About The Hidden Trough

About Denise

Hi, I’m Denise Todd — licensed esthetician and proud founder of The Hidden Trough.


I spent 7 years working inside a plastic surgeon’s practice, then managed three different oral surgeon practices over the last 22 years. That’s where my deep interest in aesthetics was born — seeing firsthand how powerful truly personalized, data-driven skincare could be for real transformation.

That experience is exactly why I created this intimate boutique spa inside Total Care Medical Center in Aiken — so women (and men) here could get the same level of professional, trackable results in a warm, welcoming space that feels like home.

I’m especially proud of my signature Shilajit Facial (my own invention) and our Spectrum AI skin analysis that actually measures your progress from visit to visit.

Every protocol is designed with one goal in mind: to make you feel truly seen, heard, and genuinely transformed.
As a veteran-owned business, giving back matters deeply to me. That’s why we offer free FDA approved BioMat sessions to local veterans dealing with PTSD and why our doors are always open to the Aiken community that I love.

Whether you’re prepping for wedding season, recovering from time in the saddle, or just craving that Southern-spa reset, I can’t wait to welcome you to The Hidden Trough.

About The Hidden Trough

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.