Changes Plastic Surgery & Spa believes true beauty includes the overall health, youthfulness, and longevity of your skin. Our licensed esthetician, Twila Shakespeare, offers a multitude of skin care services, from facials to peels, all designed to correct existing skin conditions and improve the appearance of the dull, congested, sun-damaged and aging skin.

twila shake

Twila’s career in skincare spans more than three decades. She has provided expertise for beauty pageants, burn victims and served as a beauty authority on ABC, CNN, Fox, and other media outlets. As well as being a licensed esthetician, Twila is also a superb make-up artist specializing in camouflaging make-up – perfect for masking post-surgical bruising and redness.

Our surgeons recommend aesthetic treatments following facial surgery. A post-op lymphatic drainage massage (Vodder method) can encourage the reduction of swelling for faster healing. A facial provides a relaxing and luxurious experience that not only enhances the look of your skin by correcting skin problems but accelerates the post-surgical healing process, improving circulation and soothing nerves.

Whether you want to brighten, lighten, deep cleanse pores, calm Rosacea, or experience age-defying facial treatments that will truly change your skin, a consultation with Twila will get you started.

Discover why Changes Plastic Surgery & Spa was voted BEST Medical Spa in the San Diego A-List Awards of 2016 and 2017.


Manual Lymph Drainage

Manual Lymph Drainage (MLD) massage is recommended post-surgically to help the face and body heal more quickly. Through gentle rhythmical precise hand movements, MLD alleviates pain by greatly reducing the pain signals sent to the brain, reduces scar formation and helps remove metabolic waste from tissues.

  • 30 min. $60
  • 60 min. $90
  • Buy 3 Get the 4th Free

Learn more about the importance of lymphatic drainage post-surgery.

Facial Treatments

Post-Op Hydration Facial

Surgery can leave the facial area in need of special attention because of anesthesia and medication, peels, and laser. Excess dead skin accumulates and sensitivities occur with trauma. This treatment addresses all of these concerns with gentle cleansing, enzyme exfoliation, and serums and posts hydrating creams and masks that relieve the sensitivity and reveal the skin to its new beauty. Your perfect home care and maintenance regimen will also be designed for you personally to maintain, sustain and enhance your procedure results. 1 hour

  • $70.00

Dermaplaning Peel

Targeting a deeper exfoliation of the skin between a regular enzyme or granular skin product but not as invasive as a laser, this technique includes using a surgical blade to remove the dead epidermal layer that reveals your new fresh skin, while additionally eliminating unwanted facial hair. Your skin will glow with radiance and reveal the ultimate soft and smooth skin that is fresh. 1 hour, 15 min.

  • $95.00

Ayurvedic Facial

A unique approach to achieving a glowing complexion through anti-stress techniques passed down after 1,000 years. Emerge from this tranquil, deeply relaxing experience with skin that will appear renewed, younger and deeply hydrated. This treatment utilizes a special way of analyzing the skin for more accurate treatment and includes steaming the face with extractions, if needed and then a rejuvenating upper torso massage which invigorates more blood flow to tissue bringing more nourishment to the area while removing toxins and inflammation. Custom made mask corrects skin problems while transitioning into the ancient Aryuedic relaxation techniques that calm you and the skin and promotes well-being. 1 hour, 30 min.

  • $120.00

Refresh Peel

This lite treatment using Epionce botanical agents relieves congestion, dullness, and sallowness. Natural exfoliation retexturizes and smoothes the skin. This is a great “lunchtime” peel with NO downtime. Refresh and go with better skin clarity and radiance.

  • $125

Malic Peel

Perfect for hyperpigmented and aging skin, the Malic Peel helps reduce surface bacteria that may lead to problem skin conditions such as acne and rosacea. Dry skin types will notice enhanced skin hydration as well as improved skin brightness for all skin types. Minimal exfoliation with minor flaking and redness can be expected 2-4 days post peel.

  • $160

Jessner's Peel

Chemical exfoliation rids the skin of accumulated dead skin cells allowing topical treatments to absorb more readily into the skin, improve skin texture and with a series, can lift superficial sun damage. The Jessner’s skin peel requires no pre-medication and the treatment is qite easily tolerated. 1 hour.

  • $300.00
  • Series of 3 peels $750

Make-Up Services

Post-op Camouflage

Getting back to work and resuming your normal life and schedule becomes quick and easy with learning to apply a special cover make-up to facial areas still healing.

  • 1 Hour
  • $80.00

The Finish Touch

You’ve had your procedure and the healing is completed. You’re ready for professional make-up and this is truly the frosting on the cake! Learn exactly what to enhance, what to camouflage and what colors look best on you.

  • 1 Hour

  • $65.00

The Daily Miracle

The first, last and only make-up lesson you’ll ever need! This complete make-over is a technique called “Method Make-Up”, and is real make-up for real women living in the real world. This is a complete and comprehensive lesson – get ready to look gorgeous!

  • 1 Hour

  • $75.00


Waxing is offered for areas that are difficult for laser hair removal to be performed. Waxing is safe, takes minutes to perform and leaves the area hair-free for approximately 6 weeks. Avoid the use of Retin A prior to waxing to avoid sensitivities.

  • Browse $25

  • Upper Lip $15