VivaMD has to be the absolute BEST medical spa I've ever been to! The specialized doctor/nurse herself is wonderful, to the service (staff) to the outcome of the services they offer. I got a couple things done here at this spa so far, one was botox which was amazing (definitely will be coming back in a couple of months) and the other is laser hair removal got three sessions so far and barely any hair left on my face (mind you I was struggling with unwanted facial hair practically my entire life). Very pleased, wish I could give an extra star!