If you're in Durango and looking to reset your skin — whether that's reversing sun damage, reducing redness, smoothing texture, or addressing signs of aging — you have access to some of the most advanced treatments available, all right here at R Med+Spa.
Dr. Brian Rike, DO and his team offer a focused menu of physician-supervised treatments, each selected for its clinical evidence and patient outcomes. Every treatment plan begins with a personal consultation — because what works for one person's skin may not be right for another's.
Treatments Available at R Med+Spa Durango
Halo™ Hybrid Fractional Laser
Halo is widely regarded as the gold standard for full-face skin resurfacing. It combines two laser wavelengths — ablative (2940 nm) and non-ablative (1470 nm) — to target both the surface and deeper skin layers simultaneously.
Treats: Sun damage, fine lines and wrinkles, large pores, uneven skin tone, and acne scarring.
Downtime: 5–10 days of swelling, redness, and peeling depending on treatment settings.
Results: Dramatically smoother, clearer, younger-looking skin. Continued improvement for 3–6 months as new collagen forms.
→ [Read the full Halo guide](/post/halo-laser-treatments-durango-colorado)
BBL HERO™ Broadband Light
BBL HERO uses precisely calibrated pulses of light to target pigmentation, redness, and early photoaging. It's often paired with Halo for a comprehensive resurfacing experience, or used standalone for maintenance.
Treats: Brown spots, redness, rosacea, acne, and uneven skin tone.
Downtime: Minimal — some redness for a day or two.
Results: Clearer, more even skin. With repeated annual treatments, studies show BBL can help maintain a youthful gene-expression profile in the skin.
→ [BBL HERO vs. IPL: Why It's the Better Choice](/post/bbl-hero-way-way-better-then-ipl)
Clear Silk™ Laser
Clear Silk is a gentle, non-ablative 1064 nm Nd:YAG laser — smooth, comfortable, and effective for patients who want improvement without any downtime. It's popular as a monthly maintenance treatment and ideal for patients with active rosacea or sensitive skin.
Treats: Fine lines, redness, rosacea, acne, and skin tone.
Downtime: None.
Clear V™ Vascular Laser
Clear V targets superficial vascular lesions — spider veins, telangiectasia, port wine stains, and venous lakes — using precise laser energy absorbed by oxyhemoglobin in the vessel wall.
Treats: Spider veins, facial redness, rosacea vessels, venous lakes.
Downtime: Minor bruising or redness possible; typically resolves within a few days.
→ [Clear V Laser: Full Guide](/post/clear-v-laser)
Glacial Rx® CryoModulation™
Glacial Rx uses controlled cooling — not heat — to reduce redness, inflammation, and hyperpigmentation. It's FDA Class II cleared, requires no downtime, and is one of the most comfortable procedures available.
Treats: Rosacea, melasma, reactive skin, enlarged pores, general inflammation.
Downtime: None.
→ [Glacial Rx in Durango: Full Overview](/post/discover-the-benefits-of-glacial-rx-skin-therapy-with-cryo-facials)
Microneedling with BENEV Exosomes
Microneedling creates controlled micro-channels in the skin to stimulate collagen and elastin production. At R Med+Spa, treatments are paired with BENEV exosomes — growth-factor-rich vesicles that accelerate healing and amplify results.
Treats: Fine lines, skin texture, acne scarring, skin laxity.
Downtime: 24–48 hours of redness. Most patients are comfortable in public the next day.
Laser Peels
Using a 2940 nm erbium YAG laser calibrated to 10 microns per pass, laser peels precisely remove the outermost skin layers to reveal fresh, smoother skin beneath. A series of peels spaced 4–6 weeks apart produces compounding results.
Treats: Dullness, rough texture, fine lines, hyperpigmentation.
Downtime: 3–5 days depending on depth.
How to Choose the Right Treatment
Choosing between treatments can feel overwhelming. Here's a quick-reference framework:
| Goal | Consider |
|---|---|
| Comprehensive resurfacing | Halo + BBL HERO |
| Redness, rosacea, brown spots | BBL HERO or Clear Silk |
| Spider veins, vascular lesions | Clear V |
| Inflammation, sensitive skin | Glacial Rx |
| Texture and collagen rebuilding | Microneedling with exosomes |
| Regular maintenance | Clear Silk, Glacial Rx |
Most patients benefit from a combination approach, and treatments are often sequenced for maximum effect. At your consultation, Dr. Rike examines your skin in person, discusses your goals, and builds a specific plan — not a generic menu.
What to Expect at Your First Visit
Every new patient starts with a consultation. At your appointment:
- Dr. Rike examines your skin, asks about your health history, and reviews any medications that might affect treatment selection
- You discuss your goals and any concerns openly
- You receive a personalized treatment plan with honest expectations for timeline and recovery
- Any consultation deposit is applied toward your first treatment
There's no pressure to book anything that day.
How to Prepare for Your Treatment
Proper preparation helps your skin respond better and recover faster:
- Avoid sun exposure for at least 2 weeks before any laser-based treatment. Tanned skin increases the risk of uneven pigment response.
- Stop retinoids and strong exfoliants 5–7 days before your appointment.
- Stay well hydrated in the days leading up — hydrated skin heals faster.
- Follow clinic-specific prep instructions from Dr. Rike's team, especially for Halo and laser peels, which have specific protocols.
Aftercare: Protecting Your Results
After any resurfacing treatment, proper aftercare determines a significant portion of your long-term result:
- Broad-spectrum SPF 30+ daily — non-negotiable after any laser or light treatment
- Gentle cleanser and barrier-supportive moisturizer — nothing with active acids until your provider clears it
- Avoid heat (saunas, intense workouts) for 24–72 hours post-treatment depending on depth
- Follow your written post-treatment protocol exactly — R Med+Spa provides detailed aftercare instructions for every treatment, and our team is available if questions come up
Book Your Consultation in Durango
The best results come from a personalized plan, not a generic menu. Dr. Rike offers Aesthetics Consultations for new patients, with a deposit applied toward your first treatment.
Call [(970) 501-0610](tel:+19705010610) or [book online](/book) to get started.
*Individual results vary. All treatments at R Med+Spa are physician-supervised. Some treatments may not be appropriate for all skin types or conditions.*


