really great med spa , they are very knowledgeable and straightforward about treatments , I especially love the z wave shockwave therapy they offer here read more

If you're considering PRF under-eye treatments at Las Vegas Aesthetics, I strongly suggest you keep looking. My history with this clinic spans several years, and each time I returned, things only got more questionable. I had my first PRF treatment with Tom in 2022. Results were minimal, but I stayed optimistic. After that, I tried a few other clinics where the technique was slower, more intentional, and the effects were noticeably better. In 2023 I gave Tom's clinic a second try. After not seeing any change post treatment, I emailed expressing my concern and instead of any meaningful follow-up or solution, he simply pushed his usual three-treatment package. That lack of care made me walk away again and return to a different provider who was more thorough and upfront. In May-June 2025, I gave the clinic one final try, hoping maybe things had improved. I received two PRF sessions spaced about a month apart, paying $1,198 in total. This is when things became even more concerning. The injections were done in under two minutes. There was no discussion of how much PRF was being used, and when I asked, he refused to give a clear answer. I was never shown the syringe or told how much was being injected, something that matters with PRF, where at least 2cc per side is considered standard. No before-and-after photos were taken to track progress, which should be basic protocol in any medical aesthetic treatment. The receipt I was given only said "PRP/PRF," with no breakdown of the treatment. During one of the visits, he casually mentioned that his blood spinning machine was making a strange sound, saying, "I've never heard that sound before." That comment alone made me uneasy about the quality and safety of what I was being injected with. When I expressed concern again about not seeing results, I was met with a defensive, dismissive attitude. He shifted blame to previous treatments from years ago and refused any form of touch-up, even though he tells other reviewers they could've just asked. If you ask questions, you're treated like a problem rather than a paying patient. At one point he even told me to "stop listening to whoever is advising you because they're wrong," as if any concern or question I brought up couldn't possibly be valid unless it came from him. Tom constantly brings up his 27 years of experience as if that should override everything else, but experience doesn't excuse cutting corners, avoiding transparency, or being unwilling to take accountability. I've now been to his clinic four separate times over the span of three years. Each visit has left me more disappointed than the last. There are better, more honest clinics in Las Vegas that won't dismiss your concerns or try to rush you through expensive treatments in under five minutes. This was a waste of money and trust, I wouldn't recommend this place to anyone. read more

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1st off, I'm so very happy this office was able to get me in as a same day appointment! 2nd I didn't have much bruising which was surprising I'm very happy with the shape of my lips and the way they have been settling is subtle and gorgeous. Love! read more

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, straightforward advice about your skin and what you need to achieve your desired results, this is it. The doctor here, originally from New York with an impressive and extensive resume, is incredibly knowledgeable and truly helped me when I needed it most. The prices are fair for the high-quality care and expertise you're receiving. In a city like Las Vegas, where unqualified providers are unfortunately common, it's just not worth the risk of saving a few bucks and jeopardizing your body. If you want professionalism, honesty, and real results, this is the place to go. Highly recommend! read more

Nope NEVER AGAIN ! Don't know what kinda bootleg product Dr. Tom used My lips we're supposed to be the pouty look I paid for they looked straight as can be I say him mixing or perhaps watering down the needles then he said he was gonna use Novacaine dental procedure to get in my mouth area and I went along with it cause I thought he knew you was doing and then you can see it to tell me all the stuff that goes wrong with your lips while he's feeling mine and what I need to look for and when it was over, I went to go pay for it. I was grateful for my husband found me a Groupon for this location, and when I mentioned it, there was another lady sitting in the waiting room waiting to be next and shushed me and told me to come back into the area where he works and had to look up the code for the Groupon that didn't take, but he still gave me that price because he didn't want the other girl upfront to hear it was just all a big fluke to me and in the patient room, he has like pictures of him and Donald Trump and him of bands he failed in. I guess back in the New York era days. It was pretty funny but now I will definitely take heat to this establishment and this Dr. ladies and gentlemen. read more

Tom! He really changed my life. 5 years of spending enormous amount of money, laser specialist, dermatologist to fix the mistake of one person on my scars (in CA and NV) I have so many to treat around my body. Tom is my 8th person. Feeling sad and hopeless. I gave PRF another try. Another place offered it and gave me PIH! But Tom has an extensive background working with surgeries such as open hearts! that shows absolute talent and I am honored for him to work on me. I've done 3 sessions of PRF microneedling and injections. His precision and attention to detail is chefs kiss. When I saw the areas I got treated, it looked so clean! My results were phenomenal. He absolutely knows what he is doing!!! Thanks Tom. And he is also really kind and has some quirkiness to him. I appreciate you so much. I have not have any issues, but his front desk girl is so kind and Tom can literally answer anything you ask. He will read publications if there is more to learn. He's great seriously. read more

They wont let me give a NO star. I love how they have their 24 hour no show policy were they charge you. I had an appointment today and I showed up on time and they were closed! They never let me know and when I called, they didn't answer and still have not responded to my email or message. So, keep that in mind if you even consider going to this shit hole. Not to mention I was and established patient and I still got this shit treatment. FU Las Vegas Aesthetics!! LOOK ELSEWARE! read more

Thomas has done my Dysport a few times and I LOVE the results! He knows what he is doing and my results prove it!

Came here to leave another review because the man deserves alllll the credit. Been going to him for a year for Dysport. He is thorough and amazing at what he does. I was looking at old pictures of myself, and my eyelids looked like they were melting off and droopy. My face looks young and refreshed now. He's the best in town. read more

Las Vegas Aesthetics - Before - Medical Spas Near Me - Las Vegas, Nevada

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So sad to have to give this rating. I've gone here to get lip injections twice. The first time I loved my results. The second time I was left with lumps all over my lips that are so visible. I thought the lumps would go down on their own but here I am a few months later with rock hard lips that look horrible. They are horribly uneven and now I have to go get them dissolved elsewhere. My last visit was this year on June 13th 2023. I was hoping the lumps would go away which is why I did not come in sooner. read more

Las Vegas Aesthetics - Medical Spas Near Me - Las Vegas, Nevada

Tommy is the best! I will never go anywhere else for injections. I also highly recommend a peel or vampire facial.

Back again! Went back but this time for lip filler. I've gone to other doctors for filler and told Dr. Thomas my previous issues. He reassured me that the worries I had would not happen and that my lips would look natural and great. MY LIPS LOOK INCREDIBLE! FULL, EVEN, AND SO NATURAL! They are smooth and don't feel like I have anything in them, just have a more plump appearance. Adina and Dr. Thomas warned me once I got filler from them I'd want more, they weren't wrong. I'm so obsessed and looking forward to returning :) you guys are the best! Including a picture. I bruise easily, always have. This is no way a reflection of dr. Thomas. He was gentle and it was nearly painless. read more

Las Vegas Aesthetics - Medical Spas Near Me - Las Vegas, Nevada

I've had fillets twice before this time, and each time I swell so so much. Not to mention the pain level is at a 9. I decided to give it one more try with Las Vegas Aesthetics and I was not disappointed! Front desk gal was super friendly and made me feel very comfortable. As for my injector he was amazing! He took his time and didn't hurt me even a quarter of what my past injectors did. Most importantly I didn't swell like I have in the past. The swelling and bruising was very very minimal. I will definitely be back and would 100% recommend this place. read more

Las Vegas Aesthetics - After - Medical Spas Near Me - Las Vegas, Nevada

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Another successful treatment done by Tommy at Las Vegas Aesthetics. My only go to place now. I won't go anywhere else. read more

I just got dysport and I am very pleased with my results. The staff is also super friendly and informative. I'm so glad I found this place.

I found this business when I did a local search for affordable Dysport. I have tried Botox in the past, but wanted to give Dysport a try and this business came up in my search. I immediately checked their reviews on Yelp and saw that they had a decent amount of reviews (for med spas this isn't always common because not everyone wants to admit to getting injections, cause ya know...we're naturally beautiful! Lol). Many positive reviews was promising and then I went to their website, which I think tells a lot about a business as well. The website was nice and the ease of booking an appointment was fantastic. I didn't have to wait long for an appointment so I went ahead and booked my appointment. The next day, I received a friendly call from their front desk and they asked me if I could come in earlier because they had some cancellations. Unfortunately, I had to work so I let her know I could try to, but I may not be able to get there earlier. She responded with a super friendly "that's ok! No problem at all. We'll see you soon." I definitely expected some disappointment because I had no flexibility, but there was none at all. I already had a great feeling about this place before I walked in the door. When I got there, I walked in and the waiting area was clean and open and the same friendly front desk (Adina I think was her name) greeted me with a friendly smile and by name. By name for my very first appointment. That's good customer service on a high level right there. She had me fill out some paperwork, but we were making small talk at the same time, it just felt so welcoming. Once I was done with my forms she thanked me, said she'd be right back, got up and went to the room for a minute, came back and said he'd be right out. Not even a minute later, I was called back to the room for my appointment. So quick! Clearly, some time was taken to review my forms though because they did say I had amazing penmanship (a couple times I might add) - haha. Thomas Pulice was who did my injections and he was professional, courteous, and friendly. He asked if I wanted numbing cream before we started, which I turned down, but there was no need for it anyway. It didn't hurt at all when he did the injections. They give you discounts for referrals and for returning customers. They know how to treat their customers so you can guarantee that I'll be back and I'll bring some friends along with me next time too. read more

Las Vegas Aesthetics - Waiting area - well kept. - Medical Spas Near Me - Las Vegas, Nevada

I have been getting Botox/dysport for my elevens (between eyebrows), forehead and crows feet for over ten years now, and I have been to multiple places in the city, and Dr. Thomas has by far done the best job. I am not sure how to explain (as I am not a medical professional lol) but he just injects differently and and in different places to make the treatment more efficient, without using more product. On top of this, when I was in, he mentioned that I could probably use some sculptra in my cheeks and temples, which I already knew I needed, and the fact he was able to point out exactly what I already knew I needed help with was very impressive! But he wasn't pushy about getting it done, just gave me his professional opinion on regards to my concerns with my aging face (I'm almost 40). Will be going back tomorrow for my first ever filler appointment. Very excited! Highly recommend this establishment. read more

I was a big advocate of this doctor and this place until I had a mortifying experience that made me see the true colors of who this doctor really and how he is the least bit concerned about anyone's happiness. It's all about being defensive and being right. I've been an entrepreneur for almost 10 years now and I have NEVER treated my clients this way or they would all leave in heart beat. The disrespect I was given at this place no longer makes me a fan. I went to get a hair treatment because it was really effective for me at other med spas in San Francisco. Usually with PRP, I have always seen results. This doctor sold me a cap, PRP and shampoo kit. He told me to use for four months and then have a follow-up. I got this done at the end of January and now we are in May and my results are worse than they were in January plus I'm out of $3000. Now a doctor who really cares about their patients would not try to sell them other products. They would work with them, maybe even meet them to see what challenges they were facing and how they could go about resolving this situation so it's a win-win for everyone. This doctor is not about that at all and has lost a life long client and this is his lost, not mine. There are plenty of amazing, caring doctors out there who will help you see the best version of yourself. This person is toxic and no longer deserving of my business. Here are my results and what I received from him via text. It's worst in the back. My only advice based on my recommendation is to go to a doctor that genuinely cares. They will not threaten you with legal charges that are outrageous for sharing an honest experience with them. The doctor's response is completely egocentric and interesting. Yes, I stand in my truth and will always post honest reviews for businesses that didn't show me a genuine experience. There are so many other amazing doctors- who do you think you are to be treating your customers this way? Excuse my language but I was never planning to come back to your practice ever again. Attached are also my lab results to prove that I had completely healed from the "condition" he's mentioning. He's trying to find an excuse somewhere to back himself up and stroke his own ego. Ego never wins in business. You should know better than to flaunt yourself in such a disgusting way. This doctor is a vindictive jerk as you can tell by his response to me. Customer satisfaction is last on his list. Stay away from him at all costs. read more

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This place is amazing! My Dysport looks great thanks to Tommy. As a loyal Botox fan, I think I'll switch to Dysport now since it works faster. Tommy did a great job and the front desk receptionist is very friendly. Check it out! read more

Got my first syringe of lip fillers here and are very happy with my results! Both the receptionist and the PA were kind and informative. I love the results I got and i'm so happy how articulate he was. He took his time and walked me through the steps. read more

Las Vegas Aesthetics - before and after - Medical Spas Near Me - Las Vegas, Nevada

This place is great. Adina is so helpful and Tommy is great! I get dysport and have gotten the plasma eye treatment! Great results every time!!! read more

Tommy pulice is the best! Got my prp and fillers with him and I just love my results! Very professional, knows what he's doing and he's also funny so I was way less scared then usual:) You can't beat his prices either! Super recommended!!! read more

Las Vegas Aesthetics - Medical Spas Near Me - Las Vegas, Nevada

Dr. Thomas was the epitame of professionalism. Even though he had an absolute nightmare of a patient before me, he made my very first experience with lip injections a special and painless experience. The results were nothing short of miraculous, prices are below what you would expect from such a highly recommended practice. Adina at the front desk is the sweetest, she made me feel so welcome. Thank you so much both of you. read more

Love Love Love!! Tommy is the Botox master. I always look great and have never had any issues with unevenness like you hear stories about. Adina is fabulous and always makes you feel welcome and taken care of. Highly recommended!!! read more

I absolutely love this office not only is it clean and very professional but Dr. Tommy is amazing and has a great personality!! Great music choices too he's for taste. His work is amazing and he keep me feeling pretty! I fly back from Chicago to Vegas once or twice a month but have a friend that referred me and I could be anymore happier!!! This will be my new home away from home lol read more

Las Vegas Aesthetics - Feeling great and just got touched up for my bday at the end of the month - Medical Spas Near Me - Las Vegas, Nevada

Love DR Tommy! He's honest , enhances the natural look i go in looking for. Fillers and Botox can be heavily filled by technicians who don't listen to what your asking for or take the time to properly place,or just do what's best for each individual. I can honestly say the work that I have observed by DR. Tommy is by far the most natural and properly per portion per individual that I have seen . Always a pleasure to go in and leave with the results we have in mind. Thank you for being great at what you do ! read more

The best and only place to come for all your aesthetics. Such professional care. I send all my friends here and my sister flies in from California! read more

Just read a mean review of my favorite medical spa and I have to disagree! I've been going to Las Vegas Aesthetics for years now. The place is immaculate. And their work is top level best. I've sent many of my friends there and every one of them is happy and have been back for additional treatments. We used to go to a different place but never got the attention that we get here, so we all come here. Sounds like the women commenting above is working for that other medical spa. That is sad... get a life! read more

Total rip off! I paid close to $1000.00 and got very little in return! Whole procedure took less than 15 minutes and I had /paid for 2 different fillers Dysport and Restylane No attention to detail by PA Tom Pulice..he was fast and I felt like he wanted to be somewhere else! Terrible bed side manner! Horrible results/ NO results!!! Because it was Groupon pricing he obviously did minimal amount of work..therefore very minimal positive results! I obviously got duped! I paid a substantial amount of money..close to $1000 and results VERY disappointing!!! read more

Best injector in town! Beautiful facility. I refer anyone in need of Botox or fillers to Tommy!

Fantastic!!! I've had Dysport other places but there is a big difference in results. I will be coming here from now on :)

Lovely place lovely people . Happy with my injections and will definitely be back. Durning a time of social distancing they were very professional and followed recommendations. read more

I received Dysport and it was an extremely great experience! He is more knowledgeable about Dysport & Botox than the person I went to once before and I definitely will be back. read more

I was so impressed with my results on the first visit. I'm going back again for the personalized care that I received the first time!

What a great place. Great service and top notch professional staff. If you want to look younger, stop here first. One stop shop !

Dr.Thomas is amazing! I'm so impressed with results and experience! Can't wait to be back! Thank you so much! Highly recommend!( dysport injections) read more

My mother went to see Tommy yesterday for a walk-in Botox appointment and she raved about his services, as well as his outgoing personality. She stated to me that she felt very comfortable with him and he could easily engage in conversation. My mother highly recommend his services. Tommy is very likable, gentle and professional. read more

It was my first time getting my lips done and I was super nervous. They made me feel comfortable and confident the entire time ! He takes his time in his work to perfect your lips and it really shows in the end. My lips turned out amazing. He even corrected the left side of my lip as it was lower than the right. At first they were super swollen which scared me but once they went down they were amazing !! ( because he takes his time, by time you look in the mirror your lips are already swollen) so keep that in mind before going in! I won't be going to anyone else! Recommend to everyone! read more

We have so many choices here in Las Vegas, I am extremely picky (it's my face after all) and Tommy is my choice for injections.... have tried others in the past and no longer even consider going anywhere else. I have also sent friends there who are also now loyal customers. Highly recommend. read more

Dr tommy is very professional. I went over to get fillers and he gave me a very natural beautiful look. I am very happy with the results and his work. read more