For Men > Non-Invasive > Biote Hormone Optimization

Biote Hormone Optimization

Rigorously researched. Expertly applied.


As we age, the hormones which create and maintain our sexual differentiation, estrogen, progesterone and testosterone levels gradually decline. Cortisol which is a stress response hormone gradually increases throughout life. At the age of 45 on average, the levels of testosterone and estradiol drop off and the cortisol levels rise. These curves invert and cortisol begins to break us down in the same way while the hormones which maintain our uniquely male and female appearance diminish. Our faces and extremities lose volume while our trunks fill out. We begin to see the long term effects of this as osteoporosis, heart disease and Alzheimer’s disease. It is also common to see a drop in thyroid function as well which is the metabolic engine for the body.

Symptoms of this loss of sexual differentiating hormones vary between the sexes. Woman may experience hot flashes, night sweats, vaginal dryness and painful intercourse. Males symptoms are more subtle but equally dramatic in terms of loss of energy, fatigue. Both men and women experience low sex drive, fatigue, loss of muscle mass, decreased bone mass, increased body fat, depressive mood, irritability, high sugar levels, brain fog, high cholesterol and anxiety. Men and women need to pay attention to early detection of signs and symptoms, as they develop very slowly over time. Many of the ailments and signs of aging are attributed to the “normal aging process” but we no longer need to age the way our parents and grandparents did.

Hormone optimization is crucial for leading a healthier, happier and longer life, in both men and women. Bioidentical hormones are different from the synthetic hormone replacement treatments prevalent 20+ years ago. Synthetic hormones, specifically progestins, by an oral route led to the creation of metabolites in the liver which caused an increase in the incidence of breast and uterine cancers. However, estrogen replacement at that time decreased the incidence of heart attack in woman to one third that of men. Bioidentical hormones placed either topically or in pellet form have been proven to lower the incidence of osteoporosis, coronary artery disease and Alzheimer’s disease. These therapies can have immediate symptom relief as well as long-term health benefits for men and women.

Bioidentical hormones delivered by a subcutaneous route are not associated with the 7% increase in breast and uterine cancer observed with the synthetic hormones taken orally. They are associated with menopausal and andropausal symptom relief, a reduction in osteoporosis, coronary artery disease and Alzheimer’s disease

Individuals symptoms can range from mild to severe. Individuals with more severe symptoms will experience a more profound response to their treatment. However, even individuals with mild symptoms experience substantial benefits.

Dr. Kessler will evaluate your lab results along with a symptom questionnaire. Together with your physical exam and level of activity a hormone dosing program will be recommended. Treatment involves placement of bioidentical hormone pellets beneath the skin of the buttock. Lab values are repeated at 4-6 weeks as well as a subjective assessment from you.

Additional benefits of the BioTE® hormone optimization program include resolution of menopausal symptoms, muscle mass maintenance, improvement in endurance, resolution of brain fog, better energy level, less fatigue and weight loss.

Dr. Kessler introduced this program to his practice 3 years ago and has been thrilled with the results his patients have experienced. Now he can make his patients feel as good as they look.
Our Truth in Beauty Promise
We will ALWAYS make recommendations for you that deeply consider your unique goals in context of your nutrition, lifestyle, face and body type.

We will NEVER knowingly recommend a procedure that could compromise your health, appearance or well-being.
Alex D. San Antonio,TX
Dr. Kessler is not only one of the most caring and compassionate people I have ever met, he is also one of the finest highly skilled physicians around. He truly does care about every patient’s goals and will do whatever he can to help achieve those goals. I had a face/neck lift and...
Read more
Debbie S., Cenby, OR, USA
As both a patient and a professional, Dr. Kessler is the best surgeon I have ever had the pleasure of being treated by, he has amazing surgical skill, takes all the time in the world with you during your care and has the highest standard for his work I have seen for many years. I have...
Read more
Stephen P., Beverly Hills, CA, USA
I am so happy. I am so glad I came to Newport Beach in search of Dr Kessler. You have all made me feel just so ‘relaxed & confident’ in all aspects of this ‘thing’. Dr Kessler is a wonderful person, who is ethical, informative, sincere and a surgical ‘artist’. As I...
Read more
Alejandra B., Mission Viejo, CA,, USA
It has been 6 months since the date of my surgery and I couldn’t be more pleased with the results. As you may recall, my previous breast implants became encapsulated resulting in hard, tender and poorly shaped breasts. I was ashamed of how they looked. When my husband and I met with...
Read more
Markee F., Irvine, Ca,USA
Dr. Kessler is definitely a “Best in Class” surgeon. His enthusiasm and love for what he does is evident the first time you meet him. The compassion and care that he gives his patients is beyond measure.He took the time to not only explain the surgery procedure and potential problems...
Read more
Lee W., Aliso Viejo, CA, USA
Dr. Kessler is the most caring doctor I have ever met. The minute he walked into the examination room for my initial consult I liked him and it continues EVERY time I see him. I had a lower body lift and my arms done. I am so happy with his work. He is a perfectionist and it shows....
Read more
Glory E., Dayton, OH, USA
My experience with Dr Rob Kessler was extremely pleasant and has changed my life in the most positive ways. He has performed numeous surgeries on me after I had lost weight with having a gastric stomach bypass. He has perfomed the following surgeries on me: A breast lift, lower body...
Read more
Stephen P., Beverly Hills, CA, USA
Incredible results. Surgical center was great–lots of special care, made you feel very special, spent the night with one to one nursing care with an ICU nurse. Nurse anesthetist was great. VERY postive experience.
Read more