Inner Vitality,
Outer Radiance

Medical aesthetics and regenerative treatments from a board-certified nurse practitioner. Natural results that look like you, on your best day.

FNP-C Conservative philosophy Same provider, every visit
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Keira Spencer, FNP-C

Overfilled. Oversold. Or Just Overlooked.

You've seen the frozen foreheads and the pushy package deals. Maybe that's exactly why you've waited. Aesthetics at Hidden Gem works the way the rest of our care does: unhurried consults, honest recommendations, and a provider who would rather do less than have you leave looking like someone else.

Your Provider

Where Medicine Meets Aesthetics

Keira Spencer is a board-certified Family Nurse Practitioner who bridges both worlds. Her background spans women's health exams, skin biopsies, injectables, and regenerative medicine, so every treatment plan starts with medical judgment, not a sales quota. Same provider, every visit. A plan built for your body, your goals, and your pace.

Keira Spencer, FNP-C

Treatments With Judgment Behind Them

Morpheus8 Face

Radiofrequency microneedling that remodels skin from within. Morpheus8 stimulates your own collagen to smooth texture, soften fine lines, firm the jawline and neck, and improve acne scarring. Most treatments are done as a personalized series, with a few days of redness for most women before the glow sets in. Results build for months as collagen rebuilds.

Best for: skin texture, fine lines, laxity, acne scars.

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Morpheus8 facial treatment in progress

Botox & Filler

Softening, not freezing. Botox relaxes the expression lines that have settled in, while filler restores volume and balance where time has taken it. Keira's philosophy is conservative: start subtle, reassess, and add only if you want more. You should look rested, not done.

Best for: forehead and frown lines, crow's feet, lips, cheeks, facial balance.

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Botox and filler at Hidden Gem

Botox for Migraines

More than cosmetic. Botox is an FDA-approved treatment for chronic migraine, delivered through a precise injection protocol and typically repeated about every three months. If migraines are running your calendar, this is worth a conversation.

Best for: chronic migraine relief.

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Botox for chronic migraines

PRF / PRP Regenerative Treatments

Your own platelets, concentrated and placed where your skin needs them most. PRF and PRP support the under-eye area and overall skin quality, and pair beautifully with microneedling. Regenerative medicine at its most natural: nothing synthetic, just your body's own repair signals.

Best for: under-eye hollows, skin quality, microneedling add-on.

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PRF and PRP regenerative treatments

Wellness From the Inside Out

Radiance isn't only skin deep. Keira provides the full range of Empower RF women's health treatments: non-surgical care for bladder leaks, dryness, comfort with intimacy, and more.

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A Typical Med Spa vs. Keira

A typical med spa

  • Commission-driven recommendations
  • A different injector every visit
  • Trend-chasing looks
  • In and out in 15 minutes
  • Aesthetics only

With Keira

  • Medical judgment, no quotas
  • The same board-certified NP, every time
  • Natural results that look like you
  • Unhurried consults and honest answers
  • Aesthetics connected to your whole health

What to Expect

1

A Real Consult

Your goals, your history, and honest recommendations. Sometimes the honest answer is "you don't need that yet."

2

Your Plan

Treatments, timing, and budget mapped out clearly before anything happens.

3

Treatment Day

Comfortable, careful, and never rushed, with numbing where it helps.

4

The Follow-Up

Keira checks her work. Small refinements happen on purpose, not by accident.

Investment in Your Radiance

Every face is different, and so is every plan. Reach out for pricing and Keira will walk you through options, timing, and what your plan would look like. No pressure, no packages you didn't ask for.

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FAQ

Will I look overdone?
Not here. Keira's approach is deliberately conservative. Start subtle, live with it, and add more only if you want it. Most people should never be able to tell.
Does Morpheus8 hurt? What's the downtime?
Numbing cream goes on first, and most women describe pressure and warmth rather than pain. Expect a few days of redness, like a light sunburn, before skin settles and the improvement builds.
How long do Botox and filler results last?
Botox typically lasts three to four months. Filler varies by product and area, from several months to over a year. Keira will set honest expectations at your consult.
What's the difference between PRF and PRP?
Both concentrate the healing platelets from your own blood. PRF is the newer generation, prepared without additives and released more slowly, which many providers prefer for delicate areas like under the eyes.
How does Botox help migraines?
Botox is FDA-approved for chronic migraine. Injected at specific points, it calms the nerve signaling involved in migraine, with treatments typically repeated about every three months. Ask at your consult whether you're a candidate.
Do you accept insurance?
We are a private pay practice. Insurance limits appointment length and restricts treatment options. By staying independent, we can spend the time you deserve and create truly personalized care.
Do you offer women's health treatments too?
Yes. Keira provides the full range of Empower RF women's health treatments alongside Abbey. Visit our Women's Health page to learn more.

Ready to Meet the Rested You?

Start with a consultation. Honest answers, a clear plan, and nothing you don't need.