THE AURAVENU DIRECTORY · UNITED STATES

MED SPA · ROANOKE, VIRGINIA

Refine MD

A med spa in Roanoke, Virginia, offering Botox, Microneedling and PRP Facials.

5.0 from 18 Google reviews Verified by the owner, September 2026 Updated September 2026
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PHOTOGRAPHY · 05 PLATESCOURTESY OF THE PROVIDER · VIA GOOGLE

THE PRACTICE

About the Provider

Refine MD is a physician-led aesthetic practice in Roanoke, Virginia, run by Dr. Julie Joseph, MD, a board-certified anesthesiologist with more than 15 years of medical experience. Dr. Joseph performs every consultation and treatment herself.

The practice offers neurotoxin treatments with Botox, Daxxify, Dysport, Jeuveau, Letybo and Xeomin for forehead lines, frown lines, crow's feet, brow lift, chin dimpling, masseter slimming and tension headaches. It also offers microneedling, which can be combined with PRP, growth factors or exosomes, PRP facial rejuvenation (the "Vampire Facial"), chemical peels, CO2Lift carboxy therapy, oxygen facials and prescription skincare consultations. Mobile Tox brings neurotoxin appointments to approved locations around Roanoke, with a $50 service fee that is waived for groups of three or more.

Neurotoxin is priced by the unit. Prepaid savings plans bring the rate to $12.50 a unit (Silver, $600) or $11.50 a unit (Gold, $1,200), each valid for 12 months, and a VIP membership at $100 a month is credited toward services. A $100 deposit, applied to treatment, is taken at booking.

This listing has been verified by the business. Refine MD works with licensed medical professionals to provide safe, effective treatments tailored to each patient's needs.

THE TREATMENTS

Treatments & Services

Injectables & Fillers

01 SERVICE

Injectable treatments are some of the most popular non-surgical cosmetic procedures. They can smooth wrinkles, add volume, and enhance your natural features with little to no downtime.

Botox

Botox is an FDA-approved injectable that smooths fine lines and wrinkles by temporarily relaxing facial muscles. Results typically last 3 to 4 months.

Skin Rejuvenation

04 SERVICES

Skin rejuvenation treatments improve your skin's texture, tone, and overall appearance. These procedures can address everything from fine lines to acne scars.

Microneedling

Microneedling uses tiny needles to create micro-injuries in the skin, which triggers your body's natural healing process. It helps reduce acne scars, fine lines, and uneven skin texture.

PRP Facials

PRP facials use your own blood's platelet-rich plasma to boost collagen production and improve skin texture. It's often combined with microneedling for even better results.

Chemical Peels

Chemical peels remove the outer layers of skin to reveal smoother, brighter skin underneath. They can help with acne, sun damage, fine lines, and dark spots.

Facials

Facials are customized skin treatments that cleanse, exfoliate, and nourish the skin. From hydrating to anti-aging and medical-grade facials, they're tailored to your skin type with no downtime.

Wellness & IV Therapy

01 SERVICE

Wellness treatments go beyond aesthetics to support your overall health. From IV drips to hormone optimization, these services help you feel your best from the inside out.

Exosome Therapy

Exosome therapy uses regenerative growth-factor signals to support skin and scalp renewal, often paired with microneedling or hair-restoration treatments. It's a leading-edge option for rejuvenation.

AMENITIES & EXTRAS

Before & After GalleryBoard CertifiedEvening HoursWeekend Hours

THE INVESTMENT

Pricing & Investment

Neurotoxin Savings Plan, Silver (prepay; $12.50/unit, 12 months) $600
Neurotoxin Savings Plan, Gold (prepay; $11.50/unit, 12 months) $1200
Neurotoxin, Silver plan rate (per unit) $12.5
Neurotoxin, Gold plan rate (per unit) $11.5
VIP membership (per month, credited toward services) $100
Mobile Tox service fee (waived for 3+ clients) $50

Prices shown are estimates and may vary. Contact Refine MD directly for current pricing.

PATIENT REVIEWS

In Their Words

Rated 5.0 across 18 Google reviews.

“Really enjoyed my experience with Dr Joseph and my micro needling treatment. I’m very happy with the results! She made me feel very comfortable throughout the treatment!”

CHRISTIE KITE · GOOGLE REVIEW

Mortisure !! 5 months ago

I’m fortunate enough to already know and work with Dr. Joseph. I began getting injections about 2 years ago. I get bad tension headaches. I let it wear off fully for the first time in a couple years, and Julie and I talked about it since she’s now doing injections. I appreciated her genuine concern for my discomfort from my headaches. We made an appointment, but she got me in even faster, just to get rid of the headache I’d had for days. I have never had this Jeuveau, but I have to say I like it a lot. I didn’t have to get a ton of units like when I get Daxxify. She explained everything really well, and was the ONLY person that’s ever injected me, and followed up to see if my headache was gone. Which it was… and in its place are some great results. But just following up meant a lot. Less than a week. My headache was gone completely in 3 days. No swelling or bruising, which I have had happen in the past. The pricing is on the lower end of some of the pricing in the area. I definitely plan to return to Dr. Joseph. Photos are after 3-4 days. Also yes, I am VERY aware of how awful I look in these photos. I had a headache ok! 🤣 Definitely worth trying if you’re looking into injectables. .

Renee Layman 3 months ago

Julie is an expert at knowing exactly where to inject and she tailors treatment to each individual. She is so personable and just a lovely person in general. The brand of tox she uses has lasted the longest out of the 3 major brands I’ve tried.

Jamey Price 7 months ago

I had such a wonderful experience with Julie Joseph! She was very professional and knowledgeable. I am very pleased with my treatment and am looking forward to continuing with her services. The spa atmosphere was very relaxing and clean. All around great experience.

Katy Keister 8 months ago

Had the best experience with Dr. Joseph! It was my first time microneedling and she was so kind and informative and made sure I was comfortable during the entire process. The Co2 mask and factor 5 post face treatment was a perfect addition to the healing process! Looking forward to my next session :)

REVIEWS FROM GOOGLE

SEE ALL ON GOOGLE

THE NEIGHBORHOOD

Location & Neighborhood

Refine MD is located at 4235 Electric Rd, Roanoke, VA 24018, USA in Virginia .

If you're looking for a med spa near Roanoke, Refine MD is a convenient option with easy access for local residents. Give them a call at (540) 254-7779 to ask about directions or parking.

THE NEIGHBORHOOD · ROANOKE, VA GET DIRECTIONS

FREQUENTLY ASKED QUESTIONS

Before You Book

What treatments does Refine MD offer?

Refine MD offers a range of aesthetic treatments including injectables & fillers like Botox; skin rejuvenation like Microneedling, PRP Facials, Chemical Peels, Facials; wellness & iv therapy like Exosome Therapy. Contact them directly to learn more about specific treatments or to schedule a consultation.

Is Refine MD highly rated?

With a 5.0-star rating from 18 Google reviews, Refine MD is one of the highest-rated providers in the area. Patient reviews are a helpful way to get a feel for the quality of care and service you can expect.

How much do treatments cost at Refine MD?

Some of the listed prices at Refine MD include Neurotoxin Savings Plan, Silver (prepay; $12.50/unit, 12 months): $600, Neurotoxin Savings Plan, Gold (prepay; $11.50/unit, 12 months): $1200, Neurotoxin, Silver plan rate (per unit): $12.5. Pricing can vary based on the treatment area and your individual needs, so it's always a good idea to call and ask for a personalized quote.

What are the hours for Refine MD?

Refine MD is open during the following hours: Monday: 8 AM to 5 PM, Tuesday: 8 AM to 5 PM, Wednesday: 8 AM to 5 PM, Thursday: 8 AM to 5 PM, Friday: 8 AM to 7 PM, Saturday: 8 AM to 5 PM, Sunday: 1 AM to 7 PM. Hours may change on holidays, so calling ahead is always a good idea.

How do I book an appointment at Refine MD?

You can book an appointment at Refine MD by calling (540) 254-7779 or visiting their website. Many med spas also offer online booking through their website. If you're a new patient, asking about a free consultation is a great way to get started.

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