At Refined Medical Aesthetics, our purpose is to serve clients with high-quality, safe, and effective aesthetic treatments. Our team is built on education, training, safety and results.

an upscale Aesthetic experience with a team that cares

Education & training

Beauty without compromise

Results driven treatments

Safety and sanitation

we value

Our values are at the center of everything we do

Consider any necessary downtime you may need

Schedule accordingly 

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Refined is about meeting the client where they are, addressing their needs, and getting them the services they want to feel better about themselves. 

Our process

Nicole is a master licensed esthetician with a bachelor’s degree in health sciences from Merrimack College and a masters in marketing from Southern New Hampshire University, specializing in social media. Although her career began with plans to become a nurse, her passion for beauty and wellness and client care led her to medical aesthetics. At Refined, Nicole combines her beauty background with marketing expertise to support both the team and clients. She helps to ensure operations run smoothly, coordinates appointments, and contributes to the overall client experience!


MS - Spa Coordinator

Nicole Pecjo

Breana earned her nursing degree from Northeastern University and began her career in the Cardiac ICU, where she developed a strong foundation in patient care and critical thinking. Since 2019, she has specialized in medical aesthetics as a nurse injector, combining her clinical expertise with a passion for delivering safe, natural-looking results. Breana continues to advance her training to ensure the highest level of care for her patients.



BSN, RN - Aesthetic Nurse Injector

Breana McLean

Alex received her Bachelor of Science in Nursing from Regis College. With 4 years experience from a certified Dermatology clinic, she has a passion for both preventative skincare and natural aesthetic results. Alex applies her clinical training to help patients achieve healthy, glowing skin in tandem with subtle enhancements, and stays current with evolving aesthetic techniques to provide her clients with the safest, most advanced treatments. She specializes in undetectable injectables, IPL, and more!

BSN, RN - Aesthetic Nurse Injector

Alex Maher

Jess grew up in Revere, MA, and began her medical journey studying Medical Assisting before earning her Associate of Science in Nursing at Lawrence Memorial and her Bachelor’s degree at Southern New Hampshire University. She specializes in neurotoxins, dermal fillers, PRP, Sculptra, and smooth threads, with a strong focus on enhancing natural beauty through subtle, skillful treatments. Jess has completed advanced aesthetic training and continues her professional development through ongoing education at Refined Medical Aesthetics. She is committed to staying at the forefront of aesthetic medicine to deliver safe, effective, and natural-looking results for her clients.


BSN, RN - Aesthetic Nurse Injector

Jessica Prizio

Kelly holds a Bachelor’s degree from Curry College and a Master of Science in Nursing from Georgetown University. With over 12 years of experience as an ICU nurse and as a board-certified Nurse Practitioner, Kelly brings an exceptional clinical background to aesthetic medicine. She specializes in neurotoxins, lasers, PRP treatments, and medical-grade skincare, with a commitment to providing science-backed, natural results through continuous education and training.


APRN, Laser Specialist and Aesthetic Nurse Practitioner

Kelly Mulcahey

Dr. Arthur Shektman is a board-certified plastic surgeon with 20+ years of experience in aesthetic medicine. He is a member of the American Society of Plastic Surgeons and his Wellesley cosmetic surgical practice has been recognized for it’s excellence in the field. Dr. Shektman’s expertise and supervision of Refined Medical Aesthetics ensures clients are provided with top quality services with safety as a foremost priority.  


MD, Supervising Physician 

Dr. Arthur Shektman

Frederika is a board-certified Nurse Practitioner with a Master of Science in Nursing and a Massachusetts cosmetology license. With a strong foundation in medical science and advanced training in aesthetic medicine, she brings together clinical expertise and a refined artistic sensibility to deliver natural, elegant results. Her philosophy is rooted in patient education, uncompromising safety standards, and personalized care. Frederika develops thoughtful treatment plans tailored to each client's goals—ensuring results that are both realistic and sustainable. As the clinical leader of the Refined team, she is dedicated to continuous learning, excellence in practice, and a client-focused experience that reflects the highest standards in modern aesthetic care.

AGNP-C, Owner


Frederika MacMillan

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