OurServices
WELLNESS
We offer custom IV micronutrient therapy, Weight Optimization Programs, Hormone Replacement Therapy for Men and Women. You can be seen in office -- or in the convenience of your
space, paired with one of our Concierge.
MEDICAL AESTHETICS
We specialize in full facial and body balancing through Injectables: Neurotoxin + Filler, Biostimulators,
fat-dissolving Therapies, sclerotherapy, Renuva,
as well as PDO threads, chemical peels, micro-needling, facials, brow & lash services, body waxing and a one-stop shop for luxurious, effective medical-grade skincare.
417 REFINE ACADEMY
We offer in-house skilled Nurse Injector
Trainings (Intro + Advanced) for qualifying RNs, 1:1 mentorships and group settings, job shadowing and
Aligned Affiliate programs.
Tiffany Bracamonte, MSN FNP-C
417 Refine was established in 2020 by Tiffany Bracamonte, MSN, FNP-C.
With over a decade of experience in Emergency Medicine, Tiffany discovered her true passion in the aesthetic industry. Since then, she has grown 417 Refine to include a team of skilled injectors, the Nurse Injector Academy, Aligned Mentorships, licensed aesthetician services, a comprehensive Wellness Program, and a Concierge Mobile Service.
In addition to serving clients in Missouri and Oklahoma, Tiffany holds independent licenses in Kansas and Arkansas, offering full coverage across the Four-State Area and continuing to expand her reach.
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At 417 Refine, we’re committed to creating an uplifting environment for both clients and staff — one that prioritizes intentional, personalized care. We believe aesthetic medicine and wellness therapies are more than services; they’re a healing art with the power to transform lives.
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By staying at the forefront of advancements in medical aesthetics and wellness and maintaining a strong focus on the client experience, we strive to provide care that is cutting-edge, personalized, and intentional.