
Melissa Pietras, PA
Physician Assistant · Founder
I am thrilled to bring Therapeutic Elements to life. I am a Physician Assistant and proud Army Veteran with over 18 years of experience in medicine, aesthetics, health, and wellness. My clinical background is uniquely multidisciplinary, bridging Emergency Medicine, Cardiothoracic Surgery, and Neurology. I completed a postgraduate surgical residency in General Surgery, providing advanced procedural expertise and an exceptional understanding of facial anatomy, structural integrity, and skin laxity.
My experience in Neurology has provided me with advanced proficiency in the therapeutic use of botulinum toxins and adjunctive therapies to effectively treat chronic migraines, TMJ disorders, and hyperhidrosis. Additionally, I am highly experienced in supporting patients on their weight-loss and GLP-1 journeys, offering advanced, non-surgical solutions to address skin laxity and tissue remodeling. Through specialized training and hands-on experience with InMode technologies — including Morpheus8 and Quantum — I deliver targeted treatments that restore firmness, improve contour, and enhance overall skin quality.
Therapeutic Elements was created from my passion for blending advanced clinical training with refined aesthetic treatments to deliver exceptional long-term, natural-looking outcomes. My expertise in facial anatomy, pain pathology, and customized treatment planning is what truly sets my practice apart.


