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Business Details
41 Years
experience
Your Trusted Partner for Hormone Therapy & Aesthetic Care in Arlington
Since 1985, the Institute for Hormonal Balance has been a leader in hormone therapy, aesthetic treatments, and wellness services. Founded as an OBGYN practice by Dr. Gary Donovitz, we expanded our expertise to address hormonal imbalances through bioidentical pellet therapy, pioneering the BioTE method. Under the leadership of Dr. Mandy Cotten, our team of certified professionals combines decades of experience with advanced technology to deliver personalized care. We specialize in hormone optimization, aesthetic enhancements like Botox and dermal fillers, and comprehensive wellness programs, serving patients in Arlington and Prosper.

Our commitment to innovation, patient education, and compassionate care ensures tailored solutions that restore balance and improve quality of life. With accreditations in hormone therapy and partnerships with leading skincare brands like ZO Skin Health, we provide trusted, evidence-based treatments that prioritize long-term health and natural beauty.
Services
Hormone Replacement Therapy Botox Dermal Fillers PDO Threads Emface Facials IV Therapy Vitamin Injections Laser Hair Removal Body Sculpting
Details
  • Year established: 1985
Highlights and features
  • We offer 40+ years of expertise in hormone therapy and aesthetic medicine.
  • Our personalized treatment plans combine hormone optimization with advanced aesthetics.
  • Certified providers trained in patented bioidentical pellet therapy methods.
  • Comprehensive care integrating medical-grade skincare and wellness services.
  • Award-winning team recognized for innovation in hormone and aesthetic treatments.
Associations and certifications
  • BioTE Medical
  • ZO Skin Health
What people say
Compassionate care Knowledgeable staff Effective treatments Personalized attention Transformative results
Services
Hormone Replacement Therapy
Our hormone replacement therapy addresses imbalances through bioidentical pellet therapy, pioneered by our founder. Expert providers create personalized plans to alleviate symptoms like fatigue and mood swings. With over 40 years of clinical experience, we use advanced testing and tailored dosing to restore hormonal equilibrium. Patients benefit from improved energy, mental clarity, and overall vitality through this science-backed approach.
Botox Injections
Botox treatments smooth dynamic wrinkles using purified botulinum toxin. Our certified injectors target crow's feet, forehead lines, and frown lines with precision. Results appear within days and last 3-4 months, offering a natural, refreshed appearance. Combined with skincare regimens, this minimally invasive treatment maintains youthful aesthetics without surgical intervention.
Dermal Fillers
Hyaluronic acid fillers restore lost volume and smooth static wrinkles. Expertly administered treatments plump lips, lift jowls, and fill nasolabial folds. Results are immediate and last 12-18 months. Our providers use advanced techniques to enhance facial contours naturally while maintaining expressive mobility.
PDO Threads
PDO threads lift sagging skin through dissolvable sutures that stimulate collagen production. This non-surgical facelift tightens jowls and smooths wrinkles with results lasting 12-18 months. The minimally invasive procedure offers gradual improvement as threads dissolve, creating natural-looking rejuvenation.
Emface Treatments
Emface combines radiofrequency and electromagnetic energy to tone facial muscles and tighten skin. This non-invasive treatment builds collagen while lifting eyebrows and smoothing wrinkles. Series of 4-6 sessions deliver 12-16 months of results, enhancing facial definition without downtime.
People
Dr. Mandy Cotten
Owner, Family Nurse Practitioner
Dr. Cotten leads with 15+ years in hormone therapy, trained under her father Dr. Donovitz. She expanded services to include aesthetics and wellness, emphasizing patient education and individualized care.
Gary Donovitz
Founder, Hormone Specialist
Dr. Donovitz pioneered bioidentical pellet therapy in 1985 after 20+ years as an OBGYN. His innovative approach to hormone optimization trained thousands of providers globally, establishing industry standards.
Kara Kramer
Family Nurse Practitioner
Certified hormone specialist since 2020, Kara creates personalized treatment plans focusing on bioidentical therapy. Her patient-centered approach emphasizes empowerment through health education and supportive care.
Kylie Bunner
Family Nurse Practitioner
With 10+ years in hormone balance, Kylie integrates disease prevention into treatment plans. Certified Sottopelle and BioTE provider, she offers compassionate care for long-term wellness outcomes.
Amy Dean
Women's Health NP
20+ years of hormone expertise, Amy specializes in preventative medicine and pellet therapy. Former BioTE clinical trainer, she combines patient education with tailored treatment plans for optimal hormonal health.
Questions
What services does the Institute for Hormonal Balance offer?
We provide hormone replacement therapy, aesthetic treatments (Botox, fillers), IV therapy, vitamin injections, laser hair removal, and women's health services in Arlington and Prosper.
Do you accept insurance for hormone therapy?
We accept insurance for gynecological consultations but most aesthetic and hormone services require self-payment through credit cards, HSA/FSA, or financing options.
Are walk-in appointments available?
Walk-ins are accepted for vitamin injections and select services. Most treatments require scheduled appointments to ensure proper provider availability.
What are the cancellation policies?
A $50 fee applies for cancellations with less than 24 hours notice. We recommend rescheduling at least 24 hours in advance to avoid charges.
How do I determine the right treatment?
Use our online Treatment Planning Tool or schedule a consultation to receive personalized recommendations based on your specific health and aesthetic concerns.
What financing options exist for treatments?
We offer Cherry financing plans to make hormone therapy and aesthetic treatments accessible through manageable monthly payments.