What are the opening hours?

Monday 9am - 5pm Tuesday 11am - 7pm Wednesday 9am - 7pm Thursday 11am - 7pm Friday 9am - 5pm Saturday 10am - 6pm Sunday 10am - 6pm

https://www.pmbedford.com/, https://linktr.ee/pmaestheticsnh, http://pmbedford.repeatmd.app/, https://appointmentrequest

PM Aesthetics, 265 South River Road Suite A, Bedford, NH (2026)

04/30/2026

If you're on Ozempic, Wegovy, or Zepbound, when you start skin tightening treatment is as important as whether you start it.
Here's the clinical timing framework most practices aren't communicating clearly:
Why waiting until goal weight is a mistake:
Collagen remodeling is not immediate. Ultherapy and TriLift work by triggering biological processes, SMAS tissue lifting and facial muscle stimulation respectively. that develop over 3–6 months. If you wait until you've finished losing weight to begin treatment, you're asking your skin to catch up after the damage is already done, with a collagen response that hasn't started yet.
The patients who achieve the best outcomes after GLP-1 weight loss are the ones who began skin tightening protocols during active weight loss, giving the remodeling process time to work in parallel with the fat reduction.

Mid to Beginning of GLP-1 treatment or early weight loss:
Start Ultherapy, addressing the foundational SMAS tissue layer that supports everything above it. As facial fat reduces, Ultherapy-stimulated collagen provides structural support that partially offsets the volume loss. Results develop over 3–6 months and last up to a year. Every treatment at PM includes a complimentary 4-month enhancement session.

Body skin laxity:
Venus Bliss MAX for skin tightening on the abdomen, arms, and thighs. RF microneedling including Morpheus8 for areas of significant skin redundancy. Begin during active weight loss for the same reasons, collagen remodeling takes time and parallel treatment reduces final correction needed.
At PM Aesthetics, we prescribe Zepbound and address skin changes in the same practice. Both sides of this conversation happen here.
Free virtual consultations with Dr. Keady, no deposit, book online.

📍 PM Aesthetics | Bedford, NH Medicine First. Sales Never.

🔗 Link in bio.

04/29/2026

Opaque pricing in medical aesthetics isn't a business strategy. It's a patient rights issue.

When a practice requires a consultation to reveal pricing, or discloses the price for the first time when a patient is already in the treatment chair, that is a deliberate mechanism designed to bypass a patient's ability to make a free and informed decision.

Here's why it's an ethical failure:
It removes informed consent. Informed consent requires that a patient have access to all material information before agreeing to a procedure, including cost. A patient who doesn't know what something costs before agreeing to receive it has not provided truly informed consent. They've been managed into a decision.

It exploits the treatment room. There is significant psychological evidence on what happens to decision-making when a person is already physically committed to a situation. Lying in a chair, provider in the room, procedure about to begin, the social cost of saying no is high. Practices that reveal pricing at that moment know this.

It's predatory toward new patients. Patients who are new to aesthetics and unfamiliar with typical pricing are the most susceptible. The patients least equipped to push back are the ones most likely to be in that chair for the first time.

Transparent pricing is not a competitive differentiator. It is a baseline ethical standard that every medical practice should meet, and most in this industry don't.

At PM Aesthetics, every price for every service is published on our website before you book. No "consultation required." No bait and. switch. No surprises at checkout.

Because informed patients make better decisions. And better decisions are what medicine-first care is built on.

📍 PM Aesthetics | Bedford, NH Medicine First. Sales Never.

🔗 Every price published online.

04/28/2026

There's a hidden cost in medical aesthetics that nobody talks about until you're standing at the checkout counter.
Tipping.
Most medspas, particularly the discount and chain practices, operate on a tipping culture. Providers are paid partly or primarily through commission, which means they depend on gratuity to supplement their income. Patients who don't know this feel the social pressure at checkout. 15–20% on a $300 treatment is $45–60. On a $700 filler appointment it's $105–140. On a $1,500 Ultherapy treatment it's $225–300.
That is a significant cost that is invisible until you're already in the chair.

At PM Aesthetics, our providers do not accept tips, and the reason matters. It isn't a policy we've imposed on them. It is a reflection of how they view their role. Our providers are licensed medical professionals who are compensated fairly and who have no commission structure creating financial pressure on their recommendations. When the recommendation you receive is purely clinical, not shaped by what earns the provider more money, a tip becomes an inappropriate transaction.
Medicine doesn't work on gratuity. Our team agrees.

The result for you: a treatment at PM Aesthetics that appears comparably priced to a competitor is actually 15–20% less expensive when you account for the tip you won't be leaving here.
The medspa running a "20% off Botox" promotion, that you're tipping 20% on, isn't cheaper. It's the same price, with a worse clinical environment.

No tips. No commissions. No pressure. Just medicine and the actual price we told you upfront.

📍 PM Aesthetics | Bedford, NH Medicine First. Sales Never.
🔗 Free virtual consultations link in bio.

04/27/2026

If your Botox or Xeomin isn't lasting as long as it should, before we talk about dosing, let's talk about your metabolism and your workout routine.

Individual neurotoxin metabolism is real and clinically documented.
Neurotoxin duration varies meaningfully between patients, and not always for the reasons patients assume. The same dose administered to two patients of similar age and treatment area can last 3–4 months in one and 6–8 weeks in another. Dosing is one variable. Individual metabolic rate is another, and it's one most practices don't discuss.

The physiology:
Botox and Xeomin work by blocking acetylcholine release at the neuromuscular junction. Your body's natural recovery process, nerve sprouting and new neuromuscular junction formation, begins almost immediately after administration.

High-intensity exercise and neurotoxin duration:
This is where lifestyle becomes a clinical variable. High-intensity exercise, particularly heavy cardiovascular training, increases systemic circulation, elevates core temperature, and accelerates metabolic processes broadly.

Same-day exercise is the most impactful variable:
Working out on the day of your neurotoxin treatment, particularly within the first few hours, increases local blood flow to treated areas, potentially dispersing product before it fully binds at the neuromuscular junction.

What this means for your treatment plan:
Tell us about your workout routine at your consultation. Patients who train intensively may benefit from slightly higher initial dosing, more conservative treatment intervals, or modified post-treatment protocols. This is a clinical conversation, not an upsell.
📍 PM Aesthetics | Bedford, NH Medicine First. Sales Never.

04/25/2026

The most important thing you can do to protect your Botox investment costs $30 and takes 30 seconds.

Sunscreen. Every morning. No exceptions.

Here's the clinical connection most practices don't explain:
UV radiation and collagen breakdown.
UVA and UVB radiation trigger the production of matrix metalloproteinases, enzymes that actively degrade collagen and elastin in the dermis. Chronic UV exposure without protection accelerates this process significantly, creating and deepening the static lines that neurotoxin alone cannot address. Botox and Xeomin relax dynamic lines created by muscle movement. They cannot rebuild collagen destroyed by sun damage. If you are not protecting your collagen, you are accelerating the aging process that your treatments are designed to slow.

UV radiation and neurotoxin metabolism.
This is the part almost nobody talks about. Chronic photodamage alters skin vascularity and tissue metabolism. In chronically sun-damaged skin, neurotoxin may metabolize faster, meaning your Botox doesn't last as long. The same dose that lasts 3–4 months in protected skin may wear off in 8–10 weeks in significantly photodamaged tissue. You're not getting less Botox. Your skin is processing it differently.

The math is simple.
A daily broad-spectrum SPF 30 or higher, medical grade, from lines like ZO Skin Health or SkinMedica, costs approximately $30–60 and takes 30 seconds in the morning. It is the single highest-return skincare investment available. Nothing else we sell, recommend, or perform comes close to its clinical impact per dollar.
We sell it. We prescribe it. We use it ourselves. And we will tell you at every appointment, before we tell you about anything else.

📍 PM Aesthetics | Bedford, NH
Medicine First. Sales Never.
🔗 Free virtual consultations

04/24/2026

Something we’ve been working on. Coming soon. 🖤
Introducing the PM Vita Peptide Mist, PM Aesthetics’ best branded skincare product.
A lightweight hydrating facial spray with Vitamin C and peptides formulated to support daily skin hydration and help prevent photo-aging from UVA and UVB exposure. Vitamin C neutralizes UV-generated free radicals and supports collagen synthesis. Peptides signal fibroblast activity and structural skin maintenance. Together, a daily layer that actively protects and supports your skin between clinical treatments.
Hold it 6 inches from your face. Three to four pumps. Let it absorb. Use it over makeup. Use it throughout the day. Repeat as needed.
The simplest addition to a routine that already works, or the starting point for one that doesn’t yet.
Coming soon exclusively at PM Aesthetics in Bedford, NH.
📍 PM Aesthetics | Bedford, NH Medicine First. Sales Never.
🔗 Link in bio for updates.
HydratingMist PhotoAging UVAUVBProtection Peptides VitaminCSkincare FacialMist SkincareLaunch ComingSoon BedfordNH PMaesthetics MedicineFirst MedicalGradeSkincare NewHampshire MedSpa SkinHealth

04/23/2026

RF microneedling does not routinely destroy facial fat or collagen. This claim needs a clinical correction.

There's a partial truth being significantly misrepresented. Yes, RF energy at high depth and temperature settings used intentionally for body contouring can affect adipose tissue. That's the mechanism behind fat reduction devices. But that is not how facial RF microneedling for rejuvenation is performed.
Facial rejuvenation protocols target the dermis at 1–3.5mm depth. Controlled heating to 40–42°C stimulates fibroblast activity and collagen neogenesis, the opposite of destruction. Subcutaneous facial fat sits beneath the dermis. At appropriate settings it is not the target and not the outcome.
Fat atrophy has been documented as an adverse event, in cases of aggressive parameters, excessive passes, and undertrained operators. That is a training and oversight problem. It is not evidence that the modality is inherently harmful when used correctly. A surgeon can cause harm with a scalpel. We don't conclude that surgery destroys tissue.

The irony: the majority of practitioners amplifying this claim don't own an RF device and haven't been trained on one. Nuance matters in medicine, especially when it's scaring patients away from treatments with substantial peer-reviewed evidence behind them.
At PM Aesthetics we use four RF microneedling platforms, Morpheus8, Cutera Secret RF, Lutronic Genius, and TriLift Microneedling, selected based on your anatomy, skin type, and treatment goals. All treatments include BENEV exosomes at no additional charge.

Questions? Book a free virtual consultation. We'll answer with evidence, not social media counter-claims.

📍 PM Aesthetics | Bedford, NH Medicine First. Sales Never.

04/21/2026

Most medspas run on the same software as hair salons and nail studios. Why? Because it's cheap. And, we think that's worth talking about.

PM Aesthetics uses Symplast, an electronic health record (EHR) system built specifically for plastic surgeons and surgical practices. It is a HIPAA-compliant medical records platform, not a spa scheduling app. However, it's not cheap.

Here's why that distinction matters for you as a patient:
Your photos are medical records. Before and after photos at PM Aesthetics are stored in a HIPAA-compliant EHR, documented, trackable, and protected under federal medical privacy law. At a practice running Vagaro or similar spa software, your photos may be stored with the same level of protection as a yoga studio's class schedule.
Your chart is a real medical chart. Treatment history, product lots, dosing records, provider notes, informed consent documents, adverse event documentation, all stored in a system designed for medical practice, not retail booking. If something happens, we have a complete clinical record.

Your data is protected. HIPAA applies to medical records held in medical systems. It does not automatically apply to data held in general-purpose booking platforms. Knowing what system holds your health information, and what standards govern it, is your right as a patient.

Continuity of care is possible. Because your entire treatment history lives in a real medical record, every provider who sees you at PM Aesthetics has the complete clinical picture. Product choices, dosing history, reactions, preferences, photos, all of it, every time.
We are a medical practice. We operate the systems of a medical practice. That is not a small distinction. And your privacy shouldn't be sacrificed for cost.

📍 PM Aesthetics | Bedford, NH Medicine First. Sales Never.
🔗 Free HIPAA-Compliant virtual consultations link in bio.

04/20/2026

Private equity has been quietly acquiring independent medspas for the past several years, and most patients don't know it's happened until they feel the difference.
Here's what actually changes when a practice gets acquired:

The providers leave. PE-backed consolidators optimize for margin. Experienced, higher-compensated providers get replaced with lower-cost staff. The injector who knew your face, your history, your response to product, gone. You start over with someone new who's working a schedule designed by a spreadsheet.
Recommendations become revenue-driven. When a practice operates under quarterly revenue targets set by an investment committee, clinical recommendations don't happen in a vacuum. Staff are incentivized, through commissions, quotas, and performance reviews, to recommend more. The conflict between your best interest and the fund's return timeline is structural and permanent.

Standards get "optimized." Products, protocols, staffing ratios, equipment maintenance schedules, all become targets for cost reduction. The things you can't see are the first to go.
The exit is already planned. Private equity typically holds a practice for 3–5 years before selling, to a larger PE fund, a corporate consolidator, or a public company. You are a revenue line in a portfolio. The relationship ends when the return is realized.

PM Aesthetics is independently run by Dr. Cecilia Keady, and Anna Keady, PA-C. Two clinicians. Two women. No outside investors. No acquisition pipeline. No quarterly targets set by a fund that has never met a patient.
Our horizon is generational. We have published our rejection of private equity on our website, permanently. It is not a marketing position. It is a legal and moral commitment.

We are not for sale. Not now. Not ever.

📍 PM Aesthetics | Bedford, NH Independently Owned. Women-Led. Medicine First. Sales Never.
🔗 Free virtual consultations, link in bio.

04/19/2026

You may have noticed we don't promote our posts. No boosted content. No Google ads. No Meta campaigns. No paid reach of any kind.

That's not an oversight. It's a structural decision, and here's where that money actually goes instead.
Advanced provider training. Quarterly education with industry-leading clinicians. Not a weekend certification course. Ongoing, specialized, clinical.
Better equipment. We own Morpheus8, Cutera Secret RF, Lutronic Genius, TriLift, Ultherapy, Venus Bliss MAX, IPL, Laser Genesis, and SaltFacial. Medical-grade devices purchased because they produce results, not because they photograph well.
Pharmaceutical-grade products only. Botox and Xeomin purchased directly from Allergan and Merz. Juvéderm and Radiesse directly purchased. No gray market. No compounded alternatives.
Inclusions that most practices charge extra for. Exosomes with every RF microneedling treatment at no additional charge. Complimentary 4-month Ultherapy enhancement session. Complimentary 2-week toxin follow-up. Free virtual consultations with Dr. Keady and Anna.

Non-commissioned staff. No one on our team earns more by selling you more. That's not free to maintain, it's a deliberate payroll decision that protects clinical integrity at the cost of margin.

Free patient resources. Educational content, honest clinical guidance, transparent pricing published online before you book anything.

The practices spending heavily on ads are spending money to acquire patients who might not stay. We spend money on the experience of patients who already chose us, and let word of mouth do the rest.

641 Google reviews. #1 in local search. 84% new patient conversion rate. No ads. No sales. Just medicine.

📍 PM Aesthetics | Bedford, NH Medicine First. Sales Never.
🔗 Free virtual consultations, link in bio.

04/18/2026

Most biostimulator conversations in aesthetics start and end with Sculptra. Ours start and end with Radiesse, and the clinical reasoning is worth explaining.
Both are biostimulators. Both stimulate your body's own collagen production over time. The difference is in mechanism, versatility, and what you see, and when you see it.
Why we chose Radiesse:
Immediate results plus long-term biostimulation. Radiesse contains calcium hydroxylapatite (CaHA) microspheres, the same mineral component found in bone. When injected, it provides immediate structural correction and volume. Simultaneously, the CaHA microspheres act as a scaffold, triggering your body's own collagen synthesis over the following months. You see something the day of treatment and continue to improve over time. Sculptra is biostimulation only, there is no immediate volumizing effect. Results require multiple sessions and months of waiting before anything is visible.
Superior collagen quality. Clinical studies show CaHA stimulation produces 96% Type I collagen — the strongest, most structurally sound collagen type. Hyaluronic acid fillers produce approximately 70% Type III collagen. That distinction matters for long-term tissue quality and result durability.
Versatility. Radiesse can be used at full concentration for targeted structural correction, jawline definition, chin projection, cheek structure, and diluted (1:1 or 1:2) for pan-facial biostimulation that spreads as a thin collagen-stimulating layer across the entire face with no nodule risk. One product, multiple clinical applications. Radiesse is also FDA-cleared for hand rejuvenation and body applications.
Merz Aesthetics. Radiesse is manufactured by Merz, the same company that produces Xeomin, our primary neurotoxin. A manufacturer whose products and standards we already know, trust, and have clinical experience with.
We're not knocking practices that use Sculptra. It's a legitimate clinical tool. We chose Radiesse because for our patient population and clinical approach, it does more, shows results sooner, and fits more precisely into how we think about facial aging.
📍 PM Aesthetics | Bedford, NH Medicine First. Sales Never.

04/17/2026

We'll be honest with you. 🖤
There are things significantly better for your mom than a PM Aesthetics gift card.
Sleeping in, clinically documented to reduce cortisol, improve skin quality, and extend life. Free.
A phone call from you, emotionally irreplaceable. Also free.
Dinner she didn't have to plan, shop for, cook, or clean up after. Worth more than any treatment we offer.
Being left completely alone for two uninterrupted hours. Priceless. Deeply underrated. Studies probably support this.
Drinking actual water. 80 ounces. Daily. We say this at almost every appointment and almost nobody does it.
Sunscreen. Every day. This is genuinely the single most impactful anti-aging intervention available and it costs $30.
Someone else doing the dishes without being asked.
If you have already handled all of the above, or if your mom is the type who would genuinely love a Botox appointment, a facial, or a skincare consultation, we have you covered.
15% off all PM Aesthetics gift cards. May 10th and 11th only. No restrictions. Use toward anything.
📍 PM Aesthetics | Bedford, NH
Medicine First. Sales Never.

🔗 Link in bio.

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Monday	9am - 5pm
Tuesday	11am - 7pm
Wednesday	9am - 7pm
Thursday	11am - 7pm
Friday	9am - 5pm
Saturday	10am - 6pm
Sunday	10am - 6pm