Bryana Miyabara-Treschuk, NP

Bryana Miyabara-Treschuk, NP NP blending medical care with aesthetics + wellness. I help women feel like themselves again, not changed, but reconnected.

My approach is holistic, intentional & rooted in the belief that beauty isn’t something you chase… it’s something you remember.✨

08/13/2026

A day in the life of a mobile aesthetic nurse practitioner: pack the kit, drive to appointment one, do a round of microneedling and tox, pack back up, drive to appointment two, sneak in lunch somewhere between the two, then repeat until the day is done.

This way, there’s no waiting room and no strangers in the chair next to you. Just you, your skin goals, and me coming to you!

The drive time is real but so is the one on one time I get with each of you. That’s the part that makes it worth it.

Ready to book your own mobile appointment? Send me a DM and let’s get you on the schedule 🚗💉

Where should you start with your skincare routine? There’s a lot of contradicting or overwhelming advice when it comes t...
08/10/2026

Where should you start with your skincare routine? There’s a lot of contradicting or overwhelming advice when it comes to skincare, so let’s simplify it and get the core needs and basics.

Skincare 101 covers the 3 steps you need to get your skin ready, as well as the key 3 products for anyone around 30-60 years old.

You’ll receive some samples for you to start trying for yourself, and if you book a consultation or service while at our workshop, you’ll receive a personalized plan, live at the event!

Have some light bites and drinks while you learn everything you need to know about how to care for yourself and your skin (the largest organ your body has)!

Date: August 21, Friday
Time: 11am-1pm
Location: The Planning Hale (Aina Haina) - Private Residence, address will be given to everyone who RSVPs via email
Tickets: $15 (or $10 for past clients)

Invite link in bio!

08/08/2026

Did you know I offer GLP-1 weight loss support?

If you’re not familiar, GLP-1 medications (like semaglutide and tirzepatide) work by curbing appetite and helping your body use stored fat for energy. They’ve become one of the most researched and effective tools for sustainable weight loss, with patients in clinical trials losing anywhere from 15 to over 20 percent of their body weight.

But it’s not just about the number on the scale. Patients often report:
✅ Less noise around food and cravings
✅ More energy and better sleep
✅ Improved metabolic markers
✅ A program built around you, not a one size fits all prescription

The key is doing it the right way: with a licensed provider overseeing your dosing, monitoring your progress, and making sure you’re protecting muscle along the way, not just losing weight.

If this is something you’ve been curious about, we’re here to walk you through it. Send us a message or book a consult to see if it’s a fit for you.

08/06/2026

The muscle most people don’t know botox can help with? The DAO, the one that pulls the corners of your mouth down.

When it’s overactive, it can create a tired or “sad” look at rest, even when you’re not upset at all. Softening it can lift the corners subtly and give your resting face a more refreshed feel.

Ask us if this is a good fit for you at your next visit.

08/03/2026

Myth: botox is only for wrinkles.

Truth: wrinkle smoothing is just the tip of it. Botox is FDA approved for chronic migraines, excessive sweating (hello, no more sweat stains), and overactive bladder. Off label, it’s also used for jaw tension and clenching, chin dimpling, a downturned smile at rest, and even a subtle brow lift.

At its core, botox relaxes overactive muscles. Sometimes that shows up as smoother skin. Sometimes it shows up as fewer headaches, a calmer jaw, or just feeling more like yourself.

If you’ve only thought of it as an anti aging tool, there’s a good chance it could help with something you haven’t considered yet.

Curious what it could do for you? Send us a message and let’s talk it through.

07/31/2026

Hawai’i sun doesn’t play fair. UV index hits extreme by mid-morning, and one application of SPF in the morning isn’t going to cut it if you’re outside past 10am. Reapplying every two hours is non-negotiable here, not optional.

The good news: reapplication doesn’t have to mean redoing your makeup.

☀️ Face Shield Flex SPF 50: tinted, mineral protection that blooms to match your skin tone as you blend it in. Great for a full reapply when you want coverage and glow in one step.

☀️ Glow Face Shield SPF 50: the no-makeup makeup of sunscreens. Broad spectrum protection with a soft, pearlescent finish. Perfect for beach days, hikes, or anytime you want that lit-from-within look without extra steps.

☀️ Brush-On Shield SPF 50: mess-free mineral powder you can sweep right over your makeup. Water resistant for 80 minutes, so it’s built for pool days, sweaty workouts, or a quick touch-up between meetings.

Pick your favorite (or keep all three in rotation) and actually protect your skin the way Hawai’i weather demands. Link in bio to shop 🌺

Botox is so much more than wrinkle treatment. ✨When most people think of Botox (or other neuromodulators), they think of...
07/30/2026

Botox is so much more than wrinkle treatment. ✨

When most people think of Botox (or other neuromodulators), they think of smoothing forehead lines. But these treatments can also be used to address a variety of cosmetic and functional concerns by strategically relaxing targeted muscles.

Some of my favorite treatment areas include:
✨ Brow lift
✨ Lip flip & gummy smile
✨ Chin dimpling (“orange peel” chin)
✨ Jawline & neck bands
✨ Jawline slimming (masseter treatment)
✨ Excessive sweating (hyperhidrosis)
✨ TMJ discomfort & chronic jaw clenching
✨ Shoulder slimming (trapezius)
✨ Nostril slimming

The best treatment plan is never one-size-fits-all. Every face is unique, and my goal is always to create balanced, natural looking results that help you look refreshed, not frozen.

Whether you’re interested in preventing wrinkles, enhancing your facial harmony, or treating concerns like TMJ or excessive sweating, there’s a good chance neuromodulators may be an option.

✨ Curious if you’re a candidate? Let’s chat! I’d love to create a personalized treatment plan based on your goals.

📍Concierge aesthetic services across Oʻahu
💉 Book a consultation through the link in my bio or send me a DM.

“Holistic Botox” is everywhere right now, and it’s not just a buzzword. It’s a shift toward smaller doses, personalized ...
07/30/2026

“Holistic Botox” is everywhere right now, and it’s not just a buzzword.

It’s a shift toward smaller doses, personalized plans, and treating Botox as part of your overall wellness instead of a quick fix for lines. Swipe through to see what that actually means (and why it’s how we’ve always approached it here).

Ready to talk through your own plan? Link in bio to book.

07/27/2026

Pro tip: microneedling boosts collagen production by 400%. That’s not an exaggeration, that’s what the research shows. And it’s not just a “smooths a few fine lines” treatment either.

Here’s what microneedling actually helps with:
✔️ Fine lines and wrinkles
✔️ Skin texture
✔️ Enlarged pores
✔️ Acne scarring
✔️ Hyperpigmentation

It works by creating controlled micro-injuries in the skin, which triggers your body’s natural healing response and kicks collagen and elastin production into overdrive. The result: firmer, smoother, more even skin over time, not overnight, but backed by real clinical research.

If your skin has been asking for a reset, this might be it. Comment “GLOW” or send us a DM to talk through whether microneedling is right for you 💫

07/25/2026

Let’s talk about what’s actually happening under the surface. ✨

Microneedling creates tiny, controlled channels in the skin that signal your body to produce more collagen and elastin. The result is smoother texture, smaller-looking pores, and a natural glow that builds over time.
It’s one of my favorite treatments because it works with your skin, not against it. Gentle, effective, and worth the consistency.

If you’ve been curious about it, I’d love to walk you through what to expect!

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Honolulu, HI
96819

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