417 Refine is a medical aesthetics and wellness practice founded by Tiffany Bracamonte, MSN, FNP-C. Built around individualized care, the business combines cosmetic treatments with wellness support through customized plans that consider skin quality, facial balance, recovery, metabolism, and long-term results. Services include dermal fillers, PDO threads, Kybella, neurotoxins such as Jeuveau, Xeomin, Botox, and Dysport, along with IV infusions, weight loss optimization, and personalized peptide protocols. Its team of practitioners, nurse injectors, and medical aestheticians serves Springfield and Joplin and also offers mobile concierge service.