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Reverse Facial Aging


Your face is your most visible feature, one that through expression and appearance conveys what and how you feel. Facial aging includes a loss of skin elasticity and firmness, sagging tissues, and wrinkles. These visible signs of aging can greatly impact how you feel about yourself and how others see you. Your face can appear tired or sad due to aging in the midface, jaw line, and neck. The loss of youthful contours in these areas is due to a variety of factors including heredity, gravity, environmental conditions, and stress.

Your skin (facial and body) is bombarded by the elements every day. As you age, your skin loses elasticity and firmness, begins to sag and wrinkle and becomes blotchy and uneven. We are fortunate to live in an age of advanced technology that can help us slow down and in some cases, reverse, the aging process.

Plastic Surgery Specialists, PC and The Medical Spa Skin Care and Laser Center have many of the latest technologies and procedures (surgical and non-surgical) to help you regain that youthful look to your skin.

Reverse Facial Aging by Dr. Merkel
Reverse Facial Aging
Elos Plus by Dr. Merkel

Scarlet RF®

A full range of the most in demand anti aging and facial rejuvenating treatments!

Sublative - RF (radio frequency) is precisely directed to the skin to create new collagen and healthy skin cells.  Mild to moderate wrinkles and superficial skin discolorations are reduced.  The texture of your skin becomes more smooth and elastic.  This technology has been shown to effectively brighten and tighten, treat mild to moderate wrinkles, acne scars, red and brown spots and textural irregularities.  This is truly the next generation of safe and effective skin rejuvenation technology!

Scalet RF

Morpheus 8 by InMode

Our most effective micro ablative skin rejuvenation laser procedure, whether you are looking to refresh your look or appear years younger. The skin is treated one micro portion at a time - repeated thousands of times. Each micro column receives just enough laser energy to vaporize the aged skin while also stimulating new collagen growth of surrounding tissue. It's more than skin resurfacing, it's deep skin rejuvenation. Results will continue to improve over time. The SmartSkin® procedure is versatile and you can choose to have multiple mild treatment sessions or one more intensive session. Recovery time depends on the session you choose. Most patients are able to quickly heal and apply make-up on the treated surface and resume a normal lifestyle in as little as 2-3 days with the mild sessions and in 4-7 days with the more intensive session. What are you hoping to achieve? Your nurse or aesthetician can help you decide which treatment session is right for you!

Smark Skin Fractional CO2 Laser by Dr. Merkel
Morpheus microedl
Elos triniti by Dr. Merkel

Nordlys® skin treatments

This treatment combines three of today's most effective technologies to achieve total facial renewal with minimal downtime. Three laser treatments in one session - color correction, skin tightening and wrinkle treatment. 

Light and Bright Nordlys by Candela


AccuTite is the smallest minimally invasive radiofrequency device on the market. AccuTite delivers precision heating to small and delicate areas of the face and body, with the science and safety recognized with the Radiofrequency Assisted Lipolysis (RFAL) family of technologies. Patients who need precision fat reduction or skin contraction now have a solution that can be done under local anesthesia in our office, in less than 30 minutes, without excisional surgery. Great for the jawline, nasal labial, eyelid, brows, periorbital areas, neck.

ThermiSmooth Face by Dr. Merkel
Chemical peels by Dr. Merkel

Chemical Peels

The chemical peel is one of the oldest cosmetic procedures in the world and was performed in ancient Egypt, Greece and Rome to help people achieve smoother, more beautiful skin. Today, chemical facial peels are popular because they offer nearly immediate results and can help to reduce or eliminate the appearance of fine lines, wrinkles, acne scarring and uneven pigmentation - or if you simply want to rejuvenate your skin.

At The Medical Spa, we offer a variety of peels for the individualized needs of our patients. We offer the Medical Melanin Skin Lightening Peel, Mini-Medical Melanin, The Acne Peel, Obagi Peels and also Dermaplanning. A consultation with one of our nurses or medical aestheticians will determine which peel is right for you, based on the characteristics of your skin and the desired result. A nice, quick way to refresh your skin!

Chemical Peels


Our you in need of a refresh? Our Bella Microdermabrasion System is a non-surgical way to repair and restore your skin to its youthful appearance. The patented handpiece bombards the skin with a stream of multi-faceted crystals used to exfoliate and polish the outer keratin layer of the dermis. Removing the dead skin cells will revitalize your skin and there will be a healthy glow similar to the flush of your skin after moderate cardiovascular activity. Your skin will be prepared for better absorption of your facial skin care products.

Microdermabrasion by Dr. Merkel
Clinical Facials by Dr. Merkel

Clinical Facials

Having a facial has long been an accepted practice of relaxation and treating the skin at the same time. We pride ourselves at The Medical Spa on giving you a most relaxing and special experience with the best clinical facial for their individualized skin care needs. Our Licensed Medical Aestheticians examine your skin carefully, discuss what you are hoping to achieve and customize a facial just for you. So come on in - relax, enjoy your experience and leave with glowing skin.

Clinical Facials


Studies indicate that most people experience acne in some form at some time in their life. Hormonal changes cause the enlargement and blocking of oil producing sebaceous glands near the hair follicle within the skin. Acne usually begins with an abnormal amount of bacteria which causes painful pimples that can appear on your face, chest, back, limbs and virtually any other part of the body. Although we treat many teenagers with acne, "adult onset acne" brings many adults to our practice for treatment! Whatever your age, we examine each patient thoroughly to determine the best treatment.

Our Nodlys Acne Therapy is a unique therapeutic Blue Light that treats moderate inflammatory acne and is one of the safest treatments available. With ClearLight® there are no known side effects such as with some topical or oral therapies. Treatment is typically a series of 8 treatments over 4 weeks time. There is no pain and no down time.

Some acne may require a more intensive treatment: Levulan Kerastick® "Photo Dynamic Therapy" (PDT). Levulan is applied to the acne. Afterwards, the skin is exposed to a Blue Light or an IPL laser. A reaction occurs which helps destroy the acne. There is an excellent cosmetic response with no scarring reported.

Facial peels are also used to treat some acne. As usual, we customize the peel for your individualized needs.

We also carrying a full Obagi Acne line to help you have your best skin possible!

Acne treatment by Dr. Merkel
Cancer and Pre-Cancer screenings by Dr. Merkel

Cancers & Pre-Cancers

Up to 90% of all skin cancers are caused by exposure to the sun's harmful ultraviolet (UV) rays. Fortunately, most skin cancers are visible and can be diagnosed early and successfully treated before they can spread to other parts of the body. Many lesions can be detected and treated at a precancerous stage - the point at which their cells may be close to turning cancerous but have not yet.

Actinic keratosis (AK) is the most common type of precancerous skin lesion. An AK is evidence that sun damage has occurred and means you are therefore at greater risk of developing skin cancer. The more AKs that are untreated, and the older these lesions are, the greater the chance that one or more may turn into squamous cell carcinoma, a common form of skin cancer.

Levulan Kerastick® "Photo Dynamic Therapy" (PDT) is an excellent treatment for AKs.
Levulan is applied to the AK. Afterwards, the skin is exposed to a Blue light or an IPL Laser (Intense Pulsed Light). A reaction occurs which helps destroy the AK. There is an excellent cosmetic response with no scarring reported.

Remember: frequent skin examinations are the key to early detection and prevention of skin cancers. Our staff atThe Medical Spa are trained in how to spot precancerous and skin cancer lesions. They can then refer you to the appropriate medical provider for advice and/or treatment.

Cancers and Pre-Cancers
  • How do Stem Cells work?
    Adult Stem Cells have been greatly misunderstood and often misrepresented. Stem Cells are found throughout the body and can be harvested by removing adipose tissue. Advancements in technology has provided us the opportunity to use the adipose tissue and break it down, reducing it to a liquid containing stem cells. Those stem cells can then be placed into areas of aging tissue, including painful or injured joints. Additionally, IV administration of stem cells is accomplished by use of purchased cord cells from cord cell banks, cord cells are unique in that they are undifferentiated cells that can be used safely in any human with no adverse effects. Either the adult stem cells or cord cells have been proven to aid in repairing damaged cells throughout the entire body.
  • What can Stem Cells Do?
    Stem cells are undifferentiated cells that can multiply to replenish dying cells and regenerate damaged tissue.
  • How can Stem Cells be used?
    Stem cells have many capabilities and can be placed in high concentration to targeted areas to reduce the effects of aging and heal or repair tissue including thinned out cartilage, degenerative discs, arthritic joints, damaged tissue or to sculpt and replenish deflated areas of the body and face.
  • What about the downtime, side effects?
    There is no downtime, once the replenishment is done the healing begins, normally there is no pain or downtime from the treatment. The majority of patients who receive stem cell treatment for pain experience improvement within a week and continues to improve with time. There have been no adverse side effects.
  • When should I expect to see results?
    Stem cells begin work right away and may be noticed within a week and can improve over several months while the cells continue to multiply and do their job at repairing the damaged area. How many sessions do I need? Every case is different, the usual treatment is one session, but some patients with age related degeneration may require an additional session to have substantial relief. Get Free Consultation, bring in any past xrays and medical history.
PRP Injections
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