WAVE Medical Aesthetics
Med spa in Needham, MA
WAVE Medical Aesthetics was founded by Deb Litke, NP, a nurse practitioner based in Needham. The practice combines medical aesthetics with concierge dermatology, and it describes itself as not a high-volume medspa.
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WAVE Medical Aesthetics was founded by Deb Litke, NP, a nurse practitioner based in Needham. The practice combines medical aesthetics with concierge dermatology, and it describes itself as not a high-volume medspa.
The aesthetic menu covers injectables such as Botox Cosmetic, Dysport, Xeomin and Restylane and Juvederm fillers, along with SKINVIVE by Juvederm, a skin booster for the cheeks. Light and laser options include IPL photofacials on the chest, face, or face and neck, Fraxel, Xeo Laser Genesis, and laser hair reduction for areas from small to Brazilian bikini. Chemical peels (VI Peel and BioRePeel) and SecretRF microneedling round out the offerings.
The concierge dermatology side is cash-pay and is not billed to insurance, and no referral is needed. A visit is a flat $200 and can cover rashes, new or changing skin lesions, acne and rosacea, alopecia areata, inflamed cysts, and skin tag removal, with options such as corticosteroid injections, skin biopsy and prescribed topical or oral medications. The practice does not offer routine annual skin cancer screenings.
Appointments can be booked online or by phone. The office is open Monday to Thursday from 9 AM to 5 PM and Friday from 10 AM to 5 PM, and is closed on weekends. Gift cards are available in set amounts or custom amounts, and the online shop carries Alastin and Facile skincare.
Treatment plans are built for each patient rather than picked from a fixed menu, with an unhurried pace and care shaped around the individual.
Specials & promotions
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VI Peel added to a neurotoxin treatment for $300
$300 (regularly $375)
20 unit minimum of neurotoxin required; Botox priced separately at $14/unit
On their website as of Oct 30, 2026 · Where we saw it
Services
Final prices may vary.
In-person cosmetic consultations, which include a skin assessment and a personalized treatment plan.
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Cosmetic Consultation $125
Botox Cosmetic, Dysport, Xeomin, lip flips, a Tox Booster paired with a VI Peel, and Botox for underarm sweating, with neurotoxins priced per unit.
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Botox Cosmetic $14/unit
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Dysport $14/unit
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Lip Flip $250
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Tox Booster with VI Peel $300
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Botox for Hyperhidrosis $1,500
Hyaluronic acid fillers from the Restylane and Juvederm lines for areas such as the lips, cheeks, jawline and under-eyes, plus SKINVIVE by Juvederm for the cheeks.
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Dermal Filler $800+
IPL photofacials for the face, face and neck, or chest, Fraxel Dual Laser resurfacing, and Xeo Laser Genesis for redness and scarring.
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IPL Photo-Facial (Intense Pulsed Light) - CHEST ONLY $360
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IPL Photo-Facial (Intense Pulsed Light) - Face ONLY $375
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IPL Photo-Facial (Intense Pulsed Light) - Face AND Neck $575
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Fraxel $1,000+
VI Peel, a medical-grade peel, and BioRePeel, a non-invasive treatment, for concerns such as pigment, acne and fine lines.
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VI Peel $375
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BioRePeel Price at booking
SecretRF microneedling for the face or neck, face and neck together, or stretch marks.
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SecretRF Microneedling Stretch Marks $650
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SecretRF Microneedling Face and Neck Price at booking
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SecretRF Microneedling Face or Neck Price at booking
Laser hair reduction priced by area, from small areas such as the upper lip and underarms to large areas and Brazilian bikini.
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Laser Hair Reduction (Large area) Price at booking
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Laser Hair Reduction Large Area Brazilian Bikini Price at booking
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Laser Hair Reduction Medium Area Price at booking
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Laser Hair Reduction Small Area Price at booking
Concierge dermatology visits for skin concerns, skin tag removal, and intralesional Kenalog injections, all cash pay with no referral needed.
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Dermatology Visit $200
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Intralesional Kenalog $250
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Skin Tag Removal $275
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Skinvive $850
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Concierge Derm At WAVE $200
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SKINVIVE by Juvederm $850
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IPL Photo-Facial Chest Only $360
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IPL Photo-Facial Face Only $375
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IPL Photo-Facial Face and Neck $575
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Fraxel Dual Laser $1,000+
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Laser Genesis Price at booking
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Botox® $14/unit
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BioRePeelCl3 Price at booking
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Dermal Fillers Price at booking
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Genesis VI Peel Price at booking
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IPL Photofacial Price at booking
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Laser Hair Removal Price at booking
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Neurotoxins / Botox®/ Xeomin Price at booking
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Secret™ Rf Microneedling Price at booking
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SKINVIVE™ by JUVÉDERM® Price at booking
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Xeo® Laser Price at booking
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Xeo® Laser Genesis Price at booking
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Xeomin® Price at booking
Photos
Meet the team
Team members listed on their website. Individual roles, credentials, and current employment have not been independently verified.wavemedicalaesthe… (opens in a new tab)
- Highlights
- Concierge dermatology visits at a flat $200, cash pay, with no referral required
- IPL photofacials performed with the Cutera Limelight device, with a series of three to five sessions typically recommended
- Laser hair reduction on the Cutera Xeo platform, which offers two handpieces suited to different skin tones and hair types
- Botox for hyperhidrosis, treating excessive underarm sweating
- Fraxel Dual Laser, described as an FDA-approved fractional laser
- Every appointment is with the same nurse practitioner, with no rotating providers
- Good for
- Cosmetic neurotoxin patients
- Patients who prefer cash-pay dermatology without a referral
- Patients seeking a skin assessment before choosing treatments
- Adults in Needham and surrounding communities
- Patients with lighter skin tones considering IPL
- Laser hair reduction for small to large areas
- Treats
- Acne and acne scars
- Rosacea and rosacea-associated redness
- Fine lines and wrinkles
- Forehead lines, frown lines and crow's feet
- Nasolabial folds and marionette lines
- Brown spots and age spots
- Sun damage and freckles
- Uneven skin tone
- Poor skin texture
- Visible facial vessels and spider veins
- Techniques
- Botox Cosmetic
- Dysport
- Xeomin
- Dermal fillers (hyaluronic acid)
- SKINVIVE by Juvederm
- IPL photofacial
- Fraxel Dual Laser
- Xeo Laser Genesis
- Laser hair reduction with ProWave LX and CoolGlide Nd:YAG handpieces
- SecretRF microneedling
Products & treatments
- Alastin
- Facile
- Restylane
- Juvederm
- Botox
- Dysport
- Xeomin
- Cutera Limelight
- Cutera Xeo
- Fraxel
- SecretRF
- VI Peel
- BioRePeel
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