
Non-Surgical Skin Tightening
Radiofrequency-driven remodeling with Morpheus8 and InMode Quantum to firm, contour, and rebuild collagen — without a scalpel.
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Led by Melissa Pietras, PA-C and Dr. Gayle Ryan, MD, our Lebanon studio bridges clinical excellence and restorative self-care.
Specialized care for aesthetic refinement and clinical wellness.

Radiofrequency-driven remodeling with Morpheus8 and InMode Quantum to firm, contour, and rebuild collagen — without a scalpel.
View Non-Surgical Skin Tightening
Resurfacing and light-based treatments that renew tone, texture, and radiance across the face and body.
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Clinical injection therapies rooted in neurology and pain medicine, for measurable relief and restored function.
View Therapeutic InjectionsA quiet portfolio of natural, medically-driven results.




Aesthetics shouldn't feel generic. We build every protocol around clinical safety, honest counsel, and the discipline of a veteran-led practice.
A standard of care rooted in 40+ combined years of military medical discipline and surgical precision.
Every treatment plan is designed and overseen by a PA-C and Medical Director for uncompromised safety.
InMode platforms to work beneath the surface, not simply across it.
Medical Botox for migraines and TMJ, integrated with battlefield acupuncture techniques.
“Melissa is incredibly knowledgeable, professional, and truly takes the time to listen to your goals. The entire experience feels personalized, welcoming, and never rushed.”
“Melissa is super knowledgeable and professional — she looks to treat concerns rather than sell you something. Clean, professional, relaxing: everything you could possibly want in a med spa.”
“Botox initially made me nervous, but Melissa was incredibly patient and calming. She really listened to what I wanted and enhanced my features beautifully. She never tried to upsell me.”
“A rare medical professional that actually listens, understands, and takes care of her patients — hard to find in a field that dominantly treats people like a deli counter.”
“She truly listened to my concerns, took the time to explain everything, and shared her expertise in a way that made me feel completely comfortable and confident.”
5.0 average · 29 Google reviews
Care should fit your life. Ask us about financing options at your consultation.
The Collective at Keystone
1349 Cumberland Street
Lebanon, PA 17042
Book a complimentary consultation — no pressure, just an honest medical opinion.