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Trisha “Trish” Spence, RN, CANSThe whole team

About Trish.

18 years of nursing, more than a decade of it alongside plastic surgeons. A former lead injector and mentor, Trish brings a practiced eye to regenerative aesthetics and PDO threads, including Renuva, Selphyller, Radiesse, and Sculptra.

Joining Nov 12Certified Aesthetic Nurse SpecialistRN, CANSRenuva Elite Injector. PDO Max Top 25, 2025.

Joining the practice on Thursday, November 12, 2026, when booking opens. Trish specializes in Renuva, Selphyller Gel, and PDO threads, each now on its own page.

Trisha 'Trish' Spence, RN, CANS, Certified Aesthetic Nurse Specialist at Colonial Aesthetics & Wellness, in black scrubs holding a syringe

Trish’s story, the longer version.

Trish believes the best aesthetic care begins with understanding the person behind the treatment. With 18 years of nursing experience, including more than a decade in plastic surgery and aesthetic medicine, she brings a practiced eye and thoughtful approach to helping patients look refreshed, feel confident, and stay true to themselves.

Years of working alongside plastic surgeons have shaped her understanding of facial anatomy and her appreciation for subtle, balanced results. As a lead aesthetic nurse injector and mentor, she has guided fellow nurses in advanced techniques, procedural safety, and complication management. In her own practice, she pairs that clinical foundation with careful listening, creating treatment plans that reflect each patient's features, priorities, and long-term goals.

Her passion for bioregenerative aesthetics centers on treatments that work with the body's natural processes to support rejuvenation. Her experience includes Renuva, Radiesse, Sculptra, EZ Gel, and Selphyl, complemented by neuromodulators and dermal fillers. Recognized as a Renuva Elite Injector and a national PDO Max Top 25 Provider for 2025, Trish brings particular experience in regenerative treatments and PDO threads, thoughtfully considering facial support, volume, and skin quality together.

At Colonial Aesthetics & Wellness, Trish specializes in Renuva, Selphyller Gel, and PDO threads. Each has its own page with what it is, who it suits, and what it costs.

Trish is pursuing her Master of Science in Nursing at South University to become an Adult-Gerontology Primary Care Nurse Practitioner, with anticipated graduation in August 2027. Following graduation, she plans to continue practicing aesthetic medicine while extending her love for regenerative aesthetics into wellness care, supporting how patients feel as well as how they look.

At the heart of her approach is a lasting patient relationship, one built on honest guidance, clear expectations, and the confidence that comes from feeling heard and understood.

Ready to meet Trish?

A consultation is the first appointment. It is mostly listening, and it can end with nothing booked.

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