Bioidentical testosterone pellets are a sustained-release hormone therapy increasingly used in women in perimenopause and menopause and in men with symptoms of low testosterone. In Lima, pellets remain an uncommon offering — and even rarer with structured medical follow-up. In this guide we cover the updated pricing at Elyzea, what the insertion involves, and what to realistically expect from the process.
Important medical note: testosterone pellets are a hormone therapy: before each insertion, Dra. Geldres reviews your medical history, medication and symptoms at your appointment.
Testosterone Pellet Pricing at Elyzea: 2026 Rates
At Elyzea, the updated prices are:
- Testosterone pellets, 100 mg: S/1,200 (~US$343) per insertion
- Testosterone pellets, 200 mg: S/1,500 (~US$429) per insertion
The per-insertion price covers the outpatient procedure: local anesthesia, micro-incision, pellet placement, closure, and the immediate post-procedure check.
What Are Testosterone Pellets?
Pellets are solid microimplants of bioidentical testosterone, roughly the size of a grain of rice (formulation comparable to FDA-approved Testopel). They are placed under the skin of the gluteal area through a small incision under local anesthesia. Once implanted, they release testosterone steadily and continuously for 3 to 6 months, avoiding the peaks and troughs typical of intramuscular injections and the variable adherence associated with transdermal creams and gels. Clinical recommendations for testosterone therapy are detailed in the Endocrine Society clinical practice guidelines.
Key features:
- Bioidentical: Molecule chemically identical to the testosterone naturally produced by the body
- Solid microimplant: No need for daily injections or constant topical applications
- Sustained release: Stable levels over 3 to 6 months
- Outpatient insertion: 30-minute procedure under local anesthesia in the procedure room
- Natural reabsorption: The pellet is fully reabsorbed at the end of its useful life
Do I Need Lab Tests Before Pellets?
You don't need lab tests beforehand; if you already have recent results, you can bring them to your appointment.
At your appointment, Dra. Geldres reviews your symptoms, current medications, and goals before the insertion. There are two doses, 100 mg or 200 mg, and you choose which one.
Indications: Who Is It Considered For?
Testosterone hormone therapy is typically evaluated in:
- Women in perimenopause and menopause: When there are symptoms compatible with a hormonal imbalance (energy, libido, mood, muscle mass)
- Men with symptoms compatible with low testosterone: fatigue, lower libido or loss of muscle mass, among others
- Patients already on hormone therapy via another route (creams, injections) who seek stable levels, convenience, and improved adherence
The indication must be medical, based on your symptoms and medical history — not on self-diagnosis or social media reports. Dra. Geldres decides, for your case, whether this therapy is genuinely appropriate or whether another strategy is preferable.
What the Insertion Looks Like
The procedure takes approximately 30 minutes and is performed on an outpatient basis:
- Antisepsis of the area (upper outer quadrant of the gluteal region)
- Local infiltrative anesthesia
- Approximately 3 mm micro-incision
- Pellet placement (or pellets, depending on the dose) using a trocar
- Closure with a steri-strip or fine suture
- Compressive dressing
No hospitalization or extended bed rest is required. The patient returns to her routine the next day with the simple post-procedure precautions.
Results: What to Expect and When
Typical response timeline with pellets:
- Weeks 1–2: The pellet is releasing but clinical effects remain mild
- Weeks 2–4: Patients commonly report initial changes in energy and overall well-being
- Weeks 4–8: More stable improvements in libido, mood, and physical endurance
- Months 2–3: Stable hormonal levels; symptom control more consistent
- Months 3–6: Maintenance period; a check-in with Dra. Geldres before the next insertion
Important: outcomes vary between patients depending on baseline levels, dose, age, weight, physical activity, and individual response. Specific results cannot be promised, nor can a one-size-fits-all timeline. Pellets are not an aesthetic therapy — they are a hormone intervention with clinical objectives Dra. Geldres sets from your symptoms.
Safety and Contraindications
Testosterone hormone therapy requires medical indication and follow-up. It is contraindicated in:
- Breast or prostate cancer (current or suspected)
- Pregnancy and breastfeeding
- Severe liver disease
- Elevated hematocrit (polycythemia risk)
- Untreated sleep apnea
- Decompensated cardiovascular disease
- Active or recent thromboembolism
- History of unstabilized major cardiovascular events
That's why, at your appointment and before the insertion, Dra. Geldres reviews your history, your current medications and, if you bring them, your labs. If findings suggest risk, alternatives are discussed or the patient is referred to the appropriate specialist.
What Recovery Looks Like
Post-insertion recovery is outpatient and typically uneventful. Recommendations:
- Keep the area dry and covered for the first 24 hours
- Avoid high-impact exercise, weight lifting, and swimming for 5 to 7 days
- No motorcycle riding or mountain biking during that period
- Observe the site: mild tenderness or a small bruise are normal and resolve within a week
- Consult immediately if you notice progressive redness, discharge, increasing pain, or fever (all uncommon, but they warrant prompt evaluation)
Why Pellets at Elyzea?
- Board-certified plastic surgeon: Dra. Geldres reviews your case and performs the insertion herself — no referrals or administrative chains that dilute responsibility
- Comprehensive review: Cardiovascular history, medications, symptoms, and goals before every insertion
- Clinical setup: Procedure room equipped for local anesthesia and the management of any outpatient eventuality
- Structured follow-up: Clinical check-ins with Dra. Geldres before each renewal
- Miraflores location: Av. Angamos Oeste 715, accessible to patients from Lima Metropolitan area, the provinces, and international travelers
Related Treatments
Testosterone pellets are a specific hormone intervention. If your primary concern is aesthetic (facial volume, firmness, rejuvenation), you may be more interested in:
- Hyaluronic acid filler cost Lima — the most versatile facial filler
- Biostimulators cost Lima — Sculptra, Profhilo, and other collagen biostimulators
- Morpheus8 cost Lima — microneedling with radiofrequency for skin laxity
- Full list of treatments at Elyzea
Message us on WhatsApp and we'll reply with prices and options for your case, for hormone therapy and aesthetic treatments alike. For pellets, tell us which dose you're interested in: 100 mg or 200 mg.