James Leffingwell, M.D.

Meet Dr. Leffingwell

Dr. James Leffingwell is a board-certified ear, nose, and throat (ENT) specialist in Midlothian, TX who concentrates on nonsurgical aesthetic procedures for the face and body. He is board certified by the American Board of Otolaryngology-Head and Neck Surgery and has over 40 years of experience in the medical field. He is also the owner and medical director of Refining Beauty med spa. 

Education and Specialties

Dr. Leffingwell graduated from the University of Cincinnati College of Medicine in Cincinnati, OH, and served his residency in otolaryngology at the University of Texas Medical Branch in Galveston, TX. From there, he opened his own private practice, Cross Timbers ENT, to provide specialty ear, nose, and throat care. Today, Refining Beauty serves as Dr. Leffingwell's cosmetic brand that focuses on state-of-the-art laser therapies for the skin, face, and body. 

Professional Memberships

Dr. Leffingwell is a member of the following professional organizations:

  • Texas Medical Association
  • Tarrant County Medical Society
  • American Academy of Otolaryngology-Head and Neck Surgery 


"In short, Dr. Leffingwell demonstrated why physicians are often held in high regard. His competence and manner were very reassuring under difficult circumstances. As the "on call" doctor for his partnership, he stepped up, and, within about an hour altered my anxiety level from about 8 or 9 to around 2. Without the benefit of an assistant/nurse he performed brilliantly in alleviating my post surgery (deviated septum repair...) excessive bleeding."



"Over the years I have developed some abdominal and back fat that I have not been happy with and have not been able to lose with dieting. I am typically anti-plastic surgery. But I learned about laser Lipo from a friend who referred me to Dr. Leffingwell. After speaking with Dr.Jim and his staff I was more intrigued. They answered all my questions and shared with me exactly what to expect. I decided to get this procedure because it was less invasive. The procedure was exactly how they described it and it was very simple. I was out of the office in a couple of hours. The results are amazing and I wish I had done this years ago. But the timing in meeting Dr. Leffingwell and his staff couldn’t have been more perfect. This dude is very happy with the results. No more love handles for me. I can’t wait until the summer to get some sun on these new abs. Thank you Dr.Jim !"



"I had a wonderful experience at Refining Beauty. Rebeca is doing an excellent job every time I come in. I can’t wait for my next sessions. I highly recommend this place"

Google User


"I originally started with Cross Timbers for my husband’s tonsils and allergies. Then again for my daughters tongue tie. All of these were done with Dr. Luke Shellenberger (at the Mansfield office.) In talking with the staff I found out they have a 🗣 MEDSPA at the midlothian office! The ball has not been dropped on ANY level with this practice. At the Midlothian office the receptionist Angela is on her A game ALWAYS! Dr. L is a hoot and a fantastic dr! I went in there originally for Botox. I had Becky and Rebecca in there assisting him (both nurses and fun personalities) which was VERY nice and comforting. Most medspas do NOT have nurses, some places they’re not even MA’s which is ridiculous. After Botox I started doing other things to help with my face because I didn’t want fillers, so they gave me some other options. His Medspa “guru” (as I like to call her) is nurse Rebecca. She is so informative through the whole process and aftercare. EXCELLENT bedside manner. So far I’ve done Opus (which is plasma), Clearlift, and Harmony. I haven’t been disappointed with any of these results. Below is a (creepy) picture of me with my very first treatment results. I’m making the face so you can see where the Botox worked SO well on my forehead. We are working on wrinkles, lightening my freckles/age spots, and tightening. I can’t wait to see what the end results are! We have currently started working on my HORRIBLE scars on my arms from getting Brachioplasty. They also run specials every month which I’ve taken full advantage of!! :) The only thing I wish was different would be a separate entrance for MedSpa only but, to my knowledge this part of the practice is still growing so hopefully I’ll see it in the future!"



"Friendly staff, very understanding. The procedure room is clean and comfortable. I had liposuction of my inner thighs and I am so happy I went to refining beauty. I only felt a small amount of pain and discomfort but the doctor took care of that for me. I would highly recommend refining beauty."



*Individual results are not guaranteed and may vary from person to person. Images may contain models.