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About Therapeutic Elements

Meet Melissa Pietras

Physician Assistant & Founder

I am thrilled to bring Therapeutic Elements to life. I am a Physician Assistant and proud Army Veteran with over 17 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 results, and natural-looking outcomes  My expertise in facial anatomy, pain pathology, and customized treatment planning is what truly sets my practice apart. I look forward to enhancing my clients’ wellness and natural beauty through thoughtful, results-driven care.

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OUR COMMITMENT TO YOU

At Therapeutic Elements, we place the highest priority on your comfort, safety, and overall experience. We recognize that a welcoming and relaxing atmosphere significantly alleviates the anxiety often associated with medical procedures. Most importantly, we are committed to ensuring that your safety is the focus of every procedure.

MEET DR. GAYLE RYAN

CEO

We are proud to have Dr. Gayle Ryan as our CEO and Medical Director overseeing all procedures and treatment plans. With over 25 years of experience as a General Surgeon, Dr. Ryan is also certified in basic aesthetic procedures and the use of Botox for medically related conditions. A proud Army Veteran, she brings a wealth of knowledge, precision, and dedication to our team.

 

Both Melissa and Dr. Ryan are committed to building a trusting and supportive relationship with each and every patient.

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