Where self care is beautiful!

Best Medspa in Billings

42 West Medical Aesthetics, founded and led by Tiffany Deaver, is a Medical Aesthetics clinic based in Billings, Montana. The clinic specializes in advanced non-surgical aesthetic treatments aimed at enhancing natural beauty and promoting wellness. Our comprehensive services are designed to cater to individual beauty and health needs, ensuring each client receives personalized care.

Services We Offer

  • Personalized Skincare Assessments: Every treatment plan begins with a full facial assessment, ensuring that each client’s skincare regimen is perfectly suited to their needs.
  • Skin Rejuvenation: Our offerings include SkinPen microneedling and biostimulator treatments with Sculptra, which improve skin texture and elasticity.
  • Laser Skin Resurfacing: Experience total skin rejuvenation with UltraClear®, the world’s first cold fiber laser treatment that gently targets signs of aging, pigmentation, and texture concerns while being safe for all skin types—all with minimal downtime.
  • Aesthetic Injectables: We provide a range of injectables, including Jeuveau, Daxxify, and Dysport as well as dermal fillers, to reduce signs of aging and enhance facial features.

At 42 West Medical Aesthetics, we blend clinical expertise with an empathetic approach to care, ensuring safety and satisfaction are at the forefront of every service offered. We are committed to using only the highest quality products and the latest technologies in the field to deliver exceptional results.

Our Menu

“What a great experience! Tiffany is a wonderful individual and walked me through every step of the process and answered all of my questions and concerns. She genuinely cares for her clients, wanting them to be happy and healthy. Tiffany was very flexible with my crazy schedule and was sure to follow up with me post appointment. I highly recommend her services and advocate for her knowledge and skill.”
Jennifer Valentine
“From the instant I stepped into 42 West, I was met with warmth and reassurance.”
Lyndie S.
“Tiffany is fantastic and remarkably knowledgeable! She has great customer service and is just all around wonderful to work with. I can’t recommend her enough!”
Jeff B.
“Tiffany is the greatest! She listens, and is very attentive. Tiffany is very knowledgeable, and gave great interest in what is was asking for! Highly recommend Tiffany, and 42 West Medical Aesthetics!!!”
Mandi Rodahl
“Tiffany is so kind and patiently explained all of the different services offered. She works with you to determine what will give you the best results, and continues to follow up to ensure that you are happy with your services. I would recommend her to anyone, and will continue to see her for aesthetic needs in the future”
Sabrina Giampaoli
“What a great experience! Tiffany is a wonderful individual and walked me through every step of the process and answered all of my questions and concerns. She genuinely cares for her clients, wanting them to be happy and healthy. Tiffany was very flexible with my crazy schedule and was sure to follow up with me post appointment. I highly recommend her services and advocate for her knowledge and skill.”
Jennifer Valentine
“From the instant I stepped into 42 West, I was met with warmth and reassurance.”
Lyndie S.