St. Louis' Premiere Aesthetics and Medical Spa

We are here to help you look and feel your best from head to toe, with the highest standard treatments on the market.

Get Started

Customized Aesthetics and Med Spa Services

Our Aesthetics Treatments are customized to help you achieve your goals based on your specific needs from head to toe.

Injectables / Fillers

Revitalize your appearance with our injectables and fillers, offering safe and effective solutions for a youthful, radiant look.

Non Surgical

Explore our range of effective non-surgical services for enhancing your appearance without invasive procedures or surgery.

Body and Facial contouring

Discover tailored body care service designed to help you achieve your fitness goals effectively and sustainably.

Facial Peels / Skin Care

Rejuvenate with our facial peels, tailored for radiant skin. Explore our skincare services for a vibrant, youthful complexion.

Perm Makeup / Waxing

Experience lasting beauty with our permanent makeup. Smooth, professional waxing services for a polished, flawless look.

Laser Services

Say goodbye to traditional hair removal methods and skin care services and embrace the convenience of laser services at Precision.

We offer the Gold Standard of Aesthetics Treatments.

Our treatments are the gold standard for your beauty and skincare goals. We’ve curated the best products, services, and highly trained professionals to deliver the highest quality results possible.

We also know that that beauty starts from within. To achieve long lasting skincare and beauty results, you need to get to the root cause of the symptoms you are treating. We do this through a comprehensive, medically-based, multifaceted approach to anti aging and skincare.

Know exactly what you’re looking for?

Please feel free to contact us, our team is ready to assist you immediately.

+1 314-786-5389


Don't miss our updates

Stay informed with our updates. Subscribe today and never miss out on exclusive content and offers.

    You’re In Good Hands

    “Our valuable clients deserve the best”

    Dave Drago (Drago_STL)
    Dave Drago (Drago_STL)

    In October of 2015 I was debating on competing in my second NPC Championship. Even before I decided to do the show I knew for sure who I was going to call to be my prep coach and handle my diet and workouts. That would be Jamie Speiser at Precision Fitness and Spa. I t was a little over 3 years since my first competition and I have always followed Jamie on social media and it was apparent of the success he had with his clients. Every competition picture that got posted had him standing with his athlete with a medal around their neck! There are many things, but one thing that stuck out with Jamie is that he sincerely cares about his clients and wants them to succeed as bad as they want too themselves! In my 4 months of prep I went from 11.6% body fat to just under 4% and I gained several pounds of muscle in the process (And oh by the way, I was 48 years old for this competition and I took 1st place in my masters class!) If I were to do another show; he'd be my Go To coach, no doubt about it!!!

    Lindsay J NP
    Lindsay J NP

    I have been training with Jamie for about 5 months now. I am in the best shape of my life and have learned more about diet and exercise Than I ever could have dreamed of. everyone is always so positive and have a special.way of pushing you to achieve your goals.

    Dave Plumley
    Dave Plumley

    WOW !! GREAT !! TEAM WORK!!! POSITIVENESS !!!! SUPPORTIVE !!! ENCOURAGEMENT!!! YOU MEAN SOMETHING !!!!! WELL INFORMED!!! LIFE CHANGING !!!! These are just a few words that I experience working with Precision Fitness and SPA each day. Jamie Speiser and his staff are all of these and more and have kept me going through all the struggles and over the hills when the tough times have come. Before starting with Jamie I was the type of person that each day was from the chair to car to chair at work, back to car back to the couch. I was on oxygen at work and home, multiple medications my health and lifestyle was in a fast track to going to a fast end. My weight and condition was the "elephant in the room" that no one wanted to bring up to me as they didn't want to hurt me or my feelings. Then two people who changed my life and asked if I would meet someone that might be able to help me and they introduced me to Jamie Speiser. UNBELIEVABLE DAY FOR ME. HE OPENED THE WORLD BACK TO ME AND GAVE ME BACK MY LIFE. The simple things that people take for granted to be able to sit in a regular chair to watch your granddaughter dance. Be able to walk and play catch, go to the pool to go swimming, able to shovel your own snow and cut your own grass. All lift changing >>>>> I can go on forever about the numbers and the loss in lbs and inches ( which is awesome). The major changes I have experienced is the awareness I have gotten from Jamie and everyone at Precision Fitness and the courage and knowledge of making good healthy decisions at each meal. The challenging work-outs are tough but are adjusted to meet everyone's needs and abilities. They are fun and challenging the staff keep you wanting more and wanting to come back. Jamie Speiser , and the staff at Precision Fitness is a place that everyone can feel at ease. I hope everyone will come and try it for themselves.