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Mastering the medspa

Article-Mastering the medspa

With six advanced medical degrees between them, Alexa Nicholls Costa, NP, and Alexandra Rogers, NP, share a passion for education and aesthetics.

As co-founders and co-owners of LexRx, a boutique aesthetic practice in two locations in the Boston area, they offer treatment limited to “Lips + Lines + Lashes." Their interactive website ( features an illustrative menu of services and before-and-after photos, which are creatively trademarked as The LexRx LineUp.

“We found that millennials, in particular, are interested in both preventative and corrective procedures,” Costa tells Cosmetic Surgery Times. “However, it can be difficult for new clientele to understand appropriate indications for Botox and fillers. With the help of our graphics team, we created a collection of face illustrations with service descriptions, making it easy for our clientele, both men and women, to self-identify with a desired treatment.”

Costa and Rogers have similar backgrounds, with years of plastic surgery research and clinical training at institutions including Massachusetts General Hospital, Beth Israel Deaconess Medical Center and Rhode Island Hospital. The NPs first met in graduate school at Regis College in 2012 during their accelerated BSN/MSN training.

“We take a lot of pride in our academic background, and we want that to reflect in the way we practice,” Rogers says. “Therefore, when clients visit our website or they reach out with questions, we always support them. We encourage our clients to ask about the procedures, process and any potential side effects.”

Consistency Is Key

Because LexRx specializes in Botox and dermal fillers, “our clients can expect the same exceptional results every time,” Rogers says. “A qualified and certified nurse practitioner is always performing the injections. As we look to expand LexRx, the providers will always be trained through the LexRx method of injection. We have set ourselves up for success with an approach that is consistent.”

Before individuals arrive for therapy, they are sent pre-treatment instructions by either email or text image. These instructions include what to expect, who should and should not be given a particular procedure and recovery.

“Although we advise patients to do their own research before committing to a provider, we encourage them to ask questions and be curious,” Rogers says. “Post-treatment, we review all instructions with the client and follow up within 1 to 2 weeks to ensure continuity of care,” Rogers says.

LexRx clients maintain approachable and confidential communication with the NPs through email, text and phone. “This offers a personalized and avante-garde experience for our clients,” Costa says.

NEXT: Differentiate and Standout


Differentiate and Standout

The duo prides themselves on their conservative and focused approach to aesthetics, differentiating LexRx from popularized MedSpas. “We encourage clients to come back in 2 weeks for a touch-up,” Costa says.

LexRx is aware that potential clients may consider medspas or elsewhere for services, including places that offer discount promotions. “While our prices may be higher than others, we provide consistent and quality results every time,” Costa says. “We set ourselves to a standard of excellence and we feel that our results demonstrate that.”

Costa and Rogers are also strong advocates for other advanced practice providers engaging in a more rigorous training program, “especially in an industry where there is a lot of variation and inconsistencies,” Rogers says. “Taking a step back and having a focus on education is really important for practice.”

With the support of medical leaders in the Boston community, including Harvard-trained, board-certified plastic surgeon Richard Peinert, M.D., LexRx is developing a training program within its practice for clinicians interested in becoming certified in injectables.

“We believe this will be the new standard in the industry,” Costa says. 

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