The Bio-Identical Way: Patient Profiles in Natural Hormone Optimization by Randy A. Birken, MD

Dr. Birken has published a new book on bio-identical hormones containing clinical vignettes intersperse with the scientific data supporting the benefits and safety of natural hormone optimization.
“I wrote this book to validate the use of bio-identical hormones for our current patients and to dispel criticism from other physicians who have not studied the medical literature that supports BHRT use. Additionally, for those patients who are frustrated regarding fatigue, poor sleep, lowered libido, weight gain, and mental fog, BHRT may help regain lost vitality and well being,” Dr. Birken said.

Here are endorsements for Dr. Birken’s book.
Dr. Birken teaches us how to prevent disease and illness and at the same time make us feel and function at our optimum. Perhaps an alternative title should have been “Age Healthier, Live Happier, and Enjoy Life to the Utmost” as that is what he conveys in this book. Thank you Dr. Birken for finally taking us down this path of focusing on the patient and not what we were taught conventionally.
Neal Rouzier, M.D.

For the patients who read this book, I know you will find renewed hope that Dr. Birken possesses the key remedy for those symptoms like fatigue, insomnia, weight gain, brain fog, decreased sex drive, and mood swings. His path is not one of antidepressants, sleeping pills, and synthetic hormones.
Gary Donovitz, M.D.

Dr. Birken effectively lays out clinical and research based conclusions using real patient data in regards to bioidentical hormone replacement. He pulls no punches as to why Big Pharma does not want patients and physicians to know the truth about their health and what bioidentical hormone replacement can do for the entire population. This book is the perfect place to start for patients and practitioners alike, showing us why it is important to educate ourselves about our personal health.

Dr. Jasper Lovoi III, Pharm.D.

For more information on Dr. Birken’s book, go to

Sculptra® Now Available at Birken Medical Aesthetics – Increased Facial Volume and Stimulation of Natural Collagen

Sculptra® Aesthetic works subtly and gradually over time for a more youthful-looking appearance. Unlike hyaluronic acid (HA) fillers, Sculptra Aesthetic helps stimulate your skin’s own natural collagen production to help restore its inner structure and increase facial volume that has been lost to aging.1

“I’m impressed with the facial volume results of  Sculptra,” Dr. Randy Birken said.  “I had it done and saw immediate results that have lasted over six months.”

As a poly-L-lactic acid (PLLA) collagen stimulator, Sculptra  is different. It works with your body within the deep dermis, rather than topically, to help revitalize collagen production and help restore your skin’s inner structure and volume.1  As the Sculptra Aesthetic PLLA microparticles are absorbed, they help stimulate collagen production. Rebuilt collagen strands begin gradually helping to restore facial volume and the look of fullness to wrinkles and folds.

For more information as well as before and after photos, go to or call our office at 281-419-3231 and press option 1

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CoolSculpting – Now CoolAdvantage for Quicker Treatment Times, More Tissue Treated, and Increased Comfort

Birken Medical Aesthetics is the only facility in The Woodlands offering CoolAdvantage – Quicker treatment times, more tissue treated, and increased comfort.

CoolSculpting® is a revolutionary non-surgical contouring treatment that freezes stubborn fat, which then is naturally eliminated from your body.  No needles, no special diets, no supplements, no surgery.  And most importantly, no downtime.  It is now offered at Birken Medical Aesthetics of The Woodlands.

CoolSculpting® is completely non-surgical, so typically you can return to normal activities immediately. Some patients experience redness, minor bruising, tingling, numbness or discomfort in the treated area, but this is temporary and will resolve completely. Often times, patients return to work after the session is over.   You may start to see changes as quickly as three weeks after your treatment, and will experience the most dramatic results after one to three months. Your body is still flushing fat cells and will continue doing so for up to four to six months after treatment.

Dr. Birken has served as a Clinical Assistant Professor at Baylor College of Medicine in Houston, Texas and has medical practices in The Woodlands, Texas and Steamboat Springs, Colorado.  He has done post graduate training at the Cenegenics Medical InstituteNational Society of Cosmetic Physicians, American Academy for the Advancement of Medicine, and is certified in Advanced Bioidentical Hormones with Worldlink Medical.  He is the medical director for Birken Medial Aesthetics of The Woodlands.

CoolFit is the newest applicator in the CoolSculpting® product line.  CoolFit is specifically designed for longer fat bulges or fat bulges that were difficult to treat with other applicators.  With CoolFit, we can now further customize your CoolSculpting treatment plan to truly address your problem areas and achieve the results you want.

It’s safe, FDA-cleared and effective.­­ Results look natural and can be seen as early as three weeks following treatment, with the most dramatic results after one to three months.

Unlike most other methods of fat reduction, CoolSculpting involves no needles, surgery, or downtime.  Patients often spend procedure time reading, working on their laptops, or simply relaxing.

For more information, go to


Ultherapy: Non-Invasive FDA-Cleared In-Office Procedure for Facial Lifting at Birken Medical Aesthetics

The Non-invasive Lift

Ultherapy is the only non-invasive procedure FDA-cleared to lift skin on the neck, under the chin and on the eyebrow.  Also FDA-cleared to improve the appearance of lines and wrinkles on the décolletage, Ultherapy can help you achieve a fresher, more youthful look from your brow to your chest.

Ultherapy harnesses the power of ultrasound to transform the brow, chin, neck and chest. Ultrasound, of course, has been used safely throughout the medical field for more than 50 years—and Ultherapy has been established as safe and effective in clinical studies and in over half a million treatments worldwide.

“I pleased to offer my patients a simple, safe, and non-surgical procedure that lifts facial structures as well as neck and chest,” Dr. Birken said .  “Patients see an improvement to their faces, brow, neck, and chest area as well as decrease in wrinkles.  It’s a great non-surgical facial rejuvenation procedure.

To view a video on this procedure, go to


For more information, call 281-419-3231 and press option #1 or email at



Non-Surgical Treatment for Female Stress Urinary Incontinence at Birken Medical Aesthetics in The Woodlands, Texas

Many women suffer from stress urinary incontinence as well as urinary frequency, urgency, and incomplete emptying.

“As a urogynecologist, these symptoms are not only life altering but can cause emotional turmoil,” Dr. Randy Birken said.  ” Now we have a non-surgical treatment that is simple, painless, safe and effective.”

ThermiVa uses radiofrequency energy to restore vaginal strength to the supportive bladder muscles.  Also, it is indicated for vaginal dryness as well.

Dr. Birken utilizes ThermiVa with platelet rich plasma to enhance clinical outcomes

To view a patient testimonial on the effectiveness of ThermiVA, go to


To view Dr. Birken’s website, go to

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Non-Surgical Vaginal Rejuvenation and Labiaplasty in The Woodlands, Texas

Non-surgical laser technique for vaginal dryness, stress and urgency urinary incontinence, and for orgasmic enhancement is available.

ThermiVa uses radiofrequency to tighten both vaginal and labial structures resulting in increase sexual response as well as reduction of urinary stress and urgency incontinence and vaginal dryness.

“As a uro-gynecologist for 36 years, I’m amazed how effective these treatments can be and without any discomfort of downtime,” Dr. Randy Birken said.

One of Dr. Birken’s patients, P.G., said “ThermiVa not only improved my leaky bladder but tightened both my exterior vaginal folds and vagina as well.”

ThermiVa™ has been found to be effective in helping reduce vaginal dryness and atrophy, reducing urinary leakage, and helping improve symptoms or orgasmic dysfunction. It may also help reduce mild to moderate pelvic prolapse symptoms by shrinkage of vaginal tissues and helping improve muscular coordination and strength.

ThermiVa is an in-office, non-surgical procedure for labia and vaginal tightening. A radio frequency generator, made by Thermi Aesthetics powers a “S” shaped hand piece that tightens external and internal vulvovaginal tissue via a thermistor tip which is able to control heat delivered. The tip has gentle curves that provide comfort.

“It’s extraordinary that a non-surgical technique can improved bladder function as well as tighten both the labia and vaginal canal,” Dr. Birken said.

For more information about Dr. Randy Birken and Birken Medical Aesthetics, go to or call 281-419-3231 or email at