At Refine Anti-Aging in Oakland, we take a measured, clinical approach to modern aesthetics. Our practice is built on the belief that thoughtful analysis and skilled technique create results that are both natural and enduring.
Every treatment begins with a structured, layer-by-layer evaluation of the face, allowing our providers to understand the underlying causes of aging rather than treating isolated concerns. This method supports plans that are precise, personalized, and grounded in anatomy. We face aging head-on, addressing its issues, preventing related illnesses, and maximizing your ability to enjoy life with energy and purpose. Under the leadership of Dr. Reshma Vasanwala, Refine Anti-Aging Medicine and Aesthetics combines the latest scientific breakthroughs in anti-aging with proven treatment methods based on sound research to develop a plan for your path through the aging process.
Dr. Reshma Vasanwala is a board-certified physician and the founder of Refine Anti-Aging Medicine and Aesthetics.
Dr. Reshma Vasanwala has spent her clinical career in the Golden State. She graduated at the top of her class at UC Irvine with a double major in chemistry and art history before attending medical school at Western University. Her dual background in Chemistry and Art History, combined with a Master’s in Public Health from UC Berkeley, and more than twenty years in clinical practice, reflects a career shaped by both scientific precision and artistic balance. Originally drawn to art restoration, she now applies that same analytical and aesthetic sensibility to modern rejuvenation—restoring proportion, structure, and luminosity through evidence-based treatments.
Her approach is grounded in a layer-by-layer understanding of the skin and facial anatomy, creating results that are natural, subtle, and enduring. A lifelong learner, she continues to train nationally and internationally with leaders in aesthetic medicine and holds certifications in Bioidentical Hormone Therapy, Hormone Pellet Therapy, and IV Vitamin Therapy. At Refine, she leads a team dedicated to clinical excellence, thoughtful customization, and a refined, understated aesthetic to help her patients adapt and overcome the effects of aging while preserving their youthful appearance with an artistic eye. Dr. Vasanwala welcomes you to Refine Anti-Aging Medicine and Aesthetics!
Fletcher comes from an urgent care background, where he enjoys the fast pace and procedural aspect of acute care.
It was in this setting that he developed his love for and experience with IVs, conferring upon him the nickname “vein whisperer.” His passion, however, is in functional or “root cause” medicine, regarding the musculoskeletal system and the body as a whole. Fletcher and Dr. Vasanwala serendipitously met in 2020 and have been working together ever since.
Currently, all Vitamin Drip appointments are primarily managed by Fletcher. He is not only an expert in getting an IV swiftly but also very knowledgeable about functional medicine. Chances are you will have an illuminating conversation with him about health, nutrition, and dietary supplements. In his spare time, Fletcher enjoys watching and training in mixed martial arts, riding motorcycles, traveling, reading, and learning more about and practicing functional medicine and ultrasonography.
Meet Marian Miranda, our dedicated skincare enthusiast and licensed esthetician with a passion for combining holistic skincare with advanced clinical treatments.
She began her journey at Refine as Dr. Vasanwala’s medical administrative assistant and was inspired to dive deeper into the world of aesthetics by enrolling in an esthetics program. After getting licensed, it was a no-brainer to start offering facial services at Refine.
She has always been a lover of all things skin + beauty and has in the past had her own natural deodorant business and also worked as a professional makeup artist. She is always expanding her knowledge, geeking out about anything related to facials and skin care, and perfecting her skill in nano brows (permanent makeup).
Some of her favorite things about facials are not only seeing but feeling the real-time change in hydration and texture of the skin, and when clients fall asleep - she considers it a huge compliment! When she’s not at Refine, you can find her at hot yoga, baking Filipino desserts, or being favorite Auntie to her six nieces and nephews.
Lorra is a Certified Medical Administrative Assistant and one of the first friendly faces you'll encounter at Refine. With more than five years of experience in dermatology and med spa settings, she brings clinical know-how, organizational excellence, and genuine warmth to every interaction.
From managing scheduling and patient communication to performing blood draws, capturing clinical photos, and prepping clients for appointments, Lorra is the steady, calming presence that keeps everything running smoothly — including her key role in Refine's PRP and PRF regenerative treatments.
What makes Lorra truly special is the personal connection she brings to her work. Having navigated her own skin journey with acne and acne scarring, she has a deep passion for supporting clients on their path to skin confidence — and nothing makes her happier than watching that confidence bloom when clients see their results.
Outside of Refine, you'll find her at hot Pilates, exploring local restaurants, or spending time with family and friends.
Eva is a Certified Medical Assistant with more than five years of experience and a genuine passion for helping people feel comfortable, supported, and cared for. With a background in clinical care and a growing focus in the beauty and wellness industry, she brings a warm, approachable presence to every interaction as Refine’s Patient Care Coordinator.
She plays an important role in guiding clients through Refine’s hormone therapy program, ensuring they feel informed, encouraged, and confident throughout their wellness journey. Eva is passionate about creating meaningful connections and providing a smooth, personalized experience from the very first visit to ongoing care.
Outside of work, Eva enjoys discovering new matcha spots, hiking, spending quality time with family and friends, and indulging in the occasional self-care day.
Now offering payment plans with 
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Call: (510) 462-2662
Text: (510) 462-2662
By Appt Only
Mon - 9am-2pm‚ Tues: 9am - 6pm
Wed: 9am - 4pm
Thurs-Fri: 9am - 6pm
Sat: Closed
Sun: 10am-5pm