# River City Aesthetics

> River City Aesthetics is a veteran-owned medical spa and laser center in St. Augustine, Florida (SilverLeaf, St. Johns County), offering injectables, laser and energy treatments, Ultherapy Prime, facials and skin care, and medically supervised weight loss. Owner and injector Michael Spagna, CRNA, is a 20-year U.S. Navy nurse anesthetist; Dr. Albert Yang, a facial plastic surgeon, is medical director.

- Address: 70 Silver Forest Drive, Suite 110, St. Augustine, FL 32092
- Phone (call or text): (904) 540-8814
- Email: rivercityaesthetics@gmail.com
- Google rating: 5.0 from 92 reviews (checked October 24, 2026)
- Online booking (Boulevard): https://www.joinblvd.com/b/rivercityaesthetics/widget#/visit-type
- Website: https://rivercityaesthetics.com/

Hours:
- Monday: 9:00 AM to 7:00 PM
- Tuesday: 9:00 AM to 5:00 PM
- Wednesday: 9:00 AM to 5:00 PM
- Thursday: 9:00 AM to 7:00 PM
- Friday: 9:00 AM to 5:00 PM
- Saturday: 10:00 AM to 2:00 PM, by appointment
- Sunday: Closed

Prices on this site come from the practice’s live booking menu. Where a treatment is priced per unit, by area, or at a consultation, the site says so rather than quoting a number. Results vary by person; a consultation determines candidacy.

## Treatments

- [Wrinkle Relaxers](https://rivercityaesthetics.com/treatments/wrinkle-relaxers/): Botox, Dysport, Xeomin, Jeuveau, and Letybo, dosed for a rested face that still moves.
- [Dermal Fillers](https://rivercityaesthetics.com/treatments/dermal-fillers/): Lips with clean, defined shape and cheeks that look like a good night’s sleep.
- [SKINVIVE™ by JUVÉDERM®](https://rivercityaesthetics.com/treatments/skinvive/): An injectable hydrator for cheek skin that glows without changing your shape.
- [Laser Hair Removal](https://rivercityaesthetics.com/treatments/laser-hair-removal/): The Elite iQ series that ends the razor cycle, with touch-ups on us for six months.
- [Laser Tattoo Removal](https://rivercityaesthetics.com/treatments/tattoo-removal/): PicoSure Pro picosecond pulses that break up ink other lasers leave behind.
- [Melasma and Pigment Correction](https://rivercityaesthetics.com/treatments/pigment-and-melasma/): Focused picosecond energy for melasma, sun spots, and uneven tone.
- [Laser Facials](https://rivercityaesthetics.com/treatments/laser-facials/): A menu of no-downtime laser treatments, each aimed at one skin story.
- [SmartSkin+ CO2 Resurfacing](https://rivercityaesthetics.com/treatments/smartskin-co2/): Fractional CO2 resurfacing for the changes creams stopped touching years ago.
- [Potenza RF Microneedling](https://rivercityaesthetics.com/treatments/potenza-rf-microneedling/): Microneedling with radiofrequency depth, tuned mode by mode to your skin.
- [Laser Vein Treatment](https://rivercityaesthetics.com/treatments/laser-vein-treatment/): Spider veins and visible vessels, closed in minutes with focused light.
- [Ultherapy Prime](https://rivercityaesthetics.com/treatments/ultherapy/): The non-surgical lift: focused ultrasound, mapped to your face, no downtime.
- [HydraFacial](https://rivercityaesthetics.com/treatments/hydrafacial/): Cleanse, extract, hydrate: the no-downtime facial with an immediate glow.
- [Custom ZO Facials](https://rivercityaesthetics.com/treatments/custom-facials/): Medical-grade ZO Skin Health facials, built for your skin on the day.
- [Chemical Peels](https://rivercityaesthetics.com/treatments/chemical-peels/): SkinCeuticals and ZO peels, from lunchtime glow to true correction.
- [SkinPen Microneedling](https://rivercityaesthetics.com/treatments/microneedling/): Collagen induction with the first FDA-cleared microneedling device.
- [Medical Weight Loss](https://rivercityaesthetics.com/treatments/medical-weight-loss/): GLP-1-based weight loss with a medical team that actually follows up.

## Practice

- [All treatments by category](https://rivercityaesthetics.com/services/): Injectables, Laser and Energy, Ultherapy Prime, Facials and Skin, Weight Loss and Wellness
- [Team](https://rivercityaesthetics.com/about/): Michael Spagna, CRNA; Albert Yang, MD; Kendall Regan, LE, CME; Jessica Stites, LE; Jillian Almstead, LE, CPE
- [Memberships](https://rivercityaesthetics.com/memberships/): Platinum Membership ($199/month); Gold Membership ($149/month); River City Skin Gym ($125/month); VIP ’Tox Membership ($20/month)
- [Beauty Bank](https://rivercityaesthetics.com/beauty-bank/): Bank a set amount toward treatments every month, and collect member discounts while it grows.
- [October specials](https://rivercityaesthetics.com/specials/): monthly offers, updated each month
- [Payment plans](https://rivercityaesthetics.com/payment-plans/): financing through Cherry
- [Visit and contact](https://rivercityaesthetics.com/visit/): address, hours, map, parking
- [How to book](https://rivercityaesthetics.com/book/): online booking and consultations

## Optional

- [Full detail for AI assistants](https://rivercityaesthetics.com/llms-full.txt): every treatment, price, FAQ, and team bio in one file
- [Shop skincare and gift cards](https://rivercityaesthetics.com/shop/)
- [Accessibility statement](https://rivercityaesthetics.com/accessibility/)
- [Privacy policy](https://rivercityaesthetics.com/privacy-policy/)