Weight changes are often influenced by biology as much as behavior. Appetite regulation, blood sugar response, hormones, and metabolism all play a role. Dr. Terry Restivo offers medical weight loss as a physician-guided option for patients seeking clarity, structure, and sustainable support.
Medical Weight Loss in Hawaii
What Medical Weight Loss Actually Means
Medical weight loss refers to the use of physician-supervised treatments that support appetite regulation and metabolic balance. At Restivo Plastic Surgery, this includes the use of generic or compounded formulations of FDA-approved, brand-name weight loss medications, administered through once-weekly injections. These medications are designed to:
- Decrease hunger
- Reduce food cravings
- Support blood sugar stability
Rather than forcing rapid weight loss, treatment is intended to help patients feel more in control of their appetite and decision-making around food.
A Structured, Supportive Program
Medical weight loss at Restivo Plastic Surgery is offered as a program, not a prescription handed off without follow-up. Care is designed to feel supportive and flexible rather than rigid or transactional. Patients are supported through:
- Weekly check-ins to monitor progress, tolerance, and questions
- Ongoing medical oversight with adjustments made as needed
- No long-term contracts or commitments, allowing patients to proceed at their own pace
For patients who want additional guidance, optional support from a nutritionist and personal trainer can be incorporated into the plan, though it is never required.
Medical Weight Loss Treatments Offered
Semaglutide
Semaglutide
Semaglutide is a medication that works on appetite-regulating pathways in the body. It helps patients feel full sooner, reduces persistent cravings, and supports steadier blood sugar levels. Treatment is administered as a once-weekly injection and monitored closely.
MIC Injections
MIC Injections
MIC injections contain nutrients that support fat metabolism and energy production. These injections are often used as a complementary treatment to support metabolic processes alongside medication-based weight loss.
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Why Patients Choose Medical Weight Loss
- Appetite Regulation, Not Restriction: Treatment focuses on reducing hunger and cravings rather than relying on willpower alone.
- Once-Weekly Dosing: Injections are administered weekly, making treatment easier to maintain.
- Physician Oversight: Care is guided by a medical doctor, not a commercial program.
- Flexible, Commitment-Free Structure: Patients are not locked into contracts or long-term obligations.
Is Medical Weight Loss Right for You?
Medical weight loss may be appropriate whether you are looking to lose 10 pounds, 40 pounds, or more. Some patients pursue treatment for health-related reasons, while others simply want to feel more confident and comfortable in their bodies.
Candidacy depends on health history, medications, and goals. During consultation, Dr. Restivo helps determine whether medical weight loss in Hawaii aligns with your needs through open, pressure-free conversation. The consultation is about clarity, not commitment.
What to Expect From the Medical Weight Loss Process
- Initial Consultation: Your consultation includes a detailed discussion of weight history, appetite patterns, health concerns, and goals. Dr. Restivo explains available options and whether medication-based support is appropriate.
- Treatment Initiation: If medical weight loss is recommended, treatment begins with a carefully selected dose. Education around expectations, pacing, and possible side effects is central to this step.
- Weekly Check-Ins: Regular check-ins allow progress to be monitored and adjustments made. These conversations focus on how the medication is working in your daily life, not just numbers on a scale.
- Ongoing Planning: As goals are reached or priorities change, treatment is reassessed. Some patients transition to maintenance strategies, while others discontinue medication when appropriate.
Why Choose Restivo Plastic Surgery?
Medical weight loss requires more than prescribing medication. It requires judgment, transparency, and ethical care. At Restivo Plastic Surgery, recommendations are guided by patient priorities rather than standardized protocols.
A Physician’s Understanding of the Whole Body
Dr. Restivo’s training in general and plastic surgery provides insight into how weight, metabolism, and hormones affect the body as a whole. This perspective supports responsible use of medication within a broader health context.
Education-First, No-Pressure Guidance
Patients receive clear explanations about how medical weight loss works, what it can support, and where its limitations lie. There is no upselling and no obligation to continue.
Support That Respects Autonomy
Patients choose Restivo Plastic Surgery for medical weight loss that feels flexible and respectful. Long-standing patient trust across Hawaii guides every recommendation.
Care is delivered with discretion, consistency, and a commitment to long-term health rather than quick fixes.
Where Care Feels Intentional
Every detail supports a patient-first experience. Visits are designed to feel unrushed, thoughtful, and honest. As a boutique, female-led practice, Restivo Plastic Surgery offers a discreet and calm setting for asking questions, exploring options, and feeling fully supported.
Frequently Asked Questions Medical Weight Loss
How quickly will I start losing weight?
Some patients notice appetite changes early, while weight loss typically develops gradually over weeks or months, depending on individual metabolism and adherence.
Is medical weight loss safe?
When medically supervised, it is generally safe. Health history and medications are reviewed carefully before treatment begins.
Do I have to stay on medication long term?
No. There are no contracts or required durations. Treatment is reassessed regularly and can be discontinued when appropriate.
Will I need to follow a strict diet?
Most plans emphasize sustainable eating habits rather than rigid diets. Optional nutrition support is available but not required.
Can medical weight loss stabilize blood sugar?
Yes. Medications used in medical weight loss often support steadier blood sugar regulation.
What treatments can be combined with medical weight loss?
Medical weight loss is often combined with IV therapies, peptide therapy, B12 injections, or MIC injections when appropriate.
Are weekly check-ins required?
Weekly check-ins are part of the program and help ensure safety, effectiveness, and proper adjustment.
What happens if I only want to lose a small amount of weight?
Medical weight loss can be appropriate for modest goals as well as larger ones, depending on individual needs.
Will I regain weight after stopping treatment?
Maintenance planning focuses on sustainable habits to support long-term results after medication is discontinued.
Is medical weight loss right for everyone?
Not all patients are candidates. Consultation helps determine whether this approach aligns with health history and goals.
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