Bioidentical pellets are the preferred method of hormone replacement therapy and have grown in popularity over the last decade. For most people, pellets offer a convenience that is unparalleled. Pellets are placed under the skin during a short medical visit and deliver a steady dose of hormone for 3 to 6 months based on your level cardiac output, gender, and dose.

Bioidentical Hormone Replacement Therapy (BHRT)

EvexiPEL–The SUPERIOR Hormone Pellet Therapy

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Beneficial for both women and men, hormone replacement pellet therapy helps regulate a number of hormonal imbalances a person may be experiencing. It balances the testosterone and estrogen that are necessary to produce serotonin - a chemical that regulates how people feel. Without it, some people feel tired, irritable, and unable to remember facts, focus or perform.

Say goodbye to applying a cream, taking a pill or the hassle of painful injections, and say hello to feeling like your best self.

Did you know Testosterone levels start to decline at age 30? If you find yourself suffering from any of the various symptoms of hormonal imbalance, you can find relief and vitality with EvexiPEL. Whether you have struggled with chronic stress, low sex drive, unexpected weight gain, hair loss, poor sleep, or low energy (as well as many other possible symptoms), you could feel like your best self again with EvexiPEL.

Schedule an appointment today with one of our expertly trained, EvexiPEL Certified practitioners at Pearl Skin Aesthetics!

Is EvexiPEL Right for You?

Feel like the best version of you again!

Testosterone Therapy

EvexiPEL, the pellets that we use at Pearl, are developed at FarmaKeio Outsourcing, an FDA–registered 503B outsourcing facility. Each pellet is designed to biologically mimic a patient’s natural hormones.

Estrogen Therapy

Estrogen pellets have been compounded at the FDA–registered 503B outsourcing facility, FarmaKeio Outsourcing, and have been designed to biologically mimic each patient’s natural hormones. The exact amount of estrogen needed by each patient has been extracted from plant sources like yams, cactus, or soy before being formed into pellets.

What are pellets?

Pellets are compounded estradiol or testosterone that are made from organic plant materials, which have the exact molecular structure of those hormones found in the body. They are pressed into a solid compound that is about the size of a cooked grain of rice. Using a painless office procedure, they are inserted under the skin in the hip area. The pellets release small amounts of hormone directly into the bloodstream similar to that which the ovaries and testes produced during our younger adult years.

How long do pellets work?

This answer varies per patient and we discuss this during your consultation. We usually schedule rounds of pellet insertions 3-4 months apart for women and 4–5 months apart for men to ensure you receive a continuous dose of EvexiPel hormone pellets.  Your level of activity and cardiac rate determine the rate at which the pellets dissolve.

Disclaimer: The information, advice, statements, and testimonials made about these products on this website have not been evaluated by the United States Food and Drug Administration (FDA). The information on this website regarding any compounded product is not intended to diagnose, treat, cure, or prevent any disease, nor are they intended to replace proper medical help.

Professional, kind & knowledgeable with a beautiful venue. My experience at PSA was wonderful; I was immediately made to feel not only welcomed, but comfortable. The vibes are just correct and Renatta explained to me her efforts to be an inclusive place where no one was made to feel unsure, which, as a business model, I found to be refreshing and very impressive in the Huntsville market. Plus, my skin is positively glowing :) I highly endorse!

- David 

"An inclusive place where no one was made to feel unsure."

As a long time customer of med spas, I met Renatta as she was starting on her journey to become a licensed esthetician. The first facial she ever gave me was so relaxing. She talked to me through what she was doing, what lotions and potions she was putting on my face, the reason behind each one and the long-term benefits. When I left there, I had a very good education in skin care as well as soft glowing skin. I have followed her and her career, and I'm so excited for the opening of Pearl Skin Aesthetics. As not only a customer but a friend, she allowed me a sneak peek into the new spa. There's only one word I can use to describe the feeling when you walk in the door, and it is energized. Renatta will educate you, pamper you, and treat you like family. Each and every visit to Pearl Skin Aesthetics will be fabulous.


"Renatta will educate you, pamper you, and treat you like family."

 I got microneedling with Renatta and a lash lift and tint with Abbey within a week of each other. They were both so sweet and gave me a wonderful experience. So glad I found a place close to home and no longer have to travel for these services.


"I can’t get over how beautiful this place is!"

If you’re ready to feel overwhelmingly comfortable and leave with your heart full, this is the place for you! I went in for a Este Knows Best facial/lash lift and tint, and left with loads of information about their services, super relaxed, and the skin of a glowing angel. Waking up today, I was shocked how great my skin looks. Renatta was so attentive, unbelievably kind, and so knowledgeable. The facilities are such a vibe, and I will most definitely be adding this place to my monthly skin routines. What a hidden gem!


"What a hidden gem!"

This spa was my first ever experience with any skincare type visit and it was enough to get me hooked. I was selected for a drawing and Ms. Renatta was so kind to work with my schedule! The hydrofacial was so neat, you can feel the impurities leaving your skin and they are kind enough to show you the gunk you’re rid of after the process. Truly amazing how soft my skin is now and how much their products are revitalizing my skin with daily use!

- Alainnah

"You can feel the impurities leaving your skin!"

I recently had a deluxe hydrafacial at Pearl Skin Aesthetics with Abigayle, and it was an incredible experience! Abigayle's knowledge about the treatment and products was impressive, and it made me feel confident in her expertise. The hydrafacial itself was so refreshing and left my skin feeling rejuvenated. I highly recommend Abigayle and the team at Pearl Skin Aesthetics for anyone looking for top-notch skincare treatments.


"It was an incredible experience!"