Clinical Standards & Medical Ethics
Setting a New Standard in Medical Aesthetics

At PM Aesthetics, we believe medical aesthetics is medicine first, not retail, not sales, not customer service. Every treatment we perform is governed by the same clinical standards, ethical obligations, and patient safety protocols that guide traditional medical practice. This isn't just our philosophy. It's our legal and moral responsibility.
In an industry increasingly dominated by volume-based business models, commission-driven sales tactics, and "yes-at-any-cost" service culture, we've chosen a different path. We are an ethically-minded challenger in a market that too often prioritizes revenue over outcomes, convenience over safety, and transactions over relationships.
This page outlines the clinical and ethical standards that govern every aspect of care at PM Aesthetics, from the products we use to the treatments we refuse, from how we compensate our team to how we handle your private health information.
Our Ethical Care Charter
PM Aesthetics operates under a comprehensive Ethical Care Charter that defines our commitment to patient-first medicine. This charter guides every clinical decision, every patient interaction, and every business practice. It is non-negotiable, applies to every member of our team, and is reviewed quarterly to ensure we remain aligned with evolving best practices in medical aesthetics.
Our Principles:
Patient-first, not promo-first.
We do not run ads or discounts that drive clinical decisions. Care plans are built for you, not for campaigns, quarterly targets, or sales quotas. Every recommendation is based on medical appropriateness, safety data, and your individual goals.
Clinical oversight & safety.
All treatments are performed under medical provider oversight with clear scope-of-practice guidelines, on-site medical supervision, documented emergency protocols, and formal adverse-event reporting with 24/7 after-hours escalation. We are not a spa with a doctor "on call." We are a medical practice.
Transparent pricing.
All pricing is public and published online with no gatekeeping, hidden fees, or in-office surprises. Minimums, deposits, membership benefits, and service costs are disclosed upfront, before you book, before you arrive, before you consent.
No commissions. Ever.
Our providers are never incentivized to sell. They are salaried medical professionals whose compensation is not tied to the number of syringes used, treatments performed, or products sold. Recommendations reflect medical appropriateness, clinical safety, and your aesthetic goals, not revenue targets.
Evidence-based medicine.
We offer proven treatments only. No experimental procedures, no off-label use without extensive informed consent and clinical justification, and no trendy treatments lacking peer-reviewed efficacy data. Our techniques and protocols are updated quarterly through rigorous, accredited continuing education.
Informed consent & realistic outcomes.
Risks, benefits, alternatives, expected timelines, and limitations are explained in plain language before any treatment. We do not oversell results, omit risks to close a sale, or use high-pressure tactics. You will always leave with realistic expectations, even if that means talking you out of a treatment you wanted.
Continuity & quality assurance.
Every patient receives complimentary 2-week toxin follow-ups to assess symmetry, efficacy, and satisfaction. Touch-ups are provided at no charge when the provider-recommended dose was administered and results are suboptimal. This is not a "courtesy." It is our clinical standard.
Privacy, protected.
We are locally owned with no private equity or venture capital investors. We never sell your data. Your information is shared only to deliver care (e.g., sending prescriptions to a pharmacy, coordinating with your primary care physician), handle medical emergencies, or manage seriously delinquent accounts. That's it.
Fair access to time.
Clear 24-hour reschedule and no-show policies protect provider time and ensure appointment availability for all patients. Medicine requires preparation, focus, and adequate time per patient. Last-minute cancellations and no-shows compromise care quality for everyone.
Ethical reviews & recognition.
We never buy, incentivize, or solicit reviews. We do not participate in pay-to-play award programs or "sponsored" rankings. Every review we receive is organic, unsolicited, and uncompensated. Our reputation is earned, not purchased.
Photo & record consent.
Clinical images are used only with explicit written permission and are stored in HIPAA-compliant systems. We will never use your before-and-after photos in marketing materials, on social media, or in promotional content without your specific, documented consent.
Referral integrity.
If a colleague, specialist, or different clinical setting is better suited for your needs, we will tell you, and we will help you get there. We routinely refer patients to dermatologists, plastic surgeons, mental health professionals, and other med spas when it serves the patient's best interest.
Respect & inclusion.
We provide safe, welcoming, non-judgmental care to every person regardless of age, race, gender identity, sexual orientation, disability, religion, or socioeconomic status. Accessibility accommodations and language services are available upon request.
Our Providers' Right—and Responsibility—to Say No
At PM Aesthetics, our medical providers have the authority and the ethical obligation to refuse any treatment that is not in your best interest. This isn't a sales floor. It's a medical practice. And sometimes, the best care we can provide is saying "no."
When We Will Refuse Treatment:
Our providers will decline to perform a procedure if:
It's medically unsafe.
Pre-existing conditions, active infections, unrealistic healing expectations, contraindicated medications, insufficient time between treatments, or other safety concerns make the procedure a risk we will not take. Your health is not negotiable.
It will produce an unnatural or disproportionate result.
Over-filled lips, frozen foreheads, overly aggressive treatments, or requests that compromise facial harmony and anatomical proportions. We're not here to make you look like a screenshot from someone else's Instagram. We're here to enhance your features, not erase them.
You're seeking correction for botched work from an unqualified provider.
If you went to a med spa staffed by undertrained injectors or used black-market, counterfeit, or unknown products, we may not be able to safely correct the damage. We will assess honestly, but we won't make promises we can't keep or put you at further risk.
You're not a suitable candidate for the requested treatment.
Insufficient skin laxity for Ultherapy, unrealistic expectations for laser hair removal on light or gray hair, active acne for certain chemical peels, inadequate bone structure for specific filler placements, if the treatment won't work for your anatomy or condition, we won't sell it to you.
You're requesting treatments too frequently.
Neurotoxin every 6 weeks when it lasts 3-4 months. Filler top-ups every 2 months when the product is designed to last 12-18 months. We will not enable overconsumption, product dependency, or body dysmorphic behaviors. If you're metabolizing neurotoxin or filler abnormally quickly, we will investigate why, not just keep injecting.
You're experiencing body dysmorphia or unrealistic expectations.
If you're asking for your 8th syringe of filler this year and no longer look like yourself, we're going to have a conversation, not hand you a consent form. If you're requesting treatments to "fix" a perceived flaw that no one else can see, we may refer you to a mental health professional instead of providing a cosmetic procedure.
You're under the influence or unable to provide informed consent.
We will not treat patients who are intoxicated, coerced by a partner or companion, unable to understand the risks and benefits of a procedure, or otherwise incapable of providing true informed consent.
You're doctor-shopping after being refused elsewhere.
If another reputable provider already told you no, there's probably a good clinical reason. We're not the "yes" you're looking for after collecting a string of refusals from qualified practitioners.
Why This Policy Exists:
Because medicine is not customer service. Your satisfaction matters, but your safety and clinical appropriateness matter more. We are not a drive-through med spa where the answer is always "yes" if your credit card clears.
Most practices operate on a volume-based business model: more syringes, more sessions, more revenue. Their financial incentive is to say yes, even when they shouldn't. Ours is to say yes only when it's medically appropriate, aesthetically sound, and in your long-term best interest.
We don't profit from your regret. We profit from results you're still happy with a year from now.
What Happens When We Say No:
If your provider declines a treatment, they will:
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Explain why, based on clinical reasoning, safety data, aesthetic judgment, or established contraindications
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Offer alternatives if appropriate (e.g., "You're not a candidate for Ultherapy, but RF microneedling may work well for your skin laxity concerns")
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Refer you elsewhere if we genuinely cannot help but believe another provider, specialist, or facility might be able to
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Provide education so you understand the risks, limitations, or clinical concerns we've identified
You won't be shamed, dismissed, or treated like a difficult patient. But you also won't be sold something that doesn't serve you just because you're willing to pay for it.
This Is What Differentiates Us:
Walk into most med spas and they'll sell you whatever you ask for, whenever you ask for it, as often as you want it.
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Lip filler at 19 because you saw it on TikTok? Sure.
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Botox every 6 weeks even though it's not wearing off? No problem.
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A 5th syringe this year when you're starting to look overfilled? Here's your consent form.
We're not most med spas.
Our providers are medically licensed professionals with reputations, clinical ethics, and professional standards that matter more than hitting a monthly revenue target. We are not franchised, venture-backed, or beholden to investors demanding growth at all costs.
We are a clinician-led practice that treats aesthetics as medicine, not retail. And medicine sometimes means protecting you from your own requests.
Your Right to Seek Care Elsewhere:
If we decline your requested treatment and you disagree with our assessment, you are absolutely free to seek a second opinion or find another provider. We will not be offended. We would rather you leave disappointed than leave with a complication, an unnatural result, or long-term regret.
But if you're "shopping around" for someone who will finally say yes after multiple qualified providers have refused, ask yourself: why are trained medical professionals consistently telling you no?
Our Commitment:
We will never refuse treatment arbitrarily, judgmentally, or without explanation. Every "no" is rooted in clinical judgment, patient safety, evidence-based practice, and long-term aesthetic outcomes, not personal opinion, bias, or convenience.
And when we do say yes, you can trust it's because the treatment is appropriate, safe, and genuinely likely to deliver the results you're seeking.
That's the PM Aesthetics standard. Medicine first. Sales never.
Product Standards: Why We Only Use Premium Pharmaceutical Products
At PM Aesthetics, we exclusively use FDA-approved, pharmaceutical-grade products from Merz Aesthetics and Allergan (AbbVie)—the two most established, research-backed manufacturers in the neurotoxin and dermal filler industry.
Our Product Philosophy:
We do not use:
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Compounded or "generic" neurotoxins
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Off-brand or lesser-known filler manufacturers
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Products with limited clinical data or unknown manufacturing origins
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Discount suppliers or gray-market sources
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Any product that prioritizes cost savings over patient safety
Why Merz & Allergan Only:
1. Proven Safety & Efficacy
Both companies have decades of peer-reviewed research, millions of documented treatments, and comprehensive post-market surveillance data. These are not trendy startups, they are pharmaceutical companies with rigorous manufacturing standards, lot traceability, and adverse event reporting systems.
2. Consistent Quality Control
Every lot is tested, every vial is traceable, and every product meets stringent FDA manufacturing requirements. We know exactly what we're injecting, where it came from, and how it was stored.
3. Comprehensive Training & Support
Our providers undergo extensive, manufacturer-led training on injection techniques, complication management, and optimal patient outcomes. This isn't a weekend certification course, it's ongoing, advanced education from the companies that created these products.
4. Reliable Product Performance
We know how these products behave in tissue, how long they last, how they metabolize, and how to troubleshoot complications. Consistency matters in medicine. We are not experimenting with your face.
5. Transparency with Patients
You have a right to know what's being injected into your body. We will always disclose the exact product name, manufacturer, and lot number. It's documented in your chart and available upon request.
The Products We Use:
Neurotoxins:
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Xeomin® (Merz Aesthetics) – incobotulinumtoxinA
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Botox® Cosmetic (Allergan) – onabotulinumtoxinA
Dermal Fillers:
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Juvéderm® collection (Allergan) – hyaluronic acid fillers including Voluma, Vollure, Volbella, Ultra Plus
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Radiesse® (Merz Aesthetics) – calcium hydroxylapatite for volumizing and biostimulation
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Belotero Balance (+) (Merz Aesthetics) – hyaluronic acid dermal filler used to smooth facial lines and wrinkles and restore lost volume in areas like the cheeks and chin.
Skincare:
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ZO® Skin Health (Zein Obagi, MD) – pharmaceutical-grade skincare systems
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Neocutis® – Swiss-formulated anti-aging and post-procedure skincare
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ALASTIN® - provides a comprehensive collection of cutting-edge products for optimal procedure results and daily skincare regimens
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SkinMedica® - age defying skin care products rooted in science
Every product is stored according to manufacturer specifications, tracked by lot number, and administered according to evidence-based injection protocols.
Industry Independence & Patient Advocacy
We Don't Answer to Manufacturers. We Answer to You.
PM Aesthetics is not beholden to product manufacturers, corporate distributors, or industry trade groups. We operate as an independent, clinician-led practice that prioritizes patient access, transparent pricing, and clinical autonomy over vendor relationships and industry "norms."
In an industry where price-fixing, non-disclosure agreements, and manufacturer-enforced pricing structures are increasingly common, we refuse to participate.
Our Stance on Price Transparency:
Many aesthetic product manufacturers attempt to control how clinics price and advertise their services, often through Minimum Advertised Price (MAP) policies, "pricing guidance," or contractual restrictions that prevent practices from publicly disclosing costs.
PM Aesthetics rejects these practices entirely.
We believe:
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Patients have a legal and ethical right to transparent pricing, particularly in elective medicine where costs vary dramatically between providers.
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Price opacity benefits corporations, not patients. When pricing is hidden or standardized across markets, it eliminates competition, inflates costs, and prevents informed decision-making.
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Healthcare transparency is not negotiable. We align our policies with Federal Trade Commission (FTC) and U.S. Department of Health & Human Services (HHS) guidelines on consumer protection, fair trade, and price transparency in healthcare.
Our pricing is set independently based on:
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The clinical expertise and credentials of our medical team
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Local market conditions and community accessibility
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Operational costs, product sourcing, and fair profit margins
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What we believe represents honest value for the level of care we provide
We will not modify our pricing at the request of manufacturers, distributors, or sales representatives whose goal is to "standardize" pricing, conceal costs, or protect corporate profit margins at the expense of patient access.
No Vendor Interference. Ever.
PM Aesthetics maintains a strict no walk-in, no cold-contact policy for aesthetic industry representatives and sales professionals.
This means:
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Sales reps cannot show up unannounced at our clinic.
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We do not accept unsolicited phone calls, voicemails, or email solicitations.
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If we are interested in a new product, device, or service offering, we initiate contact, not the other way around.
This policy exists to protect:
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Patient privacy during clinic hours
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Provider focus on patient care, not sales pitches
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Our clinical independence from industry pressure and influence
We conduct our own independent clinical and safety reviews of all products and treatment modalities. We are not swayed by sales tactics, promotional incentives, or "preferred partner" programs that compromise objectivity.
What This Means for Patients:
When you choose PM Aesthetics, you're choosing a practice that:
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Publishes pricing online so you can make informed decisions before you walk in the door
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Refuses to participate in price-fixing schemes that inflate costs and reduce competition
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Evaluates products based on evidence and safety, not sales rep relationships or kickback incentives
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Operates independently of corporate interests, venture capital timelines, and manufacturer loyalty programs
You're not just a revenue stream. You're the reason we exist. And we will not compromise your access to transparent, affordable, evidence-based care to appease a product manufacturer or industry trade group.
Our Commitment to Leading Change:
PM Aesthetics is committed to being a national leader in ethical medical aesthetics. We believe the industry should prioritize long-term trust over short-term profit, and we're willing to challenge practices that harm patients, even if it's uncomfortable.
Transparency is not just good ethics. It's good medicine.
And if standing up for patients means standing against industry pressure, vendor coercion, or anti-competitive practices, we'll do it every time.
Training & Credentialing Standards
At PM Aesthetics, clinical competence is not optional, it's the foundation of everything we do.
Provider Qualifications:
All injectors at PM Aesthetics hold active medical licenses (MD, DO, NP, or PA) and have completed advanced, hands-on training in cosmetic injectables, facial anatomy, and complication management.
Our minimum requirements include:
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Active, unrestricted state medical license
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Successful completion of accredited neurotoxin and dermal filler training courses
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Demonstrated competency in facial anatomy, including vascular mapping and danger zones
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CPR/BLS certification
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Documented understanding of complication recognition and management protocols
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Quarterly continuing education in aesthetic medicine
Ongoing Education Requirements:
Every provider at PM Aesthetics completes a minimum of 40 hours of continuing education annually in aesthetic medicine, including:
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Advanced injection techniques and anatomical studies
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Complication prevention and emergency management
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New product training and clinical updates
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Facial assessment and treatment planning
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Patient communication and informed consent best practices
We do not hire recently certified injectors fresh out of weekend courses. Our team has years of clinical experience, thousands of documented treatments, and ongoing mentorship from national aesthetic medicine leaders.
Supervision & Quality Assurance:
All treatments are performed under the medical direction and oversight of our clinical leadership. This means:
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On-site clinician availability during all clinic hours
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Regular case review and peer feedback sessions
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Documented adverse event review and process improvement protocols
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Direct escalation pathways for complications or patient concerns
Informed Consent: What It Really Means
Informed consent is not a waiver you sign so we can avoid liability. It's a legal and ethical requirement that ensures you understand what you're agreeing to, and it's taken seriously at PM Aesthetics.
Our Informed Consent Process Includes:
1. Comprehensive Pre-Treatment Consultation
Every first-time patient receives a full consultation where we discuss your goals, assess your anatomy, review your medical history, and explain all appropriate treatment options, including non-treatment.
2. Detailed Risk Disclosure
We do not minimize or omit risks to make a treatment sound safer than it is. You will be informed of common side effects (bruising, swelling, asymmetry), rare but serious complications (vascular occlusion, infection, allergic reaction), and realistic recovery timelines.
3. Alternative Treatment Options
We explain what other treatments—or no treatment—might achieve similar goals. Informed consent means understanding you have choices, and that doing nothing is always an option.
4. Realistic Outcome Expectations
We show you before-and-after photos, explain what results are achievable for your specific anatomy, and clarify how long results typically last. We do not overpromise or use heavily filtered images to set false expectations.
5. Financial Transparency
You will know the exact cost before consenting to treatment, including any follow-up appointments, touch-up fees, or product costs.
6. Opportunity to Ask Questions
You will never be rushed through consent. We encourage questions, provide written materials to take home, and offer time to think before scheduling if needed.
7. Documentation
Everything discussed is documented in your medical chart. You'll receive a copy of your signed consent form and written post-treatment instructions.
You Can Withdraw Consent:
Even after signing a consent form, you have the right to change your mind, before the treatment begins, during the treatment (if safe to stop), or by canceling a future appointment. There is no penalty for deciding a treatment isn't right for you.
Complication Management & Patient Safety Protocols
Despite best practices, complications can occur in aesthetic medicine. What differentiates a high-quality practice is how complications are handled.
Our Complication Management Standards:
1. Immediate Recognition & Response
All providers are trained to recognize early signs of vascular compromise, infection, allergic reaction, and other adverse events. Emergency supplies, including hyaluronidase, epinephrine, and reversal agents, are kept on-site and easily accessible.
2. 24/7 After-Hours Access
Patients experiencing post-treatment concerns have direct access to provider on-call phone numbers for after-hours emergencies. You will never be told to "wait until Monday" if you have symptoms of a serious complication.
3. No-Cost Complication Care
If a complication arises from a treatment we performed, all follow-up care related to that complication, office visits, product reversal, medications, additional treatments, is provided at no charge. You should never hesitate to report a problem because you're worried about cost.
4. Documented Adverse Event Reporting
Every complication, no matter how minor, is documented in your chart and reviewed in our quarterly quality assurance meetings. We track patterns, identify opportunities for improvement, and implement protocol changes when needed.
5. Honest Communication
If we make a mistake, we own it. If a complication was unpredictable, we explain it. We do not gaslight patients, blame them for complications, or dismiss concerns to protect our reputation.
Privacy & Data Protection Standards
Your medical information is protected by federal HIPAA regulations and at PM Aesthetics, we take those obligations seriously.
What We Collect:
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Identifying information (name, date of birth, contact details)
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Medical history and current medications
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Treatment records, clinical notes, and consent forms
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Before-and-after photographs (with separate, explicit consent)
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Payment information (processed through PCI-compliant systems; we do not store full credit card numbers)
How We Protect It:
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Encrypted electronic health record (EHR) system with role-based access controls
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Secure messaging platforms for patient communication
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Staff training on HIPAA compliance and confidentiality obligations
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Physical safeguards (locked files, private consultation rooms, secured storage)
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Regular security audits and software updates
How We Use It:
Your information is used only to:
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Provide and document your care
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Coordinate with other healthcare providers (with your permission)
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Process payments and manage your account
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Send appointment reminders and follow-up instructions
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Comply with legal and regulatory requirements
How We Do NOT Use It:
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We do not sell your information. Ever.
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We do not share it with marketers, data brokers, or third-party advertisers.
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We do not use it for purposes unrelated to your care without explicit permission.
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Because we are locally owned, we are not sending your data to a corporate parent company or private equity holding group.
Your Rights:
You have the right to:
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Access and obtain a copy of your medical records
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Request corrections to inaccurate information
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Request restrictions on how your information is used or shared
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Opt out of non-essential marketing communications
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Receive an accounting of disclosures (who we've shared your information with)
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File a complaint if you believe your privacy has been violated
Financial & Billing Standards
Transparency in pricing is a cornerstone of ethical care at PM Aesthetics.
Our Financial Policies:
1. Public, Published Pricing
All service pricing is available on our website before you book. We do not hide costs behind "consultation required" or force you to visit in person to learn what something costs.
2. No Surprise Fees
The price we quote is the price you pay. No hidden facility fees, no surprise "medical director" charges, no administrative add-ons.
3. Deposits & Minimums Disclosed Upfront
If a service requires a deposit or has a minimum spend (e.g., $250 minimum for neurotoxin appointments), this is stated clearly in the booking process.
4. Membership Benefits Are Contractual
If you're a member, your preferential pricing is locked in and honored. We do not arbitrarily change member benefits or retroactively increase costs.
5. Refund & Adjustment Policy
If you're unhappy with a result and we determine the outcome is suboptimal due to product performance or technique, we will provide touch-ups or adjustments at no charge. We do not issue refunds for services already rendered, but we will work with you to achieve the result we initially planned.
6. No Upselling or Pressure Tactics
Our providers are not compensated based on how much you spend. They have no financial incentive to recommend treatments you don't need. If they suggest something, it's because they believe it will benefit you clinically, not because it benefits them financially.
What We Don't Do: The Anti-Marketing Pledge
In an industry saturated with influencer partnerships, aggressive social media marketing, and pay-to-play awards, PM Aesthetics has made a deliberate choice to reject these practices. We Do Not:
Participate in influencer marketing.
We do not provide free or discounted services in exchange for social media posts, tags, or "exposure." We believe influencer marketing has no place in legitimate medical practice.
Offer occupational discounts.
We do not discount services for nurses, teachers, first responders, or any other profession. We respect every career, but your job is not a coupon. Our policy is equal treatment, equal pricing, always.
Pay for awards or recognition.
We do not participate in "Top Med Spa" lists, "Best Of" contests, or industry awards that require payment, sponsorship, or advertising spend to be considered. Every recognition we receive is organic and merit-based.
Buy or incentivize reviews.
We never offer discounts, free products, or other incentives in exchange for positive reviews. Every review we receive is unsolicited and uncompensated.
Run aggressive promotions or flash sales.
We do not use scarcity tactics, countdown timers, or "today only" pricing to pressure you into treatment decisions. Our limited promotions (15% off select services, twice-annual sales) are the exception, not the rule.
Negotiate pricing.
We do not offer "friends and family" rates, first-time patient discounts, or special pricing based on who you know. Everyone pays the same published price.
Our Commitment to Continuous Improvement
Clinical excellence is not a destination, it's an ongoing commitment to learning, accountability, and evolution.
How We Stay Accountable:
Quarterly Clinical Reviews:
Our team meets every quarter to review patient outcomes, discuss challenging cases, analyze complications, and identify areas for improvement.
Patient Feedback Integration:
We actively solicit feedback through post-treatment surveys, follow-up calls, and direct communication. When patients identify areas for improvement, we listen and adapt.
Peer Collaboration:
We maintain relationships with dermatologists, plastic surgeons, and other aesthetic medicine colleagues for case consultation, referrals, and collaborative learning.
Protocol Updates:
As new research emerges, techniques evolve, and products are updated, we revise our clinical protocols to reflect current best practices.
Transparency in Mistakes:
When we fall short, we acknowledge it, to the patient, to our team, and in our internal review processes. Accountability drives improvement.
Why This Matters: The Bigger Picture
The medical aesthetics industry is at a crossroads. Venture capital and private equity have flooded the market, turning what should be medicine into a retail experience optimized for volume, upselling, and rapid growth.
The result? Undertrained injectors performing complex procedures. Commission-based sales tactics in treatment rooms. Patients leaving with complications, regret, or results they didn't want. And a race to the bottom where "cheapest" and "fastest" win over "safest" and "best."
PM Aesthetics exists as a challenge to that model.
We are proving that it is possible to build a successful, sustainable aesthetic medicine practice without sacrificing ethics, safety, or patient advocacy. We're demonstrating that transparency, honest communication, and medical integrity are not just "nice to have", they're a competitive advantage.
Every patient who chooses PM Aesthetics is voting for a different kind of care. Every referral is a signal that people want providers who will protect them, not just sell to them. Every long-term relationship we build is proof that trust matters more than trends.
We don't expect to be the biggest med spa in New England. But we intend to be the most trusted.
That's our standard. That's our promise. That's the PM Aesthetics difference.
Ready to Experience Ethical, Expert-Led Aesthetic Care?
What Our Clients Say
Absolutely love this med spa! The staff is professional and friendly, the space is clean and relaxing, and my treatment results exceeded expectations. Highly recommend!
Jamie
June 2025
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