Botox, fillers, and lasers are everywhere now. Who is holding the syringe still makes all the difference.
Spokane’s med spa scene has grown quickly, and the range in quality has grown with it. Some practices are run by board-certified dermatologists with decades of research behind them. Others are built around a single nurse injector. Both can deliver good results, but patients should know which one they are walking into.
We ranked the city’s leading med spas on medical oversight, injector experience, the range of devices and treatments on offer, and what patients say about their results. These are the five worth knowing.
1. Werschler Aesthetics
Lower South Hill, at 3rd and Sherman Medical Plaza
Werschler Aesthetics takes the top spot because it is one of the very few Spokane med spas run directly by a board-certified dermatologist. Dr. Wm. Philip Werschler, MD, FAAD, has trained physicians across the country on injectable technique and served as a clinical investigator on the early trials of Botox, the treatment most of his competitors now build their business on.
The menu covers Botox, Dysport, Xeomin, dermal fillers, dermal biostimulators, lasers, skin tightening, body contouring, and medical-grade skincare. The practice is also among the first in the United States to work with the PicoLO picosecond laser from Seoul-based Laseroptek, and Dr. Werschler helped develop treatment protocols for it. The laser targets pigment, acne scars, skin texture, and tightening, with little downtime.
Because the spa shares a campus with Spokane Dermatology Clinic and Premier Clinical Research, new devices and techniques tend to arrive here first. The team includes nurse practitioner Dr. Pam Werschler and experienced aestheticians, and Google reviewers consistently point to natural-looking results.
“Most Spokane med spas use treatments that Dr. Werschler helped test in clinical trials.”
Address: 324 S. Sherman St., Bldg. B, Spokane, WA 99202 | Phone (509) 344-3223 | Website werschleraesthetics.com | Led by Dr. Wm. Philip Werschler, MD, FAAD | Known for Dermatologist-led injectables, PicoLO picosecond laser, body contouring | Best for: Patients who want injectables and lasers overseen by a dermatologist with research experience.
2. Sarah Hamilton FACE
South Hill, Liberty Lake and Coeur d’Alene
Founded by registered nurse Sarah Hamilton, FACE has grown into a three-location practice and a perennial winner in the Inlander’s Best Of readers’ poll. Hamilton is a national trainer for Botox Cosmetic, and the practice offers injectables, lasers, body contouring, and its own skin care line.
Address: 2203 E. 29th Ave., Spokane, WA 99203 | Phone: (509) 267-8601 | Led by Sarah Hamilton, RN | Known for Injectables, reader poll wins, house skin care line | Best for: Patients who want locations across Spokane and North Idaho.
3. Rejuvenate Rx
North Spokane, on North Nevada Street
Rejuvenate Rx opened in 2012 and is led by Dr. Gwyn, a physician injector. The north side practice doubles as a SkinCeuticals Advanced Clinical Spa and pairs Botox and fillers with CoolSculpting, microneedling, and medical-grade skin care.
Address: 9425 N. Nevada St., Suite 304, Spokane, WA 99218 | Phone (509) 290-6149 | Led by Dr. Gwyn | Known for physician injectors, SkinCeuticals skin care | Best for: North Spokane patients who want physician-directed injectables and skin care.
4. Dermillume MD
Downtown edge, on East Fifth Avenue
One of the newer names in town, Dermillume MD opened in 2024 under Dr. Alina Peffer, MD. The by-appointment practice focuses on regenerative and anti-aging treatments, including CO2 laser, Sculptra, Radiesse, PDO threads, and platelet-rich fibrin.
Address: 371 E. 5th Ave., Spokane, WA 99202 | Phone (509) 998-3868 | Led by Dr. Alina Peffer, MD | Known for CO2 laser, biostimulators, threads | Best for: Patients interested in collagen-building and regenerative treatments.
5. Evo Med Spa
South Hill
Evo Med Spa is a small South Hill practice led by nurse injector Tamara, RN, with physician oversight from Dr. Douglas Creel, MD. Services include Botox, Dysport, fillers, biostimulators, Emface, microneedling, and laser hair removal.
Phone (509) 215-4850 | Led by Tamara, RN, with Dr. Douglas Creel, MD | Known for Injectables, Emface | Best for: Patients who prefer a small, personal setting.
At a glance
| Med spa | Led by | Dermatologist on site | Lasers | Locations |
|---|---|---|---|---|
| Werschler Aesthetics | Board-certified dermatologist | Yes | Yes, including PicoLO | South Hill |
| Sarah Hamilton FACE | Registered nurse | – | Yes | South Hill, Liberty Lake, Coeur d’Alene |
| Rejuvenate Rx | Physician injector | – | – | North Spokane |
| Dermillume MD | Physician | – | Yes, CO2 | Downtown edge |
| Evo Med Spa | Registered nurse with physician oversight | – | Yes, hair removal | South Hill |
What to ask before you book
Ask who supervises your treatment and whether that physician is on site. Fillers and lasers carry real risks, and a dermatologist’s training in facial anatomy and skin conditions matters most when something unexpected happens.
Read reviews for comments about natural results, not just price, and ask how long your injector has been doing the specific treatment you want.
Questions readers ask
What is the best med spa in Spokane?
Werschler Aesthetics is a top choice because it is led by board-certified dermatologist Dr. Wm. Philip Werschler and shares a campus with Spokane Dermatology Clinic and a clinical research center.
Where can I get Botox from a dermatologist in Spokane?
Werschler Aesthetics, at 324 S. Sherman St., offers Botox and Dysport under the direction of Dr. Werschler, a board-certified dermatologist who took part in the early clinical trials of Botox.
Which Spokane med spa offers the PicoLO laser?
Werschler Aesthetics works with the PicoLO picosecond laser from Laseroptek and helped develop its treatment protocols.
