Exclusive skincare rituals in Aiken’s premier boutique spa — nestled within a trusted pharmacy.

Tucked inside Total Care Medical Center at 190 Crepe Myrtle Drive in Aiken, SC, The Hidden Trough offers a refined blend of clinical expertise and equestrian elegance. Within our intimate, private treatment rooms, modern aesthetics meet timeless Southern charm — creating a sanctuary where women can restore their skin and spirit alike.

Our treatments go beyond relaxation — they’re grounded in results. From rejuvenating facials and microneedling to advanced clinical-grade skincare therapies, every service is designed to deliver visible transformation. Partnering with the region’s most trusted pharmacy ensures the highest standards of safety, care, and quality in every product and procedure.

Inspired by Aiken’s equestrian heritage, The Hidden Trough celebrates the balance of strength and grace. You’ll find subtle touches of the stable throughout — soft barnwood textures, graceful horse silhouettes, and our signature “HT” cattle brand — all evoking the quiet luxury of life in the paddock.

Whether you’re preparing for competition season, replenishing after long days outdoors, or simply seeking a serene retreat, The Hidden Trough invites you to indulge in personalized skincare rooted in science and Southern sophistication.