Thank you for your question. Practitioners can treat acne scars by injecting the skin underneath them with PRP/PRF or dermal filler. However, you would likely see more of a benefit from having additional subcision performed prior to PRF or dermal filler. I would recommend that you seek out a licensed and qualified practitioner (preferably a doctor, physician assistant, nurse practitioner, or registered nurse) to perform more invasive injectable procedures in the future. Best of luck!

I had a PRP treatment done to help my ice pick scars, I have lots of scars over my fsce that look like holes. The practitioner put a needle directly into each of these scars and injected PRP deep into these scars. I have never heard of such a treatment where the needle is pushed so far into each of these “holes”. What have they done? I can’t find any information about this online and I don’t think it has improved my scars at all. I’m worried they have made them worse by incorrectly treating them

Did the aesthetician treat my icepick scars in the wrong way? (Photo)

PRP Injections

Thank you for your question. You are correct, surgical intervention will give the best and longest lasting results. However, microneedling with RF could be a great minimally invasive alternative to help reduce the size of the festoons. PRF injections would likely not have much of an effect on them. I would recommend consulting with an experienced practitioner to address your concerns prior to booking an appointment. Best of luck!

I'm 43 and look young for my age (people guess I'm 35) and have medium under eye bags which make me feel self conscious as I look like I haven't slept. I'm getting mixed advice about the effectiveness of PRF for reducing under eye bags. Is this an effective treatment to reduce under eye bags or should I consider RF? I know the only way to remove under eye bags fully is via surgery but I'm not ready for an invasive procedure. I just want the area to improve. Thank you

Would PRF be effective in reducing my under eye bags? (photo)

Hi there, thank you for your question. Redensity is a HA filler, not a biostimulator. So it will add volume to an area but it will not stimulate collagen production. I would recommend consulting with an experienced practitioner to address all of your questions/concerns prior to booking for a procedure. Best of luck!

30/F - I DO NOT WANT SCULPTRA OR BELLAFIL Noticed my forehead has lost volume and firmness, it's thinner and less elastic. Alot of these 'Biostimulators' cannot be injected into the forehead (something to do with the blood in the forehead?) What is the best one for this area (I've read redensity1 possibly?) I also want the product that will stimulate collagen production the most for rest of my face. Sunekos, Ellanse &amp; Redensity 1 are so new it's hard to know what is better than the other.

'Biostimulator' or 'Skinbooster' How do I choose Sunekos,Ellanse, Profhilo, Redensity1, Volite, or Skinboosters?

RHA Redensity

Thank you for your question. Hyaluronidase is more effective on HA filler than it is on natural HA chains found in the skin. Usually any breaking down of natural HA will be replenished by the body. It can take more than one session of dissolving in order for filler to fully dissolve. But the likelihood of the hyaluronidase making the situation worse or not affecting the filler at all while causing issues with your natural HA is slim to none. I would recommend consulting with an experienced provider to address all of your concerns prior to booking a procedure. Best of luck

Dear doctors, I had teosyal redensity 2 in my tear trough 3 years ago. It caused discoloration due to too superficial injection/tyndall effect. I've been waiting since that day for a self-dissolving but I still have the problem. Will hyaluronidase be effective on my filler? I'm afraid it could only dissolve my natural hyaluronic acid leaving the filler and making situation worse.

Is Hyaluronidase effective to dissolve a 3 years old tear trough filler?

Hi there, thank you for your question. I would recommend that you discuss your concerns with the last provider that injected your tear troughs. Having a visible residual blue hue is a complication called Tyndall effect, it can happen if the filler was injected too superficially. The quickest way to rid yourself of this effect is by dissolving the filler. Again, I would recommend that you see if the practitioner/practice that performed the last injection would be willing to dissolve/refill for you at little to no cost before seeking treatment elsewhere, if you feel concerned with the financial aspect. Best of luck.

I had tear trough fillers 3 months go (redensity ii, 0.5ml per eye) for the third time and I’m very unhappy about my current result. I have attached a picture pre and post 3rd injection (current result). I am wondering what I should do next. Is it possible that this blue effect is permanent bruising? I am scared to have the product dissolved due to the side effects of the dissolving agent and also not happy to pay for new fillers at just 3 months. Thanks!

Poor result after tear trough filler 3 months ago. Scared to dissolve it - next steps? (photos)

Areola Reduction Surgery

Arm Lift

Brazilian Butt Lift

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Brandon Richland, MD

Richland Aesthetics Luxury Med Spa - Las Vegas

Anthony Oropeza

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Liana Wright

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Morpheus8

Dr Richland is phenomenal! I am so glad I picked him to be my surgeon! He is amazing and 100% gave me his all. He is a true artist and has given me all the confidence in the world! His work is absolutely incredible and to top it off, All of his staff are so sweet and helpful! AMAZING work and AMAZING people! I will forever be grateful for Dr Richland and his entire team!

phenomenal!

An absolutely A M A Z I N G facial with Liana!! Facials aren’t something I would consider normal for me but they will be after my experience here! Liana was super knowledgeable and explained what products she was using on me, and I was able to get amazing info about their other services! 10/10 recommended as your new go to wellness provider in Vegas!

The BEST Experience!

Facial

Just competed the first half of my Evolve journey and I have not been disappointed! The experience has been amazing and the entire staff has continued to be welcoming, warm and professional. An incredible Medspa that everyone should take advantage of. Thank you Nurse Jackie!

Thank you Nurse Jackie!

Evolve

I had the Richland Signature Facial with Liana the aesthetician. She was very helpful and throughly addressed all my skin concerns before we started. It was super relaxing and the Med Spa is beautiful and comfortable. I totally recommend!!

Richland Signature Facial

I have had a 10/10 experience at the Fountain Valley location. I have worked closely with Kelly who has been amazing and supported me throughout. I am here for medical weight loss management and just met my goal weight! Would recommend here and to work with Kelly to anyone who is looking for supportive weight loss!

Kelly is Amazing and I Met my Goals!

Secrete Gem!  Walked into this stunning luxury med spa called Richland Aesthetics. It was so clean and immaculate ( new ) love their products and the esthetician Liana was the best!! Can’t wait for my next appointment!

An Awesome Experience

I recently tried trap tox, and I have to admit, I was pretty hesitant at first. I wasn’t sure if it was the right choice for me, but Sarah and Jackie were incredibly reassuring throughout the entire process. Once the Botox was applied, I felt an almost immediate sense of relaxation it’s as though a weight I didn’t realize I was carrying was lifted. On top of that, the aesthetic benefits are a bonus. 
 
If you’re considering trap tox, I highly recommend reaching out to Sarah and Jackie. Their support and skill made all the difference for me!

Their support and skill made all the difference

The office is always a pleasure to come to! The people are so nice, and really helpful. I don’t have a lot of knowledge when it comes to skincare and injectable's, but they really take the time to explain everything and make sure it’s in a way that you understand to get you the best result.

Great Experience

I am currently 2 weeks post op from tummy tuck with body contouring. 
My experience thus far has been nothing short of amazing. I will update my review as my healing journey continues. 
Hands down my decision to go with Dr. Richland was the best thing I could have done. 
The care and attention I have received from day one has been great. His team at the Fountain Valley practice are warm, welcoming and truly care about their patients. Dr. Richland has a strict protocol pre and post surgery and I value that. I was up and walking the next day, minimal bruising and the results even though I’m just 2 weeks out are incredible. Zero complications which I attribute to Dr Richland and weekly check ups with NP Kelly, incredibly gentle and patient. 
 
Karina his patient care coordinator is the one who I reached out to first and she orchestrated my journey beautifully..
 
Updated on 27 Jun 2025:
 
I can’t say enough good things about Dr. Brandon Richland and my experience with him! I’m beyond thrilled with my results&mdash;they’re everything I hoped for and more. Seeing my waist line back again is beyond what I ever expected. I have so much more energy, confidence and vitality after the abdominalplasty and muscle repair.. The recovery was so smooth, and I felt genuinely cared for every step of the way. The staff is just incredible&mdash;shoutout to the lovely, warm girls at the front desk and Karina, the patient care coordinator, who made everything feel so effortless. Their positive, upbeat energy is contagious, and it felt like they were all rooting for me. I never once felt pressured, and I truly believe I got more than my money’s worth. Dr. Richland’s love for what he does is so clear&mdash;he’s not just skilled but genuinely invested in his patients, going above and beyond with a warmth that’s hard to find. I’m so grateful I chose him and would recommend him to anyone in a heartbeat!

Patient for Life! So Happy!

Tummy Tuck

I just got my first Precision Plus VI Peel at Richland Aesthetics, and I'm already loving my results! As a Filipina in my 50s, l've struggled with melasma and hyperpigmentation, and I was hesitant about peels on darker skin-but my dark spots have already lightened, and I feel so much more confident. 
 
El was my esthetician, and she was amazing! She made the process easy and recommended a simple, effective skincare routine without overwhelming me. I also want to mention Autumn, she was so sweet and passionate about VI Peels, which made me even more excited about my results. 
 
If you're thinking about getting a peel, I highly recommend booking with El at Richland Aesthetics! I'll definitely be coming back for more.

I'm already loving my results

VI Peel