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Thank you for scheduling with PNW Rejuvenation. We appreciate you trusting us with all your medical aesthetic & wellness needs, we look forward to meeting with you. To ensure your accuracy of your appointment time, please complete new patient paperwork prior to your appointment. If booking our "home office", understand that this is out of Anne-Marie's home office. Thank you for your cooperation!!


-PNW Rejuvenation Staff 

13207 189th Ave E
Bonney Lake, WA 98391
253-987-1633

** Please note that we have a 24-hour cancellation/reschedule policy. If there is a no show or last-minute cancellation, your $100 will NOT be refunded.**
At PNW Rejuvenation, we offer a comprehensive weight loss program that begins with a 30-minute consultation. During this personalized session, we discuss your weight loss goals, lifestyle habits, and dietary choices. Additionally, we conduct a brief physical exam and review your medical history to determine the most suitable weight loss medication for you. Our goal is to support you on your wellness journey and help you achieve your desired results!
For existing patients that are already established with PNW Rejuvenation.
Begin by scheduling a comprehensive consultation with one of our aesthetic providers. During this private one-on-one session, discuss your aesthetic goals, medical history, and any previous treatments. A thorough facial assessment will help identify areas that need attention and determine the most effective combination of treatments.  Our skilled team will offer various options and price quotes to ensure the optimal outcome for you. Whether you’re looking to smooth wrinkles, restore volume, or sculpt your silhouette, we have a range of injectable treatments designed to address diverse aesthetic concerns. We’ll guide you through the available options, including:
  • Neuromodulators (e.g., BOTOX®, Dysport®) to relax muscles and reduce wrinkles.
  • Dermal Fillers (e.g., Restylane®) to add volume and smooth lines.
  • Sculptra

Book your consultation and take the first step to a more confident you!!!
Dermal fillers are a popular cosmetic treatment to restore lost volume, enhance features, and reduce wrinkles. Here’s what you need to know:
  1. Composition:
    • Dermal fillers primarily use hyaluronic acid (HA), a naturally occurring molecule in the skin.
    • HA attracts water, rehydrating and plumping the treated area.
  2. Benefits:
    • Immediate Results: You’ll notice the effects right after the injection.
    • Gradual Improvement: Over the next two weeks, the filler settles, enhancing your appearance.
    • Versatility: Fillers can address various concerns, from fine lines to lip plumping.
Here at PNW Rejuvenation, we use nothing but the best from Allergan & Galderma portfolio.
Sculptra, a revolutionary biostimulator injectable designed to naturally restore your skin’s youthful appearance. Sculptra works by stimulating your body’s own collagen production, effectively reducing fine lines, wrinkles, and sagging skin. Unlike traditional fillers, Sculptra provides gradual, long-lasting results, with improvements visible as early as one month and lasting up to two years. Ideal for those seeking a subtle yet significant enhancement, Sculptra helps you achieve a refreshed and rejuvenated look, revealing your natural beauty over time.

An Injectable consultation is required before booking this service. Pricing varies. 
Minimum of 25 units. $13/unit.
$4.30/unit
Minimum of 25 units. $13/unit.
Products from Allergan and Galderma.
$4.50/unit
Sometimes filler doesn’t settle quite right — or maybe you’ve had treatment elsewhere and want to start fresh. Hylenex® provides a safe, effective way to dissolve unwanted hyaluronic acid (HA) fillers and restore your natural look.

What Is Hylenex®?
Hylenex® (hyaluronidase) is an enzyme that naturally breaks down hyaluronic acid — the primary ingredient in most dermal fillers such as Juvederm®, Restylane®, Versa®, and others. When injected, it works quickly to dissolve filler safely and precisely, allowing us to correct overfilling, asymmetry, lumps, or migration.
? What to Expect at Your Appointment
  • A thorough consultation and assessment of the treated area
  • Discussion of your filler history and desired outcome
  • Gentle Hylenex® injections to dissolve targeted filler
  • Mild swelling or redness may occur and typically resolves within 24–48 hours
  • Most results are visible within hours and continue to improve as the product clears
Why Patients Choose PNW Rejuvenation
Under the expertise of Anne-Marie Gitchel, NP, your treatment is customized with precision and safety in mind. Whether you want to make subtle corrections or fully dissolve and start anew, your comfort and confidence are always our top priorities.


At PNW Rejuvenation, we specialize in helping women achieve hormonal balance and overall well-being through our innovative Female Hormone Replacement Therapy (HRT) services. Our tailored treatments are designed to address the unique needs of each individual, ensuring you receive the most effective care possible.

Hormone Pellets and Testosterone Therapy

Our hormone replacement options include the use of hormone pellets and testosterone therapy. Hormone pellets are a natural and effective way to provide your body with a consistent level of hormones over time. These tiny pellets, which are placed just under the skin, release a steady stream of hormones, eliminating the fluctuations often experienced with other forms of HRT.

Testosterone therapy is another key component of our treatment offerings. While often associated with men, testosterone is a crucial hormone for women as well. It plays a significant role in maintaining energy levels, muscle mass, bone density, and overall mood. Our expert physicians will assess your hormone levels and create a personalized testosterone therapy plan to help you feel your best.

**The $150 fee associated with this consultation will be applied towards the procedure if you decide to move forward with the treatment. If not, this will be considered a consultation fee.**


**IF YOU OPT FOR A VIRTUAL VISIT, A VIDEO LINK WILL BE SENT TO YOUR TEXT MESSAGES IN ADDITION TO YOUR EMAIL THE MORNING OF YOUR APPT**
At PNW Rejuvenation, we are dedicated to helping men achieve hormonal balance and improve their quality of life through our specialized Male Hormone Replacement Therapy (HRT) services. Our customized treatments are designed to address the specific needs of each individual, ensuring you receive the most effective care possible.

Hormone Pellets and Testosterone Therapy

Our hormone replacement options include hormone pellets and testosterone therapy. Hormone pellets provide a consistent and natural release of hormones over time, offering a stable and reliable solution to hormonal imbalances. These small pellets are placed just under the skin and release a steady stream of hormones, eliminating the peaks and valleys often associated with other forms of HRT.

Testosterone therapy is a cornerstone of our male hormone replacement services. Testosterone plays a vital role in maintaining energy levels, muscle mass, bone density, and overall mood. Our expert medical team will assess your hormone levels and develop a personalized testosterone therapy plan to help you feel your best and regain your vitality.

**The $150 fee associated with this consultation will be applied towards the procedure if you decide to move forward with the treatment. If not, this will be considered a consultation fee.**

**IF YOU OPT FOR A VIRTUAL VISIT, A VIDEO LINK WILL BE SENT TO YOUR TEXT MESSAGES IN ADDITION TO YOUR EMAIL THE MORNING OF YOUR APPT**
Reveal brighter, smoother, and healthier skin with our professional PCA Chemical Peel treatments at PNW Rejuvenation. This advanced, medical-grade peel is designed to gently exfoliate the skin, reduce the appearance of fine lines, sun damage, and uneven texture, while stimulating cellular renewal.

Each peel is customized to your unique skin type and concerns, whether you’re targeting acne, hyperpigmentation, or signs of aging. PCA peels use a blend of safe, effective ingredients to deliver noticeable results with minimal downtime, making them a popular choice for those seeking a refreshed, youthful glow.
At PNW Rejuvenation, our licensed providers ensure your treatment is comfortable and tailored to achieve radiant, lasting results.

Benefits of PCA Chemical Peel:
  • Improves skin tone and texture
  • Reduces fine lines and wrinkles
  • Diminishes acne and acne scars
  • Fades sun spots and hyperpigmentation
  • Promotes a radiant, youthful complexion
Medical grade chemical peels are professional treatments that use potent chemical solutions to exfoliate and improve the appearance of your skin. These peels penetrate deeper than over-the-counter products, offering more dramatic and long-lasting results. They are ideal for treating:

-Fine lines and wrinkles
-Acne and acne scars
-Uneven skin tone and texture
-Sun damage and age spots
-Hyperpigmentation and melasma

PNW Rejuvenation has several options of peels depending on your skin's needs. Once you meet with our esthetician, your selection of peel will be determined.

Pricing varies.
Dysport, Botox

*Minimum of 25 units (equivalent Botox)
**Prices Vary**
Here at PNW Rejuvenation, we offer an array of vitamin options. This list is our basic list with many additional options. Please call office to find out further offerings:

Vitamin B12 injections offer several benefits, making them great for specific situations:
  1. Energy Boost: If you have low B12 levels, these shots can help ease fatigue, dizziness, blurred vision, and depression.
  2. Brain Function: B12 supports nerve cells, which impacts cognitive health.
  3. Weight Loss: Some experts suggest B12 injections may aid weight loss, although more research is needed.

Vitamin D injections are intramuscular shots administered to boost vitamin D levels. They are typically used when sunlight exposure, diet, or oral supplements aren’t sufficient. What does Vitamin D do for the body?
  • Vitamin D helps build and maintain healthy bones by regulating calcium and phosphate production.
  • It supports dental health, prevents tooth decay, and maintains healthy gums.
  • Vitamin D has anti-inflammatory, antioxidant, and neuroprotective properties that benefit the immune system and cognition.
  • It promotes muscle protein synthesis and improves physical performance

Tri-Immune injections are designed to boost your immune system and provide a range of health benefits. Here are some key benefits:

1. Immune Support: Helps enhance the body's natural defenses against infections and illnesses.
2. Increased Energy: May improve energy levels and reduce fatigue, promoting overall vitality.
3. Enhanced Recovery: Aids in faster recovery from illnesses or strenuous activities by supporting immune function.
4. Antioxidant Properties: Contains ingredients that can help reduce oxidative stress and inflammation in the body.
5. Overall Wellness: Contributes to improved mood and well-being, often leading to better quality of life.

The Skinny B Shot is a powerful blend of essential vitamins and nutrients designed to help you achieve your weight loss and wellness goals. This shot combines the benefits of Methionine, Inositol, and Choline (MIC) to support fat metabolism, increase energy levels, and promote overall health.
  • Boost Metabolism: Enhance your body’s ability to burn fat and convert it into energy.
  • Increase Energy Levels: Feel more energized and motivated throughout the day.
  • Support Weight Loss: Complement your diet and exercise routine for better weight management.
  • Improve Overall Health: Benefit from the combined effects of essential vitamins and nutrients.

**Prices Vary**

This appointment slot is for client's already on service with PNW Rejuvenation. Cost starts at $400/month.
At PNW Rejuvenation, we are dedicated to helping men achieve hormonal balance and improve their quality of life through our specialized Male Hormone Replacement Therapy (HRT) services. Our customized treatments are designed to address the specific needs of each individual, ensuring you receive the most effective care possible.

Hormone Pellets and Testosterone Therapy

Our hormone replacement options include hormone pellets and testosterone therapy. Hormone pellets provide a consistent and natural release of hormones over time, offering a stable and reliable solution to hormonal imbalances. These small pellets are placed just under the skin and release a steady stream of hormones, eliminating the peaks and valleys often associated with other forms of HRT.

Testosterone therapy is a cornerstone of our male hormone replacement services. Testosterone plays a vital role in maintaining energy levels, muscle mass, bone density, and overall mood. Our expert medical team will assess your hormone levels and develop a personalized testosterone therapy plan to help you feel your best and regain your vitality.

**The $150 fee associated with this consultation will be applied towards the procedure if you decide to move forward with the treatment. If not, this will be considered a consultation fee.**
Botox lip flip is a quick and effective way to enhance your upper lift giving the appearance of a more full lip. ?
At PNW Rejuvenation, we specialize in helping women achieve hormonal balance and overall well-being through our innovative Female Hormone Replacement Therapy (HRT) services. Our tailored treatments are designed to address the unique needs of each individual, ensuring you receive the most effective care possible.

Hormone Pellets and Testosterone Therapy

Our hormone replacement options include the use of hormone pellets and testosterone therapy. Hormone pellets are a natural and effective way to provide your body with a consistent level of hormones over time. These tiny pellets, which are placed just under the skin, release a steady stream of hormones, eliminating the fluctuations often experienced with other forms of HRT.

Testosterone therapy is another key component of our treatment offerings. While often associated with men, testosterone is a crucial hormone for women as well. It plays a significant role in maintaining energy levels, muscle mass, bone density, and overall mood. Our expert physicians will assess your hormone levels and create a personalized testosterone therapy plan to help you feel your best.

**The $150 fee associated with this consultation will be applied towards the procedure if you decide to move forward with the treatment. If not, this will be considered a consultation fee.**