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TotalSkin Solution in Garner, NC

TotalSkin Solution pairs Genius RF microneedling with the ULTRA 1927 nm laser. MarSha MedSpa plans the combination around texture, mild laxity and uneven tone for smoother, more even-looking skin.

Explore the individual treatments: RF Microneedling and Laser Skin Resurfacing.

( Concerns at more than one depth )

Texture and tone, considered together

Uneven tone can occur alongside roughness, fine lines or acne-scar texture. A combined plan may suit some patients, while others may need just one procedure or a different approach.
Uneven Skin Tone
Sun Spots
Fine Lines
Fine Lines
Rough Texture
Visible Pores
Acne-Scar Texture
Mild Laxity
Crepey Neck and Chest
The plan is individualized for the face, neck or chest. It does not replace a surgical lift, remove excess skin or guarantee that two devices will outperform one.
( Two approaches, a considered plan )

Genius and ULTRA have different roles

Genius delivers RF energy through fine needles at selected depths. ULTRA creates fractional laser treatment zones closer to the surface. The combination is chosen for a reason, not added automatically.

Genius for deeper texture

Needle-delivered RF supports collagen remodeling for selected texture and firmness concerns.

ULTRA for surface tone

The 1927 nm fractional laser addresses selected superficial tone and texture concerns.

Choose one or both

Your goals, skin history and recovery needs guide whether to combine treatments or keep the plan simpler.
( What to expect )

Your TotalSkin appointment

Consultations at MarSha MedSpa take place in Garner, North Carolina, for clients from Raleigh, Cary and across the Triangle.

Assess the whole concern

Discuss tone, texture, scars, laxity, skin history, medicines and earlier energy treatments.

Plan the combination

Agree which device or devices fit, the timing, comfort measures, recovery and cost.

Treat as agreed

Selected areas are treated with the planned devices. Laser eye protection and device-specific safety steps are used.

Recover and review

Follow the combined aftercare plan. Review healing and progress before adding further treatment.
TotalSkin combines both treatments in one visit: Genius first, followed by ULTRA. Visit length depends on the areas and comfort preparation.
( Your goals )

Compare the concern, not just the glow

Matched examples should record both treatments, the course and review timepoint. Changes in tone and texture can develop at different rates.
Before
After

Progress and Maintenance:

Tone and texture vary

Surface tone or smoothness may change before deeper remodeling is apparent. Response is individual.

Collagen takes time

Firmness and scar-texture changes may develop over months. Pores and scars are not erased.

Review the next step

Further care depends on healing, benefit and risk. One treatment may be enough for some goals.
( Is It for you? )

Both, one or another approach?

Combination treatment adds recovery and risk as well as possible benefits. Darker or sensitive skin needs individualized assessment, settings and careful pigment-risk review.

A good fit if

  • You have selected tone concerns alongside texture or mild laxity.
  • Your provider considers each proposed procedure appropriate.
  • You can allow recovery and follow the combined care plan.

Discuss before you begin

  • You are pregnant or breastfeeding, or have active infection or open skin.
  • You have a fresh tan, sunburn or an active skin flare.
  • Your main goal is a surgical lift, fat removal or removal of excess skin.
Share implanted electronic devices, bleeding risk, medicines, cold sores, raised scars and previous pigment or healing problems.
( Treatment care )

Plan for recovery from both procedures

Preparation

  • Share medicines, implants, skin history and previous energy treatments.
  • Avoid tanning and report cold sores, infection or irritation.
  • Ask about actives and comfort preparation; don’t stop prescriptions yourself.

Aftercare

  • Use the advised gentle cleanser, moisturizer and sun protection.
  • Leave flaking skin alone and avoid extra exfoliation or heat.
  • Restart makeup, exercise and active products only as advised.

Side effects

  • Redness, swelling, pinpoint bleeding, roughness or flaking may occur.
  • Burns, infection, scars and pigment changes are possible; RF can also cause fat loss or nerve injury.
  • Seek prompt care for worsening pain, blistering, spreading redness, numbness or unexpected changes.

Signature Membership

Enjoy 15% off eligible skincare, laser and wellness services, plus selected complimentary monthly benefits.

Why choose MarSha MedSpa?

Personalized aesthetic, skincare, and wellness care in Garner, guided by medical oversight, honest recommendations, and a team committed to continued learning.

A Plan Shaped Around You

We listen to your goals, health, and comfort before recommending treatment.
From 250+ Google reviews of MarSha MedSpa.
Confidence that still feels like you

Medical roots in Garner, NC

MarSha MedSpa grew from Shaikh Medical Clinic, which has served Garner since 2000.

On-site medical leadership

Our team works under an on-site physician’s supervision.
( FAQs )

Questions before you book?

It is a plan pairing Genius RF microneedling with the ULTRA 1927 nm fractional laser. Genius uses fine needles to deliver RF into selected skin depths; ULTRA treats closer to the surface. The aim is to address suitable texture, mild laxity and tone concerns together.

Not necessarily. A single procedure may fit your main concern, skin tolerance or recovery needs. Combining devices is not proof of a better result for everyone. Your provider explains why both are proposed and what the added benefit, risk and recovery may involve.

Yes. MarSha performs Genius RF microneedling first, followed by the more superficial ULTRA treatment during the same TotalSkin visit; suitability and settings remain individual.

Redness, swelling, pinpoint bleeding, roughness or flaking may occur. Burns, infection, lasting pigment changes and scarring are possible; RF microneedling has also been linked to fat loss and nerve injury. Non-ablative laser does not mean an untouched skin surface. Follow the combined care plan and report unexpected symptoms promptly.

Tone or surface texture may change earlier, while collagen-related improvement can develop over months. The number and spacing of treatments depend on your starting concerns, settings, healing and response. Maintenance may be considered, but no fixed course, permanent result or surgical-level lift is promised.

MarSha MedSpa is self-pay. Your assessment guides the treatment plan and any personalized quotation. Call (919) 747-9733 or Contact Us to arrange your visit.

Ready to book, or just have a question?

Our team will answer your questions and help you choose the right appointment.
Specializing in Medical Aesthetics and Personalized Skincare
Monday, Tuesday, Thursday & Friday:
9 AM - 5 PM (EST)
Wednesday:
9 AM - 7 PM (EST)
Alternate Saturdays:
9 AM - 5 PM (EST)
173 Mast Drive, Garner, NC 27529