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31 Years
experience
Your Trusted Aesthetic Medicine Experts in Lake Oswego
Aesthetic Medicine was founded in 1995 with a mission to deliver life-changing aesthetic solutions while minimizing downtime. Our team of certified professionals, including physicians, registered nurses, and laser technicians, brings over 75 years of combined experience in addressing age-related physical and emotional changes. We prioritize patient health and safety, conducting comprehensive medical evaluations before initiating treatments. Our services utilize cutting-edge technology perfected over decades, offering personalized protocols to optimize individual outcomes. We specialize in non-invasive and minimally invasive procedures that restore youthfulness, enhance skin quality, and reshape body contours.

Education plays a central role in our approach, ensuring patients understand treatment options and processes. Our facility in Lake Oswego, Oregon, provides a welcoming environment where patients receive tailored care from consultation through recovery. With over 17,000 successful transformations, we maintain a patient-first philosophy that emphasizes long-term satisfaction. Our commitment to innovation has expanded our offerings from initial weight loss and skin treatments to trademarked aesthetic procedures. We combine medical expertise with compassionate care to help patients achieve confidence through natural, refreshed appearances.
Services
Botox Cosmetic Dermal Fillers Laser Treatments Body Contouring Skin Rejuvenation Microneedling Facial Vein Removal Urinary Incontinence Treatment
Details
  • Year established: 1995
Highlights and features
  • We have over 30 years of experience in aesthetic medicine.
  • Our team includes certified physicians and medical professionals.
  • We prioritize patient health with comprehensive medical evaluations.
  • We use advanced technology perfected over decades of practice.
  • We offer personalized treatment plans tailored to individual needs.
What people say
Amazing Lauren Best Botox Great experience Skilled technicians Professional staff
Services
Botox Cosmetic
Botox Cosmetic temporarily reduces moderate to severe facial wrinkles by targeting muscle activity. Ideal for dynamic lines caused by repeated expressions, this injectable smooths crow's feet, forehead creases, and frown lines. Results appear within days and last up to four months, with minimal downtime required. Our certified injectors tailor dosages to maintain natural facial movement while achieving a refreshed appearance.
LipoLift
LipoLift permanently removes unwanted fat deposits using laser energy to liquefy cells through a minimally invasive procedure. Targeting areas like the neck, abdomen, or thighs, this body contouring treatment tightens skin while eliminating fat. Patients typically resume normal activities within days, with visible results emerging over weeks as swelling subsides. Over 17,000 procedures performed since 1995 demonstrate our expertise in safe, effective fat reduction.
HydraFacial
HydraFacial combines exfoliation, extraction, and hydration to improve skin texture and radiance through a multi-step treatment. This non-invasive procedure addresses fine lines, uneven tone, and congested pores using patented vortex technology. Customizable serums deliver antioxidants and hyaluronic acid, with immediate results visible after a single 30-minute session. Regular treatments maintain optimal skin health and combat environmental damage.
MiniFaceLift
MiniFaceLift utilizes bi-polar radio frequency to lift and tighten facial skin without surgical intervention. This procedure stimulates collagen production for improved elasticity, targeting jowls, neck laxity, and mid-face sagging. Patients achieve a 37% average skin tightening effect with just one treatment, maintaining natural facial expressions while reducing visible aging signs. Recovery time is limited to weekend rest periods.
Microneedling
Microneedling creates micro-injuries in the skin to trigger natural collagen production and cellular renewal for improved texture. Effective for acne scars, stretch marks, and fine lines, this treatment uses adjustable needle depths to address specific concerns. Combined with topical growth factors or PRP, results continue developing over three months with minimal redness lasting only 24-48 hours post-treatment.
People
Dr. Darm
Founder
Dr. Darm established Aesthetic Medicine 27 years ago, pioneering non-surgical aesthetic solutions. With expertise in facial rejuvenation and body contouring, he has performed over 17,000 procedures since 1995. His patient-centric approach emphasizes safety and natural results, maintaining active involvement in treatment protocols and staff training.
Dr. Zawacki
Physician
Dr. Zawacki specializes in advanced injectables and laser treatments, bringing extensive experience in non-invasive aesthetics. He focuses on personalized treatment plans that combine multiple modalities for comprehensive rejuvenation. His expertise ensures optimal outcomes through precise technique and thorough patient consultations.
Shana LaMarsh
CEO
Shana LaMarsh oversees daily operations and strategic growth while maintaining direct patient care responsibilities. With 15+ years at Aesthetic Medicine, she ensures service excellence across injectables, skincare, and body contouring services. Her leadership maintains the practice's commitment to innovation and patient satisfaction.
Questions
What services does Aesthetic Medicine specialize in?
We specialize in non-invasive and minimally invasive treatments including Botox, dermal fillers, laser therapies, body contouring, and skin rejuvenation procedures.
Do you offer free consultations?
Yes, we provide complimentary consultations to discuss treatment options, address concerns, and create personalized aesthetic plans tailored to individual goals.
Are payment plans available?
We offer financing options to make treatments accessible, with flexible payment plans discussed during your initial consultation.
How long do treatment results last?
Results vary by procedure: Botox lasts 3-4 months, fillers 6-18 months, while LipoLift and MiniFaceLift provide permanent fat reduction and skin tightening effects.
Is there downtime after procedures?
Most treatments require minimal downtime, with patients resuming normal activities immediately or within 48 hours depending on the procedure's intensity.
What safety measures are in place?
We conduct comprehensive medical evaluations before treatments, use sterile techniques, and follow strict protocols to ensure patient safety and optimal outcomes.
Videos
Reviews (7)
Ashley Hovde
Jun 07, 2022 Report
Lauren is AMAZING! THE BEST injector I've had and way more knowledgeable as well. She's honest also seeing as though I was prepared to have more done and that would cost me a lot more, yet she told me I didn't need all that etc. and much less than I thought. They are up front with pricing and it's nice the injector actually knows those prices! Saw her for botox and filler. She injected different areas than I'm use to with much better results!

And for the very first time doing this out of 6 yrs I had no real pain and no bruising, she's amazing to say the least. I have to drive 2 hrs to get there but will do it gladly! And I save thousands for the exact same products and treatments than here in The Dalles where I live!
Moni Fish
May 29, 2022 Report
I am very happy with this facility. I had lipo done on my flanks and thighs. I have had lipo done a few times so I know a good provider. The staff was very nice and helpful. The dr was really what made the process go well. She was extremely friendly and we talked about cellulite on both of us. She really made me feel comfortable. The surgery was a little painful but they gave me laughing gas to help with the pain. I have also met dr darm and he is very sweet. I am glad I found them. MJ
Carol Whelden
May 25, 2022 Report
I am grateful for not only the results achieved (impressive!) at Aesthetic Medicine, but for the kind and compassionate care provided by staff, particularly Shana La Marsh! Shana addressed and assuaged any questions and concerns, respectively, I had with regard to the procedures I requested. She is a professional of the highest order, and personable as well! Much appreciated!
Tracy Stevens
May 25, 2022 Report
I had my neck done a month ago by Dr. Zawacki. Everything went well. She told me everything before she would do it which was nice. The facility was extremely clean and sanitized. That put me at ease. Salma Faris was my after care PA-C and she did a great job answering all my questions and I'm sure she has heard them over and over again. She was never in a hurry with me. Looking forward to my 6 month check up.
Shelby Wells
Apr 23, 2022 Report
I had an amazing experience with Joelle! I had been to Aesthetic Medicine once before but hasn't yet seen Joelle. She was professional and quick! I didn't have any bruising or side effects after my Botox. I'm already seeing results and I'll definitely be back!
Ahmed Kassim
Apr 15, 2022 Report
I had the highest quality service here. Staff was incredibly helpful during the entire check in process. Joelle was able to answer all the question that I had regarding Botox, she was very knowledgeable and comforting. Moving forward I will always be asking for Joelle, her technique is very quick and painless. Overall great experience. Already looking forward to my next appointment!
Anna Rouse
Apr 09, 2022 Report
I recently went to Aesthetic Medicine for Botox and it was amazing! Joelle was my injector and she was very careful and thorough giving me exactly the results I was looking for. Highly recommend and can't wait for my next treatment!