Cosmetic Medicine vs. Med Spa in Wellington, FL: How to Choose
All med spas are not the same, and a cosmetic medicine practice is not a med spa. Knowing the difference helps you choose a setting that matches what you need.
Board-Certified Endocrinologist | Emory University School of Medicine-trained physician-scientist | Medical Director, Palm Beach Cosmetic Medicine | Founder, VitellaMD, Palm Beach Thyroid & Endocrinology Wellness, and Frisch Integrative Medicine

Patients in Wellington often ask whether there is really a difference between a med spa and a cosmetic medicine practice. The short answer is yes, and the difference shows up most in the consultation, the plan, and how follow-up is handled.
What a cosmetic medicine practice is
A cosmetic medicine practice is a physician-led medical practice that focuses on aesthetic care. Clinical decisions are set by a physician, history and safety considerations are part of every plan, and follow-up is part of the relationship. It is medical care delivered in an aesthetic setting, not a retail experience.
What a med spa typically is
Med spas vary widely in structure, supervision model, and clinical depth. Some are excellent. Others are highly transactional, with limited physician involvement and a menu-of-services approach. Asking about who oversees treatments and how plans are built is fair, and the answer matters.
Why supervision matters
Aesthetic treatments are medical procedures. Safety, candidacy, and individualization depend on the clinician asking the right questions before deciding what is appropriate. Skin type, medications, recent procedures, medical history, and goals all influence the right approach.
How PBCM is set up
Palm Beach Cosmetic Medicine in Wellington is a physician-led cosmetic medicine practice. I am board-certified in endocrinology and Medical Director of the practice. Every consultation starts with the patient: history, goals, and what is realistic, before any treatment is recommended. Skin, hair, hormones, and overall wellness are all considered together when appropriate.
Questions worth asking before booking
When choosing a practice in Wellington, fair questions include: Who oversees the treatments? Is a consultation part of the plan? How are skin type and medical history considered? What does follow-up look like? What happens if something does not go as planned? Clear answers are a good sign.
Preguntas Frecuentes
- Is PBCM a med spa?
- Palm Beach Cosmetic Medicine in Wellington is a physician-led cosmetic medicine practice rather than a typical med spa. Dr. Anna Frisch, a board-certified endocrinologist, directs the clinical program, and skin, hair, hormones, and overall wellness are considered together when appropriate.
- Why does physician oversight matter?
- Aesthetic treatments are medical procedures. Physician oversight supports safety, individualization, and thoughtful follow-up, and helps make sure the plan reflects your medical context, not only the surface concern.
- Do you require a consultation before treatment?
- Yes. A consultation is the right first step for any meaningful treatment. It is where we evaluate your skin, medical history, goals, and timeline, and decide together what is realistic.
- How do I choose between practices in Wellington?
- Ask who oversees treatments, how plans are built, how skin type and history are considered, and what follow-up looks like. Clear answers and a thoughtful consultation are good signs of a physician-led practice.
Dr. Anna Frisch, MD, PhD
Board-Certified Endocrinologist | Emory University School of Medicine-trained physician-scientist | Medical Director, Palm Beach Cosmetic Medicine | Founder, VitellaMD, Palm Beach Thyroid & Endocrinology Wellness, and Frisch Integrative Medicine
Dr. Anna Frisch, MD, PhD, is a board-certified endocrinologist, Emory University School of Medicine-trained physician-scientist, Medical Director of Palm Beach Cosmetic Medicine, and founder of VitellaMD, Palm Beach Thyroid & Endocrinology Wellness, and Frisch Integrative Medicine. She has authored and co-authored more than 40 scientific and medical publications and brings decades of experience in endocrinology, thyroid disorders, hormones, metabolic health, and patient-centered care. At Palm Beach Cosmetic Medicine, Dr. Frisch applies her medical background to aesthetic wellness by looking beyond the surface, connecting skin health, hair health, hormone balance, metabolic wellness, nutrition, collagen support, and advanced cosmetic treatments to help patients look refreshed, confident, and natural.
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