Home - First Class Health

— MIAMI PHYSICIAN LED

Physician led Longevity and Aesthetic medicine, in one Miami practice.

First Class Health was founded by Dr. Joshua Haggenmacher, MD, to bring longevity medicine and aesthetic care together under one clinical standard, so every decision about how you age and how you look comes from the same picture.

— THE INTEGRATED MODEL

One chart. One plan. One point of accountability.

Most patients meet longevity medicine and aesthetic medicine as two separate worlds: a wellness clinic on one side, an injector on the other, neither one talking to the other. First Class Health closes that gap.

Dr. Haggenmacher built the practice around a single idea: how your hormones and metabolism function, how you plan to age, and how you look are connected. He sets the clinical standard behind every plan at First Class Health, whether you’re being seen by him directly or by the team he trained. A conversation about your hormones or metabolic health can become a conversation about a treatment when the evidence points there, and vice versa. Nothing here is guesswork or a protocol pulled off a shelf.

— THE PRACTICE

Two Practice Areas, One Standard

LONGEVITY

First Class Longevity

Medical weight management, hormone optimization, peptide therapy, IV fluid therapy, and individualized longevity and metabolic programs.

AESTHETICS

First Class Aesthetics

Neurotoxins, dermal fillers, biostimulators, PRP, facial balancing, and advanced device based treatments, delivered by a trained team working from one clinical standard.

— WHY PHYSICIAN LED

Why Patients Choose a Physician Led Practice

Miami has no shortage of wellness storefronts and injectors. It has far fewer practices built and owned by a physician who set the standard behind every treatment on the menu.

Physician led, not a rotating staff with no one steering it. Every plan traces back to a standard Dr. Haggenmacher built.

Evidence based decisions. Treatments get recommended because they fit your case, not because they’re the highest margin item on a menu.

Individualized, start to finish. Your plan is built around your goals and your health picture, and it changes as both evolve.

Effortless to visit. Complimentary valet service brings you directly into the practice, so your visit starts the moment you arrive, not after you’ve circled the block for parking.

— GET STARTED

Want expert guidance?

Tell us what brought you in, and we’ll point you to the right first conversation.