Before booking a weight-loss consultation at Tri Valley Plastic Surgery, the most useful question is not simply which medication costs less. It is what, exactly, the clinic would prescribe, provide and charge for your particular care. The practice publishes more operational detail than a bare appointment form: separate semaglutide and tirzepatide prices, monthly follow-up descriptions, virtual consultation availability and local pickup. Those details make an initial conversation easier to prepare for, but they do not yet amount to a complete treatment or billing agreement.
This documentary review examines the practice’s public documentation consulted October 19, 2026, from a patient-question perspective. Tri Valley Plastic Surgery is a plastic surgery and Med Spa business in Dublin, California, with an expressly advertised medication-based weight-loss offering. Its semaglutide program is described as overseen by Steven Williams, MD. The strongest preparation is to separate what the clinic already explains from what still requires a written answer—particularly the actual product, responsibility for follow-up and the terms attached to monthly prices and longer packages.
At a glance
- Advertised medications
- Tri Valley Plastic Surgery expressly offers semaglutide and tirzepatide; the consulted documentation does not identify the specific dispensed products or pharmacy.Sources: [8]
- Semaglutide pricing
- The initial consultation is $50. Medication is advertised at $500 for the first month and $600 for each subsequent month.Sources: [6]
- Tirzepatide pricing
- The advertised price is $700 for the first month and $800 for each subsequent month; four- and seven-month packages are also mentioned without published amounts.Sources: [7]
- Consultation and follow-up
- The semaglutide page describes an initial visit with a physician assistant, virtual or in-person consultation options, and monthly follow-ups.Sources: [6]
- Local medication access
- The start page describes injections at monthly appointments and extended-hours medication pickup, but does not fully explain dispensing or administration arrangements.Sources: [3]
Start with the medicine’s identity, not the treatment label
Tri Valley Plastic Surgery explicitly advertises both semaglutide and tirzepatide. That establishes an actual weight-loss medication offering, rather than merely an interest in adjacent cosmetic services. It does not identify a brand, manufacturer, presentation, dispensing pharmacy or whether either offering is compounded. A reference to “Ozempic face” elsewhere on the site is not confirmation that the clinic dispenses Ozempic. Before comparing this offer with another program, request the exact product name, formulation, route, container type and pharmacy that would apply to your prescription.
This distinction also matters when reading approval language. FDA approval attaches to a specific product, not to a clinic or to an ingredient name in isolation. Compounded preparations are not FDA approved or reviewed before marketing for safety, effectiveness and quality; that alone does not establish clinical inequivalence. FDA recommends compounded drugs when an individual’s medical needs cannot be met by an approved drug, with a prescription and a state-licensed pharmacy. Our guide to questions about the medicine itself can help organize the answers without assuming which product this practice uses.
| Topic | What the clinic documents | What to ask |
|---|---|---|
| Product | Semaglutide and tirzepatide are offered. | What exact product, presentation and pharmacy would fulfill my prescription? |
| Semaglutide cost | $50 consultation; $500 first month; $600 subsequent months. | Which visits, tests and supplies are included or separate? |
| Tirzepatide cost | $700 first month; $800 subsequent months. | Is there a separate consultation or monitoring fee? |
| Medication access | Monthly appointments and extended-hours pickup are described. | Where do I collect medication, and who explains administration? |
| Longer packages | Four- and seven-month options are advertised. | What are the total price, payment schedule and exit terms? |
Understand who evaluates you and who remains responsible
The semaglutide page says the initial consultation is with a PA, meaning a physician assistant, to discuss weight-loss goals and medical history. It also describes a comprehensive health assessment and a plan tailored to individual needs. Steven Williams is identified as overseeing that program. Separately, the practice describes him as a board-certified plastic and reconstructive surgeon and a diplomate of the American Board of Plastic Surgery. Those are provider-published credential statements, not independently verified findings from this review. Oversight also does not establish that he personally conducts every weight-loss visit.
The broader surgical team includes Philip Wasicek, whom the site describes as a double board-certified plastic surgeon focused on facial aesthetic surgery. That biography does not establish his role in prescribing weight-loss medication. Ask who would conduct your evaluation, issue a prescription, review test results and handle concerns between visits. The tirzepatide page describes evaluation of health history, goals and lifestyle, but does not assign every task to a named professional. A clear responsibility map is more useful than assuming all clinicians listed on the practice website participate in the program.
Prepare for an eligibility conversation, not a guaranteed prescription
Both medication pages discuss treatment for people without diabetes. That is an invitation to seek an assessment, not a complete eligibility policy or a promise of a prescription. The consulted documentation does not establish minimum age, program-specific BMI thresholds, required testing or a full list of exclusions. The semaglutide page says that, if the evaluation is favorable, you may leave with medication. “May” matters: it leaves room for a different clinical decision, additional information or another step before treatment begins.
For consultation preparation, NIDDK advises discussing current medicines, supplements, allergies, pregnancy plans, health conditions and family history with the clinician. These considerations should not be replaced by a website’s broad statement about suitability for people without diabetes. Ask what records to bring, whether testing is required and whether any testing carries a separate charge. Our consultation question organizer can help keep practical and clinical questions together. Neither that checklist nor this review determines whether semaglutide or tirzepatide is appropriate for an individual.
Separate the introductory price from the ongoing bill
Semaglutide has the clearest published consultation-and-medication breakdown: a $50 initial consultation, medication at $500 for the first month, and $600 for each subsequent month. Tirzepatide is advertised at $700 for the first month and $800 for each subsequent month. The documentation does not clearly establish whether the same $50 consultation charge applies to tirzepatide. These are month-based advertisements, not documented four-week billing intervals. They also do not identify the precise formulation, presentation or quantity attached to each monthly charge, so price comparisons need that additional information.
Both programs advertise four- and seven-month packages and financing, but the consulted passages do not disclose package totals, interest, upfront collection requirements or minimum commitments. Semaglutide financing details, including a payment calculator, are available on request; tirzepatide financing information is offered during consultation. Package duration alone does not establish supply quantity or an obligation to remain enrolled. Request an itemized quote showing visits, laboratory work, medication and supplies, then use these questions beyond the monthly price to check what remains separate. Insurance coverage and billing arrangements also require direct confirmation.
Map the visit, pickup and virtual-care logistics
The semaglutide page offers virtual and in-person consultations in Dublin. On the starting form, patients who prefer a virtual consultation are asked to mention that preference in the notes. The practice says it serves the Bay Area and patients around the world, but that broad business description does not establish where it can provide virtual weight-loss care. No state-by-state prescribing availability is documented here. Before paying for an appointment, ask whether the clinic can evaluate and continue treating someone physically located in your state.
Local logistics are more concrete. The main office is listed at 11820 Dublin Boulevard, open Monday through Friday, 8 a.m. to 5 p.m. The Med Spa is at 11828 Dublin Boulevard, with later Thursday and Friday hours and Saturday opening. The start page mentions both injections at monthly appointments and extended-hours medication pickup; the semaglutide page says some patients may leave with medication. Together, these statements still leave administration, pickup location and home-use supplies unclear. They are not dosing instructions. Home shipping, delivery timing and refrigeration arrangements are not documented in the consulted material.
Find out what monthly monitoring actually includes
Monthly follow-up is a documented feature of both offerings. The semaglutide page describes monthly provider visits to track progress. The tirzepatide page is more specific, saying check-ins monitor weight, blood sugar and other relevant health indicators after the initial prescription. Those descriptions do not establish which tests are routine, who performs them or whether their costs are included. Ask how appointments are scheduled, whether they can be virtual, what information is reviewed and what happens if a visit is missed or a clinician wants additional evaluation.
The tirzepatide program also encourages regular physical activity and balanced eating, but that is not documentation of included dietitian appointments or a structured nutrition service. NIDDK describes medication as accompanying healthy eating and physical activity, with follow-up addressing tolerance and response. Ask how to reach the clinical team between appointments, who covers absences and what response time to expect; the public documentation does not settle those questions. General scheduling access is not the same as urgent clinical support. Establish that distinction before relying on the program for ongoing care.
Keep cosmetic promotions separate from treatment decisions
The practice connects its weight-loss offering with skin-tightening, body-contouring and surgical services. Its semaglutide-to-surgery promotion advertises a credit equal to 50% of program expenses after reaching the target weight, subject to a minimum surgeon fee of $5,000 and a maximum credit of $3,600. This is a conditional credit toward surgery, not a medication refund or an unconditional discount. Ask which expenses qualify, how target weight is defined, whether there is an expiration date and which surgical charges remain outside the credit.
A separate referral promotion offers a $200 credit when a referred patient enrolls in semaglutide. It excludes skincare and neurotoxin banks, permits multiple referrals and says it can be combined with other promotions. Meanwhile, the Med Spa’s $100 new-patient offer explicitly excludes weight-loss treatments and neurotoxin banks. Post-weight-loss procedures receive individualized quotes after physical assessment and medical review; they are not documented as included in medication pricing. Their candidate criteria concern those procedures, not GLP-1 eligibility. No expiration dates for the cited semaglutide promotions were established in the consulted documentation.
Request the treatment agreement before the next charge
The website’s terms show a January 1, 2026, update date and explain that its materials are general information rather than comprehensive documentation. Those website terms do not establish a treatment cancellation policy. The consulted material does not specify automatic renewal, notice deadlines, pauses, refunds or unused-medication rules. Ask for the agreement that actually governs enrollment and payment, including what happens if the clinician does not prescribe, treatment changes or you decide not to continue. Cancellation and refund rights are separate questions; one should not be assumed from the other.
For appointment availability, the start page provides (925) 875-9011. A separate website-accessibility contact is (925) 875-0700; it should not be mistaken for a clinical advice line. Request written answers about the next billing date, authorization for recurring charges, package exit terms and any financing obligations. Our questions to settle before renewal provide a useful final checklist. The goal is not to demand that a marketing page function as a contract, but to obtain the relevant contract before committing to ongoing treatment or a longer package.
Questions & answers
Does Tri Valley Plastic Surgery identify whether its medication is branded or compounded?
Not in the consulted documentation. It names semaglutide and tirzepatide but does not establish the brand, manufacturer, pharmacy or compounding status. Ask for those details before comparing prices or interpreting approval claims. The clinic’s use of an ingredient name, or a cosmetic discussion of “Ozempic face,” does not identify what would actually be prescribed and dispensed.
What would I pay for the first month?
For semaglutide, the page separately lists a $50 initial consultation and $500 for first-month medication, followed by $600 per subsequent month. Tirzepatide is listed at $700 initially and $800 per subsequent month. Whether tirzepatide has the same consultation charge, and whether either monthly price includes monitoring, tests or supplies, needs confirmation. Do not assume the medication price is the complete bill.
Can I use the program entirely online?
The semaglutide page offers virtual consultations, and the booking instructions say to request that format in the notes. They do not establish an entirely remote treatment pathway, home shipping or availability in every state. Ask whether follow-ups can remain virtual and how medication would reach you. If an injectable delivery ever arrives warm or inadequately refrigerated, FDA advises not using it and contacting the provider or dispensing pharmacy.
Will I receive medication at the consultation?
The semaglutide page says you may leave with medication if the evaluation is favorable. It does not guarantee a prescription or same-day availability. The start page also describes monthly appointments and extended-hours pickup without fully explaining the handoff. Confirm the likely process, collection address, supplies and who will explain administration. The website’s appointment wording should not be read as a medication dosing schedule.
Are four- or seven-month packages mandatory?
The practice advertises them as package options, but the consulted passages do not establish a minimum commitment, package price or required prepayment. Financing is also offered without complete published terms. Ask for a comparison between the monthly arrangement and each package, including payment timing, cancellation, unused medication and any financing obligations. A stated package duration does not by itself establish how much medication is supplied.
Are body-contouring treatments included after weight loss?
The practice advertises post-weight-loss support, including skin tightening and body contouring, but does not establish that these services are included in medication fees. Its post-weight-loss page describes customized quotes after assessment and medical review. The semaglutide surgery-credit promotion has separate conditions, including the $5,000 minimum surgeon fee and $3,600 credit cap. Request a distinct quote rather than treating cosmetic services as a bundled benefit.
Our assessment
Tri Valley Plastic Surgery documents a recognizable local weight-loss service: two advertised medications, initial assessment, monthly monitoring, virtual consultation options and local pickup. Its separate first-month and subsequent-month prices are useful, and its Dublin offices give patients concrete logistics to investigate. The main weakness is not an absence of advertised care, but an incomplete account of the actual dispensed product, all-in cost and ongoing obligations. Before enrolling, obtain the product and pharmacy details, an itemized quote, a clinical contact plan and the treatment-specific cancellation and refund terms. Keep cosmetic credits separate from the decision about medication care. These answers would make the offering meaningfully easier to evaluate; the public documentation alone does not resolve them.
This opens the reviewed business’s website. The link is not a prescription or endorsement. Commercial relationships.
Sources & documentation
Public materials consulted October 19, 2026. Provider statements are attributed claims, not independently verified clinical outcomes. Terms can change; obtain a current written quote.
- FDA concerns with unapproved GLP-1 drugs used for weight loss ↗
- NIDDK: prescription medications for overweight and obesity ↗
- Tri Valley Plastic Surgery — get started with weight loss ↗
- Tri Valley Plastic Surgery — weight loss shots/post weight loss ↗
- Tri Valley Plastic Surgery — about/about tri valley plastic surgery ↗
- Tri Valley Plastic Surgery — weight loss shots/semaglutide ↗
- Tri Valley Plastic Surgery — weight loss shots/tirzepatide ↗
- Tri Valley Plastic Surgery — weight loss shots/ozempic face ↗
- Tri Valley Plastic Surgery — official website ↗
- Tri Valley Plastic Surgery — terms and conditions ↗