Aviva Aesthetics Expands into Illinois with Senara Med Spa Partnership

Leading aesthetics and wellness practice joins the entrepreneur-owned platform, extending Aviva’s Midwest network

Senara Med Spa, one of the Midwest’s most established integrated health and aesthetics practices, has joined Aviva Aesthetics — the entrepreneur-owned national platform for medical aesthetics — marking Aviva’s first partnership in Illinois. Senara’s founders will retain full ownership of the business.

Founded in 2002 by Dr. Keith Kramer and Penny Kramer, Senara operates from a 12,000-square-foot, purpose-built wellness campus that houses advanced medical aesthetics, functional medicine, hormone optimization, medical weight management, massage therapy, and wellness services under one roof. More than 850 Google reviews and a 4.9-star average reflect two decades of patient trust across Central Illinois.

“Keith and Penny built something rare: a practice broad enough to treat the whole patient and disciplined enough to do it well at scale,” said Tyler Weinberg, CEO of Aviva Aesthetics. “They are the kind of owners our model was designed for — operators who want scale without giving up the thing they spent twenty years building.”

Aviva’s model departs from the traditional private equity roll-up. Practice owners keep full ownership of their businesses while gaining shared services, purchasing power, operational support, and greater financial upside. Each practice keeps its own brand, team, and culture.

“We started down the traditional private equity path — we took the meetings, reviewed the structures, and got far enough to understand exactly what we would be signing,” said Penny Kramer, Co-Founder and CEO of Senara Med Spa. “Every version of that deal ended the same way: someone else owning what we spent over twenty years building. Aviva gave us a reason to change course. We keep our ownership, our brand, and our team, while joining a community of practice owners who openly share ideas, experiences, and best practices to help one another grow.”

Aviva Aesthetics now spans 20 locations across 13 states, continuing to grow a national network of founder-led medical aesthetics practices committed to preserving independence while building long-term value together.

Read the full press release here.

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