Women’s Osteopathic Wellness is out-of-network for all insurance companies, but we see patients, regardless of whether or not you have insurance.

We accept cash, check, ACH transfers, or credit cards (with a small 4% surcharge). Superbills are available upon request — you may submit these to your insurance company for reimbursement, but we are unable to provide assistance with this and cannot guarantee payment.

If you are facing financial difficulty: we do not want finances to be the reason you are unable to receive the care that you need. Please set up a FREE Consultation with Dr. Iris to discuss your goals/needs to see if we'd be a good fit

• Payment plans are available upon request and discounted services/rates may be granted on a case-by-case basis

All Aesthetic Medicine services are considered “elective procedures/treatments,” so unfortunately, insurance companies will not cover these services.

No, Dr. Iris sees people of all genders and ages from newborns to adults! She is Board Certified in Physical Medicine & Rehabilitation (PM&R), so she is trained to provide high-quality care to anyone, from children to athletes/performing artists to seniors, with acute or chronic pain resulting from injuries to or dysfunctions of the musculoskeletal system (muscles, bones, ligaments, tendons, soft tissue).

The #1 goal at Women’s Osteopathic Wellness is to minimize your pain in order to maximize your function and quality of life via a team-based approach, where our patients play an active role in their health. Dr. Iris takes the time to get to know you as a person – not just treat your pain, injuries, and medical conditions. The field of PM&R in which Dr. Iris is trained is focused on quality of life, which includes socioeconomic factors and getting you back to doing what you love (hobbies, side jobs, work).

That is why your first visit is comprehensive and generally lasts about 2 hours. Dr. Iris will start by taking an in-depth history and physical and then perform a head-to-toe osteopathic exam. She will then initiate the treatment of 1-2 major dysfunctions that are the root cause of your pain and injuries. Your appointment will conclude with a discussion of relevant Lifestyle Medicine prescriptions (nutrition, exercise, stress management, restorative sleep) and homework: breathwork and/or pelvic floor techniques (as needed).

For prenatal patients, Dr. Iris will perform a comprehensive alignment/ADL/movement assessment and introduce you to the Prenatal Core Activation Protocol (neutral alignment, breathwork, pelvic floor activation & relaxation techniques, new mom ADLs) and discussion of birth preferences/postpartum planning including lactation and doula services.

For postpartum patients, Dr. Iris will perform a comprehensive alignment/ADL/movement assessment and introduce you to the Postpartum Protocol (neutral alignment, breathwork, pelvic floor activation & relaxation techniques, new mom ADLs) and discuss postpartum goals (return to activities and work, lactation and postpartum doula services).

*All patients with Prenatal/Postpartum/OMM packages will have direct access to Dr. Iris’ personal cell for regular texting or via our HIPAA-compliant Spruce app for phone/text/email for any questions about your treatment or Lifestyle Medicine plan.*

Good question!

Immediately post-treatment:

• You may feel lightheaded upon sitting up but this should resolve in a few minutes

• It is important to stay hydrated — you should always aim to drink half your body weight in oz of water daily

• Avoid strenuous exercise/activities for the rest of the day, if possible, or at least for 2-3 hours afterward

Within 72 hours: You may feel sore or achy, particularly the next day, but this should resolve in a few days as your body rebalances and adapts to the changes made during the treatment session.

In the unlikely event that you have significantly worsened pain or symptoms post-treatment, please contact Dr. Iris directly at (828) 348-5864, and she will see you back within the same day or the next day.

There are multiple tiered packages available for prenatal and postpartum/4th trimester care as well as OMM packages for the general population.

• Each package provides a set number of visits based on each patient’s needs as determined at the comprehensive 90-120 minute initial evaluation. Therefore, it is difficult to provide a set price.

There is also a la carte pricing for each appointment if you do not wish to purchase a package.

Please fill out the contact form for specific inquiries or book a free consultation for Osteopathic Manipulative Medicine (OMM)/Lifestyle Medicine.

For Aesthetic Medicine consults, procedures, or treatments, please click HERE.

Simply click the button at the top right-hand side of this page when you’re ready OR fill out this contact form for pricing inquiries for prenatal/postpartum/OMM packages, a la carte treatment sessions, or Aesthetic Medicine sesrvices.

Dr. Iris will always personally contact you prior to signing up to ensure that you are a good fit. In this complimentary Meet & Greet, we will discuss your needs and goals to see if we would work well together to achieve those goals.

Please wear comfortable clothing (think gym apparel and layers) and bring:

• A list of your current medications (or pictures with the name/dose/frequency on the pill containers)

• Any relevant copies of medical imaging reports (X-ray, CT scan, MRI) related to the reason for your appointment

• A clean pair of socks (to keep you warm & comfortable during the treatment)

If you have breastfeeding/latching concerns, it is helpful to bring your baby with you to the visit as well as everything you normally use (e.g., pump, haakaa, flanges, blanket, wipes).

Because appointments are comprehensive and can be quite extensive, please be respectful of Dr. Iris' time as she will be of yours. Due to the nature of the practice, a significant amount of time is set aside for each patient on top of time blocked off for travel to/from each patient's home (if applicable).

With that being said, we know that life is unexpected and things come up, especially for new moms, so we try to be as flexible as possible. Please call/text (828) 348-5864 at least 4 hours prior to your appointment time to reschedule or cancel.

• A $50 last-minute rescheduling/cancellation fee will be charged to the payment method on file if it is not done at least 4 hours prior to the appointment.

• After 3 last-minute cancellations, however, you will be dismissed from the practice.

Thank you for your understanding and cooperation.

Yes, you do! Dr. Iris is Board Certified in Physical Medicine & Rehabilitation (PM&R) (aka Physiatrist), not OB/GYN or Pediatric Medicine. She is trained in the branch of medicine that focuses on maximizing function to improve the quality of life of people with physical impairments or disabilities. She is an expert in acute and chronic pain caused by injuries to and dysfunctions in the neuromusculoskeletal system (bones, muscles, ligaments, tendons, brain/spinal cord).

Due to the lack of support and understanding of the musculoskeletal issues that affect prenatal and postpartum (4th trimester) women in the United States, Dr. Iris created Women’s Osteopathic Wellness to combine her passion for Women’s Health, OMM, and Lifestyle Medicine in order to provide the best care possible for her patients.

The care that Dr. Iris provides complements but does not substitute the care you receive from your OB or your newborn's Pediatrician. While they take care of the medical issues specific to you and your newborn, Dr. Iris treats musculoskeletal issues and pain with an emphasis on maximizing function and quality of life from a holistic point of view via Osteopathic Manipulative Medicine (OMM), Lifestyle Medicine (nutrition, exercise prescriptions, stress management, sleep hygiene), breathwork and pelvic floor activation techniques, coaching, and lactation support.

She also offers Aesthetic Medicine services (after pregnancy/breastfeeding) so you can look and feel your best, naturally, from the inside out!

Please see the "About" section. to learn more about Dr. Iris or Women’s Osteopathic Wellness.

OMM is a drug-free, holistic approach to medical care that treats the whole body. Unfortunately, many patients do not see us until they have already suffered from pain/injuries for years, have seen multiple doctors, tried all of the therapies/treatments under the sun (acupuncture, chiropractic, massage, cupping, reiki), and still cannot find relief.

Patients typically improve in only 1-2 treatments and experience:

• Decreased or complete resolution of pain

• Decreased need for medications

• Increased function and quality of life

• Improved sleep quality and overall wellness

Here are just some of the conditions we treat:

• OB/GYN (General Gynecology/Prenatal/Postpartum): painful periods (with associated back pain or migraines), pelvic, pubic, or back pain in pregnancy, swelling in the legs in pregnancy, nausea, indigestion, or reflux in pregnancy, pelvic pain and dysfunctions (leading to urinary incontinence) postpartum, and much more

• Infants/Pediatric: plagiocephaly or brachycephaly ("flat head"), breastfeeding issues due to poor suckling/latching, tongue/lip ties, reflux, colic, recurrent ear infections (otitis media)

• Performance-related: acute or chronic pain resulting from injuries from sports or performing arts (dancers, musicians, actors), laryngeal/vocal cord restrictions

• Orthopedic/Musculoskeletal: acute or chronic neck/back pain, joint pain (knee, hip, shoulder, hand/wrist, finger), acute or chronic muscle strains, sports injuries, motor vehicle collision injuries, temporomandibular joint (TMJ) pain, arthritis/degenerative joint disease (DJD)

• Neurologic: low back pain and symptoms from herniated discs, "sciatica," head injuries (concussions/whiplash), headaches/migraines, tinnitus, vertigo, fibromyalgia, carpal tunnel syndrome (CTS)

• ENT/Immunologic: sinusitis symptoms and drainage issues, recurrent sinus infections

• Initial OMM appointments (Pediatric/Adult) last 60-90 min

• Follow-up OMM appointments may be booked in 30 or 60 min increments (determined by speaking with Dr. Iris)

• Comprehensive Prenatal and Postpartum Initial Evaluations are always 2 hours long to ensure we obtain a detailed history & physical, functional assessment, diagnosis with initiation of treatment, and plenty of time for discussion

Every treatment session is individualized and every person responds differently. Generally, most patients will notice improvement after just 1 or 2 visits. Depending on medical complexity, chronicity, and severity of certain issues, you may require more visits.

Maintenance appointments are generally recommended every 3-6 months or 1 year.

Osteopathic Manipulative Medicine is different than chiropractic particularly when it comes to treatment frequency. The Osteopathic Philosophy is based on the fact that the Osteopathic Physician has an in-depth understanding of anatomy and physiology and facilitates the rebalancing process with techniques that place the body in an optimal position so it can heal itself.

Because of this, you will need to allow time between treatments, ideally ~5-7 days, for your body to recalibrate and rebalance. Too many treatments in a short amount of time can actually slow down the healing process.

Patients generally start at once a week which will then extend to once every other week for the first few visits. Once your body heals and you notice significant improvement, you will only have to come once every 1-3 months and eventually, stop altogether.

Dr. Iris' goal is to provide you with comprehensive care and to teach you lifestyle techniques to achieve wellness, so after some time, you will not have to see her again (although she'd love for you to stop by and say "hi" from time to time)! Once you get to an optimal point, you will only return for maintenance treatments every 3-6 months to 1 year or if you sustain new injuries.

Yes, Dr. Iris is a Board-Certified, fully-licensed physician in the state of North Carolina. She has full prescribing power, but she will only do this if it is absolutely necessary. Most labs and imaging will be obtained via your primary care provider.

For all prenatal/postpartum or in-home OMM packages, the initial visit will always be in-office to ensure you and Dr. Iris will get to know each other in a neutral setting for both your safety.

Lifestyle Medicine is the use of evidence-based lifestyle therapeutic intervention as a primary modality, delivered by physicians trained and certified in this specialty, to prevent, treat, and often reverse chronic disease.

Lifestyle Medicine focuses on these lifestyle prescriptions to prevent, treat, or reverse lifestyle-related diseases where the patient plays an active role in his/her health:

• Whole foods, predominantly plant-based diet

• Regular physical activity/exercise

• Restorative sleep

• Stress management

• Emotional well-being, resiliency, & positive social connections

• Identifying risky behaviors and avoiding risky substances

Only those who receive certification through The American College of Lifestyle Medicine (ACLM) are qualified to practice it. This is the medical professional society for physicians, nurses, allied health professionals, health care executives, medical students, medical residents, and others on the health care team devoted to treating, reversing, and preventing chronic disease through lifestyle behaviors as a first-treatment option.

Click HERE to learn more.

No, Lifestyle Medicine is actually the foundation of conventional medicine! Throughout medical school and residency, doctors are taught to prescribe non-invasive, lifestyle management (ie, modification of diet and exercise) as the first-line treatment before prescribing medications and performing procedures/surgeries.

Believe it or not, most physicians (MDs and DOs) do not know much about nutrition or exercise despite the fact that >85% of chronic diseases today are caused by unhealthy lifestyle choices. Doctors are simply not taught enough of this in medical school or residency - nutrition courses are not required as part of the curriculum! Dr. Iris is fortunate to have chosen the specialty of Physical Medicine & Rehabilitation, where the focus is on in-depth anatomy and physiology, exercise prescriptions, and diagnosis, treatment, and management of acute and chronic pain and musculoskeletal issues. But in most other specialties, this is not the case.

Chronic disease is the leading cause of death and disability in the U.S. In fact, 86% of all healthcare dollars are spent solely on chronic disease management. More than half of adults in the U.S. have at least one chronic condition.

According to the World Health Organization, 80% of heart disease, stroke and type 2 diabetes and 40% of cancer can be prevented, primarily with improvements to diet and lifestyle.

Osteopathic Manipulative Medicine (OMM) or Treatment (OMT) is a holistic, whole-person, hands-on approach to pain and injury prevention that DOs (Doctors of Osteopathy) learn throughout medical school (& beyond) that distinguishes us from our MD colleagues. A number of techniques may be used to accomplish the same goal: to guide the body back to its natural state so it can heal itself. The body has the truly amazing innate ability to heal itself, and DOs are trained to facilitate the process by rebalancing the body with osteopathic techniques to re-establish healthy physiology!

Despite the >178,000 DOs and medical students in the U.S., only 6.1% practice OMM/OMT full-time. Therefore, it is a highly specialized field of medicine that is the epitome of the “art” of medicine.

Click HERE to learn more.

Cranial Osteopathy is a branch of OMM that can only be performed by DOs. In a treatment session, the Osteopathic Physician must be well-versed in the anatomy and physiology of the human body in order to listen and feel for the subtle movements of the cerebrospinal fluid (CSF) flow, the trauma that has occurred (physically and emotionally), and compensations that have resulted.

Patients are asked to wear comfortable clothing in layers as well as a clean pair of socks since you may feel hot or cold during treatments as your body recalibrates and realigns.

No treatment session is the same, even for the same patient, as diagnoses and treatments are always based on how you present on that particular day. Treatment sessions are guided by your specific complaints and the dysfunctions found. Dr. Iris will use hands-on techniques to mobilize and rebalance every tissue and structure in the body from muscles, ligaments, and tendons to joints and fascia.

Neither OMM nor Cranial Osteopathy treatments should be painful. Most treatments are performed with you lying down on your back. There may be positions that are uncomfortable, but they should not cause significant pain. Iris Tian, DO, is a Physiatrist (aka Physical Medicine & Rehabilitation Physician), which makes her an expert in the musculoskeletal system. She is highly trained in the sense of touch to evaluate for changes in muscle tension and tissue quality throughout the whole body. Only gentle pressure will be applied and nothing is ever forced. Occasionally, HVLA (high velocity, low amplitude) which is a direct technique that often results in a “pop/crack” may be applied but this is rare, on a case-by-case basis, and never applied to newborns/kids.

No, they may sound similar but are quite different. The main difference is that Cranial Osteopathy is ONLY performed by a Doctor of Osteopathic Medicine (DO) whereas Craniosacral Therapy can be performed by anyone, including those without medical training or licenses.

Craniosacral Therapy is a highly simplified protocol derived from cranial osteopathic principles. There is no standardized training or certification for a craniosacral therapist. Some courses grant certification after only one 4-day course. Most craniosacral therapists are massage therapists, and therefore are not licensed medical professionals, while others are physical therapists or nurses who offer craniosacral therapy within their defined scope of practice.

DOs who specialize in Cranial Osteopathy or Osteopathy of the Cranial Field receive additional hours of training in medical school or residency focusing on techniques with an emphasis on the autonomic nervous system and the primary respiratory mechanism (PRM) – the inherent motion of the central nervous system, cerebrospinal fluid, the surrounding connective tissue, and its manifestations throughout the body.

Traditionally, chiropractic theory focuses on the proper alignment of the spine and the impact of the spinal nerves as it relates to the body. Therefore, treatment is mainly focused on the spine as the cause of “subluxations.”

In contrast, osteopathic medicine treats the whole person which means every part of the body is evaluated, including muscles, bones, connective tissue, and joints of the whole body, because of the effect on the blood vessels, lymphatics, and both peripheral and central nervous systems throughout the entire person, including the autonomic nervous system.

There are only 2 degrees that qualify a person to become a licensed physician in the United States: MD (Medical Doctor) and DO (Doctor of Osteopathy). Both go through extensive medical school/training in the full spectrum of medicine, from outpatient clinics to surgery, emergency medicine, critical care (ICU), cardiology, and other acute pathology. Because of this, even those who solely practice OMM are able to manage osteopathic treatments in patients with complex medical histories. DOs have a larger scope of knowledge and practice, so they are able to identify if/when a more extensive treatment regimen may be more appropriate (medications, surgery, further workup, and referral to a specific specialty, such as Rheumatology, Orthopedics, or Neurology) over purely osteopathic treatment or bodywork. This is essential for good patient care and safety.

Iris Tian, DO is a Board-Certified Physical Medicine & Rehabilitation (PM&R), Lifestyle, and Aesthetic Medicine Physician, who empowers women to look and feel their best from the inside out, so they can live happy, healthy, and pain-free lives.

She added Aesthetic Medicine to her practice to truly focus on preventive care from the inside out. Her emphasis is on enhancing her patients’ natural beauty while preventing signs of aging to maintain youthfulness. She has extensive training in botulinum (neurotoxin) aka “botox” and other hands-on procedures and injections from residency and workshops. She also personally trained with Dr. Lanna Cheuck, who is NYC’s top master injector and the “Celebrity Facelift” guru.

With a focus on botulinum (neurotoxin) aka “botox” injections and vampire facials, she can help you stimulate your own body’s mechanisms to heal itself. That, along with a specially-curated skincare regimen using 100% Pure products and SPF daily, will keep you looking and feeling your best.

Book a consult to see if you and Dr. Iris would be a good fit!

It’s easy! Simply click HERE to book an Aesthetic Medicine Consult with Dr. Iris or select from any of our services along the lefthand side of the menu.

All specials and promos will be available towards the top of this page. If you’d like to sign up for our newsletter below, we will reach out to you so you can stay up-to-date on all of our upcoming specials and events!

We do provide services for private events/botox parties, where the host receives 15% off botox services and 10% off all other services along with specials for guests. For more information, please check out the FAQ below “Do you do private events/"botox" parties?”

All patients who have a botulinum (neurotoxin) injection consult will have the option of same-day services (right after the consult!). For all other services/treatments, it will depend on the type/length of service and Dr. Iris’ schedule, but it is possible! She will always try to accommodate you as best she can.

Collagen is an essential protein that our bodies produce that is found in our connective tissue, skin, tendon, bone, and cartilage. It provides structural support to tissues and is essential in tissue repair and cell signaling.

Unfortunately, collagen production starts to decline in our early 20s to the point where we are actually losing collagen by our 30s. This is why preventive care (using SPF daily, having a skincare regimen, avoiding products with toxic/harsh chemicals) and microneedling/vampire facial treatments, which naturally stimulate your body to produce collagen and elastin, is so important!

Platelet-rich plasma (PRP) contains concentrated platelets and growth factors that are derived from your own blood! That means there is no risk of your body reacting negatively to it.

A small sample of blood is drawn and spun (twice) in a centrifuge to obtain the PRP.

When PRP is placed into a specific damaged area, such as the face, it triggers a healing cascade that promotes healing and tissue responses to repair that area - the natural way. As a result, new collagen begins to form, so you are essentially “tricking” your body into creating healthier, younger skin exactly where you want it.

Of all the centrifuge machines on the market, Emcyte is one of the best and most consistent in yielding the most therapeutically concentrated form of PRP. And that is what we use.

Vampire facial = microneedling + platelet-rich plasma (PRP) to provide the ultimate more youthful, healthy, and smooth appearance.

First, a small sample of blood is drawn and spun (twice) in a centrifuge to obtain the PRP (concentrated platelets + growth factors). Then, this is used with microneedling to penetrate deep into the dermis of the skin to directly stimulate collagen and elastin production.

This is a natural way to encourage your body’s own mechanisms to stimulate new collagen by “tricking” your body into creating healthier, younger skin exactly where you want it.

However, not all vampire facials use PRP despite their claims. Many places claim to provide PRP, but they are, in fact, PPP (platelet-poor plasma) due to the non-therapeutic level of platelet concentration (doing only 1 spin in the centrifuge) and the type of centrifuge used. This is likely why some places offer much cheaper treatments and why it is important to do your research!

We recommend 2-3 treatments on average in the face, neck, & décolleté (choose, 1, 2, or all 3).

Not all microneedling pens are created equal. Even though there are many on the market, only a few devices are FDA-cleared. We want what’s best for our patients, and that’s why we use Rejuvapen NXT®, which is FDA-cleared for facial wrinkles and aesthetic use. Rejuvapen has advanced features which allow us to customize the speed and depth exactly to what your skin needs to heal itself. Most pen depths on the market, including SkinPen, can only adjust in increments of 0.05 whereas Rejuvapen and be set to any depth in between.

Yes, we do! You provide a clean, smoke-free environment for you and your guests, and Dr. Iris will bring a portable table and all supplies to you.

Services Offered:

• Injections: tox & fillers (chin, cheek, lips, marionettes, nasolabial folds)

• Treatments: medical chemical peels & microneedling

During the event:

• The host will receive 15% of the total services of ALL guests (not including the host’s) as credit towards same-day or future aesthetic medicine treatments

• Guests will receive exclusive offers on follow-up appointments, future in-office treatments, and VIP perks for signing up to host their own aesthetic parties/events

For all private event/aesthetic/botox party requests, please email details (services requested, how many people will be attending, location, etc.) to party@carolinawow.com OR call/text us at (828) 348-5864.

**Of note: a non-refundable $50 travel/convenience fee will be applied in addition to the services provided. This will serve as your deposit upon booking.

Absolutely! We love working with and supporting local, women-owned businesses, such as nail, lash, or hair salons and boutiques.

If you have an idea for a collaboration, Dr. Iris would love to hear from you! Please email us at affiliates@carolinawow.com.

Yes, we have a variety of bridal packages for deals on tox, fillers, and vampire facials for our lovely brides. We love to empower our patients to feel their absolute best in their own skin and would love to help you prep for the big day!

We recommend to start prepping your skin at least 4-6 months in advance for the best results!

Please email us at info@carolinawow.com for more info on package deals.