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"Tiffany is the best! I have been going to her regularly for tox injections over a year now. She always
listens and works with you to achieve the look you want. I’ve also seen her work with women getting filler
and she always makes sure they are perfectly comfortable. With her medical background and natural
beauty centered aesthetic, you can trust Tiffany with all your injection desires."


 At 417 Refine, we strive to show you just how beautiful you truly are!

Skincare regimen products

Wellness •  Skincare

We offer custom IV micronutrient therapy, weight management, sclerotherapy, kybella, chemical peels, micro-needling, and a one-stop shop for luxurious, medical grade skincare products.

applying expert neurotoxin treatment

Neurotoxin & Dermal Filler

Neurotoxin: Forehead lines, frown lines, crows feet, lip flip, gummy smile, bunny lines, downward turned smile, TMJ symptoms, under eyes, neck lines, and more!

Dermal Filler: Lip augmentation, expression lines, chin and jawline shaping/balancing, tear troughs, cheek enhancement, neck lift, more!

instructing at 417 Refine Academy

417 Refine Academy

We offer skilled injector

trainings for qualifying RNs,

ALIGNED mentorships in a group setting or

concierge 1:1 mentorships, and

affiliate programs 

Skin Texture
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Tiffany Bracamonte, MSN FNP-C

417 Refine was established in 2020 by Tiffany Bracamonte, MSN, FNP-C.

Tiffany had 10+ years in Emergency Medicine under her belt when she found her passion for the aesthetic industry. Since then, she has added injectors, mentorships, established multiple locations, and added a range of

services to her offerings.

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