets muscle and skin in problem areas to improve contour and firmness. We also offer filler, Botox®, and PRP treatments to add volume, smooth lines, and enhance facial structure. These options can be customized to help you look as good as you feel during your weight loss journey.

Daxxify

Daxxify uses a unique peptide formulation for longer-lasting effects, making it an ideal choice for those seeking low-maintenance facial rejuvenation.

Noticeable smoothing of frown lines within just a few days, with full results typically appearing in 1 to 2 weeks. Results can last up to 6–9 months

Anyone who is looking for less wrinkles and more lift may be a candidate for Daxxify

Dermaplanning

Gentle and effective, dermaplaning at our MedSpa San Antonio allows for deeper product penetration, amplifying the effectiveness of your skincare regimen and delivering a remarkably smoother and more consistent complexion. Say goodbye to acne scars and pesky facial hair as dermaplaning works to leave your skin flawlessly radiant.

For those desiring smoother skin texture and reduction of deep acne scars, dermaplaning offers a compelling alternative to chemical peels or laser resurfacing. While no treatment guarantees complete scar removal, dermaplaning often delivers excellent results without irritation or high costs.

Please note the following precautions for dermaplaning:

  • Avoid if you have inflamed acne, skin cancer, active cold sores, uncontrolled diabetes, dermatitis, open skin lesions, or have used Accutane in the past six months.

  • Refrain from undergoing the treatment if you have used prescription retinol within a week of the session.

Similar to microneedling, it is recommended that the procedure be done every 3–4 weeks, which coincides with a normal skin cycle of approximately 30 days. The results are typically long-lasting.

After the dermaplaning procedure, the skin may be red and swollen. Tingling and aching can be managed with pain medication prescribed by the doctor. Over the next three months, the patient’s results will begin to emerge. Since this new skin will be sensitive, it is important to minimize sun exposure during this time.

Dysport

Dysport, available at Dr. Bhatia's Practice, works by blocking the signal from the nerve to the muscles, which temporarily prevents contraction of the muscles that cause frown lines between eyebrows. The muscles that are not treated will still work normally, so you can continue to express yourself normally and confidently.

You can see results after just one 10–20 minute treatment. Many patients see results in as little as 2-3 days. Results can last for up to 4-5 months.

Dr. Bhatia will have a one-on-one consultation to ensure it is right for you and matches up with your health and physical goals.

Dysport and Botox are very similar in how they work, as they both use the same active ingredient. Dysport uses a different protein that allows it to spread more. Dysport and Botox treat fine lines and wrinkles that may be expressions. For expert treatments and personalized care, visit Dr. Bhatia's Practice to help you achieve a youthful appearance.

EmFace

During an Emface session, you will feel gentle muscle contractions combined with a warming sensation, similar to a relaxing facial massage.

The standard Emface treatment protocol consists of four 20-minute sessions, typically spaced one week apart. Your provider may recommend a customized plan based on your specific needs for optimal results.

Emface is perfect for individuals looking to achieve a more youthful appearance without surgery or downtime.

Emface requires no downtime or needles. You can resume your daily activities right after the treatment, making it a quick and convenient option for those with a busy lifestyle.

Forehead, Eyes, Cheeks, Submentum, Upper Face, Lower Face

In a painless 28 minute session, our Med Spa will apply the applicators to the forehead and cheek area and the treatment tones muscles, lifts skins and increases the bone density in the face!

Anyone who is looking for less wrinkles and more lift may be a candidate for Emface

Microneedling

Microneedling can address several issues, including oversized pores, dullness, age lines, acne scars, chickenpox scarring, roughness, and loose skin. Even if you’re lucky not to have any of these issues, you may want to consider microneedling to improve your skin’s tone, texture, and overall appearance.

After a small blood draw, our microneedling clinician will apply a topical anesthetic to your face. Then they’ll pass over it with a microneedling pen or derma-roller. These devices prick tiny holes in your skin, stimulating its natural healing processes. In addition, the tiny breaks in the skin stimulate collagen production in the deeper layers of the skin which allows for facial rejuvenation by reducing the appearance of facial wrinkles and scars.

Improvement in the skin tissues occurs gradually as new collagen and elastin is produced over 6-8 weeks. At Dr Bhatia's Practice, the results look quite natural.

Only the face!

TempSure Envi

TempSure works on all skin types, meaning that everyone is a candidate. Treatments are primarily recommended for clients who experience skin laxity (looseness), wrinkles, or cellulite. Radiofrequency can also treat the smaller, more delicate areas on the face.

TempSure Envi at Dr. Bhatia's practice uses advanced radiofrequency technology to heat your skin gently over a defined, therapeutic time. This triggers a natural response in your skin to produce new collagen fibers.

You should see immediate improvement in the appearance of your skin & you may also notice that your skin feels tighter.

Our medical team prepares the skin with a special gel and programs the radiofrequency device to meet your exact skin needs and beauty goals. TempSure Envi treatments have been carefully designed with comfort in mind to provide you with a comfortable and effective treatment every time! 99% of patients described the treatment as comfortable.

This treatment is safe for all skin types and levels of sun exposure, making it an ideal treatment for any beauty maintenance routine.

Scultpra

The skin is cleansed and numbed with a topical anesthetic cream. Because it is injected into the deep dermis, the filler contains lidocaine to minimize any discomfort. After the injections, the site is gently massaged to help the poly-L-lactic acid molecules distribute evenly for optimal results. Most treatments take less than thirty minutes

Sculptra lasts a minimum of two years and even longer when you follow a maintenance schedule. Sculptra is a great option to keep your skin looking better for longer.

We use this collagen-boosting filler in a wide range of non-surgical procedures, including:

  • Liquid facelift: A combination of Sculptra, neuromodulators, and radiofrequency can provide full face revolume while minimizing lines, plumping wrinkles, contouring features, and lifting sagging skin.

  • Smooth wrinkles: Sculptra can be used to smooth etched wrinkles on the cheeks and around the mouth caused by smiling.

  • Non-surgical butt lift: A non-invasive procedure that provides lift and increases the size and shape of the buttocks with targeted injections of Sculptra.

  • Decollete rejuvenation: Sculptra fills in wrinkles caused by sleeping positions and sun damage that frequently develop in the décolletage. Laser therapy with IPL can be added to treat redness and uneven pigmentation.

  • Knee and arm laxity rejuvenation: Sculptra can be used to improve the appearance of loose or sagging skin around the knees and on the upper arms.

  • Jaw Contouring:  Sculptra can be used to define the jawline or get rid of sagging jowls, especially when combined with Cynosure treatments.

Sculptra begins to work within a few weeks after injection and gradually enhances collagen levels to improve the skin’s structural foundation. Since collagen regrowth takes time, results do not occur overnight. Most patients will see gradual improvements in fullness and volume within three to nine months. This is an added benefit, as there is no chance of overcorrecting, and results will be subtler. The result is a natural one for your face via its own regenerative process, which means a more durable outcome and less maintenance treatments for the Sculptra Glow!

Traditional dermal fillers consist of hyaluronic acid, a gel-like compound that attracts water and provides immediate volumizing results. Sculptra works differently from other med spa treatments as it targets the deeper layers of the dermis, where it stimulates collagen synthesis. With time, the skin’s underlying structure becomes thicker and more elastic, helping to restore more youthful contours.

Prp Therapy

PRP is most effective in individuals with hair loss patterns in our patients who have only recently begun suffering hair loss (within the past five years). The earlier PRP is implemented, the better the results.

This procedure can treat scalp hair, facial hair, and even eyebrows.

Bone Density Testing

Dr. Bhatia will explain your test results and help you understand what they mean for your health. We can help you make decisions about how to keep your bones strong. We can also recommend diet and lifestyle changes that may help to lower your risk of a fracture.

Not at all. You may feel slightly uncomfortable lying on the table, depending on how you’re positioned, but you wouldn’t be in that position longer than a few minutes.

There are no needles or injections in this test. Getting a DEXA test is similar to having a standard X-ray.

EmSculpt Neo

EMSCULPT NEO uses HIFEM (High Intensity Focused Electro-Magnetic) technology to stimulate your muscles for supramaximal contractions. The EMSCULPT treatment will stimulate muscle contractions that will push your body beyond what it can achieve during a typical workout session at the gym. Additionally, the radiofrequency of EMSCULPT NEO simultaneously reduces more fat and tightens the skin.

Typically patients notice a change in the EMSCULPT treatment area after 1-2 treatments but optimal physical results will be seen 6 weeks after the 4th treatment.

EMSCULPT Neo treats biceps/triceps, abs, glutes, Inner thigh, quads, hamstrings and calves. We also treat the flanks and obliques.

Prior to any treatment with EMSCULPT Neo, you will have a one-on-one consult with Dr. Bhatia to make sure that the EMSCULPT Neo is right for you and your health goals.

The EMSCULPT Neo is an FDA approved device that has clinically tested for safety through multiple studies.

The procedure itself is pain-free and does not require any sort of anesthesia. During the procedure, you may feel some muscle contractions with heat, like a hot stone massage.

Due to the use of HIFEM+ technology, it is not recommended that patients with implanted medical devices, such as pacemakers, undergo this treatment. The EMSCULPT Neo is also not recommended for pregnant patients.

Yes, you may schedule a consultation for our EMSCULPT treatment so that our downtown medspa providers can assess the areas you want treated and customize a treatment plan for you. It will take about 20-30 minutes and if you are eligible for the treatment, we can start treatments the same day. The main contradictions for this treatment are metal in the body for electrical implants such as pacemakers.

The EMSCULPT is a completely non-invasive procedure. It does not require needles, incisions, anesthesia, or surgery. There is no other device that treats both fat and muscle at the same time

Exion Body

The EXION Fractional RF treatment may cause a warm and slightly prickly sensation throughout the treated area. While some individuals may require numbing beforehand, most people experience minimal discomfort during the treatment.

The number of sessions needed can vary depending on individual skin conditions and treatment goals. Generally, a series of session is recommended to achieve optimal results. Our skilled professionals will assess your skin and provide a personalized treatment plan tailored to your needs.

Exion is versatile and can be used to treat various areas of the face. It is particularly effective in delicate regions like around the eyes, where it can help reduce fine lines and wrinkles.

Exion is designed to provide a comfortable treatment experience. Unlike traditional methods, it delivers energy up to 8mm without the need for invasive needle insertions. This means you can enjoy the benefits of Exion without the usual discomfort associated with deep tissue treatments.

TempSure Firm

No. The TempSure Firm handpiece delivers heat in a consistent and gradual manner. Our downtown medspa clients report a spa-like deep warming sensation during their treatments.

There are several factors that determine whether or not you are a good candidate for treatment. Your clinician will discuss all inclusion and exclusion criteria at your consultation to make sure you are the perfect candidate for this downtown medspa treatment.

Everyone is different. Most clients require anywhere from 5 to 8 treatments depending on your skin condition and what area is being treated.

Results may be seen a few weeks to a month after your last treatment.

The improvements that Tempsure Firm bring to the appearance of your cellulite is only temporary.

Face and body, including full abdomen and both thighs

Emtone

EMTONE is an innovative treatment that utilizes a combination of radiofrequency and targeted pressure energy to address cellulite. It works by increasing collagen and elastin production, improving blood flow, and reducing metabolic toxins, resulting in smoother, tighter skin and reduced cellulite dimples.

EMTONE treatment sessions are generally short and efficient, usually taking about 20-30 minutes per area. The exact duration may vary depending on the specific treatment area and individual needs.

EMTONE is a comfortable and non-invasive procedure. During the treatment, you may experience a warm sensation and a gentle massaging-like pressure. Most individuals find the treatment to be relaxing and enjoyable.

The number of EMTONE sessions required can vary depending on individual factors such as the severity of cellulite and personal treatment goals. Typically, a series of treatments, usually around 4-6 sessions, scheduled 1-2 weeks apart, is recommended to achieve optimal results.

EMTONE is a non-surgical and non-invasive treatment that requires no downtime or recovery period. You can resume your daily activities immediately after the session without any restrictions.

EMTONE provides long-lasting results; however, maintaining a healthy lifestyle, including regular exercise and proper skincare, can help to prolong the outcomes. Periodic maintenance treatments may also be recommended to sustain the desired results over time.

Yes, EMTONE can be used on various body areas, including the abdomen, upper arms, thighs, love handles, buttocks, and more. It is a versatile treatment that can effectively target and treat cellulite dimples in multiple regions of concern. During a consultation, our experts will assess your specific needs and customize the treatment plan accordingly.

EmFemme

EMFEMME 360 is a great option for women who desire non-surgical improvement for their wellness concerns.

We will tailor a treatment plan for you based on your needs. Three treatments scheduled once a week are recommended.

While EMFEMME 360 heats the treated area, you will feel pleasant and comfortable heat. Following the treatment, you may notice mild redness and swelling in the treatment area. This usually disappears within a few hours. You may resume normal activity immediately after.

Patients can see results after one session. The results will typically improve over the next few weeks.

O-Shot

The entire procedure takes under an hour from start to finish.

Appointments consist of patient preparation and processing the patient’s blood within a centrifuge in order to extract the growth factors, which are then injected into the desired area.

Typically the results are seen over 4-6 weeks.

This procedure treats the pelvic floor and genitalia regions.

Pelvic Floor Therapy

Electrical Stimulation Therapy utilizes an intracavity vaginal or rectal sensor to passively contract the pelvic floor muscles or calm an overactive bladder by delivering a weak, painless electrical current.

Unwanted and unexpected bladder leaks affect nearly 70% of all women, but very few tell their doctor of mild symptoms. Pelvic floor training can help you regain strength and control in just six to eight visits, all in the privacy of our offices.

Pelvic floor training at Dr. Bhatia's Practice can help you regain strength and control in just six to eight visits, all in the privacy of our offices.

Hormone Replacement Therapy

For 3-5 months, depending on the person. Everyone is different so it depends on how you feel and what our doctor determines is right for you.

Our hormone replacement therapy treatments at our downtown medspa treat the whole body, affect your mood, and genitalia.

You will have blood work drawn which will determine your hormone levels. Once your doctor reviews and determines whether or not you are a candidate, we will schedule an appointment for insertion.

Symptoms may vary widely from depression and anxiety to night sweats and sleeplessness.

P-Shot

The entire procedure takes under an hour from start to finish.

Appointments consist of patient preparation and processing the patient’s blood within a centrifuge in order to extract the growth factors, which are then injected into the desired area.

Typically the results are seen over 4-6 weeks.

This procedure treats erectile dysfunction and urinary incontinence.