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The Refined Ritual
The Refined Ritual

The Refined Ritual

Med spa in La Jolla, CA

Rated 5.0 out of 5 (15 on Google Maps) (opens in a new tab)

The Refined Ritual is a medical spa at 1150 Silverado Street in La Jolla, California. Kristine Escay and Rebecka Cooperman co-founded the practice, which is clinician-led and draws on more than 15 years of combined experience between the two founders. The business describes itself as La Jolla's premier medical spa.

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About

The Refined Ritual is a medical spa at 1150 Silverado Street in La Jolla, California. Kristine Escay and Rebecka Cooperman co-founded the practice, which is clinician-led and draws on more than 15 years of combined experience between the two founders. The business describes itself as La Jolla's premier medical spa.

Treatments include neurotoxins with Botox, Dysport or Xeomin; hyaluronic acid fillers from the Juvederm and Restylane families, including RHA and Voluma XC; PRFM therapy, a platelet-rich fibrin matrix treatment for the under-eye area and the face; PRFM microneedling and standard microneedling performed with a SkinPen device; and chemical peels, using VI Peel formulas or customized medical formulas.

A first visit begins with a complimentary consultation that carries no obligation to book. A clinician confirms suitability and gives an exact quote before any treatment, and published prices are starting points. Filler treatments include a complimentary two-week follow-up. Results and downtime depend on the product, the treated area and the individual. Before filler, clients are advised to avoid blood thinners such as aspirin, ibuprofen and fish oil for a week; before microneedling, retinoids, exfoliants and acids should be avoided for three to five days.

Listed starting prices are Botox at $13 per unit and Dysport at $5 per unit, or $12 and $4.50 per unit when added to a same-day PRFM treatment. RHA is $699 per syringe, with a three-syringe package at $1,400. Voluma is $800 per syringe or $1,500 for two. Under-eye PRFM starts at $650 a session, Refined Renewal PRFM is $950 a session, and PRFM microneedling is $695 a session. Microneedling series, microneedling with PRP, add-ons and chemical peels are priced after consultation.

Payment plans are available through Cherry and CareCredit, and both third parties make their own financing decisions. Gift cards range from $50 to $500 or a custom amount, are valid for 12 months from purchase and are non-refundable; they can be bought by phone or when booking a consultation. The office is open Monday to Friday, 10 AM to 6 PM, with weekend visits by appointment. Clients can call (858) 247-0086, send a text, or email info@therefinedritual.com.

Clinician-led and consultation-first: the team listens, lays out options plainly, and builds a plan only once it fits the patient's goals.

Specials & promotions

  • Botox $12 per unit when done with same-day PRFM

    $12 (regularly $13)

    When performed with same-day PRFM

    On their website as of Oct 29, 2026 · Where we saw it

  • Dysport $4.50 per unit when done with same-day PRFM

    $4.50 (regularly $5)

    When performed with same-day PRFM

    On their website as of Oct 29, 2026 · Where we saw it

  • Two Voluma syringes for $1,500

    $1,500

    On their website as of Oct 29, 2026 · Where we saw it

  • Microneedling series of three for $1,875

    $1,875

    On their website as of Oct 29, 2026 · Where we saw it

  • Under-Eye PRFM series of three for $1,800

    $1,800

    On their website as of Oct 29, 2026 · Where we saw it

  • Refined Renewal PRFM series of three for $2,550

    $2,550

    On their website as of Oct 29, 2026 · Where we saw it

  • RHA 3 filler package for $1,400

    $1,400

    On their website as of Oct 29, 2026 · Where we saw it

Services

Final prices may vary.

A three-session Refined Renewal PRFM package currently listed as a special.

  • Refined Renewal Ritual, series of 3 $2,550

Hyaluronic acid fillers, including RHA and Voluma XC, priced per syringe.

  • RHA $699
  • Voluma $800

The core menu: complimentary consultations, neurotoxins, PRFM therapy, PRFM microneedling, hyaluronic acid fillers and customized chemical peels.

  • Free Consultation Free
  • Neurotoxins (Botox & Dysport) $13+
  • PRFM Therapy (Under-eye & Facial) $650+
  • PRFM Microneedling (Collagen Renewal) $695
  • Dermal Fillers (Hyaluronic Acid) $699+
  • Chemical Peels (Customized Formulas) Price at booking

Platelet-rich fibrin matrix sessions for the under-eye area and the face, offered singly or as a series of three.

  • Under-Eye series of 3 $1,800
  • Refined Renewal series of 3 $2,550

A series of three PRFM microneedling sessions aimed at skin renewal.

  • PRFM Microneedling Series of three $1,875

Single PRFM microneedling sessions and a three-session microneedling series.

  • Microneedling $695
  • Microneedling, series of three $1,875

Photos

  • Side-by-side portraits of the two founders with their credentials
  • Gallery after photo showing softened forehead lines after Botox
  • Gallery before photo of the same client prior to Botox
  • Gallery after photo showing lip filler result on a client
  • Gallery before photo prior to filler treatment

Meet the team

Team members listed on their website. Individual roles, credentials, and current employment have not been independently verified.therefinedritual.com (opens in a new tab)

Highlights
  • Free consultation with no treatment obligation
  • Hyaluronic acid fillers from the Juvederm and Restylane families, including RHA and Voluma XC
  • PRFM therapy and PRFM microneedling, planned around each patient's goals
  • Microneedling performed with a SkinPen device and followed by a hyaluronic acid serum or PRP
  • Exact quote provided before treatment
  • Financing available through Cherry and CareCredit
Good for
  • first-time neurotoxin patients
  • men considering Botox
  • natural lip enhancement
  • longtime clients maintaining their look
  • anyone wanting a consultation before committing
  • patients planning a treatment series
Treats
  • expression lines
  • under-eye concerns
  • facial rejuvenation
  • skin texture
  • skin tone
  • skin renewal
Techniques
  • neurotoxin injections
  • hyaluronic acid dermal fillers
  • PRFM therapy
  • PRFM microneedling
  • microneedling with SkinPen
  • microneedling with PRP
  • chemical peels
  • VI Peel
  • hyaluronidase to dissolve filler

Products & treatments

  • Botox
  • Dysport
  • Xeomin
  • RHA
  • Voluma XC
  • Juvederm Ultra
  • Volbella
  • Vollure
  • Restylane-L
  • Lyft
  • Kysse
  • SkinPen
  • VI Peel
  • hyaluronic acid serum

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