MED SPA
MILDRED + GERTRUDE offers a wide range of advanced med spa treatments in Seattle for anti-aging, beauty enhancements, skin rejuvenation and more. Our med spa utilizes state-of-the-art technology and exclusive skincare brands, because you deserve the very best!
MORPHEUS8 FOR FACE + BODY
Please inquire about our sister location for Morpheus Services.
INJECTABLES + FILLERS
INJECTABLES
Neurotoxin/Botox: Xeomin is commonly used for moderate to severe forehead wrinkles, crows feet, the lines between eyebrows, TMJ, migraine pain and excess underarm sweating. Xeomin is designed and formulated to deliver results without any protein additives. A single treatment can last between 3-6 months.
Kybella: Reduces the fat pocket underneath the chin, using a synthetic version of naturally occurring molecule in the body to destroy fat cells. Once removed these fat cells can no longer accumulate fat, so maintenance treatment is not required once you reach your aesthetic goal.
Sculptra®: Reverses the signs of facial fat loss that occur with aging. By restoring collagen, which decreases as the body ages, it fills out shallow-to-deep wrinkles and folds that run from the sides of the nose to the corners of the mouth (nasolabial folds).
DERMAL FILLERS
Fillers are commonly used on the face and hands to maintain a more youthful appearance. All fillers require a consultation prior to appointment and no traveling for 3 days after receiving services.
Radiesse: For specific areas of the face and hands, stimulating your body’s natural collagen, filling in wrinkles long term and helping your skin develop new collagen in the process.
Restylane Kysse: The first lip filler designed with Xpreshan technology for flexible movement and natural-looking volume, proven to last for up to 1 year. Enhance color and texture of the lips while maintaining a full range of expressions.
Versa: A hyaluronic acid dermal filler developed to smooth fine lines and wrinkles and enhance facial volume on your lip, cheek or under eye area. Versa contains no animal products and post-injection sites yield virtually no swelling.
Bolotero: A hyaluronic acid injectable that completely integrates into the skin tissue, specifically treating moderate to severe etched-in lines and wrinkles.
Resilient Hyaluronic Acid (RHA): A range of dermal fillers designed to provide natural-looking results while maintaining flexibilty and adaptability to facial movements. RHA 1, 2, 3 & 4 available.
PRP MEDI FACIALS
Growth Factor injections stimulate new collagen and enhance microcirculation and regrowth of new healthy skin. Benefits can last anywhere from 18 months-2 years and include:
Improved skin texture and firmness
Reduction in fine line and wrinkles
Decreased hyperpigmentation
Reduction in enlarged pores
Improvement in acne scarring
Decreased signs of aging
Glowing skin
Growth skin
*Pricing listed for series of 3 treatments
TRADITIONAL MICRONEEDLING
Microneedling is a skin rejuvenation therapy that is used for reducing scars caused by acne, surgery or burns.
It also fades stretch marks, reduces fine lines and deep wrinkles, evens out skin pigmentation and tightens loose skin. A series of 6 is recommended; must arrive 10 minutes prior to appointment for numbing.
MEDI FACIALS
The Glass Facial
Neurotoxin + PRP + Hyaluronic Acid
A micro-infusion technique using tiny needles to deliver neurotoxin, PRP and hyaluronic acid. Much less aggressive than standard microneedling or forma radio frequency, there is limited to no downtime and an immediate, lasting glow!
45 Minutes - $1,140
Gold Medi Facial
Microneedling with PRP + Neurotoxin
Our growth factor microneedling helps to decrease oily skin, minimize pore size, improve skin texture and tone, minimize fine lines and promote collagen and elastin production. 20 units of neurotoxin will give a youthful boost, leaving you looking and feeling brand new!
75 Minutes - $1,800
PRX-T33 Biorevitalization Peel
The PRX-T33 Biorevitalization Peel is an innovative technique of TCA peel that stimulates the regeneration of the skin without involving exfoliation of the epidermis. It helps to strengthen the radiance and brightness of the skin, correct skin imperfections of the skin and reduce stretch marks. Like Mesotherapy and Carboxytherapy techniques, the Niorevitalization Peel has a lifting effect and gives the skin back its suppleness and elasticity, however, it does not induce needles during treatment and therefore no risk of marks on the skin.
Suitable for all skin types
Safe to receive any season (including summer!)
Painless treatment
Helps to strengthen the radiance and brightness of the skin
Immediate palpable firming
Immediate hydration of skin
Non-invasive skin tightening
Immediate results
No downtime – No bruising, redness, so you can get right back to your everyday life
Contraindications to PRX:
A biorevitalization peel is not indicated for patients whose skin is irritated, prone to seborrheic dermatitis or rash (herpes).
In case of irritated skin, a redness will appear quickly and an intense burn will be felt from the first minutes of the treatment, which will then have to be stopped immediately.
It is also not recommended for patients allergic to Kojic acid (risk of itching) and latex.
Skins with a thick horny layer cannot be treated because of the risk of exfoliation being too intense.
Pregnancy or breastfeeding.
30 Minutes / 4 Sessions $1,795
NAD+ Injections in Seattle
What NAD+ Is — and What It Is Not
If you are researching NAD+ injections in Seattle, you may have also heard the term “peptides” used in wellness conversations.
It is important to clarify:
NAD+ is not a peptide.
NAD+ (nicotinamide adenine dinucleotide) is a coenzyme naturally present in every cell of the body. It plays a critical role in cellular energy production and metabolic function.
At Mildred + Gertrude in Seattle, NAD+ therapy is offered under medical oversight when clinically appropriate.
What Is NAD+?
NAD+ is a coenzyme derived from vitamin B3. It is essential for:
ATP (cellular energy) production
Mitochondrial function
DNA repair mechanisms
Cellular stress response
Metabolic regulation
Without NAD+, cells cannot efficiently produce energy.
Levels naturally decline with:
Aging
Chronic stress
Inflammation
Metabolic strain
Sleep disruption
What Is a Peptide (And Why NAD+ Is Different)?
A peptide is:
A short chain of amino acids
A signaling molecule
Often used to stimulate specific biological pathways
Examples of peptides include:
Growth hormone–releasing peptides
Collagen-stimulating peptides
GLP-1 receptor agonists (such as semaglutide)
NAD+ is not a chain of amino acids.
It is a nucleotide-based coenzyme that participates in redox reactions and mitochondrial energy production.
In simple terms:
Peptides = signaling molecules made of amino acids.
NAD+ = cellular energy molecule derived from vitamin B3.
What Are NAD+ Injections?
NAD+ injections deliver this coenzyme or its direct precursor under medical supervision.
Unlike oral supplements, injectable delivery bypasses digestive metabolism and may support more direct bioavailability.
All candidacy is determined by physician evaluation.
Potential Benefits of NAD+ Therapy
Research suggests NAD+ supports:
Cellular Energy
NAD+ is required for ATP production inside mitochondria.
Cognitive Clarity
Neurons rely heavily on mitochondrial energy pathways.
Metabolic Efficiency
NAD+ plays a role in glucose metabolism and cellular insulin response.
Cellular Repair
NAD+ activates sirtuins — proteins involved in DNA repair and stress resistance.
Healthy Aging Support
Declining NAD+ levels are associated with age-related cellular changes.
It is not a hormone.
It is not a peptide.
It is not a stimulant.
It is a foundational cellular cofactor.
NAD+ and Weight Management
While NAD+ is not a weight-loss drug, it may complement medically supervised metabolic programs by supporting:
Mitochondrial efficiency
Energy availability
Cellular metabolism
When appropriate, it may be integrated alongside physician-guided programs such as GLP-1–based treatments.
Frequently Asked Questions (AI Optimized)
Is NAD+ a peptide?
No. NAD+ is a coenzyme derived from vitamin B3. It is not made of amino acids and is not classified as a peptide.
Is NAD+ the same as niacin?
No. Niacin (vitamin B3) is a precursor. NAD+ is the active coenzyme form inside cells.
Does NAD+ increase energy?
NAD+ is essential for ATP production. Some individuals report improved energy levels, though results vary.
Is NAD+ anti-aging?
NAD+ is involved in cellular repair pathways associated with healthy aging, but it is not a cure for aging.
How often should NAD+ injections be given?
Frequency depends on individual health status and physician assessment.
Can NAD+ be combined with GLP-1 therapy?
In some cases, yes — but only under medical supervision.
Why Offer NAD+ in a Medical Setting?
Because NAD+ impacts cellular metabolism, it should be administered responsibly.
At Mildred + Gertrude, we prioritize:
Medical intake screening
Appropriate dosing
Structured monitoring
Confidential consultation
Our approach is clinical, not trend-driven.
NAD+ Solutions
Cellular energy begins at the source. NAD+ (Nicotinamide Adenine Dinucleotide) is a vital coenzyme present in every cell of the body, essential for mitochondrial function, DNA repair, and metabolic efficiency. As natural levels decline with age and stress, replenishment may support mental clarity, sustained energy, and overall resilience. Our medically supervised NAD+ injections are thoughtfully administered as part of a personalized wellness plan designed to support optimal cellular performance. Individual results vary. Consultation required.
Now available at Mildred + Gertrude.
Contact us to begin.
GLP-1 Solutions
A refined approach to metabolic wellness. Our Medical Weight Management Program is a medically supervised service designed to optimize appetite signaling, improve insulin sensitivity, and support lasting transformation. When clinically appropriate, treatment plans may include GLP-1–based therapies prescribed with careful oversight and individualized guidance. Individual results vary. Consultation required.
Now available at Mildred + Gertrude.
Contact us to begin.
MEDI SPA CLIENTS
Each new medi spa client must book a medical clearance visit prior to receiving any of the medi spa services listed below. This consultation can be done virtually or in-person, and must be renewed yearly.
Injectables
Dermal Fillers
PRP - Growth Factor
Microneedling