Preventative care, maintained over years

The questions we hear most.

Answered in full, with the treatment, definition or guide behind each answer one click away.

How far in advance should I schedule Dysport before an event?

Two to four weeks before the event. Dysport starts working in two to three days and reaches its full effect in about a week, and that extra margin leaves time for a follow-up adjustment if anything needs refining.

If you have never had a neuromodulator before, schedule your first treatment three months out instead. First treatments are about finding your dose, and no one should be learning that in the week of a wedding.

• Botox & Dysport
• Neuromodulator, defined
• Weddings & Celebrations

What happens during my first appointment?

Your first visit is a consultation before it is a treatment. We review your health history, medications and past treatments, look at your skin in natural light, talk through what is bothering you, and agree on a plan and a starting price before anything is booked.

If a treatment is appropriate the same day, we can often do it in that visit. If it is not — because of timing, medication, pregnancy or simply because something else would serve you better — we will say so. Allow a little extra time for paperwork and photos at a first appointment.

• Preparing for your appointment
• Book an appointment
• Meet Stefanie

Which treatment is best if I have never had aesthetic treatments before?

Start with a HydraFacial. It is non-invasive, comfortable, suits nearly every skin type, has no downtime, and shows a visible result the same day — which makes it the easiest way to see how we work before deciding on anything more.

From there, medical-grade skincare is the highest-value next step, and a neuromodulator such as Dysport is the usual first injectable, dosed conservatively so you can decide how much movement you want to keep.

• HydraFacial
• Medical-Grade Skincare
• Book an appointment

How do I know which service is right for me?

You do not have to know — that is what the consultation is for. Tell us what bothers you and what you have planned, and Stefanie will recommend the treatment that addresses it, including recommending less than you expected when that is the honest answer.

As a rough guide: HydraFacial and medical-grade skincare are for skin quality, glow and congestion; Dysport is for expression lines; microneedling is for texture, scarring and firmness; IV therapy and wellness injections are for energy, hydration and recovery.

• Book an appointment
• Medical glossary
• Meet Stefanie

Will I still look like myself?

Yes. Every plan here is built to keep you recognizable — conservative dosing, gradual change, and a review before we add anything. People should notice you, not your treatments.

With neuromodulators specifically, we treat lightly at a first visit and refine at a two-week follow-up rather than starting high. That is slower, and it is the reason our results read as rested rather than done.

• Botox & Dysport
• Meet Stefanie

Is a membership worth it for me?

A membership makes sense if you plan to treat regularly — a monthly HydraFacial, neuromodulators a few times a year, ongoing skincare. It turns maintenance into a predictable rhythm instead of a decision you make each time.

If you are visiting Maui or treating for a single occasion, book individually instead. A Kamaʻāina rate is available to Hawaiʻi residents with proof of residency, whether or not you join.

• Membership information
• Maui Residents

Who performs treatments at Nō Ka ʻOi Aesthetics?

All injectable and medical treatments are performed by Stefanie Roberts, ARNP, founder and medical director of Nō Ka ʻOi Aesthetics. HydraFacial and skin treatments are performed by our licensed aestheticians, Stephanie Evans and Keala Lono, under the same medical oversight.

This is a medical practice in a boutique setting, not a resort spa menu — one clinician plans your care, and the same team sees you at follow-up.

• Meet Stefanie
• About the practice
• Book an appointment

Should I have microneedling or a HydraFacial?

Choose a HydraFacial for immediate glow, hydration and congestion, with no downtime. Choose microneedling to change the skin structurally — texture, scarring, pore size and firmness — over a series of treatments.

They are not competitors: most long-term plans use both, alternating HydraFacial for maintenance with a microneedling series once or twice a year. If you are on vacation, have the HydraFacial now and plan microneedling for home.

• Microneedling
• HydraFacial
• Aftercare & recovery