Now clearer, more youthful looking skin is possible for all shades of beauty!

Contact us today about MD Pen!

Services That Speak for Themselves

skin care & beauty services

Refresh & Renew

facial services

facials

Our customized facials are designed to restore, nourish, and rejuvenate the skin. Each treatment begins with a professional skin analysis to address your unique concerns—whether it’s hydration, acne, aging, or dullness. Using high-quality products and advanced techniques, our facials deeply cleanse, exfoliate, and replenish the skin, leaving you refreshed, balanced, and glowing. Ideal for maintaining healthy skin and enhancing your natural radiance.

micro-needling services

micro-needling

MD Pen microneedling is a professional skin-rejuvenation treatment that stimulates collagen and elastin to improve skin texture, tone, and firmness. Using ultra-fine needles, controlled micro-channels are created to reduce the appearance of fine lines, acne scars, enlarged pores, and uneven pigmentation.

This treatment enhances product absorption and promotes smoother, healthier-looking skin with minimal downtime. Each session includes a personalized skin analysis to ensure safe and effective

chemical peel services

chemical peels

Our customized chemical peels gently exfoliate the skin to improve tone, texture, and clarity. This treatment helps reduce acne, fine lines, hyperpigmentation, and sun damage, revealing a brighter, smoother complexion with minimal downtime.

This treatment reveals a smoother, brighter, and more refreshed complexion while supporting long-term skin health.

facial services

microdermabrasion

A gentle, non-invasive exfoliating treatment that removes dead skin cells, improves texture and tone, and promotes a smoother, brighter complexion. Microdermabrasion helps reduce the appearance of fine lines, acne scars, and sun damage while stimulating collagen for healthier, glowing skin.

facial services

dermaplanning

A gentle exfoliating treatment that removes peach fuzz and dead skin cells, leaving your skin instantly smoother, brighter, and glowing. Dermaplaning helps makeup go on flawlessly and allows skincare products to absorb more effectively.

beauty services

brow lamination

Brow Lamination is a semi-permanent brow styling treatment designed to enhance your natural brow shape. It relaxes and repositions the brow hairs, allowing them to be styled in a lifted, fuller direction. The result is a clean, fluffy, and beautifully groomed appearance that can last up to 8 weeks.

Ideal for thin, sparse, or unruly brows, this service gives the look of added volume and symmetry.

beauty services

lash lift & tint

This treatment is perfect for clients who want a natural, effortless enhancement. A Lash Lift reshapes your natural lashes into an elegant upward curl, while a custom tint adds rich color and definition.

The result is beautifully enhanced lashes that look longer, darker, and perfectly styled for weeks.

Ideal for all lash types and a great low-maintenance alternative to lash extensions.

paramedical services

scar

camouflage

Our paramedical tattoo services are designed to restore a natural appearance and confidence following surgery, trauma, or medical conditions.

Using advanced techniques and medical-grade pigments, we specialize in areola restoration, scar camouflage, and skin tone correction. Each service begins with a private consultation to ensure personalized, safe, and natural-looking results.

paramedical services

STRETCH-MARK COMOUFLAGE

Stretchmark camouflage can be done on any area and any skin tone, whether your stretchmarks are darker or lighter than your regular skin tone. If you have a lot, or just a little, our professional paramedical tattoo artists will work with you to ensure the best results in a compassionate and confidential environment. 

Being a mom is tough enough as it is, so if the stretch-marks left on your belly bother you, let’s “erase” them using a tattoo you can think of as permanent concealer.

paramedical services

RADIATION MARKER TATTOOS

Radiation markers can often be a reminder of battling cancer and the uncomfortable treatment you went through. To put this illness in the past, we offer radiation marker tattoo camouflage

When you’re left with radiation markers on your body, we turn them into a freckle instead, allowing you to move forward and complete your healing process.

paramedical services

SKIN GRAFT CAMOUFLAGE

Skin graft camouflage involves using specialized, medical-grade, or cosmetic techniques primarily paramedical tattoing to blend the color and texture of grafted skin with surrounding tissue. This non-invasive procedure helps mask the often discolored, lighter, or mismatched appearance of donor and recipient graft sites, enhancing skin tone uniformity and improving patient confidence.

A professional inserts custom-blended, skin-toned pigments into the graft area.

paramedical services

(AREOLA + 3D NIPPLE TATTOO)

Areola restoration tattooing is an advanced paramedical procedure designed to recreate the natural appearance of the areola and nipple following mastectomy, breast reconstruction, reduction, augmentation, trauma, or congenital conditions. Using specialized pigments and artistic techniques, a realistic 3D effect is created to restore color, dimension, and symmetry—often eliminating the need for additional surgical procedures.

At Beauty by Design, each areola tattoo is fully customized to complement your natural skin tone, breast shape, and personal preferences. Our approach is trauma-informed, discreet, and performed with the highest standards of hygiene and precision.

Restore natural-looking breasts and full confidence!

Areola and nipple tattoos are popular for breast cancer survivors who have undergone a mastectomy and are looking to restore the beauty of natural-looking breasts, individuals who have scarring from breast implants, individuals who are looking to affirm their gender, or anyone wanting to enhance areola shape or colour!

An areola and nipple tattoos requires two sessions followed by a final touch-up appointment, with each appointment about 6-8 weeks apart. The ink used in areola tattoos is permanent ink, just like body tattoos, so results will last forever!

*Physician clearance required. Surgery must be fully healed prior to treatment.

cosmetic tattoo services

Microblading

Create realistic, hair-like strokes that blend seamlessly with your natural brows for a fuller, more defined look — ideal for sparse or uneven brows.

cosmetic tattoo services

Ombré Brows

A soft-shaded, gradient effect that mimics the look of perfectly filled-in brows. Great for oily skin types or anyone who loves a more polished brow.

cosmetic tattoo services

Combo Brows

The best of both worlds — microblading meets shading. A perfect choice for clients seeking dimension, definition, and long-lasting wear.

cosmetic tattoo services

Permanent Eyeliner

Create realistic, hair-like strokes that blend seamlessly with your natural brows for a fuller, more defined look — ideal for sparse or uneven brows.

cosmetic tattoo services

Lip Liner & Blush

Add color, shape, and symmetry to your lips with a soft, natural tint. Ideal for restoring youthful volume and correcting uneven tone.

Corrective Procedures

Corrective Procedures

Whether it’s correcting pigment, reshaping previous work, or refreshing faded results, we specialize in safe, effective color correction.

At Beauty By Design, we offer a curated selection of permanent makeup services designed to enhance your natural beauty and simplify your daily routine. Every treatment is performed with expert precision in a fully sanitized, licensed environment — because your comfort, safety, and satisfaction are non-negotiable.

Jessica M

"By the time the procedure was complete, I felt like I'd made a new friend who actually cared about me and my results!"

ABout me

Meet the expert

Karla Aguilera

With a foundation in both skincare and clinical precision, I bring a unique blend of beauty expertise and medical discipline to every service I offer. I became a Licensed Esthetician in 2006 , mastering advanced treatments like Chemical Peels, Light Therapy, Microdermabrasion , and Makeup Application — all while working as a Laboratory Technician in a hospital for over five years. This experience taught me the importance of precision, hygiene, and attentive client care — values I carry into every appointment.

My journey into permanent makeup began in 2017 , and since then I’ve built a reputation for my focus, professionalism, and attention to detail. My clients know they’re in steady, caring hands — I make it a point to ensure every client feels heard, valued, and beautiful.

FAQ

frequently asked questions

What does Micro needling feel like?

As a technician lightly presses and glides an activated MD Pen™ across your skin, treatment sensations can vary. Most MD Pen patients have reported the treatment to be well-tolerated and to feel like light sandpaper moving across the skin.

Will I bleed?

The manner in which the MD Pen penetrates the skin will depend on your level of treatment. It is possible to see some pinpoint bleeding that will end shortly after the treatment session.

How long will it take to complete a treatment?

A full face and neck anti-aging treatment is normally completed within 20 to 40 minutes. Other skin condition treatment times will vary depending on the size and number of the area(s) being treated.

How many treatments should I have?

Depending on your treatment goals and your skin condition, you may decide to have a single treatment, or the practitioner may advise you to have a series of four to eight treatments spaced two to six weeks apart.

How will my skin feel after the treatment?

Immediately after the treatment, your skin may be sensitive to touch and appear red or flushed, similar to a moderate sunburn. Usually, within four to six hours, redness and sensitivity will diminish, and with 24 hours the micro channels will feel healed. Normally, after two to three days, the redness and sensitivity will end, allowing a new, radiant complexion to shine through.

Are there any potential side effects?

After the procedure, the skin may be red and flushed in appearance, similar to a moderate sunburn. Skin tightness and mild sensitivity may also be experienced. This will diminish greatly within 24 hours.

How do I take care of my skin after the treatment?

Internal and external hydration of the skin is essential. Drink lots of water and carefully follow the skin care regimen prescribed by your practitioner, you will receive home care instructions.

LOCATION

5653 Carolina Beach Rd Unit A2

Wilmington, NC 28412

By Appointment Only

email

Phone

910-540-8966

LIABILITY

Please note that BEAUTY BY DESIGN cannot accept responsibility for any injury or damage caused by any services performed by our artists, including lash extension applications, permanent makeup treatments, and microneedling services. By booking an appointment with BEAUTY BY DESIGN , you agree to all terms and conditions and understand that BEAUTY BY DESIGN and our artists accept no liability, and you accept full responsibility.

FACILITY POLICY NOTICE

For sanitation, safety, and liability reasons, pets and children are not permitted in the spa. Service animals are allow as required by law.

DISCLAIMER

Paramedical tattooing is a cosmetic procedure and is NOT a medical treatment. Results may vary based on individual skin type, condition, healing response, and adherence to aftercare instructions.

These services do not replace medical care and are not intended to diagnose, treat, cure, or prevent any disease or medical condition. Clients must receive clearance from their physician when appropriate, particularly following surgery, radiation, or medical treatment.

A consultation is required to determine candidacy. Not all scars, skin conditions, or pigment irregularities are suitable for paramedical tattooing. Multiple sessions may be required to achieve desired results.

BEAUTY BY DESIGN and Karla Aguilera assume no responsibility for unrealistic expectations or outcomes influenced by factors beyond professional control.

REFUND POLICY

At Beauty by Design, we are entirely committed and focused on making sure each of our guests receives the ultimate luxury experience. If you have concerns with a service you received, please contact us within 48 hours. NO REFUNDS, whatsoever, are offered on any of our lash + brow + microneedling services. If you have an allergic reaction to a lash extension service we provided, a removal will be offered free of charge. Retail products and Gift certificate purchases are also non-refundable. 

CANCELLATIONS

Cancellations or rescheduling are only accepted 24 hours prior to the scheduled appointment. SAME DAY CANCELLATIONS AND NO-SHOWS will be charged a 50% fee for permanent makeup services, while all other services will be charged the full amount of the missed service.