Expert Care in Sexual Health, Aesthetics & Wellness

Located in Columbia, Maryland, we offer expert-led Sexual Health, Hormone Therapy, and Facial Rebalancing services—including PRP, Shockwave Therapy, Penile Filler, Botox, and Dermal Fillers—to help you look, feel, and perform your best.

About Us

Climax Aesthetic Surgery in Columbia, Maryland, combines advanced sexual wellness, hormone therapy, and aesthetic medicine with medical expertise to deliver the ultimate in confidence-focused care for both men and women.

Our treatments—including O-Shot, P-Shot, Penile Filler, Shockwave Therapy, Hormone Therapy, Botox, and Dermal Fillers—are performed by experienced providers using the latest technology and evidence-based techniques. Each treatment plan is tailored to your unique anatomy, health, and aesthetic goals, with flexible payment plans available.

Climax Aesthetic Surgery is led by expert, board-certified providers, giving you peace of mind that you are always in trusted hands. We proudly serve patients at three convenient locations: New York City, NY, Virginia Beach, VA, and Columbia, MD.

Our Locations

Our Locations

Conditions We Treat

Climax

Support stronger arousal, improved sensitivity, enhanced pleasure, and intimate confidence for both women and men with advanced regenerative care designed to improve blood flow, tissue health, and sexual performance.

O-Shot & P-Shot

Penile Filler (UroFill)

Aesthetic

Support stronger arousal, improved sensitivity, enhanced pleasure, and intimate confidence for both women and men with advanced regenerative care designed to improve blood flow, tissue health, and sexual performance.

O-Shot & P-Shot

Penile Filler (UroFill)

Wellness

Relieve menopause symptoms, hormonal imbalance, low libido, and fatigue with hormone therapy or shockwave care designed to support circulation, sensitivity, and overall sexual wellness.

Hormone Therapy

Shockwave Therapy

Smooth wrinkles, restore volume, enhance facial balance, and boost confidence for women and men with advanced aesthetic care designed to lift, contour, and rejuvenate your skin and features.

Botulinum Toxin

Dermal Fillers

Aesthetic

Smooth wrinkles, restore volume, enhance facial balance, and boost confidence for women and men with advanced aesthetic care designed to lift, contour, and rejuvenate your skin and features.

Botulinum Toxin

Dermal Fillers

Wellness

Relieve menopause symptoms, hormonal imbalance, low libido, and fatigue with hormone therapy or shockwave care designed to support circulation, sensitivity, and overall sexual wellness.

Hormone Therapy

Shockwave Therapy

Virginia Beach, VA

Our Virginia Beach, Virginia office is located at 700 Independence Cir, Virginia Beach, VA 23455, and this is our main office location. We are proud to be the only practice in Hampton Roads offering a true one-stop-shop experience that combines advanced sexual wellness, aesthetic services, and overall wellness treatments under one roof.

Virginia Beach, VA

Our Virginia Beach, Virginia office is located at 700 Independence Cir, Virginia Beach, VA 23455, and this is our main office location. We are proud to be the only practice in Hampton Roads offering a true one-stop-shop experience that combines advanced sexual wellness, aesthetic services, and overall wellness treatments under one roof.

Virginia Beach, VA

Our Virginia Beach, Virginia office is located at 700 Independence Cir, Virginia Beach, VA 23455, and this is our main office location. We are proud to be the only practice in Hampton Roads offering a true one-stop-shop experience that combines advanced sexual wellness, aesthetic services, and overall wellness treatments under one roof.

700 Independence Cir, Virginia Beach, VA 23455, USA
700 Independence Cir, Virginia Beach, VA 23455, USA

Virginia Beach, VA

Our Virginia Beach, Virginia office is located at 700 Independence Cir, Virginia Beach, VA 23455, and this is our main office location. We are proud to be the only practice in Hampton Roads offering a true one-stop-shop experience that combines advanced sexual wellness, aesthetic services, and overall wellness treatments under one roof.

700 Independence Cir, Virginia Beach, VA 23455, USA

Virginia Beach, VA

Our Virginia Beach, Virginia office is located at 700 Independence Cir, Virginia Beach, VA 23455, and this is our main office location. We are proud to be the only practice in Hampton Roads offering a true one-stop-shop experience that combines advanced sexual wellness, aesthetic services, and overall wellness treatments under one roof.

700 Independence Cir, Virginia Beach, VA 23455, USA

Columbia, MD

Our Columbia, Maryland location is at 8955 Guilford Rd STE 120, Columbia, MD 21046, and this is our newest office. We are excited to bring to the community services designed to improve overall self-esteem, sexual health, and wellness through personalized care. Our goal is to continue expanding our services in the future to better serve our patients’ evolving needs.

8955 Guilford Rd ste 120, Columbia, MD 21046, USA

Columbia, MD

Our Columbia, Maryland location is at 8955 Guilford Rd STE 120, Columbia, MD 21046, and this is our newest office. We are excited to bring to the community services designed to improve overall self-esteem, sexual health, and wellness through personalized care. Our goal is to continue expanding our services in the future to better serve our patients’ evolving needs.

8955 Guilford Rd ste 120, Columbia, MD 21046, USA

New York City, NY

Our New York City location is currently undergoing building renovations, and we have temporarily relocated to continue serving our patients. We remain fully operational and are seeing patients. If you would like to be seen in NYC, please schedule a virtual consultation or call us at (646) 846-9433. We are offering select services as we complete updates to our main location.

New York City, NY

Our Columbia, Maryland location is at 8955 Guilford Rd STE 120, Columbia, MD 21046, and this is our newest office. We are excited to bring to the community services designed to improve overall self-esteem, sexual health, and wellness through personalized care. Our goal is to continue expanding our services in the future to better serve our patients’ evolving needs.

About Our Virtual Consultations

Our Virtual Consultations are designed to give you direct access to one of our experienced medical providers at no cost. During your virtual visit, your provider will answer your main questions, explain what to expect from your desired treatment, and pre-screen whether you may be a good candidate.

After your virtual consultation, we recommend an in-person visit for a complete medical evaluation, where your provider will assess your needs and create a personalized treatment plan. The in-person consultation has a $250 fee, which is applied toward your treatment when you proceed.

Treatments We Offer in Columbia, MD

O-Shot

A regenerative treatment for women that uses platelet-rich plasma to enhance sensitivity, improve intimacy, and support vaginal health.

P-Shot

A natural, PRP-based treatment for men that improves erectile function, boosts sensation,

and supports overall sexual wellness.

Penile Filler (UroFill)

A medical, filler-based treatment for men that adds supportive volume, improves firmness, and enhances sexual confidence.

Botulinum Toxin

A medical, neurotoxin-based treatment that relaxes overactive facial muscles,
smooths fine lines, and refreshes your appearance.

Dermal Fillers

A medical, gel-based treatment for facial
rebalancing that restores volume, contour, and natural-looking symmetry.

Hormone Therapy

A medical, hormone-based treatment that restores balance, boosts energy, supports libido, and improves overall wellness.

Shockwave Therapy

A non-invasive, wave-based treatment that improves blood flow, enhances sensitivity, and supports sexual performance.

ALL WE OFFER

Looking for something else? Visit our main website to discover all of our services.

Transformations

You Can Trust

Penile Filler - Before & After

Natural-looking results that feel just as natural. Every treatment is personalized to your anatomy and goals, creating balanced and renewed confidence.

Facial Rebalancing - Before & After

Natural-looking Botox and Dermal Filler results designed to enhance facial balance, soften lines, and refresh your appearance while preserving your natural expressions.

Meet Our Providers

Mary Ojo-Carons, MD

Dr. Mary is a board-certified Cosmetic Gynecological Surgeon and Sexual Medicine Physician with over 15 years of experience. She is the founder of Climax Aesthetic Surgery and a recognized expert in sexual medicine, hormone therapy, menopausal care, gynecology, and reproductive science.

Akin Ojo-Carons, MD

Dr. Akinwunmi Ojo-Carons is Chief Financial Officer and Men’s Wellness Expert at Climax Aesthetic Surgery. A board-certified urologist and UroFill-certified provider, he specializes in advanced treatments for sexual health, confidence, and performance.

Pamela Ikem, RN

Pamela Ikem is the Chief Operations Officer, Facial Rebalancing Specialist, and Nurse Injector at Climax Aesthetic Surgery. With a BSN, RN licensure, and an MBA, she blends clinical skill and leadership to deliver compassionate, patient-centered care.

Virginia Beach, VA

700 Independence Cir

Virginia Beach, VA 23455

(757) 916-5348

Columbia, MD

8955 Guilford Rd STE 120,

Columbia, MD 21046

(410) 505-7319

New York City, NY

(646) 846-9433

Are your treatments safe?

Yes. All treatments are medically guided and performed using evidence-based protocols and FDA-cleared technology in a clinical setting.

How soon will I see results?

Results vary by treatment and individual, but many patients begin noticing improvements within weeks, with continued enhancement over time.

Do you offer financing or payment plans?

Yes. We offer flexible payment plans to make treatment more accessible.

Blog & Articles

Two women lying face to face with eyes closed, representing facial rebalancing, harmony, and natural beauty

Facial Rebalancing: The Art and Science of Looking Refreshed (Not “Done”)

February 07, 20264 min read

“Confidence doesn’t come from changing who you are — it comes from finally seeing yourself clearly.” - Pamela Ikem, RN

When you see someone who looks youthful, confident, and effortlessly radiant, that look didn’t happen by accident — it’s often the result of facial rebalancing, a thoughtful approach that blends science and art to enhance natural features without erasing personality.

Facial rebalancing isn’t about dramatic transformations. It’s about restoring proportion, symmetry, and flow so your face appears refreshed and balanced from every angle. In today’s aesthetic world, this blend of Botox and dermal fillers has become one of the most loved ways to address signs of aging — and for good reason.

Man and woman showing natural facial rebalancing results with Botox and dermal fillers for a refreshed, balanced look

What Is Facial Rebalancing Really?

Traditional cosmetic treatments focused on single concerns — smoothing a wrinkle here or adding volume there. But our faces are dynamic systems. A youthful, balanced face isn’t defined by one lifted brow or one plump cheek, but by how all features relate to one another.

Facial rebalancing is a holistic approach that looks at the entire face before ever placing a single injection. Rather than treating wrinkles in isolation, experienced injectors assess symmetry, bone structure, muscle activity, and how aging affects the entire facial canvas. The goal? Create subtle, cohesive improvements that feel natural.

In aesthetic medicine, practitioners describe this approach as aligning facial “landmarks” so the eyeball, cheekbones, jawline, lips, and temples all support one another visually — almost like composing a well-balanced piece of music.

How Botox and Fillers Work Together

Two of the most powerful tools in facial rebalancing are Botox (a neurotoxin) and dermal fillers — and they work in very different but complementary ways:

Botox

Botox and similar neuromodulators relax specific muscles that cause dynamic wrinkles — those lines that form with expression (like forehead lines and crow’s feet). Relaxing these muscles smooths lines and prevents them from deepening over time.

Dermal Fillers

Dermal fillers, often made of hyaluronic acid, replace lost volume. As we age, fat pads shrink and bone density decreases, leading to hollows, sagging, or flattened features. Fillers gently restore volume to cheeks, lips, under-eyes, and more, improving contour and facial proportion.

Used together, Botox softens tension while fillers restore supportive structure. The result isn’t a “fixed” face — it’s a refreshed, balanced, more youthful version of you.

The Whole-Face Philosophy That Produces Natural Results

The biggest difference between good and great injectors isn’t how many syringes they use — it’s where and why they place them. Leading aesthetic experts agree: the most natural results come from a whole-face approach that considers:

  • Bone structure and proportions

  • Muscle activity and facial expressions

  • Volume loss patterns

  • Symmetry between left and right sides

  • How movement changes facial appearance over time

Instead of treating individual lines, this method strategically enhances multiple areas so the result looks cohesive — not “overdone.” Whether it’s gently lifting the cheeks, refining jawlines, or softening lines around the eyes, facial rebalancing harmonizes your features, not isolates them.

Real People, Real Results

What do patients actually want? More than wrinkle reduction, they want:

  • To look rested without looking frozen

  • To feel confident in photos and everyday life

  • To have natural-looking enhancements that don’t scream “injectables”

  • To retain their individuality while looking refreshed

When done strategically, facial rebalancing checks all these boxes — and that’s why it’s consistently one of the most requested non-surgical cosmetic options today.

Safety Matters: What You Need to Know

Botox and dermal fillers are generally considered safe when administered by qualified professionals. Most side effects are mild and temporary — things like redness, tenderness, or small bruises at the injection site.

However, like any medical procedure, there are risks when done improperly. Rare but serious complications can include vascular occlusion (when filler affects blood flow), skin necrosis, or even vision complications in extreme cases — all of which underscore the importance of choosing a well-trained, board-certified injector.

The American aesthetic community emphasizes that most risks are significantly reduced when:

  • The provider understands facial anatomy deeply

  • Products are FDA-approved

  • Proper technique and hygiene protocols are followed

Your consultation should include detailed discussion of goals, risks, aftercare, and realistic expectations.

Frequently Asked Questions

Does it hurt?
Most patients describe only mild discomfort. Numbing creams or local anesthesia can be used to maximize comfort.

How long do results last?
Botox typically lasts 3–4 months. Dermal fillers can last anywhere from 6–18 months depending on product and placement.

Will people know I had something done?
With skilled, balanced treatment, most people notice a refreshed appearance — not “work.”

Final Thoughts: Confidence Through Balance

Facial rebalancing isn’t a quick fix — it’s a thoughtful, personalized approach to beauty and confidence. When Botox and fillers are used with intention, you get results that move with your expressions, enhance your best features, and feel like you — just elevated.

Beauty isn’t about perfection — it’s about harmony, proportion, and self-confidence. Facial rebalancing helps you find that harmony in the most natural and graceful way.

The information provided on this page is for educational purposes only and is not intended to replace a personalized medical consultation. Facial rebalancing treatments with Botox and dermal fillers vary based on individual facial anatomy, goals, and medical history. For a comprehensive evaluation and customized treatment plan, we recommend scheduling a consultation with our providers.
For more information, please contact us at
[email protected] or call (757) 916-5348.


facial rebalancingBotoxdermal fillersBotox and fillersfacial harmonynon surgical facial rejuvenationfacial contouringfacial sculptingaesthetic injectionsrefreshed appearancecosmetic dermatologyaesthetic clinic
blog author image

Pamela Ikem, RN

Pamela is a compassionate and driven healthcare professional hailing from Greenville, South Carolina. With an impressive background that includes a Bachelor of Science in Nursing (BSN), a Registered Nurse (RN) certification, and a Master of Business Administration (MBA), Pamela is a powerhouse in her field. Her education and experience have enabled her to make a significant impact on patients’ lives while also understanding the complexities of healthcare management. Outside of her professional life, Pamela is an avid reader, constantly expanding her knowledge and staying up to date with the latest trends in healthcare and personal development. She also maintains a healthy balance in her life through her love for kickboxing, a physically demanding and empowering sport that keeps her in top shape mentally and physically. Pamela’s passion for music is undeniable, and she particularly enjoys Afrobeats, a genre that allows her to express herself through rhythm and movement. As a proud South Carolinian, Pamela enthusiastically supports her favorite sports team, the Carolina Panthers, and never misses a chance to cheer them on during the NFL season. One aspect of life that Pamela is particularly passionate about is sexual health, which is why she loves Climax. Climax’s holistic approach to sexual health has resonated with her, as she believes in the importance of addressing physical, emotional, and mental well-being in a comprehensive manner. She appreciates how Climax empowers individuals to explore their sexuality in a safe and positive environment, and how they consistently strive to provide accurate, non-judgmental information to their clients. With her dedication to healthcare and personal growth, Pamela’s exceptional skills and empathetic nature make her a valuable asset to any team. Her passion for music, sports, and wellness reflects her commitment to living a balanced and fulfilling life.

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Contact Us

Virginia Beach, VA: (757) 916-5348

Columbia, MD: (410) 505-7319

New York City, NY: (646) 846-9433

Office Hours

Monday – Friday
Telephone Availability 9 am – 5pm
In office services – By appointment
Saturday – By appointment only
Sunday – Closed

Contact Us

(410) 505-7319

8955 Guilford Rd STE 120, Columbia, MD 21046

Copyright 2026. Climax Aesthetic Surgery

Copyright 2026. Climax Aesthetic Surgery