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All MedSpa services are done on site by Dr. Donna Richardson and her staff.  Dr. Richardson, a physician with over 30 years of experience, and her professional, experienced medical staff uses the absolute latest state-of-the-art equipment to help you turn back the clock and take control of the aging process. 

For MedSpa appointments and/or pricing please call or email.

(619) 688-1103


Botox® is an extremely dilute form of botulinum toxin which when injected into the muscle weakens but does not paralyze them. Safe and efficacious, BoTox is the number one cosmetic procedure in the United States. Over 5.6 million treatments were given in 2011. To remove or reduce wrinkles that form between your brows, on your forehead, or around your eyes when you laugh, smile, or frown, Botox Cosmetic can work like magic. One ten minute treatment – a few tiny injections – will relax the muscles that cause those lines to form and keep them relaxed for up to four months. At Destinations Medical Spa, we don’t over treat you. You’ll still look like you…only better!


Dysport treats moderate to severe frown lines by reducing specific muscle activity. Wrinkles are caused by repeated movements and muscle contractions, which means they can even develop in younger adults. One injection into each of 5 points between and above the eyebrows temporarily prevents muscle contractions that cause frown lines, leaving the rest of your face to move naturally. In other words, no frozen face, just natural-looking results. You can control your look instead of your look controlling you. 



Restylane is cosmetic dermal filler made of non-animal derived hyaluronic acid. Hyaluronic acid is a natural substance that already exists in the human body and provides volume and fullness to the skin. No allergy test is required for administration of Restylane. The drug is FDA approved for treatment of facial wrinkles. It is also an excellent choice for restoring youthful fullness to the lips. For patient comfort, Restylane is usually administered following a nerve block or local anesthetic. Some redness and swelling should be expected for 2 days after the procedure. Results last up to 6 months.


Juvederm is a hyaluronic acid (HA) injectable gel for areas of facial tissue where moderate to severe facial wrinkles and folds occur to temporarily add volume to the skin especially around the nose and mouth.


Belotero is a hyaluronic acid (HA) injectable filler that is designed to rebuild facial volume and structure. This filler specifically treats moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips.


KYBELLA (deoxycholic acid) injection is the first and only FDA-approved injectable treatment that contours and improves the appearance of submental fullness, sometimes referred to as “double chin”.
You and your doctor will design a treatment plan tailored to help you improve your chin profile. During your treatment sessions, KYBELLA®is administered into the fat under your chin using multiple injections. Many patients experience visible results in 2 to 4 treatment sessions. Up to 5 treatment sessions may be necessary for desired results, spaced no less than one month apart


As we age, our faces not only wrinkle, but actually lose volume, resulting in unattractive hollows and loose skin, especially in the cheek, eye, and temple areas. For those who don’t want the expense, pain, or downtime of a facelift, Sculptra Aesthetic offers an alternative.

Sculptra is a synthetic material called Poly-L-Lactic Acid which has been used in sutures for decades and in facial injection treatments since 1999 in over 30 countries. Poly-L-Lactic Acid stimulates the body to produce collagen and thus to revolumnize the face. Sculptra injections take about 30 minutes and are virtually painless. Patients treated with this nonsurgical facelift can resume normal activities immediately following the procedure. On average, 3 injection sessions are needed over a period of a few months. The number of injection sessions and the amount of Sculptra used per session will vary from person to person. The good news is that once full correction is attained, the result can last from 2 to 5 years. Sculptra can also be combined with Botox and Restylane for a refreshed, revitalized look. Contact a Destinations representative to see if this new procedure is for you.


Voluma is the newest filler from the Allergan family. It is a smooth hyaluronic acid filler which can last up to 24 months. Voluma is FDA approved for restoration of volume loss in the cheek and midface areas. As we age, mid-face volume loss flattens the cheek, reducing support for the eye and lessening contrast with the concavity of the lower face. With optimal correction with Voluma, even areas of the face distant from the injection site demonstrate lift, including the nasolabial folds, mouth corners, and jawline. In clinical studies, 67% of patients describe lasting response to Voluma at 2 years. Voluma is a brilliant new weapon in the fight against aging.

Restylane Lyft®

As we age and our faces lose volume, some of us begin to look for ways to regain more definition in our cheeks without surgery. Restylane Lyft, formerly known as Perlane-L®, is an injectable hyaluronic acid gel used to correct volume loss and treat wrinkles in the face. Retsylane Lyft is anFDA-approved filler indicated to provide lift to cheeks and add volume to correct and smooth smile lines (nasolabial folds).

Photo Genesis IPL

Complexion Blending and Brightening
At Destinations, we use the state of the art Cutera intense pulsed light system (IPL) to erase superficial skin damage without disrupting the skin surface. We have the recently introduced Limelight hand piece which is capable of three different programs: one to erase fine veins and generalized redness, another to eliminate brown spots, and a third that can tackle BOTH problems. Photo Genesis can treat just about any area of the body safely, comfortably, and effectively -- without the need for messy gels or numbing creams.

Laser Genesis

Wrinkle Reduction
By heating the dermis on a deeper level than Photo Genesis, Laser Genesis stimulates collagen regrowth. As new collagen builds up, stubborn wrinkles around the mouth, on the cheeks, and around the eyes start to soften. Diffuse redness (rosacea) also diminishes as Laser Genesis closes the dilated capillaries responsible for this condition. Laser Genesis can also improve the appearance of scars, including those caused by acne. The treatment feels relaxing and therapeutic and requires no topical anesthetics, The Cutera Laser Genesis uses the 1064 wavelength making the treatment suitable for people of all colors including those with tanned skin.

Titan Skin Tightening

Titan uses infrared light to heat the dermis well below the skin surface. For areas of the body starting to show skin laxity such as the cheeks, jaws, neck, arms, and abdomen, Titan produces an immediate increase in skin tone and your results will continue to improve over several months!. Diminish sagging jowls and “turkey necks” without the pain of other treatments such as Thermage. As you can see from our before and after pictures, Titan can produce results once only obtained by dermal fillers or facelift.

3D Skin Rejuvination

The Nonsurgical Facelift

The most powerful combination of light and laser therapy addresses all of the most common conditions of aging: age spots, sun damage, fine lines and wrinkles, and lax and sagging skin. By combining Photo Genesis, Laser Genesis, and Titan, your skin will be treated at the superficial as well as the deeper layers. We may not be able to stop the passage of time, but with 3D Skin Rejuvenation, you will look as if you have! Treatments typically occur once every four weeks and are customized to your individual needs.

MD Pen

MDPen represents the latest innovation in fractional micro needling. Skin rejuvenation treatments with MDPen micro needling can be used to lift and tighten while diminishing wrinkles, photo aging, and pore size. Micro skin needling can also be effective in the treatment of stretch marks and acne scars

Collagen Induction Therapy (Microneedling)

Micro-needling is a non-ablative skin regeneration therapy that creates channels in the treatment area which significantly increase the production of collagen and elastin.  These channels help the skin to absorb medical grade topicals like anti-aging serums and skin lighteners when applied in conjunction with the treatment.  The microneedle treatment can address Acne, some scars, stretch marks, photo-ageing, fine lines, uneven skin/complexion and discoloration. 


The newest form of microdermabrasion, vibrabrasion gently removes the outer layer of skin. It reduces fine lines, pore size, and acne scars, leaving you with brilliant, glowing skin. The treatment itself is painless and relaxing. Vibrabrasion can be used by itself in a treatment series to freshen the skin or can be combined with other services such as chemical peels, laser resurfacing, and IPL therapy to give better results than either modality alone. Vibrabrasion can also be used to smooth rough, dry skin on the elbows, feet, or heels and to increase the penetration through the skin of cosmeceuticals to assist in many types of skin rejuvenation.

Laser Hair Removal

We use the Cutera Cool Glide laser to remove unwanted hair on skin of ALL colors – even tanned skin! Unlike other lasers, the Cool Glide can treat the fine hair on a woman’s upper lip as well as the coarse hair on a man’s back. It is also one of the most comfortable lasers on the market today. Because hair is only affected by the laser during its growth cycle, permanent hair reduction requires multiple treatment sessions. The number of treatments and interval between treatments varies with the specific area of the body and with your individual hair texture. 

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