Expression lines · Prevention · Therapeutic care
Botox and tox injections in Lebanon, PA
Softer expression lines without a frozen look. Our approach to neurotoxin treatments is shaped by a clinical background in neurology, and the goal is always that you still look like you.
Cosmetic injections
Neurotoxin injections smooth fine lines and soften the appearance of wrinkles. They can refine existing lines or act as a preventative measure for long-term skin quality.
- Forehead lines
- Frown lines
- Crow's feet
- Masseter muscles
- Lip flips and gummy smiles
- Chin dimpling
- Platysmal bands
- Prevention
Therapeutic tox
Beyond aesthetics, therapeutic botulinum toxin is used to manage persistent neurologic and muscular conditions with a clinical, evidence-based approach guided by physician oversight.
- TMJ disorders
- Chronic migraines
- Cervical dystonia
- Facial tics
- Blepharospasms
- Hyperhidrosis
A neurology-informed approach
Melissa Pietras, PA-C spent part of her clinical career in neurology, where she developed advanced proficiency in the therapeutic use of botulinum toxins. Dr. Gayle Ryan, MD, our Medical Director, is certified in the use of Botox for medically related conditions.
What a consultation covers
Every treatment begins with an honest consultation. Your provider listens to your goals, looks at the areas you want to address, and walks through the options that fit. Plans are built around your goals, anatomy, and comfort, and you are never pressured into anything.
Cosmetic injections start at $11 per unit. Therapeutic tox starts at $13 per unit. Final plans are confirmed at your consultation.
Real results
Actual patients of Therapeutic Elements, shared with consent.
Individual results vary. A consultation is required to determine what is appropriate for you.
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Medical expertise behind every recommendation.
Therapeutic Elements is led by Melissa Pietras, PA-C, founder, Army veteran, and clinician with over 18 years in medicine spanning emergency medicine, cardiothoracic surgery, and neurology. Dr. Gayle Ryan, MD, a general surgeon with more than 25 years of experience, oversees all procedures as Medical Director.
Meet the TeamBegin with a conversation.
A consultation with no pressure, just an honest medical opinion.
This page is general information only and is not medical advice. A consultation is required to determine what is appropriate for you.