RF microneedling and skin health planning should start with a careful conversation about the concern, the patient’s health history, and the result that would actually feel useful in daily life. At Modern Medical Spa in Richland, Washington, the goal is to make RF microneedling and skin health planning understandable before a patient commits to treatment. A useful consultation does more than name a service. It reviews texture, pores, acne scars, fine lines, laxity, and uneven skin quality, then connects those concerns to anatomy, skin type, medical history, medications, prior treatment experience, expected timing, cost, aftercare, and maintenance. This article is written for patients in Richland, Kennewick, Pasco, West Richland, and the Tri-Cities who want a practical explanation of RF microneedling without exaggerated promises. It is educational and does not replace an individualized consultation or medical advice. Why This Concern Deserves a Thoughtful Plan Patients often arrive with one clear frustration, such as texture, pores, acne scars, fine lines, laxity, and uneven skin quality. The first step is to define the concern precisely. A patient may ask about one treatment by name, but the real issue may be texture, laxity, hair growth, sweating, volume loss, urinary leakage, medication tolerance, sleep, or hormone-related change. When the concern is defined correctly, the treatment recommendation becomes more honest and more useful. Modern Medical Spa uses a measured approach because aesthetic and wellness treatments work best when the plan fits the person. The same service can be appropriate for one patient and poorly timed for another. Skin tone, healing history, active inflammation, sun exposure, medications, hormone status, pregnancy considerations, prior procedures, and upcoming events can all change what is safe or reasonable. How RF microneedling and skin health planning Works RF microneedling combines controlled needle injury with radiofrequency energy to stimulate remodeling over time. A strong plan explains what the treatment is designed to do, what it cannot do, and how progress should be judged. That matters because many services are marketed online with dramatic before-and-after language. Real clinical planning is more careful. It asks whether the service matches the patient’s concern, whether the expected improvement is realistic, and whether maintenance will be practical after the initial treatment or series. For many services, the best result is gradual. Hair reduction, collagen remodeling, hormone adjustment, skin barrier improvement, body-area treatment, and pelvic floor strengthening all depend on biology and follow-up. Patients should know whether they are choosing a one-time treatment, a series, a maintenance program, or a monitored medical plan. Who May Be a Good Candidate A good candidate has a concern that matches the service and understands the expected process. Candidacy may involve face, neck, acne-scarred areas, crepey texture, and maintenance skin health. It also includes practical details: timing around travel or events, willingness to follow aftercare, comfort with downtime, and ability to return for follow-up when needed. Screening is not just a formality. Active infection, open skin, unexplained symptoms, recent procedures, significant irritation, certain medications, immune or healing concerns, pregnancy considerations, unstable medical problems, or unrealistic expectations may require delay, modification, referral, or a different option. A careful “not yet” can protect the patient as much as a confident recommendation. What Results Are Realistic The most useful way to discuss results is to describe a reasonable range rather than a guarantee. It is not an instant resurfacing result and should not be performed over active infection or certain irritated skin conditions. Results may be affected by genetics, hormones, baseline anatomy, skin quality, lifestyle, medication changes, sun exposure, inflammation, and consistency with the treatment plan. In aesthetic care, restraint is often part of quality. The goal is not to chase the most aggressive result; it is to choose the safest plan likely to meet the patient’s actual goal. Sometimes that means starting conservatively, staging treatment over time, combining services carefully, or recommending skin care, lab review, or medical evaluation before a procedure. Preparing for the Visit Patients should avoid tanning and irritating products, review acne activity, medications, healing history, and timing around events. Patients should also be prepared to discuss allergies, prior reactions, current prescriptions and supplements, recent dental or cosmetic work when relevant, history of cold sores or scarring when relevant, and upcoming commitments. Good preparation reduces surprises and helps the provider choose safer timing. Aftercare and Follow-Up Aftercare depends on the service, but the principle is the same: protect the treated area, avoid avoidable irritation, and report symptoms that do not fit the expected course. Instructions may include avoiding heat, heavy exercise, friction, sun exposure, harsh products, shaving or waxing, pressure, alcohol, certain medications, sexual activity, or other procedures for a specific period. Follow-up is part of quality care, especially for treatments that involve a series, dose adjustment, lab monitoring, skin response, or progressive improvement. Follow-up allows the provider to assess response, adjust timing, answer questions, and decide whether maintenance or a different strategy would be more useful. Why Patients Choose Modern Medical Spa Patients choose Modern Medical Spa because the conversation is centered on fit, safety, realistic expectations, and a plan that can be maintained. The practice serves Richland, Kennewick, Pasco, West Richland, and the Tri-Cities with aesthetic and wellness services that are explained in plain language before treatment decisions are made. The purpose of the consultation is not to pressure a patient into a service. It is to help the patient understand what the service can reasonably support, what alternatives exist, and what steps are needed before, during, and after treatment. That transparency is especially important for patients comparing similar services and deciding whether a treatment is worth their time and budget. Frequently Asked Questions How do I know whether this is right for me? The best answer comes from a consultation that connects face, neck, acne-scarred areas, crepey texture, and maintenance skin health with the patient’s actual goal and medical history. How soon will I notice a result? Timing varies by service. Some changes are noticed quickly, while collagen remodeling, hair reduction, hormone optimization, wellness goals, and maintenance skin improvements often require weeks, a series, or follow-up. Can this be combined with other services? Often yes, but timing matters. Spacing services can reduce irritation, swelling, bruising, downtime, or confusion about which treatment caused which response. Why not just choose the fastest option? Fast treatment is not always the best treatment. A measured plan protects safety, keeps expectations realistic, and helps the result fit the patient’s face, body, skin, or health goals. A Better Way to Compare Options A good comparison should include more than price or convenience. Patients should understand the expected number of visits, how long results may take, what maintenance may involve, what side effects are common, what symptoms should prompt a call, and whether another service would better match the goal. This is where an experienced consultation adds value. It turns a vague interest into a practical plan with a clear reason behind each recommendation. Schedule a Consultation To schedule a consultation, contact Modern Medical Spa at 509-392-5007 or visit us at 1045 Jadwin Avenue, Suite A, Richland, WA 99352. Article by Richard Lorenzo, D.O.

Clarity II laser hair removal should start with a careful conversation about the concern, the patient’s health history, and the result that would actually feel useful in daily life. At Modern Medical Spa in Richland, Washington, the goal is to make Clarity II laser hair removal understandable before a patient commits to treatment. A useful consultation does more than name a service. It reviews dark coarse hair, razor irritation, ingrown hairs, shaving frequency, and sensitivity in the treated area, then connects those concerns to anatomy, skin type, medical history, medications, prior treatment experience, expected timing, cost, aftercare, and maintenance. This article is written for patients in Richland, Kennewick, Pasco, West Richland, and the Tri-Cities who want a practical explanation of underarm laser hair removal without exaggerated promises. It is educational and does not replace an individualized consultation or medical advice. Why This Concern Deserves a Thoughtful Plan Patients often arrive with one clear frustration, such as dark coarse hair, razor irritation, ingrown hairs, shaving frequency, and sensitivity in the treated area. The first step is to define the concern precisely. A patient may ask about one treatment by name, but the real issue may be texture, laxity, hair growth, sweating, volume loss, urinary leakage, medication tolerance, sleep, or hormone-related change. When the concern is defined correctly, the treatment recommendation becomes more honest and more useful. Modern Medical Spa uses a measured approach because aesthetic and wellness treatments work best when the plan fits the person. The same service can be appropriate for one patient and poorly timed for another. Skin tone, healing history, active inflammation, sun exposure, medications, hormone status, pregnancy considerations, prior procedures, and upcoming events can all change what is safe or reasonable. How Clarity II laser hair removal Works Clarity II uses laser energy to target pigment in the hair follicle while the plan accounts for skin type, hair color, hair density, and sensitivity. A strong plan explains what the treatment is designed to do, what it cannot do, and how progress should be judged. That matters because many services are marketed online with dramatic before-and-after language. Real clinical planning is more careful. It asks whether the service matches the patient’s concern, whether the expected improvement is realistic, and whether maintenance will be practical after the initial treatment or series. For many services, the best result is gradual. Hair reduction, collagen remodeling, hormone adjustment, skin barrier improvement, body-area treatment, and pelvic floor strengthening all depend on biology and follow-up. Patients should know whether they are choosing a one-time treatment, a series, a maintenance program, or a monitored medical plan. Who May Be a Good Candidate A good candidate has a concern that matches the service and understands the expected process. Candidacy may involve underarms, bikini line, legs, face, back, chest, and other appropriate areas. It also includes practical details: timing around travel or events, willingness to follow aftercare, comfort with downtime, and ability to return for follow-up when needed. Screening is not just a formality. Active infection, open skin, unexplained symptoms, recent procedures, significant irritation, certain medications, immune or healing concerns, pregnancy considerations, unstable medical problems, or unrealistic expectations may require delay, modification, referral, or a different option. A careful “not yet” can protect the patient as much as a confident recommendation. What Results Are Realistic The most useful way to discuss results is to describe a reasonable range rather than a guarantee. Laser hair removal reduces hair over time, but it does not treat sweating, odor, or guarantee permanent removal of every hair. Results may be affected by genetics, hormones, baseline anatomy, skin quality, lifestyle, medication changes, sun exposure, inflammation, and consistency with the treatment plan. In aesthetic care, restraint is often part of quality. The goal is not to chase the most aggressive result; it is to choose the safest plan likely to meet the patient’s actual goal. Sometimes that means starting conservatively, staging treatment over time, combining services carefully, or recommending skin care, lab review, or medical evaluation before a procedure. Preparing for the Visit Patients usually shave before treatment and avoid waxing, plucking, threading, tanning, and irritating products before the visit. Patients should also be prepared to discuss allergies, prior reactions, current prescriptions and supplements, recent dental or cosmetic work when relevant, history of cold sores or scarring when relevant, and upcoming commitments. Good preparation reduces surprises and helps the provider choose safer timing. Aftercare and Follow-Up Aftercare depends on the service, but the principle is the same: protect the treated area, avoid avoidable irritation, and report symptoms that do not fit the expected course. Instructions may include avoiding heat, heavy exercise, friction, sun exposure, harsh products, shaving or waxing, pressure, alcohol, certain medications, sexual activity, or other procedures for a specific period. Follow-up is part of quality care, especially for treatments that involve a series, dose adjustment, lab monitoring, skin response, or progressive improvement. Follow-up allows the provider to assess response, adjust timing, answer questions, and decide whether maintenance or a different strategy would be more useful. Why Patients Choose Modern Medical Spa Patients choose Modern Medical Spa because the conversation is centered on fit, safety, realistic expectations, and a plan that can be maintained. The practice serves Richland, Kennewick, Pasco, West Richland, and the Tri-Cities with aesthetic and wellness services that are explained in plain language before treatment decisions are made. The purpose of the consultation is not to pressure a patient into a service. It is to help the patient understand what the service can reasonably support, what alternatives exist, and what steps are needed before, during, and after treatment. That transparency is especially important for patients comparing similar services and deciding whether a treatment is worth their time and budget. Frequently Asked Questions How do I know whether this is right for me? The best answer comes from a consultation that connects underarms, bikini line, legs, face, back, chest, and other appropriate areas with the patient’s actual goal and medical history. How soon will I notice a result? Timing varies by service. Some changes are noticed quickly, while collagen remodeling, hair reduction, hormone optimization, wellness goals, and maintenance skin improvements often require weeks, a series, or follow-up. Can this be combined with other services? Often yes, but timing matters. Spacing services can reduce irritation, swelling, bruising, downtime, or confusion about which treatment caused which response. Why not just choose the fastest option? Fast treatment is not always the best treatment. A measured plan protects safety, keeps expectations realistic, and helps the result fit the patient’s face, body, skin, or health goals. A Better Way to Compare Options A good comparison should include more than price or convenience. Patients should understand the expected number of visits, how long results may take, what maintenance may involve, what side effects are common, what symptoms should prompt a call, and whether another service would better match the goal. This is where an experienced consultation adds value. It turns a vague interest into a practical plan with a clear reason behind each recommendation. Schedule a Consultation To schedule a consultation, contact Modern Medical Spa at 509-392-5007 or visit us at 1045 Jadwin Avenue, Suite A, Richland, WA 99352. Article by Richard Lorenzo, D.O.

Injectable aesthetic planning should start with a careful conversation about the concern, the patient’s health history, and the result that would actually feel useful in daily life. At Modern Medical Spa in Richland, Washington, the goal is to make injectable aesthetic planning understandable before a patient commits to treatment. A useful consultation does more than name a service. It reviews volume change, skin quality, facial balancing, fine lines, hydration, and subtle rejuvenation, then connects those concerns to anatomy, skin type, medical history, medications, prior treatment experience, expected timing, cost, aftercare, and maintenance. This article is written for patients in Richland, Kennewick, Pasco, West Richland, and the Tri-Cities who want a practical explanation of injectables without exaggerated promises. It is educational and does not replace an individualized consultation or medical advice. Why This Concern Deserves a Thoughtful Plan Patients often arrive with one clear frustration, such as volume change, skin quality, facial balancing, fine lines, hydration, and subtle rejuvenation. The first step is to define the concern precisely. A patient may ask about one treatment by name, but the real issue may be texture, laxity, hair growth, sweating, volume loss, urinary leakage, medication tolerance, sleep, or hormone-related change. When the concern is defined correctly, the treatment recommendation becomes more honest and more useful. Modern Medical Spa uses a measured approach because aesthetic and wellness treatments work best when the plan fits the person. The same service can be appropriate for one patient and poorly timed for another. Skin tone, healing history, active inflammation, sun exposure, medications, hormone status, pregnancy considerations, prior procedures, and upcoming events can all change what is safe or reasonable. How Injectable Aesthetic Planning Works Different injectables have different roles: filler supports contour, SkinVive supports skin smoothness, and regenerative options may support texture goals. A strong plan explains what the treatment is designed to do, what it cannot do, and how progress should be judged. That matters because many services are marketed online with dramatic before-and-after language. Real clinical planning is more careful. It asks whether the service matches the patient’s concern, whether the expected improvement is realistic, and whether maintenance will be practical after the initial treatment or series. For many services, the best result is gradual. Hair reduction, collagen remodeling, hormone adjustment, skin barrier improvement, body-area treatment, and pelvic floor strengthening all depend on biology and follow-up. Patients should know whether they are choosing a one-time treatment, a series, a maintenance program, or a monitored medical plan. Who May Be a Good Candidate A good candidate has a concern that matches the service and understands the expected process. Candidacy may involve cheeks, lips, jawline, temples, under-eye support, nasolabial folds, skin texture, and overall facial harmony. It also includes practical details: timing around travel or events, willingness to follow aftercare, comfort with downtime, and ability to return for follow-up when needed. Screening is not just a formality. Active infection, open skin, unexplained symptoms, recent procedures, significant irritation, certain medications, immune or healing concerns, pregnancy considerations, unstable medical problems, or unrealistic expectations may require delay, modification, referral, or a different option. A careful “not yet” can protect the patient as much as a confident recommendation. What Results Are Realistic The most useful way to discuss results is to describe a reasonable range rather than a guarantee. Injectables cannot replace surgery, resurfacing, or good skin care when those are the better fit. Results may be affected by genetics, hormones, baseline anatomy, skin quality, lifestyle, medication changes, sun exposure, inflammation, and consistency with the treatment plan. In aesthetic care, restraint is often part of quality. The goal is not to chase the most aggressive result; it is to choose the safest plan likely to meet the patient’s actual goal. Sometimes that means starting conservatively, staging treatment over time, combining services carefully, or recommending skin care, lab review, or medical evaluation before a procedure. Preparing for the Visit Patients should discuss prior filler, dental work, cold sores, blood thinners, autoimmune history, and timing around events. Patients should also be prepared to discuss allergies, prior reactions, current prescriptions and supplements, recent dental or cosmetic work when relevant, history of cold sores or scarring when relevant, and upcoming commitments. Good preparation reduces surprises and helps the provider choose safer timing. Aftercare and Follow-Up Aftercare depends on the service, but the principle is the same: protect the treated area, avoid avoidable irritation, and report symptoms that do not fit the expected course. Instructions may include avoiding heat, heavy exercise, friction, sun exposure, harsh products, shaving or waxing, pressure, alcohol, certain medications, sexual activity, or other procedures for a specific period. Follow-up is part of quality care, especially for treatments that involve a series, dose adjustment, lab monitoring, skin response, or progressive improvement. Follow-up allows the provider to assess response, adjust timing, answer questions, and decide whether maintenance or a different strategy would be more useful. Why Patients Choose Modern Medical Spa Patients choose Modern Medical Spa because the conversation is centered on fit, safety, realistic expectations, and a plan that can be maintained. The practice serves Richland, Kennewick, Pasco, West Richland, and the Tri-Cities with aesthetic and wellness services that are explained in plain language before treatment decisions are made. The purpose of the consultation is not to pressure a patient into a service. It is to help the patient understand what the service can reasonably support, what alternatives exist, and what steps are needed before, during, and after treatment. That transparency is especially important for patients comparing similar services and deciding whether a treatment is worth their time and budget. Frequently Asked Questions How do I know whether this is right for me? The best answer comes from a consultation that connects cheeks, lips, jawline, temples, under-eye support, nasolabial folds, skin texture, and overall facial harmony with the patient’s actual goal and medical history. How soon will I notice a result? Timing varies by service. Some changes are noticed quickly, while collagen remodeling, hair reduction, hormone optimization, wellness goals, and maintenance skin improvements often require weeks, a series, or follow-up. Can this be combined with other services? Often yes, but timing matters. Spacing services can reduce irritation, swelling, bruising, downtime, or confusion about which treatment caused which response. Why not just choose the fastest option? Fast treatment is not always the best treatment. A measured plan protects safety, keeps expectations realistic, and helps the result fit the patient’s face, body, skin, or health goals. A Better Way to Compare Options A good comparison should include more than price or convenience. Patients should understand the expected number of visits, how long results may take, what maintenance may involve, what side effects are common, what symptoms should prompt a call, and whether another service would better match the goal. This is where an experienced consultation adds value. It turns a vague interest into a practical plan with a clear reason behind each recommendation. Schedule a Consultation To schedule a consultation, contact Modern Medical Spa at 509-392-5007 or visit us at 1045 Jadwin Avenue, Suite A, Richland, WA 99352.

A hormone and wellness evaluation should start with a careful conversation about the concern, the patient’s health history, and the results that would actually be useful in daily life. At Modern Medical Spa in Richland, Washington, the goal is to make hormone and wellness evaluations understandable before a patient commits to treatment. A useful consultation does more than name a service. It reviews sleep disruption, night sweats, mood changes, brain fog, libido changes, fatigue, and cycle changes, then connects those concerns to anatomy, skin type, medical history, medications, prior treatment experience, expected timing, cost, aftercare, and maintenance. This article is written for patients in Richland, Kennewick, Pasco, West Richland, and the Tri-Cities who want a practical explanation of perimenopause brain fog, sleep without exaggerated promises. It is educational and does not replace an individualized consultation or medical advice. Why This Concern Deserves a Thoughtful Plan Patients often arrive with one clear frustration, such as sleep disruption, night sweats, mood changes, brain fog, libido changes, fatigue, and cycle changes. The first step is to define the concern precisely. A patient may ask about one treatment by name, but the real issue may be texture, laxity, hair growth, sweating, volume loss, urinary leakage, medication tolerance, sleep, or hormone-related change. When the concern is defined correctly, the treatment recommendation becomes more honest and more useful. Modern Medical Spa uses a measured approach because aesthetic and wellness treatments work best when the plan fits the person. The same service can be appropriate for one patient and poorly timed for another. Skin tone, healing history, active inflammation, sun exposure, medications, hormone status, pregnancy considerations, prior procedures, and upcoming events can all change what is safe or reasonable. How Hormone and Wellness Evaluation Works Planning may include hormone evaluation, lifestyle review, lab interpretation, and discussion of HRT or non-hormonal options when appropriate. A strong plan explains what the treatment is designed to do, what it cannot do, and how progress should be judged. That matters because many services are marketed online with dramatic before-and-after language. Real clinical planning is more careful. It asks whether the service matches the patient’s concern, whether the expected improvement is realistic, and whether maintenance will be practical after the initial treatment or series. For many services, the best result is gradual. Hair reduction, collagen remodeling, hormone adjustment, skin barrier improvement, body-area treatment, and pelvic floor strengthening all depend on biology and follow-up. Patients should know whether they are choosing a one-time treatment, a series, a maintenance program, or a monitored medical plan. Who May Be a Good Candidate A good candidate has a concern that matches the service and understands the expected process. Candidacy may involve symptom review, hormone history, thyroid concerns, medications, sleep quality, stress, and treatment goals. It also includes practical details: travel timing around events, willingness to follow aftercare, comfort with downtime, and ability to return for follow-up when needed. Screening is not just a formality. Active infection, open skin, unexplained symptoms, recent procedures, significant irritation, certain medications, immune or healing concerns, pregnancy considerations, unstable medical problems, or unrealistic expectations may require delay, modification, referral, or a different option. A careful “not yet” can protect the patient as much as a confident recommendation. What Results Are Realistic The most useful way to discuss results is to describe a reasonable range rather than a guarantee. Brain fog and sleep disruption are not always hormonal; thyroid disease, anemia, mood, medication effects, sleep apnea, and stress may contribute. Results may be affected by genetics, hormones, baseline anatomy, skin quality, lifestyle, medication changes, sun exposure, inflammation, and consistency with the treatment plan. In aesthetic care, restraint is often part of quality. The goal is not to chase the most aggressive result; it is to choose the safest plan likely to meet the patient’s actual goal. Sometimes that means starting conservatively, staging treatment over time, combining services carefully, or recommending skin care, lab review, or medical evaluation before a procedure. Preparing for the Visit Patients should track symptoms, bleeding patterns, prior hormone use, sleep patterns, and current medications. Patients should also be prepared to discuss allergies, prior reactions, current prescriptions and supplements, recent dental or cosmetic work when relevant, history of cold sores or scarring when relevant, and upcoming commitments. Good preparation reduces surprises and helps the provider choose safer timing. Aftercare and Follow-Up Aftercare depends on the service, but the principle is the same: protect the treated area, avoid avoidable irritation, and report symptoms that do not fit the expected course. Instructions may include avoiding heat, heavy exercise, friction, sun exposure, harsh products, shaving or waxing, pressure, alcohol, certain medications, sexual activity, or other procedures for a specific period. Follow-up is part of quality care, especially for treatments that involve a series, dose adjustment, lab monitoring, skin response, or progressive improvement. Follow-up allows the provider to assess response, adjust timing, answer questions, and decide whether maintenance or a different strategy would be more useful. Why Patients Choose Modern Medical Spa Patients choose Modern Medical Spa because the conversation is centered on fit, safety, realistic expectations, and a plan that can be maintained. The practice serves Richland, Kennewick, Pasco, West Richland, and the Tri-Cities with aesthetic and wellness services that are explained in plain language before treatment decisions are made. The purpose of the consultation is not to pressure a patient into a service. It is to help the patient understand what the service can reasonably support, what alternatives exist, and what steps are needed before, during, and after treatment. That transparency is especially important for patients comparing similar services and deciding whether a treatment is worth their time and budget. Frequently Asked Questions How do I know whether this is right for me? The best answer comes from a consultation that connects symptom review, hormone history, thyroid concerns, medications, sleep quality, stress, and treatment goals with the patient’s actual goal and medical history. How soon will I notice a result? Timing varies by service. Some changes are noticed quickly, while collagen remodeling, hair reduction, hormone optimization, wellness goals, and maintenance skin improvements often require weeks, a series, or follow-up. Can this be combined with other services? Often yes, but timing matters. Spacing services can reduce irritation, swelling, bruising, downtime, or confusion about which treatment caused which response. Why not just choose the fastest option? Fast treatment is not always the best treatment. A measured plan protects safety, keeps expectations realistic, and helps the result fit the patient’s face, body, skin, or health goals. A Better Way to Compare Options A good comparison should include more than price or convenience. Patients should understand the expected number of visits, how long results may take, what maintenance may involve, what side effects are common, what symptoms should prompt a call, and whether another service would better match the goal. This is where an experienced consultation adds value. It turns a vague interest into a practical plan with a clear reason behind each recommendation. Schedule a Consultation To schedule a consultation, contact Modern Medical Spa at 509-392-5007 or visit us at 1045 Jadwin Avenue, Suite A, Richland, WA 99352. Article by Richard Lorenzo, D.O.

Underarm laser hair removal can be a practical option for patients who are tired of frequent shaving, razor irritation, dark coarse stubble, and recurring ingrown hairs. At Modern Medical Spa in Richland, Washington, the goal is to make Clarity II laser hair removal understandable before a patient commits to treatment. A useful consultation does more than name a service. It reviews dark coarse hair, razor irritation, ingrown hairs, shaving frequency, and sensitivity in the treated area, then connects those concerns to anatomy, skin type, medical history, medications, prior treatment experience, expected timing, cost, aftercare, and maintenance. This article is written for patients in Richland, Kennewick, Pasco, West Richland, and the Tri-Cities who want a practical explanation of underarm laser hair removal without exaggerated promises. It is educational and does not replace an individualized consultation or medical advice. Why This Concern Deserves a Thoughtful Plan Patients often arrive with one clear frustration, such as dark coarse hair, razor irritation, ingrown hairs, shaving frequency, and sensitivity in the treated area. The first step is to define the concern precisely. A patient may ask about one treatment by name, but the real issue may be texture, laxity, hair growth, sweating, volume loss, urinary leakage, medication tolerance, sleep, or hormone-related change. When the concern is defined correctly, the treatment recommendation becomes more honest and more useful. Modern Medical Spa uses a measured approach because aesthetic and wellness treatments work best when the plan fits the person. The same service can be appropriate for one patient and poorly timed for another. Skin tone, healing history, active inflammation, sun exposure, medications, hormone status, pregnancy considerations, prior procedures, and upcoming events can all change what is safe or reasonable. How Clarity II laser hair removal Works Clarity II uses laser energy to target pigment in the hair follicle while the plan accounts for skin type, hair color, hair density, and sensitivity. A strong plan explains what the treatment is designed to do, what it cannot do, and how progress should be judged. That matters because many services are marketed online with dramatic before-and-after language. Real clinical planning is more careful. It asks whether the service matches the patient’s concern, whether the expected improvement is realistic, and whether maintenance will be practical after the initial treatment or series. For many services, the best result is gradual. Hair reduction, collagen remodeling, hormone adjustment, skin barrier improvement, body-area treatment, and pelvic floor strengthening all depend on biology and follow-up. Patients should know whether they are choosing a one-time treatment, a series, a maintenance program, or a monitored medical plan. Who May Be a Good Candidate A good candidate has a concern that matches the service and understands the expected process. Candidacy may involve underarms, bikini line, legs, face, back, chest, and other appropriate areas. It also includes practical details: timing around travel or events, willingness to follow aftercare, comfort with downtime, and ability to return for follow-up when needed. Screening is not just a formality. Active infection, open skin, unexplained symptoms, recent procedures, significant irritation, certain medications, immune or healing concerns, pregnancy considerations, unstable medical problems, or unrealistic expectations may require delay, modification, referral, or a different option. A careful “not yet” can protect the patient as much as a confident recommendation. What Results Are Realistic The most useful way to discuss results is to describe a reasonable range rather than a guarantee. Laser hair removal reduces hair over time, but it does not treat sweating, odor, or guarantee permanent removal of every hair. Results may be affected by genetics, hormones, baseline anatomy, skin quality, lifestyle, medication changes, sun exposure, inflammation, and consistency with the treatment plan. In aesthetic care, restraint is often part of quality. The goal is not to chase the most aggressive result; it is to choose the safest plan likely to meet the patient’s actual goal. Sometimes that means starting conservatively, staging treatment over time, combining services carefully, or recommending skin care, lab review, or medical evaluation before a procedure. Preparing for the Visit Patients usually shave before treatment and avoid waxing, plucking, threading, tanning, and irritating products before the visit. Patients should also be prepared to discuss allergies, prior reactions, current prescriptions and supplements, recent dental or cosmetic work when relevant, history of cold sores or scarring when relevant, and upcoming commitments. Good preparation reduces surprises and helps the provider choose safer timing. Aftercare and Follow-Up Aftercare depends on the service, but the principle is the same: protect the treated area, avoid avoidable irritation, and report symptoms that do not fit the expected course. Instructions may include avoiding heat, heavy exercise, friction, sun exposure, harsh products, shaving or waxing, pressure, alcohol, certain medications, sexual activity, or other procedures for a specific period. Follow-up is part of quality care, especially for treatments that involve a series, dose adjustment, lab monitoring, skin response, or progressive improvement. Follow-up allows the provider to assess response, adjust timing, answer questions, and decide whether maintenance or a different strategy would be more useful. Why Patients Choose Modern Medical Spa Patients choose Modern Medical Spa because the conversation is centered on fit, safety, realistic expectations, and a plan that can be maintained. The practice serves Richland, Kennewick, Pasco, West Richland, and the Tri-Cities with aesthetic and wellness services that are explained in plain language before treatment decisions are made. The purpose of the consultation is not to pressure a patient into a service. It is to help the patient understand what the service can reasonably support, what alternatives exist, and what steps are needed before, during, and after treatment. That transparency is especially important for patients comparing similar services and deciding whether a treatment is worth their time and budget. Frequently Asked Questions How many sessions are usually needed? Most patients need a series because follicles cycle through active and resting phases. The exact number depends on hair color, hair thickness, skin type, hormones, and how consistently appointments are spaced. Can I use deodorant after treatment? You may need to avoid deodorant for the rest of the day or until the skin has calmed, especially if there is redness, itching, tenderness, or bumps. Fragrance, alcohol, acids, and antiperspirant ingredients can sting irritated skin. Arrive with clean underarms and no product on the skin, then restart deodorant when the area feels normal. Will it stop sweating? No. Underarm laser hair removal targets hair follicles, not sweat glands. Patients whose main concern is excessive sweating should discuss options for hyperhidrosis separately. Can I shave between sessions? Yes, shaving is usually allowed and is often preferred. Waxing, plucking, or threading should be avoided because those methods remove the follicle target the laser needs. A Better Way to Compare Options A good comparison should include more than price or convenience. Patients should understand the expected number of visits, how long results may take, what maintenance may involve, what side effects are common, what symptoms should prompt a call, and whether another service would better match the goal. This is where an experienced consultation adds value. It turns a vague interest into a practical plan with a clear reason behind each recommendation. Schedule a Consultation To schedule a consultation, contact Modern Medical Spa at 509-392-5007 or visit us at 1045 Jadwin Avenue, Suite A, Richland, WA 99352. Article by Richard Lorenzo, D.O.

Onda Pro at Modern Medical Spa may support the appearance of cellulite, skin-quality goals, comfort, and local circulation through a planned consultation and appropriate treatment series. At Modern Medical Spa in Richland, Washington, Onda Pro begins with a focused consultation. The goal is to understand the concern, confirm candidacy, explain the expected course, and make sure the recommendation fits the patient. What Patients Should Know Onda Pro is discussed in positive, practical terms: the selected treatment area, the patient's most noticeable concern, the series schedule, comfort during treatment, and how progress will be reviewed. For cellulite-focused care, MMS uses a three-session series spaced four weeks apart. Onda Pro should not be described as a weight-management treatment, a guaranteed size change, or a replacement for surgical correction when significant loose skin is the main concern. Safety and Fit Treatment may be delayed for active infection, unexplained symptoms, certain medications, pregnancy considerations, recent procedures, or goals that do not match the service. A careful plan is positive without promising a result that cannot be guaranteed. Schedule a Consultation To schedule at Modern Medical Spa, call 509-392-5007 or visit https://www.modern-medical-spa.com/. Modern Medical Spa is located at 1045 Jadwin Avenue, Suite A, Richland, WA 99352.

Visible facial vessels, broken capillaries, and persistent areas of redness can make the complexion appear uneven even when the skin is otherwise healthy. Selected vascular concerns may improve with laser treatment, but successful treatment begins with an accurate assessment of the cause of the redness. At Modern Medical Spa in Richland, Washington, vascular laser treatment is individualized according to the appearance, size, depth, and location of the vessels, as well as the patient’s skin type, medical history, and treatment goals. Not every red or discolored area is an appropriate target for cosmetic laser treatment, so consultation and examination are important before proceeding. This article is educational and does not replace an individualized medical evaluation or treatment plan. What Causes Visible Facial Vessels? Small facial vessels may become more noticeable because of genetics, chronic sun exposure, aging, rosacea, hormonal changes, environmental exposure, or repeated flushing. They commonly appear around the nose, cheeks, chin, and central face. Patients may describe these concerns as: Broken capillaries Spider veins Facial veins Red lines around the nose Persistent cheek redness Telangiectasia Rosacea-related redness Small red or purple vascular spots Although these descriptions may sound similar, they do not always represent the same condition. Diffuse redness, individual vessels, inflammatory rosacea, pigmentation, acne, and certain skin lesions require different treatment approaches. The first step is determining whether the concern is primarily vascular and whether laser treatment is likely to produce a meaningful improvement. How Laser Treatment Targets Visible Vessels Modern Medical Spa uses the Clarity II laser platform, which includes 755 nm Alexandrite and 1064 nm Nd wavelengths. These wavelengths allow the treatment provider to select parameters based on the vessel’s characteristics and the patient’s skin type. During treatment, laser energy is directed toward hemoglobin within the targeted vessel. The energy produces controlled heating of the vessel while treatment settings are selected to limit unnecessary injury to the surrounding skin. The treated vessel may then gradually become less visible as the body clears the affected tissue. The appropriate wavelength, pulse duration, spot size, fluence, and cooling settings depend on several factors, including: Vessel diameter Vessel depth Red, blue, or purple coloration Treatment location Fitzpatrick skin type Recent sun exposure or tanning Previous treatment response History of pigment changes or scarring Using more energy does not automatically produce a better result. Appropriate treatment requires balancing effectiveness with protection of the surrounding skin. Can Laser Treatment Help Rosacea? Laser treatment may reduce selected visible vessels and persistent vascular redness associated with rosacea. However, rosacea is a chronic inflammatory skin condition rather than simply a collection of broken capillaries. Laser treatment does not eliminate the underlying tendency to develop flushing, inflammation, or new vessels. Some patients may also require medical skincare, prescription medication, trigger management, sun protection, or evaluation by a dermatology or primary care clinician. A patient with active inflammatory bumps, pustules, eye irritation, or rapidly worsening symptoms may need medical treatment in addition to—or before—vascular laser treatment. The goal is to improve the visible vascular component while recognizing that rosacea often requires an ongoing, combined management plan. Who May Be a Candidate? Vascular laser treatment may be considered for patients bothered by appropriately diagnosed facial redness or visible superficial vessels. Good candidates generally have realistic expectations and are willing to follow sun-protection and aftercare instructions. Treatment may need to be postponed or modified when a patient has: A recent tan or significant sun exposure Sunburn or irritated skin An active infection in the treatment area An open wound or active cold sore A medication that increases photosensitivity A history of abnormal scarring or pigment changes A bleeding disorder or medication affecting bleeding A suspicious, painful, changing, or undiagnosed lesion Pregnancy, when elective cosmetic laser treatment is generally deferred Patients should provide a complete medication, supplement, skin-treatment, and medical history during consultation. Prescription medications should not be discontinued unless directed by the prescribing clinician. What Happens During the Consultation? The consultation begins by identifying the patient’s primary concern in their own words. The provider then examines the treatment area and determines whether the redness appears vascular, inflammatory, pigmented, or related to another skin condition. The assessment may include: Distribution and pattern of redness Size and color of individual vessels Skin type and baseline pigmentation History of flushing or rosacea Prior laser or skincare treatments Tendency to bruise, scar, or develop pigment changes Recent tanning or sun exposure Current medications and topical products Upcoming travel, events, or sun exposure Standardized photographs may be taken to document baseline findings and evaluate improvement over time. The consultation should also establish what treatment can reasonably accomplish. Laser treatment may reduce the appearance of selected vessels and redness, but it cannot guarantee complete clearance or prevent new vessels from developing. What Does Treatment Feel Like? Patients commonly describe laser pulses as a brief snapping, stinging, or warming sensation. Integrated cooling is used to improve comfort and protect the skin. Treatment time depends on the number, size, and distribution of the vessels. A few vessels around the nose may require only a brief appointment, while broader areas of facial redness may take longer. Immediately after treatment, the area may appear pink or red. Individual vessels may temporarily look darker, more prominent, or slightly bruised before they begin to fade. Mild warmth, tenderness, or swelling can also occur. How Many Treatments Are Needed? Some small vessels may show visible improvement after one treatment. Other vessels require more than one session, particularly when they are numerous, deeper, larger, or associated with chronic rosacea. Treatment response depends on: The type of vascular concern Vessel size and depth Treatment location Skin type Laser settings Biological response Sun exposure Development of new vessels over time When multiple sessions are recommended, adequate time should be allowed between treatments to evaluate the response and permit the skin to recover. Additional treatment should be based on documented improvement rather than an automatic assumption that every patient needs the same number of sessions. What Results Can Be Expected? The goal is a visible reduction in targeted vessels or redness rather than a promise of perfectly uniform skin. Some vessels fade rapidly, while others gradually become less noticeable over several weeks. Results may be influenced by chronic sun exposure, rosacea activity, genetics, hormones, environmental triggers, and the natural development of new blood vessels. Laser treatment does not prevent future vascular changes. Maintenance treatment may be considered when new vessels appear, but it should remain optional and based on the patient’s goals. Before-and-after photographs are most useful when lighting, camera distance, positioning, and timing are consistent. Manufacturer photographs and other patients’ results cannot predict an individual outcome. Downtime and Aftercare Downtime is usually limited, although the response varies with the treatment area and intensity. Temporary effects may include: Redness Mild swelling Warmth or tenderness Temporary vessel darkening A bruised or purplish appearance Crusting Blistering Temporary pigment changes Patients should follow the specific instructions given by their treatment provider. General recommendations may include gentle cleansing, avoiding picking or rubbing the treated area, pausing irritating skincare products when instructed, and using consistent broad-spectrum sun protection. Heat, strenuous exercise, hot tubs, saunas, and other activities that increase flushing may need to be limited briefly after treatment. Contact Modern Medical Spa promptly for blistering, increasing pain, expanding redness, drainage, significant swelling, signs of infection, or any reaction that is worsening rather than improving. Risks and Limitations Laser treatment should be approached as a medical aesthetic procedure with potential benefits, limitations, and risks. Possible adverse effects include: Prolonged redness or swelling Bruising Blistering or crusting Burns Temporary or persistent pigment changes Scarring Incomplete vessel clearance Recurrence or development of new vessels Eye injury if appropriate protection is not used Careful patient selection, wavelength selection, treatment settings, cooling, and eye protection are essential. A large, painful, warm, rapidly changing, bleeding, or otherwise unusual vascular-appearing lesion should receive medical assessment before cosmetic treatment. Laser treatment should not be used to obscure an undiagnosed lesion. Frequently Asked Questions Will the vessels disappear immediately? Some vessels may appear lighter immediately, while others darken temporarily and fade gradually. The final response is usually assessed after the skin has recovered. Can the vessels return? A successfully treated vessel may remain less visible, but treatment does not prevent new vessels from forming. Rosacea, sun exposure, aging, genetics, and repeated flushing can contribute to future vascular changes. Is laser treatment the same as IPL? No. Clarity II is a laser platform that delivers specific wavelengths. Intense pulsed light uses a broad spectrum of light rather than a single laser wavelength. Modern Medical Spa’s recommendation is based on the technology available at the practice and whether it is appropriate for the patient’s concern. Can makeup be worn after treatment? This depends on the skin’s response and the provider’s instructions. Makeup may be permitted once the skin surface is intact and comfortable, but it should not be applied over blistered, open, or significantly irritated skin. Can vascular laser treatment be combined with other services? Possibly, but sequencing matters. Combining procedures too closely can increase irritation, inflammation, pigment risk, and recovery time. A staged treatment plan often makes it easier to evaluate the benefit of each service. Are the results permanent? Results should not be considered permanently preventive. Treated vessels may improve substantially, but aging, sun exposure, rosacea, and normal vascular changes continue. Future maintenance may be useful for some patients. Vascular Laser Consultation at Modern Medical Spa Modern Medical Spa provides individualized laser and aesthetic care for patients in Richland and throughout the Tri-Cities. Treatment recommendations are based on examination, skin type, medical history, vascular characteristics, previous treatment, and the patient’s desired degree of improvement. To request a consultation, call 509-392-5007 or visit modern-medical-spa.com. Modern Medical Spa 1045 Jadwin Avenue, Suite A, Richland, WA 99352

Emsella is a noninvasive chair-based treatment that uses high-intensity focused electromagnetic energy to stimulate pelvic floor muscle contractions. It may be considered for selected urinary or pelvic wellness concerns, but candidacy depends on the cause of symptoms, relevant implants and medical history, and realistic goals. This guide explains evaluating urinary frequency and nocturia before selecting pelvic floor treatment. For people searching for Emsella nocturia Richland WA, the most useful first step is not choosing a package. It is identifying the symptom pattern and excluding conditions that need medical evaluation. At Modern Medical Spa in Richland, Washington, consultation is used to review goals, safety factors, alternatives, and how progress will be measured. Individual results vary, and no device can guarantee complete symptom resolution. The clinical questions that matter Bladder habits, fluid timing, caffeine, alcohol, and sleep This is a central part of evaluating urinary frequency and nocturia before selecting pelvic floor treatment. Pelvic symptoms can look similar while arising from different mechanisms. A useful assessment connects the timing, triggers, severity, prior pregnancies or procedures, medications, bowel and bladder habits, and the effect on daily life. Treatment makes more sense when it is tied to a specific working diagnosis and a measurable goal rather than a broad promise of pelvic wellness. Urgency and pelvic floor coordination This is a central part of evaluating urinary frequency and nocturia before selecting pelvic floor treatment. Pelvic symptoms can look similar while arising from different mechanisms. A useful assessment connects the timing, triggers, severity, prior pregnancies or procedures, medications, bowel and bladder habits, and the effect on daily life. Treatment makes more sense when it is tied to a specific working diagnosis and a measurable goal rather than a broad promise of pelvic wellness. Diabetes, infection, medication, swelling, and sleep apnea are contributors This is a central part of evaluating urinary frequency and nocturia before selecting pelvic floor treatment. Pelvic symptoms can look similar while arising from different mechanisms. A useful assessment connects the timing, triggers, severity, prior pregnancies or procedures, medications, bowel and bladder habits, and the effect on daily life. Treatment makes more sense when it is tied to a specific working diagnosis and a measurable goal rather than a broad promise of pelvic wellness. Using a bladder diary to decide whether Emsella is a logical option This is a central part of evaluating urinary frequency and nocturia before selecting pelvic floor treatment. Pelvic symptoms can look similar while arising from different mechanisms. A useful assessment connects the timing, triggers, severity, prior pregnancies or procedures, medications, bowel and bladder habits, and the effect on daily life. Treatment makes more sense when it is tied to a specific working diagnosis and a measurable goal rather than a broad promise of pelvic wellness. How Emsella works During treatment, the patient sits clothed on the Emsella chair while the applicator creates a changing electromagnetic field. This stimulates motor nerves and produces repeated contractions of pelvic floor muscles. The intensity is increased gradually according to comfort and the treatment plan. The session does not involve an incision, injection, or anesthesia, and patients generally return to normal activities afterward. The pelvic floor does more than squeeze. Healthy function also requires endurance, relaxation, coordination with breathing and abdominal pressure, and appropriate timing. For that reason, a high number of device-generated contractions does not by itself prove that every bladder, bowel, pain, prolapse, or sexual concern will improve. Anatomy, nerve function, tissue support, behavior, and the underlying diagnosis all influence results. What happens before treatment A consultation should document the main symptoms, when they occur, how often they occur, and what has already been tried. Patients should disclose pregnancy possibility, implanted electronic devices, metal in or near the treatment field, recent surgery, active infection, unexplained bleeding, pelvic pain, neurologic conditions, and other relevant diagnoses. Implant details should be reviewed rather than assumed to be compatible. Depending on the concern, medical evaluation may be appropriate before Emsella. Urinalysis, pelvic examination, assessment of bladder emptying, medication review, pelvic floor physical therapy, primary care, gynecology, or urology may be more informative for some patients. Modern Medical Spa can discuss Emsella, but a noninvasive treatment should not delay diagnosis of infection, retention, prolapse, hematuria, neurologic disease, or another condition needing targeted care. Benefits, limitations, and alternatives The practical appeal of Emsella is that treatment is performed while wearing clothing, requires no anesthesia, and has no surgical recovery period. It may provide a structured way to stimulate pelvic muscles for an appropriate candidate. Response is individual. Some patients may notice functional change during a series, while others need more time, combined care, or a different approach. Complete cure, a precise number of sessions, and permanent results should not be promised. Alternatives depend on the diagnosis and can include correctly performed home pelvic floor exercises, bladder training, constipation treatment, fluid or caffeine adjustments, pelvic floor physical therapy, prescription medication for selected urgency symptoms, a pessary, or consultation about office procedures or surgery. These choices are not interchangeable. A patient with weak muscles, an overactive, painful pelvic floor, major prolapse, postoperative sphincter injury, or a neurologic bladder problem needs a different plan. Planning and measuring a treatment series Rather than relying on a vague impression, establish a baseline. Useful measures include weekly leakage episodes, number of pads, cough or exercise triggers, urgency events, time between restroom visits, nighttime trips, and activities avoided because of symptoms. A short bladder diary can make improvement and non-response easier to recognize. It can also reveal patterns related to beverages, sleep, constipation, medication, or activity. At reassessment, the important question is whether the patient is meaningfully closer to the original goal. If the answer is yes, the next discussion may involve completing the planned series, home strategies, and when to check in again. If not, repeating treatment automatically is less useful than reconsidering diagnosis, technique, adherence, or referral. Maintenance should be individualized rather than sold as a universal schedule. Safety points • Excessive thirst, painful urination, fever, blood in urine, or sudden major change needs medical evaluation. • Nighttime urination is not always a pelvic floor problem. • Reducing fluids excessively can cause dehydration and does not correct the underlying cause. Seek prompt medical care for inability to urinate, visible blood in the urine, fever with urinary symptoms, severe pelvic or flank pain, new leg weakness or saddle numbness, or sudden loss of bladder or bowel control. Emsella is an elective treatment and is not emergency care. Frequently asked questions Do I stay clothed during Emsella? Yes. The treatment is delivered while the patient sits on the chair fully clothed. Metal-containing garments or accessories may need to be removed according to the provider’s instructions. Is there downtime? Emsella does not require an incision or anesthesia, so patients generally resume their usual activities immediately. Any unexpected pain or new symptom should be reported. How quickly should I expect a result? There is no single timeline. Changes may emerge during or after a series, and the degree of improvement depends on the diagnosis, baseline severity, health factors, and adherence to other recommendations. Can Emsella replace pelvic floor physical therapy? Not always. Physical therapy can assess strength, relaxation, coordination, scar tissue, pain, breathing, and movement. Emsella provides device-assisted contractions but does not reproduce that complete evaluation or coaching. Does insurance cover Emsella? If you have a Health savings account, this can be applied towards your treatments. Coverage varies, and many wellness-device treatments are self-pay. If you have a Health savings account, this can be applied towards your treatments. Confirm current pricing, financing, and any insurance questions directly with the practice before starting. Emsella consultations at Modern Medical Spa Modern Medical Spa offers Emsella consultations for appropriate women and men in Richland and the Tri-Cities. The goal is a clear, respectful discussion of symptoms, safety, realistic expectations, and alternatives. Prescription or medical treatment recommendations require an individualized evaluation. To request an appointment, call 509-392-5007 or visit modern-medical-spa.com. Modern Medical Spa is located at 1045 Jadwin Avenue, Suite A, Richland, WA 99352.

Reaching your goal weight with a GLP-1 medication is a significant accomplishment. It often reflects months of consistent treatment, nutrition changes, increased physical activity, and ongoing medical guidance. Once the target weight is reached, however, an important question arises: Should you continue GLP-1 treatment to help maintain your results? For many patients, continuing treatment may provide meaningful long-term weight-maintenance and metabolic benefits. Clinical research increasingly shows that obesity is not simply a temporary problem that disappears once a certain number appears on the scale. It is often a chronic, relapsing medical condition influenced by appetite hormones, genetics, insulin resistance, metabolic adaptation, sleep, stress, medications, aging, and environmental factors. GLP-1-based medications can help regulate several of these biological processes. When treatment is stopped, those effects may gradually diminish, hunger may return, and weight regain can occur. This does not mean that everyone must remain on the same medication or dose indefinitely. It means patients should have a thoughtful maintenance plan rather than automatically discontinuing treatment as soon as they reach their goal weight. What Are GLP-1 Medications? GLP-1 medications mimic or enhance the effects of glucagon-like peptide-1, a naturally occurring hormone involved in appetite regulation, glucose control, and digestion. Semaglutide is a GLP-1 receptor agonist. Tirzepatide works through both the GLP-1 and glucose-dependent insulinotropic polypeptide, or GIP, pathways. Depending on the specific medication and indication, these treatments may help: Reduce hunger Increase fullness after meals Decrease persistent thoughts about food Slow stomach emptying Improve insulin sensitivity Improve blood glucose regulation Reduce calorie intake Support clinically meaningful weight loss These medications do not simply force the body to burn fat. They change many of the biological signals that influence appetite, food intake, and metabolic health. When medication is withdrawn, those signals may move back toward their pretreatment state. Why Is Weight Maintenance So Difficult? The body frequently responds to weight loss by attempting to restore its previous weight. After substantial weight loss, several physiological changes may occur: Hunger hormones may increase. Fullness signals may decrease. Resting energy expenditure may decline. The body may burn fewer calories at a lower weight. Food cravings and intrusive thoughts about eating may return. Previously manageable portions may become less satisfying. Weight-promoting medical, hormonal, or environmental factors may still be present. This response is sometimes referred to as metabolic adaptation. It is not a failure of discipline. It is a biological response that can make long-term weight maintenance more difficult than the initial period of weight loss. A patient may understand nutrition, exercise regularly, and remain highly motivated while still experiencing increased hunger after stopping medication. Long-term treatment may help reduce the intensity of these biological pressures. What Happens When Semaglutide Is Discontinued? One of the most frequently discussed studies is the extension of the STEP 1 clinical trial. Participants originally received semaglutide 2.4 mg or placebo along with lifestyle intervention. After treatment ended, researchers followed a portion of the participants for another year. During the year after semaglutide was discontinued, participants regained approximately two-thirds of the weight they had previously lost. Some of the improvements in cardiometabolic risk factors also began moving back toward baseline. This study does not prove that every patient who stops semaglutide will regain two-thirds of their weight. Individual outcomes vary considerably. Some patients maintain much of their loss, some regain gradually, and others regain more rapidly. The study does demonstrate an important principle: the biological effects responsible for weight loss may not persist after the medication is removed. Stopping treatment is therefore not simply a matter of discontinuing an injection. It means removing one of the tools that was controlling appetite and supporting weight regulation. What Happens When Tirzepatide Is Discontinued? The SURMOUNT-4 trial directly examined whether continuing tirzepatide helped patients maintain their initial weight loss. Participants first received tirzepatide for 36 weeks. Those who tolerated treatment were then assigned either to continue tirzepatide or switch to placebo for an additional 52 weeks. Patients who continued tirzepatide lost an additional average of approximately 6.7% of their body weight after randomization. Those switched to placebo regained an average of approximately 14.8% during the same period. Across the full 88-week study, the average total weight reduction was approximately 25.3% in the continued-treatment group and 9.9% among those switched to placebo. The findings strongly support the concept that continued treatment helps preserve and, in some cases, further improve weight loss. A later analysis also found that greater weight regain after tirzepatide withdrawal was associated with reversal of improvements in measurements such as waist circumference, blood pressure, glucose, insulin, cholesterol, and triglycerides. Does Continuing a GLP-1 Guarantee That Weight Will Never Return? No medication can guarantee permanent weight maintenance. Patients may still experience weight changes while continuing treatment because of: Reduced medication response over time Changes in diet or physical activity Menopause or other hormonal changes Sleep deprivation Stress or depression Weight-promoting medications Reduced muscle mass Illness or injury Inconsistent dosing Changes in medication access Excessive caloric intake despite reduced appetite Continued treatment can make maintenance more achievable, but it works best as part of a broader medical weight-management strategy. The goal is not necessarily to remain at the lowest weight ever recorded. A successful maintenance program aims to keep weight within a healthy and realistic range while preserving muscle, supporting metabolic health, and minimizing medication side effects. Is Obesity a Chronic Condition? For many patients, obesity behaves similarly to other chronic medical conditions. Blood pressure may improve while a person takes antihypertensive medication, but the underlying tendency toward hypertension may remain. Cholesterol may improve with medication, yet rise again when treatment is stopped. In the same way, appetite dysregulation and weight-promoting physiology may improve during GLP-1 treatment but return after discontinuation. Current medical guidance increasingly recognizes obesity as a chronic, relapsing condition that may require long-term treatment. The World Health Organization’s current guidance supports long-term GLP-1 therapy for appropriately selected adults as part of comprehensive care that also includes behavioral and lifestyle intervention. This does not mean that every person needs lifelong medication. It means that long-term treatment should be considered medically reasonable rather than viewed as a personal failure. Potential Long-Term Benefits of Continuing GLP-1 Treatment Better Weight-Loss Maintenance The most direct benefit is a lower risk of significant weight regain. Continuing therapy may help preserve the appetite control and improved satiety that allowed the patient to lose weight in the first place. Ongoing Appetite Regulation Many patients describe a reduction in constant hunger or “food noise” while using GLP-1 medication. When treatment stops, these thoughts and cravings may return. Continuing therapy may help patients maintain a more comfortable and sustainable relationship with food. Improved Blood Sugar Regulation GLP-1-based medications may improve fasting glucose, insulin sensitivity, and hemoglobin A1c. These benefits can be particularly important for patients with: Prediabetes Type 2 diabetes Polycystic ovary syndrome Insulin resistance A history of gestational diabetes Metabolic syndrome The benefits depend on the medication, dose, underlying diagnosis, and continued response. Cardiovascular Risk Reduction in Selected Patients Semaglutide 2.4 mg has an FDA-approved indication to reduce the risk of cardiovascular death, heart attack, and stroke in adults with established cardiovascular disease and either obesity or overweight. In the SELECT trial, semaglutide was associated with a 20% relative reduction in major adverse cardiovascular events among adults with overweight or obesity and established cardiovascular disease who did not have diabetes. This cardiovascular indication applies to a specific patient population. It does not mean that every patient taking semaglutide has the same degree of cardiovascular benefit. Preservation of Improvements in Blood Pressure and Lipids Weight loss can improve blood pressure, triglycerides, cholesterol, inflammation, and metabolic function. Maintaining the weight loss may help preserve these improvements. When significant weight regain occurs, some of these measurements may worsen again. Reduced Risk of Returning to a Higher-Risk Weight Regaining weight is not merely a cosmetic issue. It may contribute to the recurrence or worsening of: Hypertension Prediabetes and type 2 diabetes Sleep apnea Joint pain Fatty liver disease Reduced mobility Urinary incontinence Cardiovascular risk Hormonal and reproductive concerns Long-term weight maintenance can therefore have benefits that extend well beyond appearance. Do You Have to Continue the Highest Dose? Not necessarily. The dose used during active weight loss may not always be the dose used for maintenance. Some patients may remain on the same dose, while others may do well with a lower dose or a different treatment schedule. However, an important distinction is necessary: the best evidence for long-term effectiveness comes primarily from studies using established, consistently administered therapeutic doses. Research has not yet defined one universal “microdose” or reduced-frequency schedule that works for every patient. Maintenance decisions should be based on: Weight stability Hunger and food cravings Medication tolerance Metabolic health Muscle mass Nutritional intake Relevant laboratory results Medical history Cost and medication availability The patient’s risk of regain The goal should be the lowest effective and well-tolerated treatment strategy, not simply the lowest possible dose. Reducing a dose too aggressively may allow hunger and weight regain to return. Maintaining an unnecessarily high dose may increase side effects, excessive weight loss, or difficulty consuming adequate protein and nutrients. What Does a GLP-1 Maintenance Program Look Like? A medically guided maintenance phase should be more than continuing a prescription. At Modern Medical Spa, long-term weight management may include periodic evaluation of: Current weight and waist measurements Weight trends rather than a single measurement Hunger and satiety Food cravings Protein and calorie intake Hydration Gastrointestinal symptoms Exercise habits Strength training Muscle preservation Sleep quality Hormonal and metabolic concerns Relevant laboratory findings Medication effectiveness and tolerability A maintenance range may also be more useful than one exact goal weight. For example, a patient may establish a several-pound range within which no treatment change is needed. If weight begins trending upward, appetite increases, or old eating patterns return, the plan can be adjusted before a large amount of weight is regained. Why Muscle Preservation Matters Weight loss includes both fat mass and lean mass. The proportion varies based on age, nutritional intake, rate of weight loss, exercise, hormonal health, and other factors. Patients using GLP-1 medications should prioritize: Adequate protein intake Resistance exercise Regular physical activity Appropriate calorie intake Correction of nutritional deficiencies Avoidance of unnecessarily rapid weight loss Maintaining muscle supports strength, mobility, metabolic function, bone health, and long-term weight control. The maintenance phase is an ideal time to shift attention from simply lowering the scale to improving body composition and physical function. Can Lifestyle Changes Replace the Medication After Goal Weight? Lifestyle changes remain essential, regardless of whether medication is continued. Nutrition, exercise, sleep, and stress management may reduce the amount of medication needed and improve long-term outcomes. They may also help some patients successfully discontinue treatment. However, lifestyle measures do not always fully replace the appetite-regulating effects of GLP-1 therapy. A patient may have made meaningful lifestyle improvements and still experience strong biological hunger after stopping medication. The return of hunger does not erase the value of those healthy habits. It indicates that lifestyle and medication were working together. Patients considering discontinuation should ideally have a structured plan that includes: Regular weight monitoring A defined maintenance range Adequate protein and fiber Strength training A response plan for increasing hunger Early follow-up A threshold for reconsidering treatment Waiting until most of the weight has returned may make treatment more difficult than responding to an early upward trend. Can GLP-1 Treatment Be Stopped Safely? GLP-1 medications generally do not cause a classic withdrawal syndrome. Nevertheless, treatment changes should be discussed with the prescribing provider. After stopping, patients may experience: Increased hunger Reduced fullness after meals Return of food cravings Increased portion sizes Rising blood glucose Gradual or rapid weight regain Recurrence of conditions that improved with weight loss Some patients may discontinue without tapering, while others may benefit from a gradual reduction as part of an individualized plan. Tapering has not been proven to prevent weight regain, but it may allow closer observation of appetite and weight response. Patients using GLP-1 medication for diabetes should not stop treatment without coordinating an alternative glucose-management plan. Who May Be a Good Candidate for Long-Term Maintenance? Long-term treatment may be especially helpful for patients who: Had obesity or significant overweight before treatment Have experienced repeated weight regain after previous diets Notice a strong return of hunger when a dose is delayed Have prediabetes, diabetes, or insulin resistance Have cardiovascular disease or multiple cardiovascular risk factors Have sleep apnea or another weight-related medical condition Regain weight during dose reduction Tolerate treatment well Have achieved meaningful improvements in health and quality of life The decision should consider the patient’s overall health, not just weight. Who May Need a Different Strategy? Continued treatment may not be appropriate, or may require modification, for patients experiencing significant adverse effects or developing a contraindication. Potential concerns include: Persistent nausea or vomiting Severe abdominal pain Dehydration Gallbladder symptoms Suspected pancreatitis Severe constipation or gastrointestinal dysfunction Excessive or continued unwanted weight loss Inadequate nutritional intake Pregnancy or plans for pregnancy A personal or family history relevant to the medication’s boxed warning Hypersensitivity to the medication Semaglutide and tirzepatide prescribing information includes a boxed warning related to thyroid C-cell tumors observed in rodents. These medications are generally contraindicated in patients with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2. Whether these medications cause thyroid C-cell tumors in humans remains unknown. Medication selection and monitoring should always be individualized. Is Lifelong GLP-1 Treatment Always Necessary? No. Some patients may eventually discontinue medication and maintain much of their weight loss. This may be more likely when: The original weight-promoting factor has resolved. The patient has established sustainable nutrition and exercise habits. Muscle mass and metabolic health have improved. Appetite remains manageable at a lower dose. Other medications contributing to weight gain have been changed. Sleep apnea, stress, or hormonal concerns have been addressed. The patient accepts a modest amount of weight fluctuation. Close follow-up identifies recovery early. However, current randomized trials show that stopping treatment frequently leads to weight regain. Patients should be counseled about this possibility before making changes. The right question is not simply, “Can I stop?” A more useful question is: “What long-term strategy gives me the best chance of maintaining the health improvements I have achieved?” Why Patients Choose Modern Medical Spa for GLP-1 Weight Management GLP-1 treatment should not end when the scale reaches a target number. Modern Medical Spa provides an ongoing medical approach to weight management that considers medication response, nutrition, activity, body composition, metabolic health, and long-term maintenance. Our goal is not only to help patients lose weight. It is to help them preserve their progress, protect their health, and develop a realistic plan that can be sustained. Richard Lorenzo, D.O., and the clinical team at Modern Medical Spa understand that every patient responds differently. Some patients may benefit from continued treatment, some may transition to a lower maintenance dose, and others may eventually discontinue medication with careful monitoring. The maintenance plan should be as individualized as the weight-loss plan. The Bottom Line Continuing a GLP-1 medication after reaching goal weight can provide important long-term benefits for appropriately selected patients. Clinical trials show that continued treatment can help maintain weight loss, while discontinuation is commonly followed by increased hunger, weight regain, and partial loss of metabolic improvements. This does not mean every patient must remain on the same medication or dose for life. It means that obesity and weight regain should be treated as medical concerns requiring a long-term strategy. The best maintenance plan may involve continued medication, dose adjustment, structured nutrition, resistance training, metabolic monitoring, and regular follow-up. Reaching goal weight is not the end of treatment. It is the beginning of the maintenance phase. Modern Medical Spa Richland, Washington. Call 509-392-5007 to schedule a GLP-1 weight-management consultation. This article is intended for general educational purposes and does not replace individualized medical advice. Prescription medications should be used only under the supervision of a qualified healthcare professional.

Acne is often considered a teenage problem, but breakouts can continue well into adulthood or begin for the first time during the 20s, 30s, 40s, and perimenopause. Whether acne appears as blackheads, whiteheads, inflamed pimples, painful cysts, or recurring jawline breakouts, successful treatment begins by identifying what is causing the problem. At Modern Medical Spa in Richland, Washington, acne care is approached as more than a single facial or one-product solution. Our goal is to reduce congestion and inflammation, protect the skin barrier, address contributing factors, and create a practical plan for long-term improvement. For appropriate patients, the SkinWave aqua facial can be an important part of that plan. What Causes Acne? Acne develops when hair follicles become clogged with excess oil and dead skin cells. Bacteria and inflammation can then contribute to blackheads, whiteheads, pimples, nodules, and cysts. It may affect the face, chest, shoulders, and back. Common contributing factors include: Hormonal changes Excess oil production Accumulated dead skin cells Acne-associated bacteria and inflammation Genetics Certain medications Occlusive cosmetics, hair products, masks, helmets, or clothing Stress and sleep disruption that may worsen an existing tendency toward acne Adult women frequently notice breakouts along the chin, lower cheeks, and jawline. Acne may fluctuate with the menstrual cycle or appear during pregnancy, after delivery, during perimenopause, or after changes in hormonal medication. When acne occurs with irregular periods, unwanted facial hair, scalp hair thinning, or other hormonal symptoms, a broader evaluation may be appropriate. Why Acne Treatment Must Be Personalized A common reason acne treatment fails is that the plan does not match the type of acne present. A harsh scrub may make oily skin feel cleaner temporarily but can worsen irritation. A heavy product may relieve dryness while increasing congestion. A facial may help clogged pores, but it will not replace medical treatment when acne is deep, cystic, rapidly worsening, or causing scars. An effective plan should consider: Whether acne is primarily comedonal, inflammatory, cystic, or mixed Skin sensitivity and existing barrier damage Post-acne redness or dark marks Active or developing scars Current medications and skincare products Pregnancy or plans for pregnancy Hormonal symptoms Previous treatments and why they were unsuccessful The American Academy of Dermatology supports several evidence-based acne therapies, including topical retinoids, benzoyl peroxide, salicylic acid, azelaic acid, topical antibiotics, selected oral antibiotics, hormonal therapies, and isotretinoin. Combination treatment is often recommended rather than relying on one active ingredient. Building an Effective Home Skincare Routine Consistency is more important than using a large number of products. Layering multiple acids, scrubs, retinoids, and spot treatments can create dryness and irritation that make treatment harder to tolerate. A basic acne-focused routine may include: Gentle Cleansing Use a non-abrasive cleanser that removes makeup, sunscreen, oil, and debris without leaving the skin excessively dry or tight. Salicylic Acid Salicylic acid is a beta hydroxy acid that helps exfoliate inside the pore. It is particularly useful for blackheads, whiteheads, oily skin, and congestion. Benzoyl Peroxide Benzoyl peroxide reduces acne-associated bacteria and is often helpful for inflammatory breakouts. Lower strengths may provide benefit with less irritation. It can bleach towels, pillowcases, and clothing. Topical Retinoids Retinoids such as adapalene or prescription tretinoin help normalize skin-cell turnover, prevent clogged pores, and improve both comedonal and inflammatory acne. Dryness, peeling, and irritation may occur during the adjustment period, so they should be introduced gradually. Topical retinoids are generally avoided during pregnancy. Patients who are pregnant, breastfeeding, or attempting pregnancy should discuss acne products with an appropriate medical professional before use. Azelaic Acid, Moisturizer, and Sunscreen Azelaic acid may improve acne, inflammation, redness, and post-inflammatory pigmentation. A lightweight, non-comedogenic moisturizer can support the skin barrier and improve tolerance of acne treatments. Daily broad-spectrum sunscreen is essential because inflammation and sun exposure can make post-acne discoloration more persistent. SkinWave Facial for Acne-Prone and Congested Skin SkinWave is a multi-step aqua facial that combines hydrodermabrasion, gentle extraction, customized treatment solutions, hydration, hydrogen therapy, and LED light. Its aqua-delivery system can use solutions containing alpha hydroxy acids, beta hydroxy acids, and hydrating ingredients while impurities are removed from the skin. For oily, dull, or congested skin, SkinWave can help: Remove surface debris and excess oil Exfoliate accumulated dead skin cells Loosen and extract pore congestion Improve the appearance of blackheads and uneven texture Deliver hydration without a heavy or greasy feel Leave the skin smoother and refreshed with little to no downtime The salicylic acid component is especially relevant for acne-prone skin because it helps clear clogged pores. Alpha hydroxy acids support surface exfoliation, while hydrating ingredients help avoid the stripped feeling that can follow an overly aggressive acne routine. SkinWave may also incorporate blue and red LED light. The treatment can be customized according to oiliness, congestion, sensitivity, hydration needs, and current acne activity. What SkinWave Can and Cannot Do SkinWave can be an excellent option for blackheads, oily skin, congestion, mild acne, and routine pore maintenance. It can also complement a consistent home skincare program. However, SkinWave is not a substitute for medical evaluation when acne is painful, cystic, severe, rapidly worsening, or causing scars. Deep inflammatory acne may require prescription therapy, hormonal treatment, oral medication, or dermatology referral. At Modern Medical Spa, the most useful question is not simply, “Which facial should I book?” It is, “Which combination of treatments is appropriate for my type of acne and the condition of my skin today?” Treating Acne Marks and Scars After active acne improves, patients may still have red marks, brown pigmentation, enlarged pores, uneven texture, or depressed scars. Post-acne discoloration may improve with sun protection, targeted skincare, and selected light-based treatments. Uneven texture and enlarged pores may respond to skincare and resurfacing procedures. Depressed scars may require collagen-stimulating treatments such as RF microneedling once active breakouts are adequately controlled. Treatment timing matters. Treating inflamed skin too aggressively can worsen irritation, while treating scars before controlling new acne may lead to incomplete results. Hormonal Acne Deserves a Broader Evaluation Hormonal acne is common in adult women. Breakouts may cluster around the jawline, worsen before the menstrual period, or appear during perimenopause. Some patients also have irregular cycles, excess facial hair, scalp hair loss, or symptoms associated with polycystic ovary syndrome. Modern Medical Spa is led by Richard Lorenzo, D.O., a board-certified obstetrician-gynecologist. This provides an important perspective when adult acne intersects with menstrual health, contraception, pregnancy planning, menopause, or hormone therapy. Kortney Jones, ARNP, also provides individualized care within our hormone and wellness programs. When acne appears to be part of a broader hormonal pattern, the treatment plan should consider the whole patient rather than focusing only on the surface of the skin. How Often Should SkinWave Be Performed? Treatment frequency depends on acne severity, skin sensitivity, home products, recent procedures, and individual goals. Some patients benefit from a short series scheduled several weeks apart, followed by maintenance. Others use SkinWave periodically to control congestion or refresh the skin. A customized schedule is preferable because skin needs change with hormones, seasons, medications, and recent treatments. Why Patients Choose Modern Medical Spa Modern Medical Spa combines medical insight with advanced aesthetic care in a professional clinical setting. Patients choose our practice for: Individualized assessment rather than a one-size-fits-all facial SkinWave treatments customized for acne-prone, oily, congested, dry, or sensitive skin Practical guidance on home skincare Awareness of hormonal factors that may contribute to adult acne Advanced options for post-acne pigmentation, texture, and scarring Treatment planning by experienced medical and aesthetic professionals Our team includes Richard Lorenzo, D.O.; Kortney Jones, ARNP; and Stephanie Robideaux, Licensed Master Esthetician. Together, we help patients determine which concerns are best treated with skincare, professional facials, medical therapy, or advanced aesthetic procedures. Schedule an Acne or SkinWave Consultation in Richland, Washington Clearer skin rarely comes from repeatedly changing products or choosing the strongest treatment available. It comes from understanding the type of acne, selecting appropriate therapies, protecting the skin barrier, and adjusting the plan as the skin improves. A SkinWave facial may be an excellent starting point for blackheads, oily skin, mild breakouts, and congestion. It can also be used as a supportive treatment within a broader acne program. Persistent, hormonal, cystic, or scarring acne may require a more comprehensive evaluation. To schedule an acne consultation or SkinWave facial at Modern Medical Spa in Richland, Washington, call 509-392-5007 or visit modern-medical-spa.com.

We are excited to announce that Onda Pro — one of the most advanced non-invasive body contouring technologies available today — is coming to Modern Medical Spa in Richland, Washington. And right now, you can prebook your treatment and receive a complimentary Skinwave Facial at no charge. Here is everything you need to know. What Is Onda Pro? Onda Pro is a non-invasive body contouring and cellulite reduction treatment powered by Coolwaves technology — a proprietary 2.45 GHz microwave frequency developed by DEKA, one of the world's leading medical laser companies. What makes Coolwaves different from other energy-based treatments is precision. The technology is specifically engineered to bypass the skin's surface and deliver controlled energy directly to the subcutaneous tissue — the fat layer beneath the skin. This allows the device to selectively heat and disrupt fat cells, stimulate collagen remodeling, and smooth cellulite, all while keeping the skin's surface at a comfortable temperature throughout the treatment. The result is a genuinely painless experience with no incisions, no anesthesia, and no recovery time. What Can Onda Pro Treat? Onda Pro is one of the most versatile body contouring platforms available, with clinical applications across a wide range of treatment areas: Abdomen — localized fat reduction and mild skin laxity Flanks and hips — body contouring and localized fat Thighs — cellulite, contouring, and skin texture improvement Back of legs and posterior thighs — cellulite and contouring Saddlebags and outer thighs — contouring and cellulite Buttocks — cellulite and contour transition areas Upper arms — mild laxity and localized contouring Knees — laxity and contouring Back and bra line — localized fat and contouring Submental (chin) — small area contouring and tightening Whether you are dealing with stubborn fat that has not responded to diet and exercise, cellulite that affects your confidence, or skin laxity in a specific area, Onda Pro offers a clinically supported, physician-supervised solution. How Does It Work? Coolwaves energy penetrates efficiently to targeted tissue depths, generating controlled heat within the fat layer. This process disrupts the structural integrity of fat cells and triggers the body's natural inflammatory response, which over time leads to fat cell reduction and collagen remodeling in the treated area. Unlike devices that rely on extreme cold, suction, or radiofrequency delivered through the skin's surface, Coolwaves energy is highly selective. The skin surface remains protected throughout, which is why the treatment is comfortable enough to require no numbing and no downtime. Most patients describe the sensation as a mild warmth or gentle pressure. Sessions typically last 30 to 60 minutes depending on the area being treated, and there is no recovery period afterward. Who Is a Good Candidate? Onda Pro is well-suited for adults who are close to their goal weight but are bothered by specific areas of stubborn fat, cellulite, or mild skin laxity that have not responded to lifestyle changes alone. It is not a weight-loss treatment — it is a body-contouring and skin-quality treatment designed to refine and improve areas that diet and exercise cannot fully address. Good candidates include people who want to: Reduce localized fat in areas like the abdomen, flanks, or arms Improve the appearance of cellulite on the thighs, buttocks, or legs Address mild skin laxity without surgery Achieve a more defined contour without downtime or recovery A consultation with our team will help determine whether Onda Pro is the right treatment for your goals and anatomy. Why We Chose Onda Pro for Modern Medical Spa At Modern Medical Spa, we do not add treatments to our menu without thorough evaluation. Onda Pro was selected because it represents a genuine advancement in non-surgical body contouring — the Coolwaves technology is clinically studied, the mechanism of action is well-established, and the treatment profile (painless, no downtime, versatile treatment areas) fits the needs of our patient population in the Tri-Cities. As a physician-led practice with a background in women's health and hormone optimization, we approach body contouring from a clinical perspective. Onda Pro complements the work we already do with GLP-1 weight loss programs and hormone therapy — patients who have achieved weight loss and hormonal balance often have specific contouring goals that a device like Onda Pro can help address. Prebook Now and Receive a Complimentary Skinwave Facial To celebrate the arrival of Onda Pro, we are offering an exclusive prebook incentive: reserve your Onda Pro treatment before we launch and receive a complimentary Skinwave Facial — a physician-grade hydrating facial treatment — at no charge. Prebook spots are limited. This offer is available to a select number of patients ahead of our official launch. Book Your Appointment Call or text us at 509-392-5007 to reserve your prebook spot or to ask questions about whether Onda Pro is right for you. Our specials are not bookable online. Please call or text to schedule. Modern Medical Spa 1045 Jadwin Ave, Suite A Richland, WA 99352 We look forward to bringing this technology to our patients and helping you reach your body confidence goals. Modern Medical Spa is a physician-led med spa in Richland, Washington, serving the Tri-Cities area. We specialize in women's health, hormone optimization, medical weight loss, aesthetic treatments, and advanced body contouring.