Natural beauty at its best! Permanent makeup can transform your aesthetic in subtle but remarkable ways. Friends and family will notice how refreshed and polished you look without being able to pinpoint what’s changed! Kara Gutierrez is an expert at working with each client’s natural coloring and existing structure to give your face perfect balance and dimension. It takes time, patience, and painting skills to fill in your eyes, brows and lips with makeup every single day. Kara’s artfully applied permanent makeup heals beautifully, and you won’t need to add any makeup unless you’re in the mood to rock a bolder look. Simplify your beauty routine and amplify your confidence – you deserve it!

Spot On Health & Beauty is a founder-led practice created by Kara Gutierrez and Arian Culp, MD, offering personalized medical care, restorative tattooing, and creative work in one intentional space.
Led by double board-certified physician Arian Culp, MD, Spot On Health & Beauty provides evidence-based medical care focused on metabolic health, hormone optimization, weight management, and aesthetic medicine. With advanced training in integrative medicine and education through Harvard Medical School, Dr. Culp’s approach prioritizes thorough evaluation, individualized treatment, and long-term health.
Alongside the medical practice, Kara Gutierrez brings over 13 years of experience as a licensed tattoo artist specializing in permanent makeup, areola restoration, and scar-aware tattooing. Her trauma-informed, detail-driven approach centers on restoration, confidence, and artistry.
Together, they have created a calm, thoughtfully structured environment where clinical care and creative expression support healing, confidence, and individuality. The space also serves as home to Spotdities, a curated oddities and vintage shop reflecting their shared appreciation for art, history, and the unconventional.
Spot On Health & Beauty is more than a practice — it’s a place where care is intentional, work is meaningful, and every detail matters.

Husband & Wife
No, but it can sting. I’m trained with multiple types of numbing creams to help keep you comfortable.
Yes! Tattoo pigment is being placed under the skin – it is permanent!
Microblading is a 3D hair stroke eyebrow tattoo that uses a small handheld tool to implant pigment under your skin. What makes this technique so natural is the skin space between each stroke. This technique makes a very natural realistic 3D brow customized to enhance each individual’s natural beauty!
If you have sensitive skin or have oily skin this technique may not be the best option. In this case, a powdered eyebrow will be a more suitable option.
Kara will mimic the stippling movement done in drawing and painting to create a filled-in brow. The stippling movement is done by ‘drawing’ dots that together produce a color throughout the brow!
The Combo Brow is a combination of the Microblading and Powder Brow techniques. This gives the brow more fullness and definition.
Kara can perform a color correction and in some cases, a LI-FT removal process.
Eyeliner has the greatest longevity. You are likely looking at wanting a re-touch approximately 5 to 7 years after your initial procedure.
Powder Brows can last anywhere from 1 to 3 years depending on skin type (normal, oily, dry), age(youth, mature) and lifestyle (retinol creams, sun exposure, chemical peels). On average most people will want a refreshment around 18-24 months.
Microblading can last anywhere from 1 to 3 years depending on skin type (normal, oily, dry), age(youth, mature) and lifestyle (retinol creams, sun exposure, chemical peels). On average most people will want a refreshment around 18 months.
Permanent Lip Color, if you do them light and natural-looking you’re going to maybe consider touching them up 3 to 5 years. If you happen to do your lips a bit of a darker color there’s a good chance you could last about five years without a re-touch.
The aftercare phase is roughly 10 days long. Your brows will be darker the first few days following the treatment. You may experience some flaking – this is normal!! By day 3 or 4, your brows will be lightening up. After the 10 days, the top layer of skin has healed!. You will be given instructions and everything you need to have a successful healing process at the treatment appointment.
216 NW Executive Way, Lee’s Summit MO, 64063













