Medical Spa in St. Louis

Meaghan Detterman, CEO of St. Louis Skin, brings her education and business management background to lead the practice’s growth. A proven leader, she focuses on team-building, strategic planning, and creating structures for continued expansion while ensuring exceptional care for all clients.

• Licensed Esthetician with over a decade of experience in skincare.
• Joined St. Louis Skin Solutions in 2018, returned in May 2025
• Provides laser treatments, chemical peels, and other skincare services 
• Enjoys time with family and their Bernedoodle, Quincy.

Ashley Gruhala, a Licensed Esthetician, joined St. Louis Skin in 2023. With over 11 years of experience in aesthetics, customer relations, and sales, Ashley brings personalized care to every treatment, helping clients build confidence through advanced skincare and a passion for aesthetics.

• Joined St. Louis Skin Solutions™ in January 2022, starting in Guest Relations while earning her Medical Assistant certification.
• Holds a Bachelor of Liberal Studies with double majors in Math and Anthropology from UMSL
• Certified Medical Assistant, Weight Loss Specialist, and Laser Technician.
• Passionate about patient care and skilled in multiple medical and aesthetic treatments.

• FNP-BC through the American Nurses Credentialing Center (ANCC)
• DNP-FNP from Bradley University; BSN-RN from Indiana Wesleyan University
• Trained with Dr. Amy Miller at the Medical Aesthetics Academy
• Attended SCALE, The Aesthetic Show, and hands-on trainings with Revance & Merz

Jessi Green, Marketing Manager and Assistant to the CEO has been with St. Louis Skin since 2018. Jessi plays a vital role in the practice’s success in managing marketing, social media, and events, ensuring smooth operations and continued growth through her creativity and organizational skills.

Rebecca Willoughby, Licensed Esthetician and Spa Director, joined St. Louis Skin in 2023. With a background in aesthetics and business administration, Becky ensures exceptional client care and smooth operations in guest relations, combining her passion for aesthetics with administrative expertise.

• Licensed Esthetician, Laser Specialist, Certified Acne Specialist, and Certified Medical Assistant.
• Graduated from University of Spa and Cosmetology Arts in 2006; inspired by personal skin challenges.
• Over 14 years with St. Louis Skin Solutions™, certified in advanced procedures like microneedling, chemical peels, laser resurfacing, and Plasma Pen.
• Advocates daily SPF use, with her motto “SPF = Stay Pretty Forever.”

Pam Lawson, Medical Assistant and Guest Relations expert, returned to St. Louis Skin in 2024. Passionate about medical weight loss, she assists patients in achieving their goals, drawing on her success in the program to inspire others on their weight loss journey.

• Board-Certified Nurse Practitioner; MSN from Maryville University
• Background in Emergency Medicine, Urgent Care, Medical Weight Loss, and Aesthetics
• Trained with Dr. Amy Miller at the Medical Aesthetics Academy
• Completed hands-on trainings with Revance & Merz 

Gwen Rohr, Medical Assistant to Dr. Miller and Client Care Coordinator, joined St. Louis Skin in 2018. With a background in Business Administration, Gwen assists with patient care and medical weight loss, helping patients achieve their goals with personalized support.