Spa 43 | Cosmetic, Laser & Longevity Wellness – Metro Detroit
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Search for an expert practitioner specialized in helping you with your skincare needs.
Jennifer Abrignani, LME
Tiffany K. Cukrowski, DO
Ayla Ewald, LME
Amanda Hill, MD
Brittany Hourigan, LME
Christine Krebs, LME
Alex Looney, LME
Heather Orkwis, DO
Chelsea Rupard, LME
Anna Ruvolo, LME
Maria Sweet, LME
Mary G. Veremis-Ley, DO
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Locations
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Search for a convenient office location where you can access our services quickly and easily.
Clinton Township
Shelby Township
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Aesthetic
Cosmetic Services
Our cosmetic services are tailored to remedy your skincare needs.
Conditions Acne
Brown Spots and Discoloration
Crows Feet
Double Chin
Enlarged Pores
Lines and Wrinkles
Rosacea
Skin Pigmentation
Unwanted Body Fat
Volume Loss
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Treatments & Procedures Botox® & Daxxify®
Chemical Peels
CoolSculpting® Elite
CoolTone®
DiamondGlow®
Exosomes
Facial Fillers
Facials
HydraFacial®
Laser Hair Removal
Laser Resurfacing
Laser Treatments
Laser Vein Treatments
Microdermabrasion
Microneedling
Platelet Rich Plasma (PRP) Treatment
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Wellness
Wellness & Longevity
Hormones, weight, skin, and energy - personalized solutions to restore balance, vitality, and help you feel like you again.
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Discover Your Radiance at Spa 43 Cosmetic & Laser Center
Experience advanced skin care solutions in a relaxing, state-of-the-art environment.
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At Spa 43, we enhance beauty and confidence through personalized care, innovative technology and dedicated expertise, creating transformative experiences that celebrate inner and outer radiance.

Results you can trust
Our science-backed treatments are customized to meet your individual skincare goals, delivering natural, radiant results.
Focused expertise
Understanding you and your skin, we tailor our approach, treatment and guidance to meet your unique needs from the start.
Clear communication
We prioritize open and transparent communication to ensure every patient feels informed and confident in their care.

Our Promise to You

At Spa 43, our promise is simple: personalized care, integrity, and results you can trust. Working closely with our parent practice, Midwest Center for Dermatology & Cosmetic Surgery, and backed by board-certified dermatologists, every treatment and medical-grade skincare product is carefully selected to be safe, effective, and supported by research.


We focus on long-term skin health and overall wellness, combining medical expertise with a compassionate, patient-centered approach. Whether your goal is rejuvenation, maintenance, or enhancing vitality through programs like RENEW, our physician-led longevity and regenerative wellness program, our team is dedicated to helping you feel confident, radiant, and supported every step of the way.

Why We're Different

We deliver a level of care that goes beyond the ordinary. Our team provides a full range of medical and cosmetic services, including injectables, facials, PRP, laser treatments, and care for conditions such as acne, rosacea, eczema, hair loss, and aging-related skin changes. Every treatment is tailored to your goals, emphasizing natural results and overall well-being.


With RENEW, we take longevity and regenerative wellness to the next level. This physician-guided program, led by Dr. Amanda Hill, integrates hormone optimization, metabolic health, advanced diagnostics, and regenerative aesthetic treatments to help you look and feel your healthiest. Combining cutting-edge technology with a compassionate approach, our team focuses on precision, safety, and lasting results—so your skin and overall health reflect the vitality you feel inside.