417 Refine

With locations in Springfield and Joplin, Missouri, 417 Refine was founded in 2020 by Tiffany Bracamonte, MSN, FNP-C, who built the practice around the belief that aesthetic medicine is a healing art with the power to transform lives. The clinic combines medical aesthetics, regenerative wellness, and injector training under one roof, with a stated priority on creating an uplifting environment for both clients and staff. A mobile concierge service extends the practice's reach across the four-state area, bringing in-home treatments directly to clients who prefer not to travel. The injectable menu spans neurotoxins, dermal fillers, biostimulators, and PDO thread lifts, while regenerative offerings like PRP, PRF, and peptide therapies address more advanced rejuvenation goals. Skin treatments include HydraFacial, chemical peels, and custom facials, and the practice's wellness division covers hormone replacement therapy, sexual wellness, and NAD+ treatments.