When it comes to smoothing fine lines and maintaining a youthful appearance, wrinkle relaxers are one of the most trusted non-surgical treatments available. At Couture Dermatology & Plastic Surgery in Las Vegas, our board-certified dermatologists offer both Botox and Jeuveau to help patients soften expression lines and refresh their look. But how do you choose between the two?

What Are Wrinkle Relaxers?

Wrinkle relaxers are injectable treatments that target dynamic wrinkles, those caused by repeated muscle movements like smiling, frowning, and squinting. These treatments work by temporarily relaxing the underlying muscles, which smooths out the skin above and helps reduce the appearance of fine lines and creases.

Two of the most popular options are Botox and Jeuveau, both available at Couture Medical in Las Vegas.

Botox vs. Jeuveau: Key Differences

While Botox and Jeuveau are both derived from botulinum toxin type A and function similarly, there are a few differences worth noting:

Ultimately, both are effective, safe, and deliver natural-looking results when administered by an experienced provider like Dr. Candace Spann.

Who Is a Good Candidate?

Both Botox and Jeuveau are suitable for adults who want to reduce the appearance of fine lines and dynamic wrinkles, especially in the upper face. You may be a good candidate if:

During your consultation at Couture Dermatology, our team will help determine which product aligns best with your facial anatomy, goals, and lifestyle.

What Kind of Results Can You Expect?

Both Botox and Jeuveau typically take a few days to start working, with full results appearing within 7 to 10 days. Patients can expect:

Jeuveau may offer a slightly faster onset for some patients, though individual results vary.

How Often Should You Get Treated?

The effects of both treatments typically last between 3 to 4 months. To maintain results, we recommend scheduling regular touch-ups. Some patients notice Jeuveau lasts a bit longer for them, while others stick with Botox for consistency. During your appointment, your provider will discuss a timeline that fits your needs and goals.

Why Choose Couture Dermatology in Las Vegas?

At Couture Medical, we believe your treatment experience should be just as exceptional as your results. Led by Dr. Candace Spann, our dermatology team brings years of experience, artistic precision, and a deep understanding of skin health to every wrinkle relaxer appointment.

Our practice is known for creating natural-looking results that enhance your unique features. We take the time to listen to your concerns, assess your facial movement, and craft a plan that fits seamlessly into your lifestyle.

Whether you’re new to injectables or looking to refine your regimen, we’re here to support your skin goals every step of the way.

Ready to Discover the Right Wrinkle Relaxer for You?

At Couture Dermatology & Plastic Surgery, we offer the latest in wrinkle reduction with both Botox and Jeuveau. If you’re ready to refresh your look and want expert guidance on which option is best for you, we invite you to schedule a consultation with Dr. Candace Spann.

Let us help you feel confident in your skin with treatments tailored just for you.

Pregnancy, childbirth, and breastfeeding are life-changing experiences, but they can also take a toll on a woman’s body. Many women struggle with changes to their abdomen, breasts, and overall figure that do not bounce back with diet and exercise alone. If this sounds familiar, you’re not alone. That’s where a Mommy Makeover comes in a customized combination of surgical procedures designed to restore your pre-baby shape and confidence.

At Couture Medical in Las Vegas, our experienced plastic surgeons specialize in helping women feel like themselves again with personalized care, advanced techniques, and beautiful, natural-looking results.

What Is a Mommy Makeover?

A Mommy Makeover is not a one-size-fits-all procedure. It’s a tailored treatment plan that typically includes a combination of body contouring surgeries to target areas most affected by pregnancy and breastfeeding. These procedures are often performed in a single surgical session to minimize recovery time and maximize results.

Most Mommy Makeovers include:

Other procedures like labiaplasty or buttock enhancement may also be included depending on your goals.

When Is the Best Time to Have a Mommy Makeover?

Timing is important when planning a Mommy Makeover. For the best and safest results, we recommend:

Every woman’s timeline is different, so our team at Couture Medical will help determine the right time based on your lifestyle and recovery needs.

What Does Recovery Look Like?

Recovery from a Mommy Makeover can vary depending on which procedures are included. Most patients take about two weeks off work and resume light activities around that time. Full healing may take six to eight weeks, with swelling and tightness gradually subsiding. Our surgeons provide detailed recovery plans, personalized support, and follow-ups to ensure a smooth healing process.

We also prioritize pain management, scar care, and realistic expectations so that you feel confident every step of the way.

Patient Story: A Supportive Experience from Start to Finish

One of our recent patients, Debbie Bowman, shared her experience with the Couture Medical team after her procedure. She said, "Love! Love! Love! Dr. Candace Spann, Kate, and the staff. Regardless of what dermatology issue you have they always make you feel amazing. Customer service is the best in town."

This level of care and compassion extends across all of our services, including Mommy Makeovers. At Couture Medical, we pride ourselves on creating a welcoming, supportive environment where every patient feels confident, heard, and well cared for throughout their journey.

Why Couture Medical Is the Right Choice

Choosing the right surgeon is one of the most important steps in your Mommy Makeover journey. At Couture Medical, you’ll be cared for by board-certified plastic surgeons who are deeply committed to safety, aesthetic excellence, and personalized care.

Our team listens closely to your goals, creates a treatment plan that fits your lifestyle, and ensures you feel informed and supported throughout your entire experience.

Ready to Restore Your Contour and Confidence?

Your journey to reclaiming your body and self-confidence starts with a consultation. Whether you are just exploring your options or ready to move forward, the team at Couture Medical is here to help. Learn more about our Mommy Makeover services or schedule a consultation with Dr. Marvin Spann or Dr. Mitchel Lyons today.

Let’s work together to help you feel like your best self again, because you deserve it.

If you’ve noticed dark, uneven patches on your skin that won’t fade with over-the-counter products, you might be dealing with melasma. This common skin condition affects millions of people, particularly women, and often shows up on the face, cheeks, forehead, and upper lip. While it isn’t harmful, melasma can impact your confidence. The good news is that effective treatments are available.

At Couture Dermatology & Plastic Surgery, we take a personalized, medically advanced approach to helping patients achieve a clearer, more even complexion. Led by board-certified dermatologist Dr. Candace Spann, our team is experienced in treating even the most stubborn melasma cases.

What Is Melasma?

Melasma is a form of hyperpigmentation caused by an overproduction of melanin in the skin. It appears as symmetrical, blotchy brown or gray-brown patches, most commonly on areas exposed to the sun like the face and neck. Although melasma can affect anyone, it is most common in women with medium to dark skin tones and those experiencing hormonal shifts.

Common Causes and Triggers

Understanding what causes melasma can help with prevention and long-term management. Some of the most common triggers include:

Skincare Tips for Prevention

While melasma cannot always be prevented, you can take steps to reduce flare-ups:

Melasma Treatment Options at Couture Medical

Dr. Candace Spann offers a range of treatment options tailored to your skin type and the severity of your melasma. A personalized treatment plan may include:

The average treatment timeline varies, but most patients begin seeing results within a few weeks to a few months. Follow-up appointments every 4–6 weeks help track progress, and maintenance treatments may be needed to prevent recurrence.

Real Patient Experiences

Patients trust Dr. Spann and the Couture team for their expertise and personalized care. Debbie B. shared her experience:
“Love! Love! Love! Dr. Candace Spann, Kate, and the staff. Regardless of what dermatology issue you have, they always make you feel amazing. Customer service is the best in town.”

Why Choose Dr. Candace Spann for Melasma Treatment?

Dr. Candace Spann is a board-certified dermatologist with a deep understanding of melanin-rich skin and the complexities of hyperpigmentation. Her holistic, results-driven approach ensures your treatment plan supports both cosmetic results and long-term skin health.

As a leader in medical and aesthetic dermatology, she uses the most up-to-date technologies and evidence-based techniques to treat melasma safely and effectively. Learn more about her background and approach here.

Take the First Step Toward Radiant Skin

Melasma can be frustrating, but you don’t have to live with it. With expert care from Couture Medical, you can restore balance to your complexion and feel confident in your skin again.

Schedule your consultation with Dr. Candace Spann today to explore your personalized melasma treatment options. Visit our Melasma Treatment page to learn more or contact us to book an appointment.

If you're tired of constant shaving, waxing appointments, or painful tweezing, you're not alone. Laser hair removal has quickly become one of the most popular cosmetic treatments in Las Vegas and beyond and for good reason. At Couture Dermatology & Plastic Surgery, we specialize in delivering long-lasting results with precision and care, so you can enjoy smoother skin without the daily hassle.

How Does Laser Hair Removal Work?

Laser hair removal uses focused light energy to target the pigment in your hair follicles. This energy converts to heat and safely destroys the follicle’s ability to grow new hair. The process is precise and effective, eliminating hair without damaging the surrounding skin. It works especially well on dark, coarse hair but is now considered safe for all skin tones thanks to advanced laser technology.

Because hair grows in cycles, not all follicles can be treated at once. That’s why most people need 4 to 6 sessions, spaced about 4 to 6 weeks apart, to see the best results.

Why Patients Choose Laser Hair Removal at Couture

At Couture Medical, our laser hair removal treatments are known for:

Whether you're looking to treat your face, underarms, bikini line, legs, or larger areas like the back or chest, we tailor every session to your needs.

What Does It Feel Like?

Many people compare the sensation to a quick snap of a rubber band or a warm prick. Thanks to modern cooling technology, the discomfort is minimal, and the sessions are often quicker than expected. A small area like the upper lip can take just a few minutes, while a larger area like the legs or back may take up to an hour.

After the session, you may notice mild redness or swelling, which usually fades within a few hours. Most patients return to normal activities right away, but it's best to avoid intense heat and direct sun exposure for at least 24 hours.

Frequently Asked Questions

Is laser hair removal permanent?

It significantly reduces hair growth, many patients experience up to 80 to 100% reduction. While some maintenance may be needed, results are long-lasting.

How many sessions do I need?
Most people need 4 to 6 treatments, depending on their skin, hair type, and the area being treated.

Can all skin tones be treated?
Yes. At Couture, we use advanced lasers that are safe and effective for every skin type.

Is there any downtime?
There is no major downtime. Most patients can return to their regular routine immediately after treatment.

What Sets Couture Apart

Laser hair removal is more than just technology, it’s about trust, safety, and personalized care. At Couture Medical, we combine dermatologic expertise with aesthetic precision, giving you access to board-certified professionals who understand how to treat skin of all tones with care. You won’t find rushed appointments or one-size-fits-all approaches here. Every treatment is designed to meet your goals and exceed your expectations.

Patient Spotlight: Paige’s Experience

One of our patients, Paige Adams, had this to say about her laser hair removal journey at Couture:

"Amazing experience! Both Candace and Dr. Marvin Spann are excellent at what they do. Their assistants are also great and I have nothing but amazing things to say. The waiting room is very pleasant and we love the music that plays. I have never had to wait a long time—they are always on time and sometimes early!"

Stories like Paige’s reflect our commitment to making your experience as smooth and satisfying as the results you’ll enjoy.

Smooth Skin Starts Here

Ready to ditch the razor for good? Discover how laser hair removal at Couture Medical can simplify your routine and give you the confidence that comes with smoother skin. Schedule your consultation today with our expert team and see why Couture is a top choice for laser hair removal in Las Vegas.

If you’re considering plastic surgery, one of the most important decisions you’ll make is choosing the right surgeon. Whether you're exploring a facelift, body contouring, or breast enhancement, the experience, credentials, and approach of your surgeon play a critical role in both your safety and your results. At Couture Medical in Las Vegas, we understand how personal this journey is, and we’re here to guide you with honesty, care, and expertise.

Why Board Certification and Experience Matter

Plastic surgery is not just about aesthetic improvements, it’s a medical procedure that requires deep skill, precision, and extensive training. That’s why choosing a board-certified plastic surgeon is essential. Certification through the American Board of Plastic Surgery means the doctor has completed rigorous education, passed comprehensive exams, and stays current with the latest advancements in patient safety and surgical techniques.

At Couture Medical, both of our lead surgeons, Dr. Marvin Spann and Dr. Mitchell Lyons are board-certified and bring decades of surgical experience to every patient interaction. This expertise allows them to tailor each procedure to your goals while prioritizing your safety at every step.

Meet Dr. Marvin Spann and Dr. Mitchell Lyons

Dr. Marvin Spann is a board-certified plastic surgeon with advanced training in facial rejuvenation, breast enhancement, and body contouring. With a reputation for natural-looking results and a compassionate approach, Dr. Spann is known for truly listening to patients and designing procedures that align with their aesthetic goals and lifestyle.

Dr. Mitchell Lyons, also a board-certified plastic surgeon, brings exceptional skill in reconstructive and cosmetic surgery. He has a background in general surgery and a deep understanding of structural anatomy, which allows him to achieve balanced, beautiful outcomes.

Together, Dr. Spann and Dr. Lyons offer a well-rounded, patient-first experience grounded in professionalism and artistry.

What to Ask During a Plastic Surgery Consultation

Your consultation is your opportunity to learn, ask questions, and determine whether the surgeon is the right fit for you. Consider asking:

At Couture Medical, we encourage open, honest conversations during consultations. We believe informed patients make the best decisions, so we take the time to walk you through every step of the process.

What Makes Couture’s Approach Unique

At Couture, plastic surgery is not a one-size-fits-all solution. We take a personalized, patient-centered approach focused on:

We believe plastic surgery should empower you, not change who you are, but help you feel more confident in your own skin.

Why Reviews and Before-and-After Photos Matter

A reputable plastic surgeon will be proud to share reviews and show their work. Reading real patient testimonials gives insight into the experience you can expect, while before-and-after photos help you understand the surgeon’s aesthetic style.

At Couture Medical, we’re proud of the relationships we build with our patients. Many of our clients come to us through referrals and speak highly of the professionalism, warmth, and results they experienced here.

Real Patient Success Story

One of our patients, Amanda, came to Couture Medical for a breast reduction and was thrilled with the care she received and her final results.

"The staff here is absolutely amazing. Everyone is so nice and sweet. Valerie is the best. Dr. Lyons is an amazing surgeon—he did such a great job on my breast reduction. He walked me through the entire process, explained what to expect, and really listened to all my concerns. I’m so happy with how everything turned out. Best choice I ever made. Thank you so much, Dr. Lyons!" — Amanda S.

Amanda’s experience is a powerful reminder of how the right surgeon and support team can make all the difference. At Couture Medical, we are committed to delivering exceptional results with compassion every step of the way.

Ready to Take the Next Step?

Choosing the right plastic surgeon is a deeply personal decision. At Couture Medical, we’re honored to be part of your journey and are here to answer every question with honesty and care. Schedule your private consultation today with Dr. Spann or Dr. Lyons and discover what expert, compassionate plastic surgery in Las Vegas looks like.

If you’ve ever felt underwhelmed by a basic spa facial or left wondering if your skin actually benefited, you’re not alone. Many facials follow a standard routine, without considering the unique needs of your skin. At Couture Dermatology & Plastic Surgery, we take a different approach. Our custom facials, performed by Lizelle Lizardo, are designed with one goal in mind: real, visible results tailored just for you.

Why Choose a Custom Facial?

Generic facials may be relaxing, but they rarely do much beyond the surface. A custom facial, on the other hand, is a fully personalized skincare experience. It targets your unique concerns, whether that’s acne, dryness, sensitivity, hyperpigmentation, or aging, using advanced techniques and clinical-grade products.

At Couture, your treatment is crafted for your specific skin type, tone, and condition. And it's not just about skin health. It's about helping you feel confident and cared for.

Meet Lizelle Lizardo: Compassion Meets Expertise

Lizelle Lizardo, our Lead Medical Aesthetician, brings both technical skill and personal passion to every treatment. A licensed Advanced Aesthetician since 2017, Lizelle graduated from the Aveda Institute of Las Vegas and has received additional training from the National Institute of Medical Aesthetics (NIMA).

Her journey into aesthetics is deeply personal. As someone who struggled with acne herself and found few effective resources, especially for skin of color, Lizelle is now committed to changing that experience for others. She combines continued education in lasers, chemical peels, and advanced treatments with a background in VIP concierge care and plastic surgery to deliver luxury, results-driven facials in a professional, inclusive environment.

Couture Favorites: Our Most Popular Custom Facials

Every facial with Lizelle begins with a skin consultation and is fully customized, but here are some favorites our clients return to again and again:

Skincare for Every Tone, Every Type

One of Lizelle’s specialties is treating skin of color safely and effectively. Too often, treatments aren’t tailored to darker skin tones, which can lead to irritation or uneven results. Lizelle is passionate about correcting that and uses techniques and products that protect and enhance melanin-rich skin while delivering transformative outcomes.

Whether you’re dealing with hyperpigmentation, scarring, or uneven tone, you’ll receive a facial that’s built for your skin, not borrowed from a spa menu.

What to Expect During Your Visit

Your custom facial will start with a skin analysis and a conversation about your goals. Lizelle will then design your treatment using a combination of cleansing, exfoliation, extractions (if needed), massage, and targeted treatments like masks or serums. For acne-prone skin, this may also include hot towel therapy or a light chemical peel.

Most appointments last about one hour, and you’ll leave feeling both relaxed and revitalized. Lizelle will also recommend post-treatment care and any follow-up sessions that may support your long-term results.

Ready for Your Best Skin Yet?

If you're ready to move beyond basic spa facials and start seeing true skin improvement, it's time to experience a custom facial with Lizelle Lizardo at Couture Dermatology & Plastic Surgery.

Acne affects more than just your skin, it can impact your confidence, self-esteem, and quality of life. Whether you're a teen dealing with breakouts or an adult struggling with persistent acne, it's important to understand that acne is a medical condition that deserves expert care. At Couture Dermatology & Plastic Surgery in Las Vegas, our board-certified dermatologists specialize in personalized acne treatments designed to help you achieve clear, healthy skin.

Understanding the Different Types of Acne

Not all acne is the same, and that’s why one-size-fits-all solutions rarely work. Here’s a look at the most common types we see in our Las Vegas dermatology clinic:

Identifying the type of acne you have is the first step in creating an effective treatment plan.

How Couture’s Dermatology Team Evaluates Your Skin

At Couture Dermatology & Plastic Surgery, we don’t believe in over-the-counter guesswork. Your visit starts with a thorough skin evaluation by a board-certified dermatologist who specializes in acne care. We look at your skin type, acne severity, lifestyle, and any contributing medical conditions or medications.

We may ask questions about your skincare routine, diet, hormonal changes, and stress levels. In some cases, lab work or a hormonal evaluation may be recommended. All of this helps us design a customized treatment plan that targets the root cause of your acne, not just the symptoms.

In-Office Acne Treatments We Offer

Once we understand your skin, we can recommend a tailored combination of in-office treatments and home care products that get real results. Here are a few of our most popular options:

We also offer acne facials, LED light therapy, and customized skincare regimens to maintain your progress at home.

Why Follow-Up and Maintenance Matter

Acne is not always a quick fix. It requires ongoing care, especially if your skin is prone to flare-ups or scarring. Once your skin is clear, we focus on preventing future breakouts through regular follow-ups and skin maintenance plans.

This may include adjusting your skincare routine seasonally, switching up treatments based on your skin’s progress, or incorporating maintenance treatments like light chemical peels or laser refreshers. With continued care, many of our patients enjoy long-term clear skin and improved skin texture.

Real Results from Real Patients

Dayna came to Couture Dermatology & Plastic Surgery looking for help with her hair and left feeling more confident than ever. After working with Dr. Spann, she saw noticeable improvements and couldn’t be happier with the results.

"Dr. Spann is WONDERFUL!! So happy to have found her. My hair is better than ever because of her and her products. Next time I will see her for some help with lines and acne scars. I totally trust her and the people that work there. Thank you!" — Dayna P.

Patients like Dayna remind us why personalized care matters. Whether you're dealing with acne scars, fine lines, or hair concerns, our team is here to deliver expert results you can trust.

Ready to Say Goodbye to Acne?

You don’t have to settle for breakouts, scarring, or ineffective skincare routines. At Couture Dermatology & Plastic Surgery, we combine medical expertise with advanced treatments to give you the clear skin you deserve.

If you’ve noticed clusters of red, blue, or purple veins spreading across your legs or face, you’re not alone. Spider veins are incredibly common, especially among women, and though they’re generally harmless, they can affect confidence and comfort. Thankfully, modern medicine offers a proven, effective solution. Sclerotherapy, a minimally invasive treatment that targets spider veins at the source. At Couture Medical, Dr. Candace Spann and her experienced team deliver customized care to help you say goodbye to spider veins for good.

What Are Spider Veins and Why Do They Happen?

Spider veins are small, dilated blood vessels that appear just beneath the skin’s surface. They’re often hereditary but can also be triggered by:

While spider veins don't usually pose serious health risks, they can be a cosmetic concern—and in some cases, a sign of underlying venous insufficiency.

Why Sclerotherapy Is the Gold Standard

Sclerotherapy is widely considered the most effective treatment for spider veins. Unlike lasers or surgery, which can be more invasive or less effective on certain vein types, sclerotherapy works by directly addressing the cause of the problem.

How It Works:

During the procedure, a medical-grade solution is injected into the spider veins. This solution causes the vein walls to collapse and seal shut, rerouting blood flow to healthier veins. Over time, the treated veins are naturally absorbed by the body and fade from view.

Benefits of Sclerotherapy

Why Choose Couture Medical for Your Spider Vein Treatment?

At Couture Medical, we don’t believe in one-size-fits-all solutions. Every patient is unique, and so is their treatment plan. Led by board-certified dermatologist Dr. Candace Spann, our team combines advanced techniques with a compassionate, personalized approach. With years of experience in cosmetic dermatology and a keen eye for aesthetic detail, Dr. Spann ensures each patient receives optimal results with minimal discomfort.

Our practice prioritizes:

Sclerotherapy vs. Other Treatment Options

Laser Treatments:

Surgery:

Topical Creams:

Compared to these, sclerotherapy provides the best balance of efficacy, safety, and convenience, especially when performed by an expert like Dr. Spann.

Common Questions About Sclerotherapy

Is the procedure painful?
Most patients experience only minor discomfort, similar to a small pinch or cramp.

How many treatments will I need?
This varies per person, but many patients see great results in 1–3 sessions.

Will my spider veins come back?
Treated veins usually do not return, but new spider veins can form over time. Maintenance treatments can address these.

Is sclerotherapy covered by insurance?
If done for cosmetic purposes, it’s usually not covered. However, if spider veins cause discomfort or other symptoms, partial coverage may apply—check with your provider.

Confidence Is Just a Treatment Away

If spider veins have you feeling self-conscious about your legs or face, it’s time to take action. With sclerotherapy at Couture Medical, you can enjoy clear, healthy-looking skin without surgery or extended downtime. Call Couture Medical or book online to schedule your consultation today. 

If you’ve been noticing small red, blue, or purple veins just beneath the surface of your legs, you're not alone. These pesky spider veins can be frustrating, both aesthetically and physically. The good news? You don't have to live with them. At Couture Medical, we offer a safe, effective, and minimally invasive treatment known as sclerotherapy, a proven method for eliminating spider veins and restoring smooth, confident skin.

This blog will walk you through what to expect at your first sclerotherapy appointment, from consultation to post-treatment recovery, so you can feel informed and ready to take your first step toward clearer legs.

What Is Sclerotherapy?

Sclerotherapy is a non-surgical vein treatment where a specialized solution is injected into spider or small varicose veins. This solution causes the vein to collapse and eventually be reabsorbed by the body. Blood naturally reroutes through healthier veins, leaving the treated ones to fade away over time.

It’s considered the gold standard for spider vein treatment because it’s quick, relatively painless, and provides long-lasting results.

Before Your Appointment: How to Prepare

Preparation for your sclerotherapy session is simple and stress-free:

During your consultation, Dr. Candace Spann and her expert team at Couture Medical will examine your veins, take a detailed medical history, and develop a personalized plan tailored to your specific needs.

During the Procedure: What It Feels Like

The treatment itself usually takes 15 to 30 minutes depending on the number of veins being treated. Here’s what you can expect:

Multiple veins can be treated in a single session, and many patients choose to return for follow-up sessions to achieve optimal results.

After the Procedure: Recovery and Results

One of the biggest perks of sclerotherapy is its minimal downtime. After your session, you can return to most daily activities the same day.

Post-treatment care typically includes:

Some mild bruising or swelling is normal and fades quickly. Most patients begin to see visible improvement in 3 to 6 weeks, with optimal results appearing after a few months.

Comparing Sclerotherapy to Other Vein Treatments

Laser Therapy:

Surgical Vein Stripping:

Topical Creams:

Sclerotherapy offers the best balance of effectiveness, safety, and convenience for spider veins, especially when performed by an experienced provider like Dr. Candace Spann.

Common Questions About Sclerotherapy

Is sclerotherapy painful?
Most patients feel only a small pinch or mild cramping. Discomfort is minimal and short-lived.

How many sessions will I need?
Many patients see significant improvement in just one to three treatments, depending on the number and size of veins.

Will my spider veins come back?
Treated veins are gone for good. However, new spider veins can form over time and may require occasional touch-ups.

Is sclerotherapy safe?
Yes! It’s an FDA-approved, medically supervised treatment with a long track record of safety and success.

Can I walk after my appointment?
Absolutely. In fact, light walking is encouraged to help with circulation.

Confidence Starts with Clarity

If spider veins are holding you back from feeling confident in your skin, it might be time to try sclerotherapy. At Couture Medical, our board-certified dermatologist, Dr. Candace Spann, combines medical expertise with personalized care to ensure every patient gets the best possible results.

Our compassionate, experienced team will guide you every step of the way—from your first consultation to your final follow-up.

Book your vein consultation at Couture Dermatology today and take the first step toward smoother, clearer legs and greater confidence.

At Couture Dermatology & Plastic Surgery, glowing skin starts with a personalized plan—and no one understands that better than our Lead Medical Aesthetician, Lizelle Lizardo.

Lizelle has been a licensed Advanced Aesthetician since 2017, combining clinical training with a deeply personal passion for skincare. Her journey began with her own struggles with acne and the challenge of finding effective treatments for skin of color. That experience fuels her mission today: to deliver inclusive, results-driven care for every skin tone and type—especially those that have been historically underserved.

Why Custom Facials Work Better

Unlike generic spa facials, custom facials at Couture are rooted in medical science and built around you. Lizelle begins each appointment with a detailed skin analysis, looking at your history, concerns, lifestyle, and goals. Based on what your skin truly needs, she crafts a personalized treatment plan using advanced techniques and medical-grade products.

Whether you’re dealing with:

…Lizelle tailors each facial to safely and effectively address those issues without causing irritation or downtime.

Treatment Options Designed for Real Results

At Couture, Lizelle offers a range of facials including:

Every treatment includes relaxing touches like an upper body and arm massage, creating a luxurious experience with clinical-level results.

Inclusive Skincare for All

Lizelle is committed to continued education in treating all skin types and tones. Her advanced training in lasers, chemical peels, and aesthetic devices ensures she safely and effectively treats skin of color—an area where generic facials often fall short. She brings a blend of compassion, precision, and attention to detail that helps every patient feel seen, cared for, and confident in their skin.

Why Choose a Medical-Grade Facial Over a Spa Facial?

The difference is in the depth:

Lizelle’s facials do more than refresh—they repair, rebalance, and restore your skin from within.

Your Skin, Transformed

Most custom facials last around 60 minutes, and results can often be seen immediately, with long-term benefits building over time. Whether you're maintaining healthy skin or tackling specific concerns like acne or pigmentation, consistent, personalized care is the key to transformation.

Ready to Glow?

Your skin deserves more than guesswork. Let Lizelle help you understand what it truly needs—and treat it with the care it deserves.

Book your custom facial with Lizelle Lizardo at Couture Dermatology & Plastic Surgery today, because confidence starts with skin that feels like you again.

Couture Dermatology & Plastic Surgery
9950 West Flamingo Road Ste. 105
Las Vegas, NV 89147
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