The Refinery Medical Aesthetics

Refined Results. Professional Care. Natural Beauty.
Your destination for aesthetic and anti-aging medicine in Topeka, KS.

The Refinery Approach

At The Refinery Medical Aesthetics, everything starts with a one-on-one consultation and a customized plan built around you. No two faces are the same, and no two treatments should be either. Our goal is simple: help you look and feel your best with results that look natural, not overdone.

What sets us apart is our blend of advanced aesthetics and functional medicine. We go deeper than surface-level fixes. By optimizing hormones, using targeted peptides, and supporting the body from within, we address fatigue, weight loss resistance, and the root causes of aging. This inside-out approach improves skin health and builds a stronger foundation for lasting beauty and long-term wellness.

We use the latest techniques, proven products, and a conservative approach that enhances your features without changing who you are. Every experience is designed to be safe, comfortable, and crafted for your unique journey!  

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Our Treatments

Our Treatments

Botulinum Toxin Injections

Smooth lines and soften expressions with targeted neurotoxin treatments. Common areas include the forehead, between the eyebrows, and around the eyes. These quick, in-office procedures require little to no downtime.

Dermal Fillers

Restore volume in areas where the face has lost structure over time. Fillers can be used to lift cheeks, define the jawline, soften smile lines, and subtly enhance the lips. Results are immediate and designed to maintain facial balance.

Sculptra

Sculptra stimulates your own collagen production to gradually restore facial volume and improve skin quality. It is ideal for patients seeking a long-term, regenerative approach with subtle but noticeable results.

Microneedling with PRP

Microneedling with the SkinPen creates controlled micro-injuries to the skin, stimulating collagen and improving tone and texture. When combined with platelet-rich plasma, results are enhanced through your body’s natural healing response.

Chemical Peels

Our chemical peels help to exfoliate and brighten the skin. They reduce hyperpigmentation, even out skin tone, and minimize fine lines. A series of treatments may be recommended for optimal results.

EZ Gel PRF

EZ Gel PRF uses your body’s own platelets and growth factors to promote skin renewal. This regenerative treatment is ideal for under-eye hollows, fine lines, and areas where a softer touch is needed.

Medical-Grade Skincare

We carry a curated selection of medical-grade skincare products that complement your treatments and improve your skin’s long-term health. During your consultation, we will recommend products that align with your skin type and goals

Weight Loss

We offer medically guided weight loss programs using advanced medications that support appetite regulation, blood sugar balance, and fat metabolism. These treatments are designed to help you lose weight effectively while preserving muscle mass and supporting long-term health. Our providers tailor each plan based on your goals, lifestyle, and labs to help you feel better, look better, and sustain results.

Hormone Optimization

Hormonal balance is essential to how you feel, function, and age. We offer bioidentical hormone replacement therapy (BHRT) to address symptoms like fatigue, brain fog, weight changes, low libido, and mood swings. Your plan is personalized based on labs and symptoms to support metabolism, energy, sleep, and overall vitality. Hormone therapy can be a critical foundation for internal health and external transformation.

IV Therapy

IV therapy delivers hydration, vitamins, and nutrients directly into your bloodstream for fast, efficient absorption. If you're looking to boost energy, recover from travel or a long night, destress, support your immune system, or enhance skin glow, we offer targeted blends designed to meet your needs. Treatments are quick, relaxing, and can be combined with other therapies for comprehensive wellness.

Peptide Therapy

Peptide therapy supports cellular function, recovery, and overall vitality. These treatments can help improve sleep, energy, metabolism, skin health, muscle tone, cognitive clarity, and more. Our team selects and personalizes peptide protocols based on your unique needs to optimize performance and well-being at a deeper level.

Vitamin Injections

These quick, concentrated injections replenish essential nutrients and support your body’s natural systems. Popular choices include options to enhance energy, support metabolism, and promote cellular repair and detoxification. Regular injections help fill nutritional gaps, improve vitality, and amplify the benefits of other wellness treatments.

Solutions for Your

Skin & Confidence

At The Refinery, we provide care for a wide range of aesthetic concerns.

Volume Loss

Dermal fillers and Sculptra restore fullness and shape to areas affected by aging.

Skin Texture and Pores

Microneedling with PRP and medical-grade peels help improve smoothness and refine pores.

Wrinkles and Fine Lines

Botulinum toxin injections reduce movement that causes expression lines and soften visible wrinkles.

Skin Tone and Radiance

Chemical peels and skincare help improve brightness and texture for a more refreshed look.

Under-Eye Circles

EZ Gel PRF and filler treatments can reduce shadows and hollows beneath the eyes using safe, subtle techniques.

Wellness Support

IV therapy and vitamin injections support energy, immune function, fatigue, weight management, and overall aging to help you feel and perform your best.

Meet Sarah & Team

Sarah Jepson

MSN, APRN, FNP-BC
Medical Director and Owner
Sarah Jepson is the founder and medical director of The Refinery Medical Aesthetics. With over two decades in healthcare, she brings a clinical approach to aesthetic medicine. Her background includes emergency medicine and pediatric primary care, giving her a well-rounded view of health, wellness, and patient safety. Sarah received her Bachelor of Science in Nursing from Baker University in 2002 and her Master of Science in Nursing from the University of Kansas Medical Center in 2007. She is a board-certified family nurse practitioner through the American Nurses Credentialing Center and licensed in the state of Kansas. Since entering medical aesthetics in 2022, she has built her practice around thoughtful planning, technique, and individualized treatment.

Melissa Deister

DNP, APRN, FNP-BC
Family Nurse Practitioner
Melissa Deister is a dedicated provider with a passion for both functional medicine and medical aesthetics. Born in the Philippines and raised in Germany and northern Utah, she brings a global perspective and a strong sense of resilience and adaptability that shape her approach to patient care. Melissa began her healthcare journey as a Certified Nursing Assistant in high school, where she discovered her passion for helping others. She earned her Bachelor of Science in Nursing from Emporia State University in 2016 and spent the next eight years in acute care at a Level-Two Trauma hospital, where she gained expertise in post-surgical recovery and complex care management. In 2024, she earned her Doctor of Nursing Practice from the University of Kansas Medical Center, specializing in family practice. Melissa is currently completing her certification in functional medicine, which focuses on identifying and addressing the root causes of illness through evidence-based care, nutrition, and lifestyle support.

Madison Metzger

Patient Experience Coordinator
Madison brings several years of experience as an administrative assistant in a busy dental and oral surgery office. She is currently pursuing a degree in Business Administration at Allen County Community College and applies the same enthusiasm for learning and growth to her work at The Refinery. She is often the first welcoming face patients see when they come through the doors at The Refinery and plays a key role in creating a smooth, supportive experience from the moment they arrive. Outside the clinic, Madison enjoys golfing with her fiancé, walking her two poodles, and planning her winter wedding.

A Note From our Founder

The Refinery Medical Aesthetics was created to offer a quiet alternative to fast-paced aesthetic clinics. My goal is to give each patient a focused, respectful experience. No pressure. Just honest advice, well-researched treatments, and realistic outcomes. Every treatment is overseen by board-certified medical providers to ensure safety and results you can trust.

I believe aesthetic medicine should be part of a broader conversation about health, confidence, and long-term wellness. The treatments we offer here are meant to work with your natural features, not against them. We stay current with proven techniques and never recommend anything that doesn’t support your individual goals.

If you are looking to refresh your skin, restore volume, or just looking to feel better, I welcome you to The Refinery. I look forward to meeting you.

Sarah Jepson

MSN, APRN, FNP-BC
Founder and Medical Director