Smooth Aesthetics

Smooth Aesthetics in Round Rock, Texas operates under the clinical direction of Oscar Leyva, RN, MSN, delivering peptide-based weight management, hormone replacement therapy, and IV nutritional support to patients throughout the Greater Austin area. The clinic combines evidence-based peptide protocols with aesthetic medicine, creating integrated treatment plans that address metabolic health, hormonal balance, and age-related decline. With a 5.0-star rating across 245 Google reviews, the practice has built a reputation for clinical precision and patient-centered care in the competitive Central Texas wellness market.

The weight management program at Smooth Aesthetics centers on GLP-1 receptor agonist peptides including semaglutide and tirzepatide, administered under medical supervision with ongoing metabolic monitoring. These peptides work by regulating appetite, slowing gastric emptying, and improving insulin sensitivity—mechanisms that support sustainable weight reduction when combined with nutritional guidance and lifestyle modification. The clinic also offers NAD+ (nicotinamide adenine dinucleotide) therapy, a coenzyme treatment used to support cellular energy production, mitochondrial function, and metabolic efficiency. NAD+ is delivered via IV infusion for maximum bioavailability, often integrated into broader anti-aging or recovery protocols. Hormone replacement therapy follows BioTE certification standards, with Oscar Leyva trained in bioidentical hormone pellet insertion for testosterone and estrogen optimization in both men and women experiencing symptoms of hormonal decline.

Oscar Leyva brings a Master of Science in Nursing to his role as lead provider, combining advanced clinical training with specialized certification as a BioTE provider. His nursing background informs a methodical approach to patient assessment, treatment titration, and adverse event management—critical competencies in peptide and hormone therapy where dosing precision and monitoring protocols directly impact outcomes. The nursing team at Smooth Aesthetics handles IV therapy administration, pre-treatment health screenings, and patient education on injection techniques for at-home peptide use. Reviews frequently reference the clinical staff by name, with patients noting the team's ability to explain complex treatment mechanisms in accessible terms and provide consistent follow-up during multi-month therapy programs.

Patients at Smooth Aesthetics can expect an initial consultation that includes health history review, symptom assessment, and discussion of treatment goals—whether focused on weight reduction, hormone optimization, energy restoration, or aesthetic enhancement. The clinic operates on a hybrid model, offering both in-person visits at the Round Rock location and telehealth consultations for established patients managing ongoing peptide or hormone protocols. Lab work is ordered as clinically indicated, with results reviewed before treatment initiation and at regular intervals to assess therapeutic response and adjust dosing. IV therapy sessions are conducted in a clinical setting with monitoring, while peptides like semaglutide and tirzepatide are typically self-administered at home following in-office training. The practice works with a licensed compounding pharmacy partner to source peptides and custom formulations, ensuring supply chain reliability and product quality.

Smooth Aesthetics differentiates itself in the Round Rock market by integrating peptide therapy with aesthetic services, allowing patients to address metabolic health and cosmetic concerns within a single clinical relationship. The clinic's consistent five-star rating reflects both clinical outcomes and operational execution—appointment availability, staff responsiveness, and the ability to coordinate complex multi-modal treatment plans. For patients in Round Rock, Cedar Park, Georgetown, and surrounding Williamson County communities, the practice offers local access to peptide and hormone therapies that might otherwise require travel to Austin or specialty endocrinology centers. The combination of advanced nursing leadership, BioTE certification, and a patient volume that demonstrates sustained demand positions Smooth Aesthetics as a established provider in the Central Texas functional medicine landscape.