A woman with blonde hair, glasses, and a blue shirt with small green and white patterns, smiling outdoors.

Hi, I’m Dr. Margaret Greenough, M.D.

Dr. Margaret Greenough, M.D. is a board-certified physician specializing in natural aesthetic medicine on the Central Coast. Her gentle, refined approach creates results that feel fresh, elegant, and authentically you. My aesthetic philosophy blends medical expertise with an artistic, soft-touch approach, creating results that are natural, balanced, and subtly transformative.

Why Patients Trust Her:

  • Physician-led aesthetic care for maximum safety

  • Natural, subtle outcomes tailored to each patient

  • Expertise in injectables, lasers, and advanced skin rejuvenation

  • Warm, welcoming, and judgment-free environment

Hi, I’m Dr. Julia Veen, D.O.

Dr. Julia Veen, D.O. is a board-certified physician whose foundation in whole-person care brings both depth and precision to aesthetic medicine. A Doctor of Osteopathy and board-certified in Family Medicine and Osteopathic Manipulative Medicine, Dr. Veen has built her career on evidence-based practice and personalized patient care.

At Tirage Medspa, Dr. Veen combines her comprehensive medical background with advanced training in medical aesthetics and laser technologies, ensuring treatments are safe, effective, and tailored to each individual’s goals. Her clinical expertise spans injectables, skin rejuvenation, laser-based therapies, and holistic skin health strategies — all delivered with an emphasis on natural, balanced results.

Known for her thoughtful approach and commitment to patient education, Dr. Veen partners with each client to create customized treatment plans that enhance confidence and well-being.

Outside the medspa, Dr. Veen continues to serve the Central Coast community with compassionate primary care, emphasizing overall health as the foundation of lasting beauty and vitality.  

Hi, Kathy “Kat” Stevens, BSN, RN

With more than 30 years of clinical nursing experience, Kathy “Kat” Stevens brings a rare blend of medical expertise and artistic precision to aesthetic medicine. A graduate of Michigan State University and a Certified Injector, Kat has built a distinguished career in cosmetic and dermatologic care.

She specializes in neurotoxin treatments, hyaluronic acid dermal fillers, and advanced laser and light technologies, delivering natural, balanced, and tailored results for each patient. Her philosophy centers on enhancing your best self — never altering what makes you uniquely you.

Known for her gentle technique and personalized approach, Kat prioritizes safety, education, and subtle refinement in every treatment.

Outside of the medspa, Kat enjoys cooking, gardening, and embracing the beauty of California’s Central Coast.


Our Approach

Every patient who walks through the door is treated with genuine care and respect. Whether you’re seeking soft preventative Daxxify, refreshed skin through laser treatments, or a complete rejuvenation plan, my approach ensures you will never feel rushed, pressured, or overwhelmed. Our goal is simple: to help you look like the most rested, refreshed, confident version of yourself.

A Medspa Built on Trust

Our aesthetic philosophy blends medical expertise with an artistic, soft-touch approach, creating results that are natural, balanced, and subtly transformative.

I Truly Listen

We prioritize meaningful conversations and understanding your goals, concerns, and your relationship with your skin and appearance.


A Difference you Can feel

A Warm, Human-Centered Approach to Aesthetic Medicine

Dr. Margaret Greenough is a board-certified physician dedicated to helping patients feel confident, radiant, and authentically themselves. Her aesthetic philosophy blends medical expertise with an artistic, soft-touch approach, resulting in natural, balanced, and subtly transformative outcomes. Patients trust her for her calming presence, meticulous attention to detail, and commitment to safety above all else.

A Physician Who Truly Listens

Unlike high-volume medspas, Dr. Greenough takes a deeply personalized approach. She prioritizes meaningful conversations and understanding your goals, concerns, and your relationship with your skin and appearance. Patients often describe her as warm, grounded, and reassuring: someone who makes them feel genuinely seen and cared for. Every treatment plan begins with listening and ends with a result that feels aligned with who you are.

Medical Expertise with an Artist’s Eye

Dr. Greenough’s training as a primary care physician provides a strong foundation in anatomy, safety, and patient-centered care. This is a vital advantage when performing injections, laser treatments, and advanced aesthetic procedures. She pairs this with a delicate, artistic touch, knowing that subtle enhancements often create the most beautiful outcomes. Her work focuses on preserving your individuality while enhancing your natural beauty.


Natural, Radiant
Aesthetics starts here

Credentials & Background

  • Board-Certified Primary Care Physician

  • Advanced training in aesthetic injectables

  • Expertise in laser and light-based skin rejuvenation

  • Extensive experience with facial anatomy and safety protocols

  • Continuous training in the latest aesthetic technologies

slow, meaningful rejuvenation

  • Natural results

  • Skin-first, long-term rejuvenation

  • Prevention-focused anti-aging

  • Gentle enhancements that harmonize with your features

  • A judgment-free, supportive environment

What Patients Can Expect

  • To feel peaceful, connected, and empowered

  • A clear explanation of every treatment option

  • Honest, ethical guidance

  • Science-backed recommendations

  • A treatment plan tailored to your goals, budget, and comfort level