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Beatrice Aesthetics was started in 2019 by local medical providers Anni Paulmeyer, PA-C, and Deann Paulson, MD, after requests from patients to have aesthetic treatments provided locally. As the clinic grew, so did the team! In 2023, Makayla Koch, RN, completed her apprenticeship with the group and is excited to offer specialty interest in laser treatments, injections and peels. With the addition of a new provider, Beatrice Aesthetics is located in a new location at BCH, providing patients a true medspa experience.


  • Botox Injections for treatment of wrinkles around the eyes and/or the forehead, with no downtime!
  • Dermal Fillers for treatment of fine lines and wrinkles.
  • Dysport Injections for treatment of  wrinkles around the eyes and on the forehead, with no downtime!
  • Laser Hair Reduction for treatment of unwanted hair for men and women.
  • Laser Skin Treatment for sun and age spots.
  • Laser Vein Therapy for treatment of spider veins, redness of legs, facial and body veins, and vascular lesions.
  • Latisse for treatment to grow eyelashes.
  • Professional Peels to improve skin texture and tone, reduce the appearance of fine lines or reduce age spots.
  • SkinMedica Skin Care products.


Anne Paulmeyer, PA-C, is lead injector at Beatrice Aesthetics. Anni, a Beatrice native, joined the Beatrice Community Hospital community in 2016. She received her Bachelor of Science degree at Nebraska Wesleyan University and completed her Master of Physician Assistant Studies at the University of Nebraska Medical Center in 2011. Anni believes it is important that patients receive aesthetic services from a trusted healthcare professional in a safe, well-equipped facility, and has completed multiple trainings in injectables, including time spent in New York City with top injectors in the aesthetics field. Anni is passionate about keeping Beatrice a thriving community and is excited to offer you state-of-the-art aesthetic treatments and products locally.


Makayla Koch, BSN, RN, is the Registered Nurse Injector at Beatrice Aesthetics. Makayla is a compassionate nurse with an eye for detail. With more than 13 years of experience in the medical field across multiple hospital settings, including pediatrics and women’s health, her healthcare journey began long before she graduated from the University of Nebraska Medical Center with a Bachelor of Science in Nursing degree in 2019.

Makayla’s passion for health and beauty led her to the Beatrice Aesthetics team, where she hopes to bring her compassion and professionalism to the ever-expanding world of aesthetics. She is dedicated to empowering individuals to rediscover self-love and feel confident in their own skin. Her goal is to always ensure a comfortable, safe, and positive experience for her clients. Makayla joins the team with knowledge in laser hair removal, skin tightening treatments, laser vein therapy and chemical peels. Makayla is excited to meet you and work with you to achieve your unique aesthetic goals!


Skylar Nowka, PA-C, is a compassionate and dedicated injector at Beatrice Aesthetics. Skylar joined Beatrice Community Hospital in 2022 after completing her Master of Physician Assistant Studies at Northwestern College in Iowa. Skylar has a passion for health and wellness and is dedicated to enhancing her patients’ natural beauty and confidence. Skylar trained in Chicago with top injectors in the areas of cosmetic procedures and injectables. She is excited to merge her medical background with her passion for aesthetics to offer you personalized treatments. Skylar’s goal is to understand your unique goals and concerns and work together to achieve the results you desire while committing to safety. She is excited to continue the growth of aesthetics in Beatrice.




4800 Hospital Parkway
Beatrice, NE 68310



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