Dr. Robert Troell - Las Vegas, NV
Las Vegas, NV & Corona Del Mar, CA
Cosmetic and Facial Plastic Surgeon (*)
Beauty by Design and Dr. Robert J Troell, FACS, FAAFPRS, FAACS, FAAOHNS, FAASM now has a program that is designed to delay the aging process by an Anti-Aging & Regenerative Medicine Program (*) for both men and woman alike. Bioidentical hormones are one facet of this program, however, is tied into a comprehensive medical protocol designed to optimize you…your mind, body and spiritual being. This program requires you to be an active participant.
We can guide you in the right direction, counsel you on the activities to improve your general health, and motivate you to achieve the optimal you! The following is an outline of the program with the initial physical examination to include laboratory and hormone testing, quality of life questionnaires, and a detailed history.
Understand where you came from, where you are now & where you want to go. Most common cause of weight gain: poor diet & lack of exercise. Hormone levels peak at the time of peak human development (early twenties) & then there is a constant, steady decline (3%/yr).
Important Hormones: (Goal about 75% on standard deviation curve) Progesterone (women) Estrogen (women) Testosterone DHEA (Dehydroepiandrosterone) Thyroid Human Growth hormone Melatonin
Hormonal Laboratory Assessment:
1. Free T3
2. Free Testosterone (and total testosterone)
3. DHEA-SO4 (sulfate)
4. Melatonin
5. Progesterone (female)
6. Estradiol (E2) (female)
7. PSA (male)
8. HGH
9. Cortisol
Laboratory Testing: CBC Comprehensive chemistry panel ANA, RF, ESR, C-reactive protein Lipid Profile (HDL, Cholesterol, Triglyercides, LDL, VLDL, Chol/HDL ratio calc)
Telomere length (shortening): sign of one’s bodies cells longevity
Micronutrient Assay: 34 micronutrients, vitamins, metabolic markers are measured
Quality of Life Markers:
1. Mood
2. Cognitive Function
3. Libido
4. Sexual performance
5. Energy
6. Sleep quality
7. Pain relief
8. Body image
Treatment:
Phase 1: Evaluation
1. questionnaires
2. lab testing
3. medical history (diseases, medications, supplements, sleep hx, family hx)
4. Lifestyle, relationships, occupation, spiritual interests
5. Initial physical exam
6. Weight, height, waist and hip circumference, vital signs
7. review questionnaires
8. Preliminary diagnosis
9. Photographs
10. Stop smoking
11. Dental overview
12. Avoid OTC drugs & prescribed medications if possible
Phase II:
1. review lab testing
2. Readiness assessment (Are you ready & committed for the program, this is a team approach program with you and the doctor)
3. Diagnosis confirmed
4. Treatment plan
a. Multi-vitamin daily
b. Hormone replacement (bio-identical hormones: non-synthetic)
c. Optimal treatment of your medical condition (depression, high blood pressure, diabetes, obstructive sleep apnea, asthma and emphysema)
d. diet (nutritional) & exercise
e. Stress releases: massage, yoga, meditation, sanctuary
f. sleep hygiene recommendations
5. Follow-up time table
6. Follow-up lab testing (individualized related to goals of treatment)
Anti-Aging & Regenerative Medicine Program
This program is your combined medical physicians on steroids in a boutique setting in a comprehensive protocol designed to optimize you mind, body and spiritual being with you as an active participant. You can help us help you achieve your and our goals for you in an enjoyable and joyful environment. Dr. Troell is the organizer and medical director of this Regenerative Medicine program with training in head and neck surgery, facial plastic surgery, oral surgery, body and face cosmetic surgery and sleep medicine and internal medicine.
We are excited to have you enrolled in achieving a New You!
Please feel free to call our offices in Las Vegas, Nevada (702) 242-6488 and Corona Del Mar, California (949) 220-0532.
For your free private consultation or appointment click here.
Photographs of people used on the following pages are before and after photos of patients who have undergone surgical and non-surgical cosmetic procedures described herein and that provide a reasonable indication of typical results of the advertised procedure. Results may vary and this may not be typical of every user. In the event that this Website uses the image of a non-patient model, we will make reasonably attempts to state that the photo used is of a non-patient model.