Two Missoulas share this list. Downtown, two studios sit within six blocks of each other on and around Higgins Avenue: Crafted Aesthetics’ 208-review book at 132 North Higgins and KINDRED skin + sole on West Front Street, both of them open Saturdays. South of the river the physician tier spreads across Midtown and the South Reserve Street corridor: Forefront Dermatology’s 1,252-review office on South Avenue West, the deepest book in the market, Wellspring Health and Aesthetics under Dr. Stephanie Suprenant on Dearborn Avenue, and RejuveCare Clinic on South Reserve with an eighteen-treatment menu, the widest in the market. The Aesthetic Co.’s 449-review flat 5.0 on Kensington Avenue, Bespoke Aesthetics on Stephens Avenue, FG Aesthetics on McDonald Avenue, Body Contouring By Design on Holborn Street, and Skin Chic on Brooks Street fill in the midtown grid. One tracked listing, Aesthetica Medical Spa, is in Kalispell, two hours north, and carries the Flathead’s fullest injectable menu.
Botox, dermal fillers, lip filler, and chin filler are on all eleven tracked menus, chemical peels and microneedling reach ten, and HydraFacial and Morpheus8 reach seven. The neurotoxin choice runs three deep: Xeomin at Bespoke, RejuveCare, and the Kalispell spa, with Daxxify and Jeuveau at Aesthetica only. Radiesse reaches four books, among them Bespoke, FG Aesthetics, and Aesthetica, and SkinVive two, Crafted downtown and Aesthetica, a hydrator that sells itself in a valley where winter humidity drops into the teens.
The device tier is broad for a city of 75,000. Laser hair removal sits on seven menus, BBL photofacial on six, laser skin resurfacing on eight, and skin tightening on seven, with Forefront, Wellspring, The Aesthetic Co., and RejuveCare carrying the resurfacing depth for skin that spends summers on the river and winters at Snowbowl. Body contouring spans several practices: CoolSculpting sits on two menus, Emsculpt Neo four, and Kybella six, including Body Contouring By Design, KINDRED, and RejuveCare. RejuveCare and FG Aesthetics are the two tracked providers offering vaginal rejuvenation, and vitamin injections are on the RejuveCare and Bespoke books.
Missoula prices sit level with Spokane and under Bozeman. Botox quotes $12 to 14 per unit, a dollar under the Bozeman books that price to the Big Sky second-home market, and a Morpheus8 series runs $2,200 to 2,800, the Spokane rate. The dermatology office and the physician-led practices on Dearborn and South Reserve hold the top of the range; the Higgins Avenue studios price at the bottom, and Skin Chic on Brooks Street competes on packages. Kalispell’s single tracked book prices at the Missoula level despite the Flathead’s resort economy.
Five of eleven tracked providers open Saturdays, and two keep Sunday hours too, unusual anywhere and rare in Montana: Skin Chic 9 to 8 Saturday and 11 to 6 Sunday, KINDRED 9 to 4 and 10 to 4. FG Aesthetics runs 9 to 5 Saturday, Bespoke 11 to 4 and Crafted 10 to 2; the physician offices and Body Contouring By Design keep weekdays only. The University of Montana and the seasons set the rhythm: chairs empty the week of August move-in, Griz home Saturdays push the downtown studios’ bookings to the morning, the two weeks before May commencement fill, and lasers book from late October through March once river season ends and the skin comes back from a summer of Blackfoot and Bitterroot sun. The draw is the whole western third of the state: Lolo, Frenchtown, Stevensville and Hamilton up the Bitterroot, Polson and the Flathead, Butte, and Helena.
Ratings run 4.7 to 5.0 across the list, so choose by depth and by who is holding the device. Forefront, The Aesthetic Co., Skin Chic, and Crafted hold the deepest books; Wellspring and RejuveCare add physician oversight. Sun damage, a staged laser plan, or anything near the eyes belongs at Forefront or Wellspring on a weekday; a Sunday HydraFacial or a first Botox visit belongs downtown. Compare Missoula providers on ClinicCompass by menu and review count, then book a consultation for a quote.
