Your first microneedling appointment is $185 for new Spruce patients. $200 each following that.

Microneedling can improve almost every major skin concern, including: Fine lines and wrinkles Uneven or rough texture Acne and acne-related concerns Pigmentation and uneven skin tone Redness and rosacea-prone skin Loss of firmness and elasticity Loss of volume Overall skin tone and quality Microneedling is appropriate for all skin types and all skin tones. We have performed microneedling tens of thousands of times, and we have yet to come across a patient whose skin could not benefit from it. The protocol may vary depending on the individual, but the goal is the same: healthier, stronger, more rejuvenated skin.

There is virtually no downtime with our microneedling treatment. You may be slightly pink immediately after your appointment, but typically by the end of the day, no one would know you had anything done. Over the following week, you may experience some mild dryness or light flaking. This is generally minimal. You can return to your normal skincare routine the following day and resume normal daily activities. We simply ask that you avoid swimming and saunas for 72 hours after treatment.

Microneedling can be a little uncomfortable, but it is generally not considered painful. We perform hundreds of microneedling treatments every month for the past 14 years, and the majority of our patients return month after month, with appointments booked months in advance. If it were truly that painful, convincing people to voluntarily come back every month would be very difficult.  Most patients are surprised by how quickly the treatment is over and how manageable it is.

The actual microneedling procedure itself typically takes only 10–15 minutes. But your first appointment is scheduled for one hour. This gives us plenty of time to evaluate your skin, explain the treatment and answer any questions you may have without feeling rushed.

Microneedling, like every effective treatment in the aesthetics industry, requires consistency and ongoing treatments to maintain results. It is also one of the most underestimated treatments in aesthetics, largely because it isn’t the most profitable treatment to perform. But when it comes to creating actual changes within the skin, microneedling is incredibly powerful because it stimulates cellular rejuvenation and the production of collagen and elastin. A single microneedling treatment can continue creating changes in the skin for up to approximately four months. That means when you receive your second treatment, your first treatment is still working. By the time you reach your fourth monthly treatment, you can essentially have the effects of multiple treatments working simultaneously.   That cumulative effect is one of the things we love most about microneedling. Most of our patients come monthly, and we recommend monthly treatments for at least the first 6–8 months. After that, patients who want to decrease their frequency may move to every other month. We do not recommend going longer than every other month if your goal is to continue building and maintaining your results. Once treatments stop, those ongoing effects gradually diminish. The same principle applies to essentially every aesthetic treatment and skincare product: consistency is what maintains the result.

Microneedling is beneficial for all skin types and all skin tones. With the correct technique and consistency, microneedling can create significant changes in anyone’s skin by supporting healthier cellular function, collagen and elastin production, texture, tone and overall skin quality.

There really isn’t much you need to do to prepare. Please arrive without facial makeup on time. Eye makeup is perfectly fine. If possible, avoid taking ibuprofen for approximately 24 hours before your appointment, but this is not required. Otherwise, simply arrive as scheduled. We’ll take care of the rest.

Nope. The virtual membership is available to anyone in the US who can purchase skincare products and receive mail. We have licensed medical providers in every US state.

Good. That means you know what doesn't work. We're not going to recommend a cleanser and call it a day. We're going to look at your actual skin and build a protocol around what's actually happening and adjust that plan as your skin evolves.

A protocol is not a product. We tell you what to use, in what order, at what stage of your skin's progress — and we change it as your skin changes. A bottle doesn't do that.

Your personalized protocol, educational content, product guides, check-in forms, practitioner and physician chat, and progress photos. Everything in one place.

Your routine is completely customized to your skin, your goals, and what your skin needs right now. As your skin improves and evolves, your protocol will evolve with it. Startup protocols begin at $325. This includes the core medical-grade products needed to prepare your skin for the Corrective Phase: a cleanser, exfoliant, hydrator, and introductory corrective product. This is the minimum required to get started and build the foundation your skin needs before advancing into more active correction. Some patients choose a more advanced protocol from the beginning for a more comprehensive approach and potentially faster results. We’ll provide those options when appropriate, but they are exactly that—options. You can choose what works best for your needs and budget. There is no one-size-fits-all protocol. Every patient’s skin is different, and some skin may require additional products or support to achieve optimal results. Products are replenished individually as they run out, rather than purchasing an entirely new protocol each time.

We offer protocols with and without hydroquinone (HQ). If you prefer to remain hydroquinone-free, simply let us know. Not everyone needs hydroquinone. If we believe an HQ-based protocol would give you better corrective results, we’ll explain why and make that recommendation—but the decision is always yours. We’ll support the path that feels right for you while also being transparent about what you can realistically expect from each option. Choosing a hydroquinone-free approach may mean slower or more limited correction for certain pigment concerns. When we do use hydroquinone, how we use it matters. Our protocols use approximately half of the typical industry-standard dosage, with careful dosing, planned adjustments, and close monitoring throughout the process. This is not an autoship program that sends you a prescription and says, “Good luck.” Your skin is continually monitored. We evaluate your progress, adjust your protocol as your skin changes, and guide you through each phase. Our approach to hydroquinone is intentional and highly managed because we do not take your skin—or the products we ask you to use—lightly. And you’re never left figuring it out alone. Our team is always a text away whenever you have questions or need guidance.

You can cancel anytime. No fees, no hoops. We'd rather you stay because it's working—not because you forgot to cancel.

Our membership gives you ongoing professional guidance, so your skincare is always customized to what your skin actually needs.   Membership: $57/month

Members receive online skin check-ins with their practitioner, included with membership. Each check-in is valued at $350 (this is what we charge international patients who cannot join membership). ​ Every 4–8 weeks you will: • Submit updated photos of your skin • Complete a short skin questionnaire Your practitioner will review everything and write you a fully customized skincare protocol based on exactly what your skin needs at that time.

Every patient follows the same proven process. ​ 1. Strengthen We first repair and strengthen the skin barrier. Healthy skin is the foundation for real results. 2. Correct Once the skin is strong, we introduce corrective protocols to address concerns like acne, pigmentation, aging, and texture. 3. Maintain After correction, we transition into maintenance protocols to preserve your results long-term.

Your protocol is not just a list of products. It’s a step-by-step guide that explains: • What products to use • When to use them • How much to use • How to apply them • How your routine will evolve as your skin improves You’ll always know exactly what to do and why.

Membership also includes: • Direct access to your practitioner • Ask questions anytime inside the portal. • Private member community You’ll have access to our private Facebook group where members support each other and share progress. • Full skin education center Inside the portal is a comprehensive educational library that explains how skin works and what to expect during your journey. Most patients leave the program more educated about skin than the average aesthetician. ​ Member-Only Product Pricing Once you receive your protocol, you’ll order products from our members-only store, with pricing not available anywhere else in the country.

Your exact investment varies based on your skin, but most patients can expect approximately: First protocol: $700–$1000 Second protocol: ~$500 After that, maintenance typically averages about $1,000 per quarter. This is not purchased all at once. You simply replenish products as you run out. Some patients spend less, and some choose optional products that increase their investment.

We’ve implemented this process thousands of times. With patients who follow their protocols consistently, we have a 100% success rate. ​ The difference is guidance. ​ Your practitioner adjusts your skincare every step of the way so you always know what your skin needs. ​ All done virtually with licensed Dermatologists in every single state.