Thoughtful answers to common questions about care, safety, and what to expect at SanctuaireMD.
SanctuaireMD is a medical aesthetics and wellness destination offering physician-guided treatments designed to support confidence, balance, and well-being. Our approach blends evidence-based medicine with a refined, restorative experience.
All treatments are delivered by trained medical professionals under physician oversight. Care is guided by clinical expertise, safety protocols, and personalized assessment.
Yes. A consultation is required before treatment to ensure safety, suitability, and alignment with your goals. This allows us to create a personalized care plan rather than a one-size-fits-all approach.
Yes. We provide care for individuals of all genders and tailor treatment plans to each person’s anatomy, goals, and preferences.
All treatments offered at SanctuaireMD are evidence-based and selected for safety and efficacy. Medical oversight ensures protocols are followed carefully and conservatively.
Yes. Our philosophy prioritizes natural refinement. Treatments are designed to support balance and confidence while preserving expression, movement, and individuality.
No. Recommendations are based on what is appropriate for your goals and skin or body condition. Care is never rushed or pressure-driven.
Yes. Many treatments are safely combined as part of a comprehensive plan. Your provider will guide timing and sequencing to ensure optimal results and recovery.
Timing varies by treatment. Some results appear quickly, while others develop gradually as collagen renewal or muscle strengthening occurs. Your provider will review realistic timelines during consultation.
Most treatments offer long-lasting but not permanent results. Maintenance treatments help support ongoing improvement and longevity.
Downtime varies depending on the treatment selected. Many services are noninvasive with little to no downtime. Any expected recovery will be discussed in advance.
Yes. Acne and sensitive skin require a careful, medically informed approach. Treatments are selected to calm inflammation, protect the skin barrier, and support long-term clarity.
Yes. We offer targeted treatments for hyperpigmentation, sun damage, rosacea, and broken capillaries, with care taken to protect skin tone and sensitivity.
Yes. We focus on graceful rejuvenation and skin health rather than erasing age or expression.
No. Body contouring treatments are designed to refine shape, support muscle tone, and reduce localized fat. They complement, but do not replace, healthy lifestyle habits.
Yes, when appropriately timed and medically guided. Your provider will determine suitability based on recovery stage and health history.
Yes. Wellness services such as injections or weight management programs are guided by medical evaluation to ensure safety and appropriateness.
Appointments may be booked online or by contacting our team. A consultation is required before treatment.
Yes. An account allows us to manage appointments, payments, and treatment records securely.
Our team can assist with rescheduling. Please contact us as soon as possible if your plans change.
Gift cards can be used toward any service or product at SanctuaireMD and are delivered digitally with a unique redemption code.
Yes. Special offers are limited-time and subject to availability. A consultation is required to confirm eligibility.
Yes. SanctuaireMD hosts curated events and MedSparties designed to offer a social, elevated experience while maintaining medical oversight and discretion.
Our imagery reflects subtle enhancement, clinical precision, and a commitment to patient discretion.
Our team is happy to help. We invite you to schedule a consultation or contact us directly to discuss your goals and explore appropriate care options.
Memberships can only be purchased directly and are not available online. Fill out the form below and our team will contact you, or give us a call at our Lafayette or Moraga locations.
Special Offers can only be booked directly and are not available online. Fill out the form below and our team will contact you, or give us a call at our Lafayette or Moraga locations.
Dr Nick Makhoul is a Board-Certified Family Medicine physician in private practice since 1995. He earned his MD degree from Loyola University Chicago and his undergraduate BS from the University of California, Davis. As a Bay Area native, he has made the East Bay his home since 1995. He is married with three teenage children and has a passion for sports, the outdoors, and family nights out. Dr Nick is a strong advocate for healthcare prevention and the wellness of mind, body, and soul.
For over a decade, Hannah has been immersed in the beauty industry, a journey sparked by her own teenage struggle with acne and the confidence she found through self care. Hannah’s glowing skin often stops people in their tracks where literally strangers in the streets ask her about her skincare routine. This authentic radiance is her passion: helping patients achieve natural, elevated aesthetics that reflect their inner strength. Beyond her practice, she is equally passionate about fashion and fitness because she believes that wellness is when you can look good but feel even better.
Alyssa is a licensed esthetician with over five years of experience in the aesthetics industry. Combining her passion for skincare, customer service, and team leadership, she has contributed both in the treatment room and behind the scenes to ensure smooth client experiences at Sanctuaire MD. Alyssa thrives on helping others feel confident and cared for, whether through treatments or creating seamless operations. Outside of work, she nurtures her artistic side through painting and sketching, channeling her creativity into everything she does.
Ann has been in the healthcare field for the last 25 years. With a prior bachelor’s degree in Computer Science and Registered Nursing, she has worked in clinical information technology before obtaining her Master’s degree in Nursing Leadership and Management at Western Governors University. She is also an experienced Nurse Practitioner who has gained experience in both the hospital and outpatient settings. She has worked in various departments including Dermatology, Pediatrics, Neonatal Intensive Care, Surgery, Endocrinology, and Informatics.
Aimée has over 20 years of experience in the skincare, aesthetic, and healthcare industries. As a Licensed Esthetician and medical front office professional, she has worked in medical and cosmetic dermatology, specializing in patient care, skincare education, and practice operations. She is passionate about helping patients achieve their skincare goals while providing exceptional service and support throughout their aesthetic journey.