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River City Aesthetics

River City Aesthetics

Med spa in St. Augustine, FL

Rated 5.0 out of 5 (92 on Google Maps) (opens in a new tab) Closed now

River City Aesthetics is a veteran-owned medspa and laser center at 70 Silver Forest Drive, Suite 110, in St. Augustine. The business was founded by Michael Spagna, a Navy nurse anesthetist, and is operated by River City Aesthetics, LLC. According to the business, it treats aesthetic medicine as medicine and describes itself as small on purpose and precise by training. It also states that no one on the team works on commission against a client's face.

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About

River City Aesthetics is a veteran-owned medspa and laser center at 70 Silver Forest Drive, Suite 110, in St. Augustine. The business was founded by Michael Spagna, a Navy nurse anesthetist, and is operated by River City Aesthetics, LLC. According to the business, it treats aesthetic medicine as medicine and describes itself as small on purpose and precise by training. It also states that no one on the team works on commission against a client's face.

Visits begin with the client's goals rather than a menu of treatments. New clients complete a short intake before their first appointment, and before any treatment they are shown the recommended plan, its cost and the treatments that are not recommended. The practice says it will tell clients when a treatment is unlikely to help them. Aftercare instructions are given in writing, with a follow-up when a treatment calls for one.

Injectables include Botox, Dysport, Xeomin, Jeuveau and Letybo, all five of which the business says are FDA-approved. Wrinkle relaxers are priced per unit at the visit, and member rates are listed for each product. Dermal fillers use hyaluronic acid families such as Juvederm, Restylane and Revanesse Versa, chosen by area and goal at the appointment. Lip filler is the studio's signature service, and Radiesse is offered as a collagen-stimulating filler. SkinVive by Juvederm is listed at $750 and is placed as microdroplets under the skin of the cheeks.

The laser and energy menu runs on Cynosure platforms, including PicoSure Pro, Elite iQ, Potenza and SmartSkin+ CO2. Laser hair removal uses the Elite iQ, which pairs Alexandrite and Nd:YAG wavelengths, and is priced by area with sessions running from 5 to 60 minutes. Packages of nine range from $650 for the upper lip or chin to $4,500 for full legs, underarms and Brazilian, and include six months of complimentary touch-ups after the final session. Laser facials include Elite iQ, Calm iQ for redness-prone skin, Clear iQ for active breakouts, Radiance iQ, and a Pico Laser Carbon facial. Tattoo removal is done with the PicoSure Pro.

Beyond lasers, the studio offers custom ZO facials from $75, HydraFacial options, chemical peels, dermaplaning, microneedling and Ultherapy Prime, a focused ultrasound treatment for the brow, jawline and neck that begins with a complimentary consultation. Targeted programs address areas such as the eyes, lines around the mouth and acne scarring. Consultations cost $50 and are credited toward any treatment booked within 30 days. Memberships carry a 12-month commitment and are managed through Boulevard, which is also where appointments are booked at any hour. Payment plans are offered through Cherry, including 0% APR options subject to eligibility, and gift cards are sold online.

The studio is open Monday and Thursday from 9 AM to 7 PM, Tuesday, Wednesday and Friday from 9 AM to 5 PM, and Saturday from 10 AM to 2 PM by appointment. It is closed Sunday. Email messages are answered within 24 business hours, and urgent matters are best handled by phone at (904) 540-8814. Google shows a 5.0 rating from 92 reviews, according to the business's profile.

Treats aesthetic medicine as medicine, with honest consultations, conservative injectable dosing, and treatment plans built around each client's goals.

Specials & promotions

  • Platinum membership at $199 per month

    $199

    Each month choose one treatment. Member rates on wrinkle relaxers and RF microneedling and laser services. 12-month commitment. Purchased and managed through Boulevard.

    On their website as of Oct 30, 2026 · Where we saw it

  • Gold membership at $149 per month

    $149

    Each month choose one treatment. Member rates on wrinkle relaxers and RF microneedling and laser services. 12-month commitment. Purchased and managed through Boulevard.

    On their website as of Oct 30, 2026 · Where we saw it

  • Skin Gym membership at $125 per month

    $125

    Each month choose one ZO treatment. 15% off all laser and RF microneedling services. 12-month commitment. Purchased and managed through Boulevard.

    On their website as of Oct 30, 2026 · Where we saw it

  • VIP 'Tox membership at $20 per month

    $20

    Locked per-unit rates on wrinkle relaxers: Botox $11 per unit, Dysport $11, Jeuveau $9, Xeomin $8, Letybo $8. 20-unit minimum for manufacturer discounts. 12-month commitment. Purchased and managed through Boulevard.

    On their website as of Oct 30, 2026 · Where we saw it

  • Beauty Bank savings account with $99 monthly deposit

    $99

    Deposits bank toward eligible services and products. $99 bonus credit after six consecutive monthly payments. $1 off every unit of wrinkle relaxer and 10% off full-price services. A $149 Plus account is also offered. 12-month commitment.

    On their website as of Oct 30, 2026 · Where we saw it

Services

Final prices may vary.

Wrinkle relaxers priced per unit, dermal fillers including lip filler and Radiesse, SkinVive, and B12.

  • Botox & friends Price at booking
  • SkinVive Price at booking

Laser hair removal, laser facials, pigment and melasma correction, fractional CO2 resurfacing, Potenza RF microneedling, tattoo removal and vein treatment.

  • Packages of nine $650–$4,500
  • Calm iQ Rosacea Facial Price at booking
  • Clear iQ Acne Facial Price at booking
  • Elite iQ Laser Facial Price at booking
  • Elite iQ Revitalizing Facial Price at booking
  • Laser Hair Removal, extra small and small areas Price at booking
  • Laser Hair Removal, medium to extra large areas Price at booking
  • Pico Laser Carbon Facial Price at booking
  • Pigment & Melasma Price at booking
  • Potenza RF Price at booking
  • Radiance iQ Illuminating Facial Price at booking
  • SmartSkin+ CO2 Price at booking
  • SmartSkin+ CO2 Laser Price at booking

Custom ZO facials, custom facials, microneedling, HydraFacial options, chemical peels and dermaplaning.

  • Custom ZO Facials $75+
  • Custom Facials Price at booking
  • Microneedling Price at booking

A GLP-1 based medical weight loss program with regular check-ins, planned at a consultation.

  • Medical Weight Loss $20

Monthly plans that exchange a set deposit for a monthly facial, peel or laser session, with member rates on other services.

  • VIP 'Tox $20
  • The Beauty Bank $99–$149
  • Skin Gym $125
  • Gold $149
  • Platinum $199

Multi-session programs for specific concerns, including EyeTight, Smart Smile Renewal, an acne scarring series and Smart-Peel+.

  • Acne scarring series $1,500–$1,750
  • EyeTight Complete $1,500–$1,750
  • Smart-Peel+ $1,500–$1,750
  • Smart Smile Renewal $1,500–$1,750
  • Smart-Peel+ three-session $2,400
  • 30-minute consultation $50
  • Lip Filler Price at booking
  • Radiesse Price at booking
  • Signature HydraFacial $199
  • Deluxe HydraFacial $275
  • SkinCeuticals TCA peel $300
  • Laser hair removal, chin, series of nine $650
  • SkinPen microneedling, series of three $800
  • Ultherapy Prime, upper face $1,500
  • CO2 EyeTight program, two sessions $1,750

Meet the team

Team members listed on their website. Individual roles, credentials, and current employment have not been independently verified.rivercityaesthetics.com (opens in a new tab)

Highlights
  • Carries all five FDA-approved neuromodulators, with wrinkle relaxers priced per unit
  • Laser services performed on Cynosure platforms, including PicoSure Pro and Elite iQ
  • Laser hair removal packages of nine include six months of complimentary touch-ups
  • Lip filler is the studio's signature service, with Radiesse also offered
  • Beauty Bank savings account builds treatment credit with a bonus after six monthly payments
  • $50 consultation is credited toward any treatment booked within 30 days
Good for
  • Clients who want a plan and cost before committing
  • Clients planning a series of laser or energy treatments
  • Redness-prone skin
  • Active breakouts
  • Clients who prefer to spread treatment costs over time
  • Members looking for regular monthly treatments
  • Clients interested in non-surgical lifting
Treats
  • Fine lines
  • Deeper wrinkles
  • Lines around the mouth
  • Acne
  • Acne scarring
  • Rosacea and redness
  • Melasma
  • Sun spots and uneven tone
  • Sun damage and crepey texture
  • Dullness
Techniques
  • Wrinkle relaxers
  • Dermal fillers
  • SkinVive microdroplet placement
  • Laser hair removal
  • Picosecond laser
  • Pico Laser Carbon facial
  • Fractional CO2 resurfacing
  • Radiofrequency microneedling
  • Microneedling
  • Focused ultrasound lift

Products & treatments

  • Botox
  • Dysport
  • Xeomin
  • Jeuveau
  • Letybo
  • Juvederm
  • Restylane
  • Revanesse Versa
  • SkinVive by Juvederm
  • ZO Skin Health
  • SkinCeuticals
  • Alastin
  • Cynosure PicoSure Pro
  • Cynosure Elite iQ
  • Cynosure Potenza
  • Cynosure SmartSkin+ CO2
  • SkinPen

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