OUR SERVICES
WELLNESS
We offer comprehensive wellness solutions including Weight Optimization Programs, Hormone Replacement Therapy and Sexual Wellness for both men and women, longevity-enhancing Peptides, custom injectable + IV micronutrients, and NAD+ treatments. Functional medicine appointments are available in-office in Springfield + Joplin, and we offer mobile IVs in the comfort of your own space with our concierge services.
MEDICAL AESTHETICS
We specialize in complete facial and body rejuvenation through advanced treatments including tailored Neurotoxin and Dermal Fillers, Biostimulators, PRP and PRF, Fat-dissolving therapies, Sclerotherapy, and PDO thread lifts. Our esthetic offerings feature HydraFacial®, Chemical peels, Microneedling, Custom Facials, Acne Treatments, Brow + Lash services, full Body Waxing, and more! As your one-stop destination for results-driven care, we also provide a curated selection of medical-grade skincare to enhance and maintain your results.
417 REFINE ACADEMY
Founded and led by Tiffany, our Academy offers an elevated training experience - intimate small group curriculum that includes both introductory + advanced injector courses with exclusive hands-on mentorship. Specialized workshops & our signature Aligned Affiliate Program are designed to support providers in building their own successful careers in Medical Aesthetics.
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, Arkansas, and Washington, 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.
Springfield Team
