Treatments

Treatments & services

A complete map of what we do, grouped by the door you came in. Every treatment is overseen personally by Dr. Libreros — devices and prescriptions alike. If your question isn't answered here, write to us and we will answer it honestly.

01 · Body & Aesthetic

Sculpting, contouring, and the slow work of looking like yourself.

BTL clinical device

EMSCULPT NEO

The only non-invasive treatment that simultaneously builds muscle and reduces fat in the same 30-minute session, using HIFEM® muscle contractions paired with synchronized radiofrequency heating.

25%

average increase in muscle volume in the treated area

30%

average reduction in subcutaneous fat in the treated area

95%

reported improvement in muscle weakness in IRB-reviewed studies

EMSCULPT NEO figures from BTL clinical data and IRB-reviewed functional-wellness studies. EMSELLA figures from Berenholz J. MD, Sims T. MD, Botros G. MD, HIFEM Technology Can Improve Quality of Life of Incontinent Patients, cited in BTL distributor materials. Individual results vary.

Typical course: Four 30-minute sessions, 5–10 days apart. No downtime; you walk back to the day immediately after.
Where it works: Abdomen · flanks · buttocks · arms · thighs (front, back, inner, outer) · calves
Good to know: Not for patients with metal implants, pacemakers, or during pregnancy. BMI ceiling 35 for body sculpting; arm and flank lipolysis have additional skin-type restrictions reviewed in your consult.

Learn more about EMSCULPT NEO

BTL clinical device

CELLUTONE

Targeted mechanical vibration that improves the appearance of cellulite by addressing surface circulation and tissue oxygenation. Often paired with EMSCULPT NEO as part of a body composition plan.

Typical course: Short sessions, frequently delivered alongside other body treatments. No downtime.
Where it works: Thighs · buttocks · abdomen
Good to know: Best understood as a complement to the rest of your plan, not a stand-alone result. We'll tell you honestly when it will help and when it won't.

Learn more about CELLUTONE

Botox

Physician-administered neuromodulator injections. Used for the cosmetic indications most patients come in for and for the neurological ones a smaller number need — including chronic migraine prevention under Dr. Libreros's neurology care.

Medically Supervised Weight Loss

An honest, doctor-led weight program built around your metabolism, medications you already take, and the rest of your life. Not a meal plan in a folder.

GLP-1 Therapy

Semaglutide and tirzepatide therapy prescribed when clinically appropriate, with proper screening, dose titration, and side-effect management — the way these medications were meant to be used.

02 · Pelvic & Sexual Wellness

Pelvic floor restoration and intimate health — fully clothed, evidence-led.

BTL clinical device

EMSELLA

A chair you sit on, fully clothed, that delivers thousands of supramaximal pelvic-floor contractions using HIFEM® technology — equivalent to thousands of Kegels in a single session. Cleared for the treatment of urinary incontinence in men and women.

95%

reported satisfaction and quality-of-life improvement after six sessions

67%

totally eliminated or decreased pad use

~11,000

pelvic floor contractions in a single 28-minute session

Typical course: Six 30-minute sessions, scheduled twice a week. Fully clothed. No downtime.
Where it works: Pelvic floor (men, women, postpartum, post-menopausal)
Good to know: Not for patients with electronic or metal implants in the treatment area. Tingling and visible contractions during treatment are expected.

Learn more about EMSELLA

Urinary Incontinence Evaluation

A neurological and pelvic evaluation that treats incontinence as the multi-system condition it actually is — not as a problem to refer out. EMSELLA is one of the tools, not the whole answer.

Erectile Dysfunction Evaluation & Treatment

Vascular, neurologic, and hormonal evaluation followed by a treatment plan that may include medication, hormone optimization, or referral when surgery is genuinely the right answer.

03 · Mental Wellness

Brain-based care, and the medicine of harder days.

BTL clinical device

EXOMIND

A modern transcranial magnetic stimulation (TMS) system, FDA-cleared for treating Major Depressive Disorder in adults who haven't responded adequately to antidepressant medication. Non-invasive, drug-free, no sedation, no downtime.

≈ 30 min

per session

TMS

decades of clinical evidence

sedation, downtime, or recovery

Typical course: Course length is determined in consultation. You walk in, sit down, walk out, and continue the day.
Where it works: Targeted brain regions involved in emotional regulation, cognitive function, and self-control
Good to know: Cleared for adults with Major Depressive Disorder who have not responded adequately to antidepressant medication. Pre-screening for metal in the head and seizure history is required.

Learn more about EXOMIND

04 · Neurology & Pain

Three decades of neurology, applied carefully.

Neurology Consultation & Diagnosis

An unhurried diagnostic visit with Dr. Libreros. Likely the longest first appointment you will have with a neurologist this year — and the one most likely to actually name what is happening.

Headache & Migraine Evaluation

Migraine, cluster, tension, post-traumatic and medication-overuse headache. Long-arc treatment that goes well beyond the next acute attack.

Traumatic Brain Injury

Evaluation, diagnosis, and treatment of TBI — concussion, post-concussion syndrome, and the cognitive, mood, and sleep symptoms that travel with them.

EMG / Nerve Conduction Studies

In-office electromyography and nerve conduction tests for radiculopathy, neuropathy, carpal tunnel, and unexplained weakness or numbness. Results read by the neurologist who ordered them.

Neuro-Electrodiagnostic Testing

The broader suite of in-office electrodiagnostic studies used to localize nerve, root, plexus, and muscle disorders.

Pain Management

Multimodal pain care — medical, interventional, behavioral — built around long-term function rather than monthly refills.

Hormone Evaluation, Diagnosis & Treatment

Comprehensive hormone panels and physician-led optimization for fatigue, mood, libido, sleep, and body composition concerns — for men and women.

05 · Medical-Legal & Immigration

When the medicine has to stand up on paper, in court, and at USCIS.

Independent Medical Examination (IME)

Court-quality IMEs for insurers, employers, and defense and plaintiff counsel. Qualified examiner in the State of Florida; written reports that hold up under cross-examination.

Compulsory Medical Examination (CME)

CMEs in personal injury matters, including PIP and bodily-injury claims, performed by a physician who has been accepted as an expert witness in Florida courts.

Auto Accident Evaluation

Post-MVA neurological evaluation: whiplash, concussion, soft-tissue injury, radiculopathy, and the symptoms that show up two weeks later. Clean documentation if your claim is open.

Workers' Compensation Evaluation

Treatment reviews, second opinions, IMEs, and return-to-work guidance for Florida workers' compensation cases.

US Civil Surgeon Services

USCIS-designated civil surgeon services for adjustment-of-status medical evaluations.

I-693 Immigration Medical Exam

The full I-693 immigration medical examination required for adjustment of status, performed in a single visit with all forms completed and sealed.

Begin with a consultation Meet Dr. Libreros or call (813) 876-7246