Asheville & Greenville's Premier Sexual Wellness Clinic

Advanced care for the things most doctors won't talk about. Physician-led sexual wellness, hormone therapy, and aesthetics for men and women.

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Make The First Move

Advanced sexual wellness, hormone therapy, and aesthetics — serving Asheville, NC & Greenville, SC

Men's Sexual Health
Non-surgical sexual wellness for men — from the P-Shot® to testosterone optimization. Available in Asheville, NC & Greenville, SC.
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Women's Sexual Health
Personalized, non-surgical sexual wellness for women including the O-Shot®, Acoustic Wave Therapy, and Juliet™ Laser. Available at both our Asheville and Greenville locations.
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Hormone Therapy & Wellness
Science-backed hormone optimization designed to restore energy, mood, and libido through physician-supervised BHRT and TRT programs.
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Facial Rejuvenation
From PDO Threads to the Vampire Facelift, Dr. Ibrahim's facial rejuvenation treatments are designed to turn back the clock — non-surgically, with precision, and results that look like you. Available in Asheville & Greenville.
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Injectables & Fillers
Restore volume, soften lines, and refine facial contours with physician-led injectables and fillers. From Botox and Sculptra to dermal fillers, every treatment is tailored for natural-looking results. Available in Asheville & Greenvile.
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Body Treatments
Sculpt, tone, and redefine without surgery or downtime. Biltmore's body treatment suite delivers real, measurable results, with select technologies like TruSculpt® iD and AccuFit™.
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Laser Treatments
Medical-grade laser technology for skin that looks and performs better. Biltmore's laser suite addresses texture, tone, pigmentation, and resurfacing — with physician oversight at every step.
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Hair Restoration
Hair loss doesn't have to be permanent. Biltmore's physician-led hair restoration options, including NeoGraft® and natural PRP therapy, are designed to deliver visible, lasting results. Available in Asheville & Greenville.
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Most clinics treat symptoms. Biltmore restores the life behind them.

Add YEARS to your life, Add LIFE to your years

Biltmore Restorative Medicine & Aesthetics is built around one idea: Sexual wellness, hormone balance, and how you look are all connected to how you live.

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Personalized Sexual Wellness Treatments

Intimacy Is Not a Luxury. It's a Priority.

Sexual wellness is central to a life fully lived. Biltmore Restorative Medicine offers personalized, non-surgical solutions for men and women — from the P-Shot® and O-Shot® to hormone optimization and vaginal rejuvenation.

Every treatment plan is built around you, delivered with discretion, and available at our Asheville and Greenville locations.

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What Our Patients Say

Biltmore patient testimonials

I am a 56-year-old woman and have been a patient of Dr. Ibrahim’s for one month. The HRT that I am currently using is an estrogen patch, testosterone pellet, as well as vitamin B shots. My workouts are the same, but I have more energy and there is a noticeable change in my muscle tone. I look better and feel great. In addition, the office staff has been professional and very attentive to my questions. I am recommending Biltmore Restorative Medicine and Aesthetics to all my friends.
— Hormone Therapy Patient
I’m a 56-year-old woman and sex therapist. I learned of the O-Shot for the first time at a workshop featuring Dr. Ibrahim and Biltmore Restorative Medicine in Miami. I made an appointment to get the O-Shot, and I am not sorry. It was minimally invasive, and not painful at all. My orgasms are easier to achieve and last longer. I highly recommend Dr. Ibrahim and the staff. They are professional and knowledgeable.
— O-Shot Patient
George and his staff are great to work with and very knowledgeable. I’ve had fun learning and doing the peptide program. It’s been very smooth. The BPC 157 has really helped my cervical facet joint pain which really surprised me. Very effective for pain. I have felt better than I have in some time, certainly since COVID started. Oxytocin helped relieve the chronic stress flatness I’d felt. Thanks to you all.
— Joint Pain Patient

30+ YEARS. ONE PHYSICIAN. ONE STANDARD.

Meet Dr. George Ibrahim

Biltmore Restorative Medicine & Aesthetics was founded in 2013 with a singular focus — delivering the most advanced, physician-led restorative care in Western NC and Upstate SC.

Dr. Ibrahim is a Duke University School of Medicine graduate, board-certified urologist, and certified Fellow of the American Academy of Anti-Aging Medicine with 30+ years of experience in men's and women's health.

Most doctors spend seven minutes with you. Dr. Ibrahim built an entire practice around the idea that you deserve more.

Experience The Biltmore Difference

Asheville & Greenville's Premier Sexual Wellness Clinic

Make The First Move

Men's Sexual Health

Women's Sexual Health

Hormone Therapy & Wellness

Facial Rejuvenation

Injectables & Fillers

Body Treatments

Laser Treatments

Hair Restoration

Most clinics treat symptoms. Biltmore restores the life behind them.

Add YEARS to your life, Add LIFE to your years

Intimacy Is Not a Luxury. It's a Priority.

What Our Patients Say

Meet Dr. George Ibrahim

Why Choose Biltmore Restorative Medicine & Aesthetics?

Nothing But The Best