Expert NP Care
Experienced nurse practitioner delivering safe, personalized treatments with natural-looking results.
Nurse Practitioner Led
Elevate Your Confidence.
Personalized medical aesthetics and medically supervised weight loss designed around your goals — with thoughtful care, natural-looking results, and medical expertise you can trust.
Why Patients Choose Ascend
Care that’s personal from your first visit.
Everything we do is centered around thoughtful care, honest guidance, and treatments selected specifically for you.
Personalized Care Plans
Every recommendation is tailored to your goals, lifestyle, and long-term wellness—not one-size-fits-all packages.
Medical-Grade Treatments
Evidence-based products and advanced treatments selected for quality, safety, and lasting results.
Boutique Care Experience
Private appointments, thoughtful guidance, and a welcoming environment designed around your comfort.
- Nurse Practitioner Led
- Personalized Consultations
- Natural-Looking Results
Meet Tera
Care from someone who actually listens.
Tera Salness is the Nurse Practitioner and founder of Ascend Beauty & Wellness. She built this practice around a single idea: patients deserve more than a quick appointment and a list of services.
Every plan begins with a real conversation, a careful assessment, and treatments thoughtfully matched to your goals.
Her approach blends clinical expertise with a calm, unhurried patient experience — focused on natural-looking results, healthy aging, and ongoing support along the way.
— Tera Salness
Founder & Nurse Practitioner
Signature Program
Medically Supervised Weight Loss.
Achieving sustainable weight loss starts with understanding your health — not following a one-size-fits-all plan. Tera combines GLP-1 therapy with ongoing medical guidance, education, and personalized support so your treatment evolves with you every step of the way.
Comprehensive Medical Assessment
A complete review of your health history, goals, and lifestyle.
GLP-1 Therapy Options
Semaglutide and Tirzepatide when clinically appropriate.
Ongoing Provider Support
Regular follow-ups and personalized dosage adjustments.
Lifestyle & Wellness Guidance
Long-term coaching for sustainable success.
Nurse Practitioner LedPersonalized PlansOngoing Clinical Support
OUR TREATMENTS
Services designed around your goals.
Every treatment begins with a personalized consultation and a customized plan designed around your goals. Whether you're focused on weight loss, skin rejuvenation, or natural facial aesthetics, our approach is always personalized, medically guided, and never rushed.
Botox
Smooth fine lines and soften facial wrinkles with personalized Botox treatments that deliver refreshed, natural-looking results while preserving your unique expressions.
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SkinPen Microneedling
Stimulate collagen production to improve skin texture, tone, acne scars, and overall skin health using the first FDA-cleared microneedling device.
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Ariessence Growth Factors
Advanced PDGF+ growth factor therapy that supports skin recovery, enhances collagen production, and maximizes rejuvenation following aesthetic treatments.
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Our Philosophy
Care that starts with listening.
Every treatment begins with understanding your goals — not selling a procedure. We take time to listen, educate, and build a personalized plan that fits your lifestyle, comfort level, and long-term vision. Whether you're pursuing healthier skin, natural facial rejuvenation, or medically supervised weight loss, our recommendations are always guided by what's best for you.
Personalized Care
Every treatment plan is designed around your unique goals, lifestyle, and comfort level.
Medical Expertise
Evidence-based aesthetic medicine delivered with honesty and clinical experience.
Natural Results
Enhancements that help you look refreshed and confident while still looking like yourself.
What to Expect
Ascend is located inside a salon suite environment. Your appointment is private and by appointment only. When you arrive, you’ll be welcomed into Tera’s treatment space for a personal consultation and care plan.
- 01
Schedule Your Consultation
Reach out at your own pace. We'll find a time that works and confirm any details ahead of your visit.
Typically 20–30 minutes
- 02
Meet With Tera
An unhurried conversation about your goals, history, and what you're hoping to feel — not just look like.
No pressure. No obligation.
- 03
Receive a Personalized Plan
A clear, individualized treatment plan with realistic expectations and transparent next steps.
Customized to your goals.
- 04
Ongoing Support
Follow-ups, adjustments, and guidance as you go. You're not handed a result — you're walked toward one.
We're with you every step.
Ready to take the first step?
Schedule Your ConsultationCurrently Offering
Treatments available today
Our practice is growing thoughtfully. New services will be added as we're ready to offer them at the same level of care.
Medically Supervised Weight LossFrequently Asked Question
Am I a candidate for medical weight loss?
Most adults looking to lose weight safely may qualify after a comprehensive medical consultation. During your visit we'll review your medical history, current health, lifestyle, and weight loss goals to determine whether medically supervised treatment is appropriate for you.
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GLP-1 TherapyFrequently Asked Question
What's the difference between Semaglutide and Tirzepatide?
Both medications help reduce appetite and support long-term weight loss, but they work differently within the body. During your consultation, Tera will determine which option best matches your medical history, goals, and overall health.
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BotoxFrequently Asked Question
Will Botox make me look frozen?
No. Our philosophy is natural-looking enhancement. Treatments are carefully customized to soften lines and wrinkles while preserving your natural facial expressions so you still look like yourself—just refreshed.
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SkinPen MicroneedlingFrequently Asked Question
How much downtime should I expect?
Most patients experience mild redness similar to a sunburn for approximately 24 to 48 hours. As your skin heals you'll notice smoother texture, healthier skin, and gradual collagen production over the following weeks.
Learn More- Ariessence Growth Factors
Frequently Asked Question
What are growth factors used for?
Growth factors support your skin's natural repair process and are commonly paired with treatments like SkinPen Microneedling to enhance healing, improve skin quality, and encourage healthier, more youthful-looking skin.
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Ready to elevate your confidence?
Schedule a personalized consultation with Tera to discuss your goals, explore your options, and build a treatment plan designed specifically for you.
Schedule Consultation
Questions before booking? Contact Us →
Get in Touch
Request your consultation.
Share a few details and we'll reach out to confirm a time. All consultations are by appointment.
- Phone
- By appointment
- hello@ascendbw.com
- @ascendbeautywellness
- Hours
- Appointment only