Medical Aesthetics for the Black Hills Region
LiveWell Medical Aesthetics is based in Rapid City, SD, but we serve patients from across the Black Hills region. Spearfish, Sturgis, Deadwood, Lead, Custer, Hill City, Box Elder, and surrounding communities all fall within a short drive of our clinic at 811 Columbus St. For patients throughout western South Dakota who want access to a full-service medical spa without traveling to a major metropolitan area, LiveWell is the answer.
Founded by Courtney Vesely, FNP-C, MSN, and rated 5.0 stars across 165 Google reviews, LiveWell brings clinical-grade injectable treatments, regenerative therapies, and medical esthetic services to the Black Hills; administered by licensed medical providers who grew up in this region and are committed to serving it.
Why Black Hills Patients Choose LiveWell
Patients from Spearfish to Custer make the drive to LiveWell for consistent reasons:
- A provider with full clinical credentials. Courtney Vesely, FNP-C, is a Family Nurse Practitioner with over eight years of experience in aesthetic medicine. South Dakota grants Nurse Practitioners full practice authority, meaning Courtney leads the clinic independently and is fully licensed to perform all treatments offered. Christa McCormick, RN, and Marie Patton, FNP-C, bring additional clinical depth to every patient visit.
- A full treatment menu in one location. Many smaller communities in the Black Hills have limited or no access to advanced aesthetic treatments; particularly regenerative services like exosome therapy, PRP/PRF, and biostimulators, or device-based treatments like Sofwave and Aerolase laser. At LiveWell, the full menu is available under one roof.
- A practice that values natural results. LiveWell’s approach is built around restoring confidence; not changing what patients look like. The team is known for conservative, personalized treatment planning and for educating patients on their options before any procedure begins. ‘We’re not trying to change what people look like. We’re just giving them back their spark,’ says Courtney Vesely.
- Efficiency for out-of-town patients. If you are coming from Spearfish, Sturgis, or another community, we can help you schedule multiple treatments in a single visit to make the most of your trip. Contact us to discuss scheduling options.
Communities We Serve in the Black Hills
LiveWell serves patients from communities throughout the Black Hills region. The following is a guide to approximate drive times from key areas to our clinic at 811 Columbus St in Rapid City:
| Community | Approx. drive time | Notes |
|---|---|---|
| Box Elder, SD | 10 to 15 minutes | Closest community to LiveWell. Home to Ellsworth Air Force Base. |
| Sturgis, SD | 25 to 30 minutes | Northern Black Hills. Host of the annual Sturgis Motorcycle Rally each August. |
| Hill City, SD | Approximately 30 minutes | Heart of the Hills. Gateway to Mount Rushmore and Custer State Park. |
| Deadwood, SD | Approximately 40 minutes | Northern Black Hills. National Historic Landmark District. |
| Lead, SD | Approximately 45 minutes | Northern Black Hills, adjacent to Deadwood. |
| Spearfish, SD | Approximately 45 minutes | Northern Black Hills. Home to Black Hills State University. Population 13,000+. |
| Custer, SD | Approximately 45 minutes | Southern Black Hills. Gateway to Custer State Park and the Crazy Horse Memorial. |
| Hot Springs, SD | Approximately 1 hour | Southern Black Hills. |
If your community is not listed here, contact us and we will let you know the approximate drive time from your location. Many of our patients travel from communities not listed above and find the trip well worth it.
What We Offer Black Hills Patients
LiveWell’s full treatment menu is available to patients from across the Black Hills region. Whether you are looking for a first-time Botox appointment, a more advanced regenerative treatment, or a medical-grade facial, our team can discuss the right plan for your goals.
LiveWell offers Botox, Dysport, Daxxify, dermal fillers, lip fillers, Sculptra, Radiesse, and Kybella -- all administered by licensed medical providers. Treatments are customized to your facial anatomy and goals, with a strong emphasis on results that look natural, not overdone. See all injectable treatments.
LiveWell specializes in advanced regenerative treatments that most Black Hills communities cannot access locally; including PRP and PRF therapy, BENEV exosome treatments, Biogel autologous filler, PDGF Ariessence, and Microglow. These treatments use your body's own biology to restore skin quality, volume, and hair health. Learn about regenerative treatments.
We offer Sofwave, an FDA-cleared ultrasound skin tightening treatment with no surgery and no downtime; alongside the Aerolase ERA and Aerolase NEO laser systems for pigmentation, rosacea, acne, and full skin rejuvenation. Learn about Sofwave.
Meghan Barajas, our licensed medical aesthetician, offers DiamondGlow facials, medical-grade chemical peels and dermaplaning, DMK Enzyme Therapy, and Osmosis Infusion Facials; treatments that go well beyond what a standard day spa can offer. See esthetician services.
Making the Most of Your Visit from the Black Hills
If you are traveling from outside Rapid City, a little planning goes a long way. Here is what we suggest:
- Book a consultation first. If you are new to LiveWell, a consultation is the best starting point. Courtney or a team member will review your goals, walk you through your options, and help you build a treatment plan; so you know exactly what to expect before committing to any procedure.
- Combine multiple treatments in one visit. Many of our treatments can be performed on the same day. For example, a Botox appointment and a DiamondGlow facial can often be scheduled back to back. Let us know when you book that you are traveling from out of town; we will do our best to accommodate a same-day combination schedule.
- Ask about treatment spacing. Some treatments require multiple sessions spaced weeks apart (such as microneedling series or Sculptra). Your provider will give you a realistic timeline at your consultation so you can plan subsequent visits around your schedule.
- Early morning availability. We open at 8:30 AM Monday through Friday, which allows patients driving from Sturgis, Spearfish, or Deadwood to arrive early and return home the same day with minimal disruption to their schedule.
Your Providers at LiveWell

Courtney Vesely - Aesthetic Injector
● Owner and CEO
● Certified Nurse Practitioner
● Registered Nurse
● Master of Science in Nursing

Marie Patton - Aesthetic Injector
● Certified Nurse Practitioner
● Master of Science in Nursing
● Registered Nurse
● National Laser Institute Certification
What Our Patients Say










Ready to Visit LiveWell from the Black Hills?
Book a consultation and let the team help you understand your options, plan a treatment schedule that works for your travel situation, and take the first step toward results you’ll be happy with.
Address
811 Columbus St, Rapid City, SD 57701
Phone
605-545-9020
Office Hours
Monday through Friday: 8:30 AM to 4:00 PM - Saturday and Sunday: Closed
Before and After Results
The best way to understand what LiveWell’s treatments look like is to see real patient results. Our before and after gallery shows outcomes across injectable, regenerative, and esthetic treatments — real patients, real providers, natural-looking results.



