Bespoke Medical Aesthetics & Wellness

Bespoke Medical Aesthetics & Wellness is a physician-led practice in Georgetown where skin, hormones, and metabolism are read as one integrated system. Founded on the premise that aesthetic, hormonal, and metabolic care should happen under one roof with continuous conversation between providers, rather than scattered across separate clinics, Bespoke integrates medical aesthetics, hormone replacement therapy, weight loss, and regenerative medicine in a coordinated approach. Dr. Larissa O'Neill, Board-Certified Physician and Medical Director, leads the practice alongside Krista Singleton, APRN, FNP-C, Lead Nurse Practitioner. The first visit is a conversation and blood draw; treatment plans are built from actual lab results, not guesswork. The clinic measures hormones, thyroid, and metabolic markers before recommending any treatment. Services span aesthetic treatments (Botox, Daxxify, Dysport, dermal fillers, lasers, microneedling), longevity medicine (bioidentical HRT, peptide therapy, weight loss via GLP-1, IV therapy, exosomes), and regenerative options. The practice serves Georgetown and surrounding areas.