Bioidentical testosterone pellets are a sustained-release hormone therapy increasingly used in women in perimenopause and menopause and in men with laboratory-confirmed androgen deficiency. 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, the labs you need before any insertion, and what to realistically expect from the process.
Important medical note: testosterone pellets are a hormone therapy that requires prior hormonal lab work and a complete medical evaluation with Dr. Geldres before any insertion. This is not a treatment that can be booked online without that prior evaluation. The initial consultation is free.
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
- Evaluation consultation: Free (in-person or virtual)
- Prior hormonal labs: Not included — performed at an external laboratory of your choice
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. 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.
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 consultation room
- Natural reabsorption: The pellet is fully reabsorbed at the end of its useful life
Prerequisites: Hormonal Labs and Medical Evaluation
Before any insertion, the following are mandatory:
- Free initial consultation with Dr. Geldres — review of medical history, symptoms, current medications, and goals
- Hormonal blood labs — the minimum panel typically includes total and free testosterone, estradiol, SHBG, complete blood count with hematocrit, liver panel, lipid panel, and (depending on the case) PSA in men and a thyroid panel
- Second consultation to review results — with labs in hand, Dr. Geldres determines whether therapy is appropriate, what the indicated dose is, and when to schedule the insertion
Without these results, no insertion is performed. This is not a marketing policy — it is the only responsible way to start hormone therapy without exposing the patient to avoidable cardiovascular, hepatic, or oncologic risks.
Indications: Who Is It Considered For?
Testosterone hormone therapy is typically evaluated in:
- Women in perimenopause and menopause: When symptoms (energy, libido, mood, muscle mass) accompany low hormonal levels confirmed by laboratory testing
- Men with confirmed hypogonadism: Persistently low testosterone levels plus compatible clinical symptoms, with other causes ruled out
- 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 hormonal lab levels and clinical symptoms — not on self-diagnosis or social media reports. The consultation is the point at which it is decided whether this therapy is genuinely appropriate for your case 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 indicated 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; hormonal check before the next insertion
Important: outcomes vary between patients depending on baseline levels, indicated 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 defined by labs and 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
For these reasons, hormonal labs and medical evaluation are mandatory. Dr. Geldres reviews history, current medications, and rules out contraindications during the consultation. 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: Dr. Geldres performs both the clinical evaluation and the insertion — no referrals or administrative chains that dilute responsibility
- Comprehensive evaluation: Review of hormonal labs, cardiovascular history, medications, and goals before any indication
- Clinical setup: Procedure room equipped for local anesthesia and the management of any outpatient eventuality
- Structured follow-up: Scheduled clinical check-ins and new labs prior to 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
The free initial consultation is the starting point both for hormone therapy and for aesthetic treatments. We help you determine which are appropriate for your case and, in the case of pellets, what hormonal labs you need before moving forward.