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Ritual Aesthetics is located in Puyallup, a short drive from Tacoma. Madelyn Shephard is the Master Esthetician behind the business, providing you with medical grade skin care services.

Learn more about DMK Enzyme Therapy services near Puyallup below!


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DMK is a world-renowned paramedical skin care line that has been trailblazing the world of skin care for over 40 years. Most known for their incredible Enzyme Therapy and the Plasmatic Effect™. 

DMK utilizes state of the art botanical ingredients and innovative technology which works on the internal structures and functions in the skin. All of DMK’s formulations are designed to mimic and work with the skin’s natural chemistry.

The focus of DMK’s method of natural pharmacology is to improve the appearance, performance and function of skin. The DMK system has three enzyme formulas, the enzymes in each of these sophisticated formulas act as hormone-like messengers to provide an immediate response within the skin. DMK’s enzymatic formulations provide truly effective skin revision, enabling optimal cellular function, which is the key to youthful, healthy skin. 

While cosmetic treatments and typical spa facials work topically on the surface of the skin, paramedical treatments address skin on an internal cellular level to improve its functionality. 


How and why enzymes work:

Enzymes are natures biological catalysts. They effectively:

  • Hydrolyze dead cells

  • Increase oxygenation

  • Boost cellular energy and activity

  • Encourage new collagen and elastin formation

  • Flush out cellular waste and debris

DMK Therapy

Plasmatic = plasma + blood. 

DMK’s Enzyme Therapy provides the incredible, world-renowned Plasmatic Effect™. The visible network of dilated capillaries delivers oxygen and nutrition into the skin, while the lymphatic system flushes away impurities and cellular waste, leaving behind a clean, clear matrix, renewed energy to the cells and a vibrant complexion. The Plasmatic Effect™ is a rebalancing of fluids in the tissue once the Enzyme Masque is removed. This typically fades within 10-15 minutes, once the homeostasis of fluids has been achieved. 

What to expect:

  • Each treatment will include an in-depth consultation to determine the best treatment for your skin.

  • The first half of each treatment will incorporate different modalities and add-ons depending on your skins needs and goals.

  • The DMK Enzyme will stay on the skin for a total of 45 minutes and gradually harden.

  • After 45 minutes, the enzyme masque will be quickly removed to reveal rejuvenated, refreshed and supple skin. 

  • No downtime, no pain or discomfort.

  • Maintain results with prescribed DMK products at home.

  • True skin revision is not achieved with one singular treatment. Results are achieved when treatments are done in a series and proper home care is maintained. 

Client comfort measures:

  • Relaxing environment

  • Reclined bed

  • Table warmer + blankets

  • Back + hip support

  • Relaxing music or guided meditation 

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Level One DMK Treatment

Indicated for: All skin types, first time DMK clients

This simple DMK Enzyme Treatment delivers amazing results in just one session. This treatment utilizes the power of DMK’s Enzyme #1 to hydrolyze dead skin, increase circulation and oxygenation, increase lymphatic drainage, strengthen skin tissue and improve overall cell function. This treatment includes a deep cleanse, micro enzyme exfoliation, DMK Enzyme #1 and finished with DMK’s trans-epidermal finishing products to nourish, correct, hydrate and heal the skin on a cellular level.

90 min        $219

Level Two DMK Treatment

120 min        $249

Indicated for: Dull, hyperpigmentation, aging, congestion, acne

This DMK Enzyme Treatment takes a more thorough approach to clear skin and all over rejuvenation. This treatment is 100% customized to your skins very specific needs. This treatment is only done after you have received one basic DMK treatment. This treatment includes the same steps as a Level One DMK treatment as well as a collection of different forms of exfoliation, advanced add on products and treatments, extractions, DMK Enzyme #1 and finished with DMK’s trans-epidermal finishing products to nourish, correct, hydrate and heal the skin on a cellular level.

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DMK Treatment

Level Three DMK Treatment

150 min       $279

Indicated for: Aging skin, tired skin, dull skin, flushed redness, telangiectasias, weakened capillaries, poor blood circulation

The most advanced DMK Enzyme Treatment. This treatment utilizes the power of all three DMK Enzymes that work to contract and tone facial muscles, tighten and plump lax skin and strengthen weakened capillaries. This treatment can only be done on clients who have received multiple DMK Enzyme Treatments. This treatment is fully customized to your skins very specific needs and includes advanced exfoliation and pre-treatment. Finished with DMK’s trans-epidermal finishing products to nourish, correct, hydrate and heal the skin on a cellular level.

* Photo results after ONE Elite DMK Muscle Banding Treatment!

Intro To DMK Package

150 min         $299

Indicated for: Everyone


This introductory package is ideal for first time clients who are ready to take the dive into the world of skin health. This package includes an in-depth 3D skin analysis using an advanced imaging system. After completing the skin analysis and consultation, we will begin the customized introductory DMK treatment. This may include modalities for acne, aging and pigmentation correction and management.


The first DMK treatment will include an exfoliant suited for your skin and the DMK Enzyme #1. This package also includes an anti-aging hand, face and neck treatment using LED Therapy. This package includes a 30-day supply of DMK home prescriptive products to maintain results and jump start your skin health journey. 

DMK Package
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Ritual Aesthetics offers a variety of other advanced skin care services in the Puyallup area. Experience signature facials, microblading and more. Madelyn Shephard is a certified Master Esthetician and owner of Ritual Aesthetics.

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