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: Downtime depends on the settings used: about 3–5 days for a lighter treatment and 7–10 days for a more aggressive one.
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 clear expectations for timeline and recovery
- A $25 consultation deposit applies toward a treatment or package
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. A $25 deposit applies toward a treatment or package. BHRT and weight-loss consults are not complimentary.
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.*
