David K. Hiranaka, MD, DMD

I thought i could help tighten my jowls with a Titan treatment. But the worked up through the level to the highest level over three sessions and I still hardly felt anything. I have think skin, and from what I understand there is another laser better for thick skin.

I was very happy. Surprised to find such as well-qualified and experienced doctor on the Big Island. Most are in Honolulu.The office staff is efficient and well trained.
Everything went smoothly and according to plan.
He also did a little lipo on my cheeks to get rid of the jowls. His suggestion.

I was not too happy with my under eyes, smile line right by my nose, and the depressions at the corner of my mouth so I decided for the first time ever...to get injectable fillers
I called Doctor David Hinakara in Kona for an appointment and the gave me an appointment way in advance....I waited nearly two months for my turn.

i received 3 vials of restylane. I was immediately happy the improvement under eyes, smile lines, and corner of the mouse...got bruises and swelling and two big lumps on the side of the mouth...hope it will go away in a few days since I bruises easily.
will keep you posted

Updated on 17 Dec 2017:
more improvement but still got swelling and bruises and bumps at the corner of the mouth

Updated on 18 Dec 2017:
still have swelling and bruises
little disappointment .... not sure what the final result going to be....so far did not exactly the way I would expected to turn out

Updated on 13 Feb 2018:
after six weeks the result is disappointing, the right side has circle again, I think he injected to low so I came in he charged me $383 for 1 vial of restylane for touch up. He only used half and I still have the other half of the vial for touch ups later. Right now the right side is still swelling and bruises since it 's only been 5 days since the touch ups and it is hard to tell. I was shock that he would charged me for his mistake. I will keep you posted. sorry no picture this time since I forget to take pictures.