SkinnyWise & Concierge Advanced Aesthetics by Dr Mac

Weight Loss Clinic in San Antonio, Texas

Call (210) 290-944419054 Stone Oak Pkwy, Ste 106, San Antonio, TX 78258

5 (4 reviews)

About SkinnyWise & Concierge Advanced Aesthetics by Dr Mac

SkinnyWise & Concierge Advanced Aesthetics by Dr. Mac is a boutique medical practice in San Antonio combining medically supervised weight loss with aesthetic services. The practice is built around a concierge model, meaning Dr. Mac takes on a limited number of patients and spends more time with each one than you'd typically get at a larger clinic. The combination of weight loss medicine and aesthetics under one roof appeals to patients looking for a more integrated approach.

With a 5.0 rating, the reviews consistently highlight the personal attention, the results patients have seen, and the quality of care from both Dr. Mac and the support staff. The concierge format means availability can be limited, so booking ahead is a good idea.

Services Offered

The practice offers medically supervised weight loss programs that may include prescription medications such as GLP-1 receptor agonists (like semaglutide or tirzepatide), appetite suppressants, and customized nutrition plans. Treatment is personalized based on bloodwork, metabolic assessment, and your health history rather than a one-size-fits-all protocol. On the aesthetics side, services include body contouring treatments, skin tightening, and laser hair removal. Many patients combine weight loss treatment with body contouring procedures to address loose skin or areas that are resistant to fat loss even with significant weight reduction. The medical spa services are administered by licensed professionals under physician supervision. Consultation for both weight loss and aesthetics can be handled in a single visit, which patients appreciate since it cuts down on the back-and-forth typical of using separate providers.

Weight Loss Centers

Medical Spas

Laser Hair Removal

Treatment Options

GLP-1 Medical Weight Loss Program

Personalized program using GLP-1 receptor agonists like semaglutide or tirzepatide, combined with nutrition guidance and regular physician check-ins. Targets appetite, blood sugar, and metabolic function simultaneously.

3-12+ months depending on goals$200-$600/month depending on medication

Laser Hair Removal

Permanent hair reduction using medical-grade laser technology. Multiple sessions are needed to target hair follicles in different growth cycles. Effective on most skin tones with appropriate laser selection.

6-8 sessions, spaced 4-6 weeks apart$75-$400 per session depending on area

Body Contouring

Non-surgical treatments to reduce localized fat deposits and improve body shape. Often used alongside weight loss programs to target areas that don't respond well to diet and exercise alone.

Multiple sessions typically required$300-$800 per session

Medical Aesthetics Consultation

Comprehensive skin and body assessment to identify the right combination of aesthetic treatments. Covers current concerns, treatment history, and long-term cosmetic goals in a single appointment.

45-60 minutes$50-$150 consultation fee; may apply toward treatment

What to Expect

New patients typically start with a comprehensive consultation that covers health history, current medications, weight history, and goals. Lab work is often ordered before treatment begins so Dr. Mac can tailor the program to your specific metabolic profile.

For weight loss, the program is structured with regular check-ins to monitor progress, adjust medications if needed, and provide accountability. Most patients schedule monthly visits at minimum, with more frequent touchpoints early in treatment. For aesthetic services, a separate consultation or the same visit can be used to assess which procedures fit your goals. The concierge approach means you can reach the office with questions between appointments more easily than at a high-volume clinic.

Why Choose SkinnyWise & Concierge Advanced Aesthetics by Dr Mac

The 5.0 rating here isn't a fluke. Patients consistently mention that they feel heard, that the treatment is individualized, and that Dr. Mac is accessible in a way that's rare in medical practices. If you've tried weight loss programs before and felt like you were just being handed a standard protocol without much attention to your specific situation, this practice offers a different experience.

The combination of weight loss medicine and aesthetics is also genuinely useful if you're planning to lose a significant amount of weight. Addressing skin laxity or stubborn areas alongside the weight loss itself can improve both your results and how you feel about the process. That said, concierge practices often cost more out of pocket, and insurance coverage for GLP-1 medications varies.

Insurance & Pricing

Many services at this practice are cash-pay or fee-for-service given the concierge model. GLP-1 medications can be expensive without insurance, though manufacturer savings programs and compounded alternatives may reduce costs. Aesthetic services like laser hair removal and body contouring are typically not covered by insurance. It's worth discussing pricing during your initial consultation so you have a clear picture of monthly costs before starting. Some patients find the investment worthwhile given the level of personalized care.

First-Time Patient Tips

If you're coming in primarily for weight loss, bring a list of medications you're currently taking and any relevant lab results you have from the past year. This helps Dr. Mac make faster decisions about your treatment plan without ordering duplicative tests. Be upfront about your history with weight loss programs, what worked, and what didn't. The more context you give, the more personalized your plan will be.

For aesthetic services, come in without makeup or topical products on the treatment area so the provider can do an accurate assessment. Ask about combining treatments and whether there are any sequencing recommendations if you're planning both weight loss and body contouring services.

Pros & Cons

Advantages

The concierge model means more time with the physician and better continuity of care than high-volume weight loss clinics typically offer.
Combining medical weight loss and aesthetics under one roof saves time and allows for more integrated treatment planning.
The 5.0 patient rating reflects consistently positive experiences, particularly around personalized attention and real results.

Things to Consider

Concierge practices are usually cash-pay or fee-for-service, so costs can be higher out of pocket compared to insurance-based options.
Limited patient capacity means scheduling can be tight, especially for new patients trying to get a first appointment quickly.

Service Area

SkinnyWise serves patients throughout San Antonio and the broader Bexar County region. The concierge model draws patients from surrounding areas including Stone Oak, Alamo Heights, Helotes, Leon Valley, and Converse. Some patients travel from the Hill Country or other parts of South Texas specifically for Dr. Mac's approach to medically supervised weight loss combined with aesthetics.

Local Insight

San Antonio's growing interest in medical aesthetics and the widespread adoption of GLP-1 medications has made concierge weight loss and aesthetics practices increasingly common here. The city's demographics include a large population of adults dealing with metabolic health issues, and there's real demand for personalized medical care that goes beyond what large clinic chains typically offer. Dr. Mac's practice fits squarely into that space.

Frequently Asked Questions

What is a concierge medical practice?

A concierge practice limits its patient panel so each person gets more time and attention from the physician. You'll typically have easier access to your provider between visits and longer appointment times than at a standard clinic.

Does Dr. Mac prescribe semaglutide or tirzepatide for weight loss?

Yes, GLP-1 medications are part of the weight loss programs offered here. Prescribing depends on your health history and a clinical evaluation, and pricing and availability will be discussed during your consultation.

Can I combine weight loss treatment with laser hair removal?

Yes, many patients see both services in the same practice. Whether treatments can be done in a single visit depends on scheduling and clinical priorities, which you can sort out during your initial consultation.

Is laser hair removal permanent?

It produces permanent hair reduction, not always 100% removal. Most people see an 80-90% reduction after completing a full course of treatments. Some maintenance sessions may be needed over the years.

What does body contouring actually do?

It targets and reduces fat cells in specific areas using non-surgical technology like radiofrequency, ultrasound, or cold therapy. It's not a substitute for weight loss but works well as a complement once you've reached or are nearing your goal weight.

How do I know if GLP-1 medication is right for me?

A physician evaluation including your health history, weight history, and possibly bloodwork helps determine whether you're a good candidate. GLP-1 medications are generally most appropriate for adults with a BMI over 27 with a weight-related condition, or over 30 without.

What should I expect at my first appointment?

Plan for a thorough intake conversation covering your health history, current medications, and goals. Depending on the appointment, lab work may be ordered or you may leave with an initial treatment plan. Bring any recent lab results you have.

Does the practice accept insurance?

Many services are fee-for-service given the concierge model. Some patients use HSA or FSA funds for eligible medical services. Aesthetic services like laser hair removal are generally not insurance-covered. Discuss payment options when you book.