
West Annapolis Medical Spa
Brown spots, age spots, sun damage, redness, texture. Start from the thing you notice in the mirror and the right treatment follows from it — a laser, broadband light, a peel, or a course of skin care.
At a glance
Location
West Annapolis Medical Spa
Address
104 Ridgely Ave, Annapolis, MD
Devices
BBL Hero, Halo, Moxi, CO2, SkinTyte
Also offered
Peels, DiamondGlow, microneedling
Performed by
Shira Leighty, RN — CO2 with Dr. Sandel
Insurance
Not covered
Start here
Pigment, redness, texture and laxity are different problems and they answer to different wavelengths. A device that clears brown spots does little for firmness, and one that resurfaces texture is the wrong tool for broken capillaries.
Discrete patches of pigment from cumulative sun exposure, most often on the face, chest and backs of the hands. BroadBand Light targets the pigment directly; resurfacing lasers address it alongside texture.
Diffuse damage rather than isolated spots: mottled tone, roughness, fine lines and loss of clarity across an area. Usually treated as a series rather than a single visit.
Persistent flushing, visible vessels and the background redness associated with rosacea. Light-based treatment works on the vessels themselves, which is why creams alone tend to plateau.
Surface irregularity and etched lines respond to controlled resurfacing. Depth is the variable: more correction means more downtime, and the trade is decided in the consultation.
Active breakouts and the scarring left behind are two separate problems treated on different timelines. CO2 resurfacing addresses the scarring; light-based treatment and peels work on active acne, usually alongside medical skin care.
Not a condition so much as the absence of upkeep. Regular exfoliation, peels and a considered home routine hold a result in place between the heavier treatments.
Everything on the menu
Treatment
What it addresses
Downtime
BBL Hero
Brown spots, age spots, redness, broken capillaries, active acne
Minimal
Halo
Texture, tone and fine lines addressed together
3–4 days
Moxi
Early pigment and dullness; a gentler first laser
About 1 day
CO2 resurfacing
Deeper lines, sun damage and scarring. Performed by Dr. Sandel
A week or more
Laser hair removal
Unwanted hair on the face, underarms and bikini line
None
SkinTyte
Mild laxity and firmness, using infrared energy
None
Chemical peel
Tone and superficial pigment
Days, by depth
DiamondGlow
Exfoliation and maintenance between treatments
None
Microneedling
Fine lines, acne scarring, overall texture
A day or two
Medical skin care
The routine that protects any result
None
Downtime figures are typical ranges, not commitments. Yours depends on your skin, the settings used, and what is being treated.
Technology and products we offer
Worth knowing
Most patients arrive asking for a device by name. We would rather examine the skin first and recommend what addresses the problem, which is sometimes a laser and sometimes not.
Come in unburned and untanned. Recent sun exposure changes what can be treated safely.
Skin tone matters. Some devices carry a meaningfully higher risk of pigment change in deeper skin tones, so the safest choice differs by patient.
Bring a full list of medications. Several affect candidacy, and some skin conditions rule a treatment out entirely.
A course of medical skin care beforehand usually improves the result and is often recommended first.
Sun protection afterward is not optional. It determines how long the result lasts.
Cost
Halo and CO2 resurfacing have published prices. Moxi, BBL Hero, SkinTyte and laser hair removal are quoted at a consultation, where the treatment and the number of sessions are matched to your skin, and financing is available. Pricing is subject to change.
| Treatment | Price |
|---|---|
| Halo, hybrid fractional laser | From $1,600 per face treatment |
| CO2 resurfacing with Dr. Sandel, full face | about $2,100 to $4,200 |
| Moxi | Quoted at consultation |
| BBL Hero | Quoted at consultation |
| SkinTyte | Quoted at consultation |
| Laser hair removal | Quoted at consultation |
Questions
The best laser is the one matched to what you are treating: BBL Hero for brown spots, redness and broken capillaries; Moxi for early pigment and dullness; Halo for texture, tone and fine lines together; and CO2 resurfacing for deeper lines, sun damage and scarring. Your skin tone and how much downtime you can accommodate narrow the choice further. The table above is a starting point; the consultation is where it gets decided.
CO2, Halo and Moxi differ mainly in depth and downtime. Moxi is the gentlest, a non-ablative laser for early pigment and dullness with about a day of downtime. Halo is a hybrid fractional laser that treats texture, tone and fine lines together with three to four days of downtime. CO2 resurfacing goes deepest, treating deeper lines, sun damage and scarring, usually in one session, with a week or more of downtime. Shira Leighty, RN performs Moxi and Halo; Dr. Sandel performs CO2.
Frequently, yes, and combinations are often more effective than any single device. Some are performed in the same visit and others are staged weeks apart. This is planned rather than improvised.
Laser treatment improves the skin you have; it does not stop it from aging. Maintenance treatments and daily sun protection are what preserve the result.
Sensation varies by device and depth. Topical numbing is used for the more aggressive treatments, and the lighter ones are generally well tolerated without it.
Shira Leighty, RN, our aesthetic laser nurse, performs BBL Hero, Halo, Moxi, SkinTyte and laser hair removal at West Annapolis Medical Spa, and Dr. Henry Sandel performs CO2 laser resurfacing himself. Microneedling, DiamondGlow and chemical peels are performed by our medical aestheticians, who do not perform laser treatments, and deeper peels are performed by Dr. Sandel. West Annapolis Medical Spa is medically directed by Sandel Duggal Plastic Surgery.
No. Laser skin treatments for cosmetic concerns such as sun damage, brown spots, texture and fine lines are not covered by insurance. Halo and CO2 resurfacing have published prices in the cost section on this page, the other treatments are quoted at a consultation, and financing is available.
Autumn and winter are the best seasons for deeper laser resurfacing, because newly treated skin pigments easily and needs protection from the sun while it heals. Most CO2 resurfacing patients plan their treatment for autumn or winter for that reason. Whatever the season, come in unburned and untanned, since recent sun exposure changes what can be treated safely, and use sunscreen daily afterward.
Some laser and light treatments are suitable for darker skin tones and some are not: certain devices carry a meaningfully higher risk of pigment change in deeper skin tones, so the safest choice differs by patient. Microneedling and SkinTyte are both suitable for all skin types, while deeper resurfacing calls for a more careful assessment. Your skin is examined at a consultation before any laser is recommended.
A skin consultation at West Annapolis Medical Spa includes an examination and a recommendation. If a laser is not the right answer, we will tell you that.
Reviewed by Shira Leighty, RN · Updated November 2026
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