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Durham, North Carolina

North Carolina, United States

Aesthetic treatments in Durham

The Bull City side of the Triangle blends Duke-adjacent medical aesthetics with Chapel Hill's polished spa row and a downtown wellness scene all its own.

See 14 clinics
Non-surgical Surgical
Ninth Street / DukeDowntown / Geer StreetSouthpoint / Fayetteville RoadChapel Hill

Durham’s aesthetic market cannot be separated from Chapel Hill’s, and patients here treat the two as one book. Regional Dermatology on Medical Park Drive carries the Durham side’s clinical anchor with 1,773 reviews at 4.9, while Chapel Hill answers with Aesthetic Solutions’ 1,159-review practice on Farrington Road, and the fifteen-minute drive on 15-501 between them is the market’s main comparison axis.

What makes Durham unusual is its downtown. The Geer Street block holds Sauna House’s 642-review bathhouse and the Durham Salt Cave’s flat 5.0, a contrast-therapy and recovery scene that most aesthetics markets simply do not have, and Restore Hyper Wellness extends it to Ninth Street by Duke’s East Campus. The conventional med spa tier lives at the edges: New Image MD in Glen Lennox, OVME on South Elliott in Chapel Hill, Medical Day Spa on Kildaire, MedSpa 501 out Highway 54, and MC Esthetic near RTP on Miami Boulevard, with R&R Wellness covering Southpoint.

Injectables are universal at the core, with Botox, dermal fillers, lip filler, and chin filler on all fourteen tracked menus. The tell for this market is Daxxify at four books, the deepest coverage of the newer long-acting toxin in any market this release, which fits a research-town patient base that reads clinical data for fun. Xeomin and Radiesse add two menus each, and one book stocks Jeuveau.

Skin work concentrates at the clinical end: HydraFacial, microneedling, and chemical peels on every menu, Morpheus8 at eleven, and laser hair removal at ten. The heavier platforms of laser skin resurfacing, BBL photofacial, and skin tightening each reach six menus, led by the dermatology books.

The Triangle prices like a stable mid-plus market: Botox at $12 to 14 per unit, HydraFacials at $175 to 215, in line with Raleigh and a touch under Charlotte’s premium tier, and the Chapel Hill books carry a modest town premium over Durham’s. What patients gain here is supervision density rather than discounts, since an unusually high share of the market’s chairs sit inside or beside physician practices, from Regional Dermatology through the Duke-adjacent wellness books.

Rhythm-wise, the academic calendar rules: Duke and UNC graduations in May book the market out weeks ahead, August move-in tightens everything again, and the winter lull is the easy booking window. Nine of fourteen tracked providers open Saturdays, led by Blue Water Spa’s 9 to 5 at Brier Creek and the downtown wellness books running to 7 PM or later, and the draw includes Hillsborough, Cary’s northern edge, and the RTP commuter base.

Chapel Hill deserves its own note because its tier is genuinely distinct: Medical Day Spa’s 388-review book on Kildaire has served the town for decades, OVME brings the national studio model to South Elliott, and Oak Haus and House of Aesthetics in Cary’s old downtown fill the boutique end with flat 5.0s. Durham’s own studio tier answers with MC Esthetic’s perfect score near RTP and R&R Wellness at Southpoint, so neither side of the market concedes the routine work to the other.

Playing it well: run the 15-501 comparison between Regional Dermatology and Aesthetic Solutions for anything clinical, use the newer studio tier for routine maintenance pricing, and book around the university calendar rather than against it. Browse Durham providers on ClinicCompass, compare review depth and menus, and request a consultation to confirm pricing and candidacy.

On the map

Where Durham's 14 clinics sit

Every pin is a vetted clinic from the list below. See which cluster is closest to you.

Map of 14 med spas and aesthetic clinics in Durham, North Carolina
Treatments in Durham

What you can book in Durham

Tap a treatment to see local cost ranges and the clinics that offer it.

Laser Hair Removal treatment Hair Removal

Laser Hair Removal

A laser treatment that targets hair follicles to permanently reduce unwanted hair on the face, body, and bikini area over a series of sessions.

Typical cost $50–$600
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Microneedling treatment Facials & Skin Care

Microneedling

A minimally invasive treatment that uses tiny needles to create controlled micro-injuries in the skin, triggering collagen production to improve texture, scars, pores, and fine lines.

Typical cost $200–$700
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Botox treatment Injectables

Botox

A non-surgical injectable treatment that temporarily relaxes specific facial muscles to smooth dynamic wrinkles like frown lines, forehead lines, and crow's feet.

Typical cost $200–$600
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HydraFacial treatment Facials & Skin Care

HydraFacial

A multi-step facial that cleanses, exfoliates, extracts impurities, and infuses the skin with hydrating serums, all using a patented spiral suction wand in about 30 minutes.

Typical cost $150–$350
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Lip Filler treatment Injectables

Lip Filler

Hyaluronic acid injections that add subtle volume, definition, or hydration to the lips, from a soft natural enhancement to a more sculpted, defined shape.

Typical cost $600–$1,200
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Masseter Botox treatment Injectables

Masseter Botox

Botox injected into the jaw muscles to slim a square jawline, relieve teeth grinding, and ease TMJ-related tension. One treatment, cosmetic and functional benefits.

Typical cost $400–$800
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Chemical Peel treatment Facials & Skin Care

Chemical Peel

A controlled chemical exfoliation that removes damaged outer skin layers, revealing brighter, smoother, more even skin and improving fine lines, sun damage, acne, and hyperpigmentation.

Typical cost $100–$600
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Laser Tattoo Removal treatment Specialty Treatments

Laser Tattoo Removal

Picosecond and Q-switched lasers that shatter tattoo ink into particles your body clears naturally, the only proven path to removing or meaningfully fading unwanted tattoos.

Typical cost $200–$500
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Morpheus8 treatment Skin Tightening & Resurfacing

Morpheus8

A radiofrequency microneedling treatment that remodels deep skin layers to tighten, smooth texture, and reduce wrinkles, acne scars, and sagging.

Typical cost $700–$1,500
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Dermal Fillers treatment Injectables

Dermal Fillers

Injectable gels (usually hyaluronic acid) that restore lost volume and definition to the cheeks, jawline, smile lines, and under-eye area for a refreshed, lifted look.

Typical cost $600–$1,500
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Cellulite Treatment treatment Body Contouring

Cellulite Treatment

Energy-based and injectable treatments that smooth cellulite dimpling by remodeling the fibrous bands and skin structure that cause it. Realistic improvement, not airbrushing.

Typical cost $300–$1,500
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Dysport treatment Injectables

Dysport

A fast-acting botulinum toxin injectable that smooths frown lines and forehead wrinkles. Botox's biggest competitor, preferred by many for larger areas.

Typical cost $300–$600
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Skin Tightening treatment Skin Tightening & Resurfacing

Skin Tightening

Non-surgical ultrasound and energy treatments like Ultherapy and Sofwave that lift and firm sagging skin on the face, neck, and brow by stimulating deep collagen.

Typical cost $1,500–$4,500
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Lip Flip treatment Injectables

Lip Flip

A few units of Botox along the upper lip line that relax the muscle and roll the lip subtly outward. Fuller-looking lips with no filler.

Typical cost $80–$250
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Laser Skin Resurfacing treatment Skin Tightening & Resurfacing

Laser Skin Resurfacing

A laser treatment that removes or heats damaged skin layers to smooth wrinkles, fade sun damage and scars, and reveal fresher, more even-toned skin.

Typical cost $500–$3,500
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Under-Eye Filler treatment Injectables

Under-Eye Filler

Hyaluronic acid filler placed in the tear trough to smooth under-eye hollows and soften dark circles caused by volume loss, a precision treatment for tired-looking eyes.

Typical cost $600–$1,200
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BBL Photofacial treatment Skin Tightening & Resurfacing

BBL Photofacial

An intense pulsed light treatment that targets sun damage, redness, brown spots, and uneven tone to reveal clearer, more even-toned skin with minimal downtime.

Typical cost $400–$900
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Cheek Filler treatment Injectables

Cheek Filler

Structural hyaluronic acid filler that restores or enhances cheekbone projection, lifting the midface, sharpening light reflection, and indirectly softening under-eye hollows and nasolabial folds.

Typical cost $650–$1,400
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Jawline Filler treatment Injectables

Jawline Filler

Structural filler along the jawline and chin that sharpens definition, balances profiles, and strengthens weak chins, the non-surgical answer to a soft lower face.

Typical cost $800–$2,500
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Dermaplaning treatment Facials & Skin Care

Dermaplaning

A gentle exfoliation treatment using a sterile surgical blade to remove dead skin cells and peach fuzz. Instantly smoother, brighter skin and flawless makeup application.

Typical cost $75–$200
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Red Light Therapy treatment Facials & Skin Care

Red Light Therapy

Low-level red and near-infrared light that energizes cellular repair, used for skin rejuvenation, collagen support, inflammation, and recovery, with zero downtime or discomfort.

Typical cost $25–$100
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Microblading & Brow PMU treatment Specialty Treatments

Microblading & Brow PMU

Semi-permanent cosmetic tattooing that builds natural-looking eyebrows (hair-stroke microblading, soft powder brows, or machine nano strokes) lasting 1–2 years.

Typical cost $350–$800
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Spider Vein Treatment treatment Specialty Treatments

Spider Vein Treatment

Sclerotherapy injections and vascular lasers that collapse unwanted spider veins on the legs and face, the two proven methods for clearing visible vessels.

Typical cost $250–$600
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Skin Tag & Mole Removal treatment Specialty Treatments

Skin Tag & Mole Removal

Also called skin tag removal

In-clinic removal of skin tags, benign moles, milia, seborrheic keratoses, and cherry angiomas by snip, freeze, cautery, or laser, usually in minutes, after a check that the growth is what it looks like.

Typical cost $100–$600
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Microdermabrasion treatment Facials & Skin Care

Microdermabrasion

A mechanical exfoliation that buffs away the dead outer layer of skin with a diamond tip or fine crystals, leaving skin smoother and brighter the same day, with no downtime and results that build over a series.

Typical cost $75–$200
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Xeomin treatment Injectables

Xeomin

A neuromodulator in the same class as Botox, purified to contain only the active toxin with no accessory proteins, which is why it is nicknamed the naked Botox. Same uses, similar dosing and duration, and the usual choice for people who have developed resistance to other brands.

Typical cost $10–$16
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Daxxify treatment Injectables

Daxxify

The newest neuromodulator, formulated with a peptide instead of animal-derived proteins and approved on trials showing results lasting around six months for many patients, roughly twice the typical Botox interval. Fewer appointments per year at a higher price per treatment.

Typical cost $8–$14
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Jeuveau treatment Injectables

Jeuveau

A neuromodulator approved specifically for cosmetic use and marketed as the modern alternative to Botox, with comparable results and dosing and often a lower price. Same class, same uses, same three to four month interval.

Typical cost $9–$14
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Radiesse treatment Injectables

Radiesse

A calcium-based filler that provides immediate structure and then stimulates your own collagen as it dissolves, used for the jawline, chin, cheeks, and the backs of the hands, and in diluted form for crepey skin on the body. Firmer than hyaluronic acid fillers and not reversible.

Typical cost $700–$1,200
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Skinvive treatment Injectables

Skinvive

The first injectable approved in the US to improve skin quality rather than add volume. Micro-droplets of hyaluronic acid placed across the cheeks hydrate the skin from within for about six months, improving smoothness and glow without changing the shape of the face.

Typical cost $600–$1,000
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Chin Filler treatment Injectables

Chin Filler

Filler placed on the chin to project a recessed chin, lengthen a short one, or balance a profile, in one fifteen-minute treatment lasting a year or more. One of the most face-changing filler treatments for the amount used, and the non-surgical alternative to a chin implant.

Typical cost $700–$1,500
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Vitamin Injections treatment Wellness & IV Therapy

Vitamin Injections

Quick intramuscular shots of vitamin B12, lipotropic compounds, or vitamin blends, sold at med spas for energy, metabolism, and weight loss support. B12 helps people who are actually low in it; the rest is modest, and the shots are a supplement to a weight program, not a program.

Typical cost $25–$75
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Clinic directory

Med spas & clinics in Durham

14 listed clinics. Featured clinics appear first. 7 of them say on their own websites that they offer financing or payment plans.

★ See the best-rated med spas in Durham Best plastic surgeons in Durham
Durham Salt Cave, med spa and aesthetic clinic in Durham
5.0 (268) · Google

Durham Salt Cave is a medical aesthetics provider in Durham, North Carolina, rated 5 stars across 268 Google reviews.

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MC Esthetic LLC, med spa and aesthetic clinic in Durham
5.0 (126) · Google

MC Esthetic LLC is a medical aesthetics provider in Durham, North Carolina, rated 5 stars across 126 Google reviews.

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New Image MD Medical Aesthetics, med spa and aesthetic clinic in Durham

New Image MD Medical Aesthetics

Chapel Hill · Durham

5.0 (361) · Google

Financing available

New Image MD Medical Aesthetics is a medical aesthetics provider in Durham, North Carolina, rated 5 stars across 361 Google reviews.

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Oak Haus Facial Aesthetics, med spa and aesthetic clinic in Durham

Oak Haus Facial Aesthetics

Chapel Hill · Durham

5.0 (143) · Google

Financing available

Oak Haus Facial Aesthetics is a medical aesthetics provider in Durham, North Carolina, rated 5 stars across 143 Google reviews.

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Aesthetic Solutions, med spa and aesthetic clinic in Durham

Aesthetic Solutions

Chapel Hill · Durham

4.9 (1,159) · Google

Aesthetic Solutions is a medical aesthetics provider in Durham, North Carolina, rated 4.9 stars across 1159 Google reviews.

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Blue Water Spa Brier Creek, med spa and aesthetic clinic in Durham
4.9 (181) · Google

Financing available

Blue Water Spa Brier Creek is a medical aesthetics provider in Durham, North Carolina, rated 4.9 stars across 181 Google reviews.

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House of Aesthetics, med spa and aesthetic clinic in Durham

House of Aesthetics

Cary · Durham

4.9 (211) · Google

Financing available

House of Aesthetics is a medical aesthetics provider in Durham, North Carolina, rated 4.9 stars across 211 Google reviews.

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Medical Day Spa of Chapel Hill, med spa and aesthetic clinic in Durham

Medical Day Spa of Chapel Hill

Chapel Hill · Durham

4.9 (388) · Google

Financing available

Medical Day Spa of Chapel Hill is a medical aesthetics provider in Durham, North Carolina, rated 4.9 stars across 388 Google reviews.

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MedSpa 501, med spa and aesthetic clinic in Durham

MedSpa 501

Chapel Hill · Durham

4.9 (139) · Google

Financing available

MedSpa 501 is a medical aesthetics provider in Durham, North Carolina, rated 4.9 stars across 139 Google reviews.

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OVME, med spa and aesthetic clinic in Durham

OVME

Chapel Hill · Durham

4.9 (229) · Google

Financing available

OVME is a medical aesthetics provider in Durham, North Carolina, rated 4.9 stars across 229 Google reviews.

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Restore Hyper Wellness, med spa and aesthetic clinic in Durham
4.9 (153) · Google

Restore Hyper Wellness is a medical aesthetics provider in Durham, North Carolina, rated 4.9 stars across 153 Google reviews.

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Sauna House Durham, med spa and aesthetic clinic in Durham
4.9 (642) · Google

Sauna House Durham is a medical aesthetics provider in Durham, North Carolina, rated 4.9 stars across 642 Google reviews.

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R&R Wellness Spa, med spa and aesthetic clinic in Durham
4.8 (213) · Google

R&R Wellness Spa is a medical aesthetics provider in Durham, North Carolina, rated 4.8 stars across 213 Google reviews.

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FAQ

Common questions about med spas in Durham

Is going to a med spa safe?

Yes, when you pick the right one. Med spas with physician oversight (an MD or DO medical director) and treatments performed by licensed RNs, NPs, PAs, or physicians have a strong safety record. The biggest safety risks come from undertrained operators using aggressive settings, off-brand products, or skipping proper screening. In Durham, all clinics listed on ClinicCompass include verified Google ratings. Read the review themes (look for consistent mentions of cleanliness, professionalism, and clear communication) before booking.

What should I expect at my first med spa appointment?

Most first visits start with a 20–45 minute consultation (no actual treatment yet). The provider will ask about your goals, medical history, medications, and budget; they'll examine the relevant area and recommend specific treatments. You should leave with a written plan, clear pricing, and realistic expectations of results. If you feel rushed, pressured to commit on the spot, or upsold on treatments you didn't ask about, that's a red flag. Walk away and consult elsewhere.

Can I drink alcohol before getting Botox or fillers?

Skip alcohol for 24 hours before injectables and for at least 24 hours after: alcohol thins the blood and significantly increases bruising risk. If you bruise easily or are getting a larger treatment, extend to 48 hours afterward. Also avoid blood-thinning supplements (vitamin E, fish oil, garlic, gingko) and OTC NSAIDs (Advil, aspirin) for 5–7 days before treatment unless medically necessary.

Is there downtime after laser treatments?

It depends on the laser. Non-ablative lasers (Fraxel, BBL, laser hair removal) typically have 1–3 days of redness. You can usually return to work the next day. Ablative laser resurfacing (CO2, Erbium) requires 1–2 weeks of more visible recovery with peeling and redness. Your Durham provider will give specific timeline guidance based on which laser they're using and the treatment intensity.

What's the best age to start Botox?

There's no universal "right" age. Most providers recommend starting in your late 20s or early 30s for "preventative Botox," small doses to soften dynamic wrinkles before they set permanently. Starting later (40s, 50s) is also effective; you'll just be treating existing lines rather than preventing them. The best starting point is whenever expression lines start bothering you at rest, not just when you smile or frown.

What's the difference between Botox and Dysport?

Both are botulinum toxin type A: same active mechanism, slightly different formulations. Dysport tends to onset 1–2 days faster and may spread slightly more (useful for broad areas like the forehead). Botox is more localized (useful for precise areas like around the eyes). Duration is similar (3–4 months for both). Per-unit pricing differs but the per-treatment cost is comparable. The biggest factor in your results is your injector's skill, not the brand.