Though she's an aspiring Real Housewife, Barbara Ellsworth is no stay-at-home mom. The cosmetic- and plastic-surgical nurse of 13 years oversees Larchmont Laser Medical Spa’s staff of medical aestheticians. The tranquil, robin's-egg-blue walls of her facility offer a suitably upscale backdrop for the slate of med-spa and beauty services. Hair removal is a spa specialty, whether via warm wax, thin threads, or the same lasers that shaved the beard off the man in the moon. The aestheticians also oversee slimming VelaShape treatments and skin-resurfacing HydraFacials that help keep complexions youthful and smooth in case the Bravo camera crews show up.