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What Does Bioidentical Hormone Replacement Therapy Do?

BHRT restores your hormones to normal levels using bioidentical substances customized for your physiology. Hormones, such as estrogen, progesterone, and testosterone, regulate the metabolism, mood, sexual function, and other processes in the body. When hormone levels become unbalanced due to age, stress, illness, and other reasons, patients may experience a variety of unwelcome symptoms, including:

  • Fatigue
  • Low libido
  • Disrupted sleep
  • Mood changes
  • Loss of muscle mass
  • Weight gain

Dr. JoAnne Lopes and her team have the training and experience required to administer BHRT safely and effectively.

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Am I a Good Candidate for BHRT?

Ideal candidates are adults, typically at least age 30, who meet the following criteria:

  • In good health overall
  • Experiencing symptoms associated with hormone depletion or imbalance
  • Willing to follow regular laboratory monitoring

While BHRT can be an excellent complement to your aesthetic goals, it isn’t a quick fix for weight loss or cosmetic improvement. We emphasize realistic expectations, ongoing follow‑up, and personalized care.

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What To Expect from Our Program

Comprehensive Health Evaluation

During your initial consultation, you’ll meet with a knowledgeable provider who will:

  • Perform a physical examination.
  • Review your medical history, current medications, and lifestyle to rule out any underlying conditions.
  • Order a comprehensive lab panel to evaluate your serum hormone levels and relevant metabolic markers.

Lab Results and Treatment Plan

Once we receive your lab results, we’ll design a personalized treatment plan that aligns with your body’s needs. We’ll also walk you through what to expect during treatment, possible side effects, and how we will monitor your progress. Our team is here to support you every step of the way.

Medical Monitoring

After you begin BHRT, you will return to our office for follow-up visits every few weeks to assess your symptoms and do follow-up labs. We adjust doses over time to maintain therapeutic balance and reduce side effects.

Our goal is to ensure you feel informed, supported, and confident throughout your BHRT treatment so you can feel your best, inside and out.

Pro-Pell Therapy at Cosmetic Surgery Center

As a certified Pro-Pell Therapy Program provider, we offer BHRT using high-quality hormone pellets. These pellets contain customized doses of estradiol or testosterone and are placed just beneath the skin during a simple, 10-minute treatment in our office.

How Pro-Pell pellets work:

  • Steady hormone release: The pellets release hormones gradually over time, rather than requiring daily dosing.
  • Custom treatment: Each pellet plan is tailored to your hormone levels, symptoms, and goals.
  • Longer-lasting support: Pellets typically last 3 to 4 months and dissolve safely in the body.

For patients looking for a low-maintenance option, Pro-Pell pellet therapy offers consistent hormone support under the guidance of our experienced team.

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Timeless Beauty, Flexible Payments

You can pursue your cosmetic goals today and pay later. Our practice proudly partners with Allē, CareCredit®, Alphaeon® Credit, and Cherry, which offer flexible payment options that fit your budget. Some plans include interest rates starting as low as 0%. Let us help you look your best today while managing payments at your own pace.

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How Long Does It Take To Work?

While timelines can vary between individuals, most patients notice a decrease in their symptoms within about 2 weeks. They typically experience:

  • Improved energy
  • Renewed libido
  • Better sleep
  • Enhanced mood
  • Optimized body composition
  • Increased muscle mass

Many patients find that even early improvements can make a noticeable difference in how they feel day to day.

Integrating With Your Cosmetic Journey

Hormone replacement therapy at our center can help support skin quality, muscle tone, bone strength, and metabolic health—factors that enhance surgical and nonsurgical aesthetic outcomes. While BHRT cannot replace cosmetic procedures like liposuctionCoolSculpting® Elite, or injectables, balancing hormones may improve your recovery, results, and overall well-being before and after.

Why Choose Cosmetic Surgery Center?

Dr. JoAnne Lopes brings over 25 years of aesthetic experience to every procedure. As one of Virginia Beach's first female plastic surgeons, she combines technical skill with a compassionate touch, making sure patients feel supported throughout their journey. Her team is trained in the latest technology and maintains rigorous safety standards. When you choose our clinic, whether from Virginia Beach, Chesapeake, Norfolk, Suffolk, or elsewhere, you receive personalized care and results backed by expertise.

A Reputation Built on Results

Dr Hugo has unparalleled expertise and has a subtle touch creating a natural result. I highly recommend...
10/10- my experience has been amazing with all the staff! I’ve recommended multiple clients here that...
I just had Injections this morning. The young lady had a wonderful job and she is so sweet the entire...
Always great care and concern for comfort. Look better and feel better. Dr Lopes and staff are great...

Begin Your Journey

If you are interested in bioidentical hormone replacement therapy, schedule a consultation with our team or call (757) 497-5400 for an appointment. Our priority is providing safe, effective, and individualized care in a supportive environment.

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