Bioidentical Hormone Replacement Therapy (BHRT) in Los Angeles & Orange County
You might look healthy on paper, but you don’t feel like yourself anymore.
Your sleep is lighter. Energy drops earlier in the day. Focus feels inconsistent. Libido or motivation isn’t the same. Despite eating well and staying active, your body composition shifts toward more fat and less lean muscle.
At Wave Plastic Surgery, we see this pattern every day. Patients want to look youthful on the outside while something internally isn’t keeping up. Our Bioidentical Hormone Replacement Therapy (BHRT) program is designed to restore your hormonal balance so you can feel like yourself again.
Quick Summary
BHRT at Wave Plastic Surgery helps men and women restore optimal levels of key hormones: testosterone, estrogen, progesterone, and thyroid, to improve energy, sleep, mood, metabolism, and cognitive function. Using long-lasting hormone pellets and personalized medical oversight, BHRT supports healthy aging and overall vitality.
What Is BHRT?
BHRT stands for Bioidentical Hormone Replacement Therapy, a medical treatment that restores declining hormones to a more youthful, functional range. These hormones include:
- Testosterone
- Estrogen (women)
- Progesterone (women with a uterus)
- Thyroid hormone
Unlike synthetic alternatives, bioidentical hormones are molecule-for-molecule identical to the hormones your body naturally makes. This improves compatibility, safety, and symptom relief.
At Wave, Dr. Peter Lee and our wellness team use hormone pellets as the primary method of replacement. A tiny pellet placed beneath the skin slowly releases a hormone for 3–4 months, avoiding the peaks and crashes compared to alternatives of creams or injections.
Get Your Consultation Today
Give us a call today to schedule your consultation with one of our plastic surgeons at Wave Plastic Surgery to learn more about the benefits of BHRT Therapy.
Why Do Hormones Decline and How Does It Affect You?
Hormone decline is a natural part of aging, but for many people, it begins earlier than expected. Even when your labs show “normal” levels, the decline compared to your younger baseline can create real symptoms that affect your energy, metabolism, cognition, and overall well-being.
Science-Backed Insight
“As hormone levels change with age, you may experience symptoms such as fatigue, low libido, weight gain, mood changes, and sleep issues.” — Cleveland Clinic, Bioidentical Hormones
Common Symptoms of Hormone Imbalance
- Low energy or fatigue
- Poor or inconsistent sleep
- Brain fog or slower memory
- Irritability or mood changes
- Decreased libido or intimacy
- Weight gain, especially around the midsection
- Loss of muscle tone
- Changes in hair or skin quality
Patients often tell us, “I just don’t feel like myself anymore.”
BHRT is designed to treat the underlying hormonal imbalance, not just the individual symptoms.
Who Is a Good Candidate for BHRT?
You may benefit from BHRT if you:
- Feel tired even with normal labs
- Struggle with sleep quality
- Notice decreased motivation or drive
- Experience cognitive slowdown or memory changes
- Have stubborn weight gain or muscle loss
- Are perimenopausal, menopausal, or post-menopausal
- Have low testosterone (in both men and women)
For many women, the transition into perimenopause and menopause brings a noticeable shift, fatigue, temperature changes, sleep disturbances, mood fluctuations, and changes in skin elasticity. These symptoms often appear years before or after a woman realizes they are hormone-related.
Science-Backed Insight for Women
“The menopausal transition is associated with vasomotor symptoms, sleep disturbance, weight changes, and impaired quality of life, largely influenced by declining estrogen levels.” — PubMed (PMID: 36749328)
This means that even if you’re committed to anti-aging skincare, injectables, or laser procedures, the internal hormonal environment plays a major role in how your skin, metabolism, cognition, and overall vitality respond.
For women, BHRT may include tailored estrogen and progesterone support. For both women and men, testosterone replacement is often the foundation of treatment. Thyroid optimization may be added if your metabolism or energy remains suboptimal despite “normal” labs.
Your Wave provider will review your symptoms, medical history, and comprehensive lab results to determine whether BHRT is the safest and most effective option for you.
How Does Hormone Pellet Therapy Work?
Pellets are small, rice-sized cylinders placed beneath the skin (typically the upper glute). This 5-minute in-office procedure:
- Requires only local anesthesia
- Uses a tiny 2 mm incision (no stitches)
- Offers steady hormone release over 3–4 months
- Eliminates daily dosing
- Reduces mood/energy fluctuations
Most patients begin noticing improvements within 5–7 days, though full optimization may take several weeks.
What Results Can You Expect With BHRT?
- Energy: More sustained, stable energy throughout the day.
- Sleep: Deeper, more restorative sleep that supports better recovery.
- Mental Clarity: Sharper focus, improved memory, and less brain fog.
- Body Composition: Better muscle tone, reduced fat accumulation, and improved metabolism.
- Mood & Intimacy: Enhanced libido, emotional balance, and overall sense of well-being.
- Long-Term Aging: Hormones support cellular repair, bone density, skin quality, and metabolic health.
Your BHRT Experience at Wave
- Step 1: Comprehensive Consultation: We evaluate your symptoms, medical history, lifestyle, and complete lab panel—not just a single hormone value.
- Step 2: Personalized Treatment Plan: Your plan may include testosterone pellets, estrogen and progesterone (for women), thyroid optimization, or a combination.
- Step 3: Pellet Placement: Quick, comfortable, in-office procedure performed by our medical team.
- Step 4: Follow-Up & Lab Monitoring: Dr. Lee adjusts dosage based on how you feel and your lab results—ensuring safety, precision, and optimal results.
- Step 5: Long-Term Optimal Results: BHRT is not one-size-fits-all. We refine your dosing with each cycle to maintain consistent improvements over time.
Get Your Consultation Today
Give us a call today to schedule your consultation with one of our plastic surgeons at Wave Plastic Surgery to learn more about the benefits of BHRT Therapy.
How BHRT Fits Into Wave’s Wellness Philosophy
Wave’s wellness program follows a “inside-first” approach:
When your hormones function optimally, your body responds better to everything else, peptides, weight-loss medications, surgery, and non-surgical procedures.
BHRT lays the foundation for:
- Better fat-loss response
- Improved recovery
- Enhanced skin quality
- More youthful metabolism
- Healthier aging
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Why Choose Wave Plastic Surgery for BHRT?
Wave is more than a medspa, we are a high-volume, physician-led aesthetic and anti-aging practice with:
- Decades of medical and surgical expertise
- Multiple surgeons and advanced providers
- AAAHC/AAAASF-certified facilities
- Precision-dosed hormone protocols
- Integrated wellness, surgical, and non-surgical care
- A medical team trained in advanced BHRT and longevity medicine
Patients trust Wave because our approach is rooted in experience, safety, and measurable results.
Our BHRT Therapy Specialists
Peter Lee
M.D., F.A.C.S.
Dr. Peter is CEO and Chief Surgeon of WAVE Plastic Surgery Center with over 20 years of plastic surgery experience, overlooking 30K+ successful plastic surgery cases. He has mentored master surgeons around the world in state-of-the-art techniques, and has been inducted into the RealSelf 100 & 500 Hall of Fame.
His many accolades and shining results are evidence of Peter’s expertise.
Ben Lee
M.D., F.A.C.S.
Throughout 20+ years in aesthetic plastic surgery, Dr. Ben Lee has always been passionate about using his skills to impart a lasting, positive impact on the lives of his patients.
“Time and time again, I have witnessed dramatic improvements in a patient’s confidence and well-being after a relatively minor cosmetic or reconstructive procedure. As a surgeon, that brings me great joy.” — Dr. Ben Lee
Frequently Asked Questions About BHRT Therapy
BHRT (Bioidentical Hormone Replacement Therapy) uses hormones that are chemically identical to the ones your body naturally produces. At Wave, these hormones, often delivered through long-lasting pellets, help restore a more youthful hormonal balance to improve energy, sleep, mood, metabolism, and cognition.
BHRT may help with fatigue, brain fog, low libido, weight gain, mood fluctuations, poor sleep, and loss of muscle tone. These symptoms often appear when hormone levels decline during aging or menopause.
Yes, BHRT is commonly used during perimenopause and menopause to relieve vasomotor symptoms, sleep issues, mood changes, and weight fluctuations. Research shows that estrogen decline during the menopausal transition contributes to many of these changes (PubMed PMID: 36749328).
Hormone pellets typically last 3–4 months, releasing a consistent dose of hormone without the daily peaks and crashes associated with creams or injections.
Many patients begin noticing improvements within 1–2 weeks, especially in sleep and energy. Full optimization may take 6–8 weeks as hormone levels stabilize.Hormone pellets typically last 3–4 months, releasing a consistent dose of hormone without the daily peaks and crashes associated with creams or injections.
Yes. Hormone decline, especially testosterone and thyroid, can contribute to midsection weight gain and slower metabolic function. Restoring balance can support better body composition, muscle tone, and fat loss.
No. Both men and women experience age-related hormone decline. Men with symptoms of low testosterone, fatigue, reduced libido, decreased strength, or weight gain, may benefit significantly from testosterone pellet therapy.
BHRT uses bioidentical hormones, meaning they are molecularly identical to the hormones your body already produces. According to Cleveland Clinic, this can make them more compatible with your physiology.
No, BHRT can actually enhance aesthetic outcomes. Optimal hormone levels support better healing, improved collagen production, more stable metabolism, and enhanced overall vitality.
BHRT may not be recommended for patients with active hormone-sensitive cancers or specific medical conditions. Your Wave provider will review your full medical history and labs to ensure treatment is safe.
Wave evaluates your symptoms, lifestyle, medical history, and comprehensive lab work, not just one hormone value, to create a personalized plan. Dosing is adjusted through follow-up visits and labs to ensure consistent, optimized results.
Your first step is a wellness consultation and full lab evaluation. From there, your provider determines whether BHRT is appropriate and creates a precise plan tailored to your goals.
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