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Please note: Service prices and availability are subject to change without notice.

Med Spa Services

Look and feel revitalized with our Board Certified Nurse Practitioner's injectables that were customized just for you. Giving you a natural and youthful appearance. Call to schedule your consult or appointment.

Douglas Rutledge, NP-C, is a Family Nurse Practitioner who obtained his degree from Wilmington University in Delaware in 2016. While his background is in emergency medicine, his passion for skin science and aesthetics developed while working in a dermatology practice. He has been injecting for over six years and he takes pride in providing beautiful, natural aesthetic outcomes. Douglas loves taking the time to educate his patients on procedures and enhancements in order to help them achieve their desired results.

Douglas has received extensive training in advanced botulinum toxin and dermal filler techniques by the Esthetic Skin Institute in Fort Lauderdale, Florida. He has also been trained by the manufacturers of the products he uses, as well as top experts from around the world. His continued education in the field of aesthetic medicine is a priority to him, and he always implements the most advanced, up-to-date techniques to ensure his patients receive safe, high-quality outcomes.

Outside of work, Douglas enjoys spending time with his wife, two children, dog, family, and friends. He loves to connect with nature, and whether it is enjoying a sunny beach day in the summer or a brisk winter day in the mountains, he always makes sure he takes time out of his busy schedule to relax and enjoy life.

The Tri-Pollar® RF Treatment

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Cheeks & Eyes

The Tri-Pollar® system can warm specific tissues with an optimal level of efficiency and comfort without the need for either high amounts of energy to heat targeted skin layers or a grounding pad. In fact, the relatively low power necessary during the treatment eliminates the need for any cooling mechanism and allows for a more comfortable treatment experience than other leading radio frequency devices.

Following treatment, some initial swelling and/or redness can be expected - these symptoms are minimal and very temporary. Most individuals experience no pain or discomfort during or after the treatment; to the contrary, most report a pleasing sensation like that of a hot stone massage. Individuals can resume normal daily activities immediately including light exercise. A noticeable improvement to the treated area(s) is often immediately apparent.

*For the optimal results, we recommend starting with an introductory treatment plus a series of (4) Tri-Pollar® treatments a week apart.

Tri-Fractional VoluDerm™

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Face and Neck

Face, Neck & Décolleté' or Area of Body


Tri-Fractional VoluDerm™ is considered the leading treatment in RF skin resurfacing. This technology can offer all the skin rejuvenation benefits of micro-needling with the added pinpoint precision and control of the Tri-Fractional VoluDerm™ handpiece. The unique cone-shaped pins of the handpiece are designed to slide seamlessly into the epidermis and trigger regeneration of skin cells in a wider surface area - reducing downtime and discomfort as much as possible. 

VoluDerm™ Treatments

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The VoluDerm™ micro-needling treatment can be employed to address various aesthetic concerns on sensitive areas of skin such as the face, jawline, neck, hands, and décolleté. The treatment works to encourage the body's natural production of collagen and elastin, both of which help to regenerate and rejuvenate skin in the targeted region(s). Based on the specific needs, goals, and skin type of the individual VoluDerm™ can be custom-tailored to help: Improve dermal volume, Reduce lines and wrinkles, Promote skin resurfacing, Stimulate skin renewal, Minimize acne and other scarring


VoluDerm™ Treatment

During treatment, the VoluDerm™ handpiece is pressed lightly onto the skin and gently guided over the targeted area as tiny micro-pins utilize RF energy to reach the mid-dermis layer. By creating these small dermal channels, the micro-pins and thermal energy effectively stimulate the body's natural healing response, which spurs the production of new collagen and elastin within the skin. Over time, the continued growth of these structural elements helps to significantly improve the health and volume of the skin for a refreshed, more youthful appearance.

Following the VoluDerm™ treatment, some degree of redness and/or swelling in the targeted region(s) may initially be apparent. These side effects are both minimal and temporary. There is virtually no discomfort during or after the treatment, and many individuals are able to return to normal daily activities—including light exercise—right away. The maximal benefits of VoluDerm™ treatments can take up to three months to be evident. Once results are attained, the skin should look smoother, fuller, and beautifully renewed.


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Dysport® (abobotulinumtoxinA) is a prescription injection for temporary improvement in the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults less than 65 years of age.


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Restylane is a clear gel formulation of hyaluronic acid that is specifically formulated to act like your body's own naturally produced hyaluronic acid, helping to visibly correct moderate to severe facial wrinkles and folds, including the lines that run from your nose toward the corners of your mouth (nasolabial folds) and the lines that run from the corners of your mouth toward the chin (marionette lines).

Restylane® can be used to add volume and fullness to the skin to correct
moderate to severe facial wrinkles and folds, such as the lines from your nose
to the corners of your mouth (nasolabial folds). Restylane may also be used
for lip enhancement in patients over 21 years.

Restylane® Defyne

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Restylane® Defyne helps smooth out deep laugh lines (nasolabial folds and marionette lines). Using innovative cross-linking technology, Restylane Defyne is a hyaluronic acid dermal filler that is able to help restore a more youthful, natural-looking appearance, while helping you maintain your natural expressions.

As we age, our skin loses elasticity and the lines that run from the sides of the nose toward the corners of the mouth (nasolabial folds) and the lines that run from the corners of your mouth toward the chin (marionette lines) become more pronounced. Restylane Defyne is crafted with XpresHAn TechnologyTM to correct these deepened lines.3 The unique cross-linking of the gel in Restylane Defyne is also designed to help support your facial expressions—for natural-looking results that help maintain your natural movement.

Restylane® Refyne

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A next-generation hyaluronic acid dermal filler designed to help support your skin while keeping you looking like you

Restylane® Refyne is designed with XpresHAn Technology™ to help soften laugh lines (nasolabial folds and marionette lines). This can help you restore a more natural look to your face while maintaining your facial expressions.1-4 So, you always look like you. Talk to your specialist and see for yourself why it’s worth it.

Restylane® Silk

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Restylane® Silk is the first FDA-approved product
specifically designed for lip augmentation and the smoothing
of wrinkles around the mouth in patients 21 years of age and older.

The lips and the lines around the mouth, like other areas of the face, show signs of aging as you get older. This often results in lip thinning, lost shape and an increase in vertical lines above the lip. Restylane Silk is designed specifically to provide natural-looking results in these particular areas by using smaller, smoother hyaluronic acid particles than those used in other Restylane® products.

Restylane® Lyft

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The first and only hyaluronic acid filler FDA-approved to treat your face and hands.

Help complete your aesthetic look with natural-looking volume in your cheeks and hands for a smoother, fuller appearance. Restylane® Lyft is a safe, effective and dissolvable HA filler. Treatment can be administered in your hands and face at the same appointment — and can result in a more youthful-looking appearance.


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JUVÉDERM VOLBELLA® XC injectable gel is for injection into the lips for lip augmentation and for correction of perioral lines, often called "lipstick lines" in adults over the age of 21.



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JUVÉDERM VOLUMA® XC injectable gel is for deep injection in the cheek area to correct age-related volume loss in adults over 21. JUVÉDERM VOLLURE™ XC injectable gel is for injection into the facial tissue for the correction of moderate to severe facial wrinkles and folds (such as nasolabial folds) in adults over 21.


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JUVÉDERM® Ultra XC is for injection into the lips and perioral area for lip augmentation in adults over the age 


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Revanesse Versa is hyaluronic acid dermal filler. Hyaluronic acid is a naturally occurring substance that is found within the body. It may be produced by bacteria and purified for use as injectable soft tissue filler in order to correct the appearance of facial wrinkles and creases, (nasolabial folds). The product is approved for use in the U.S. by the Food and Drug Administration for the cosmetic treatment of facial wrinkles and creases.

Lip Flip

Want fuller natural looking lips that last. Try our customized Lip Flip
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Service Policy


Arrival Time:

Arriving 10 minutes prior to your first scheduled appointment

will give you time to fill out paper work and get started on time.

All services must end on time to ensure clients receive full service.

Appointments cannot be guaranteed for late arrivals.


Please notify LDVS of cancellations 24 hours prior to your appointment time.

A major credit card may be required to hold an appointment.

If less than 24 hours or a no show your card will be charged

the amount of scheduled services. 


We welcome all forms of payment with proper identification.

No Refunds on Gift Certificates, Services, or Products.

We require a 50% deposit when 3 or more services are scheduled. 

There is a $2 service fee to tip by credit card..


The value of a gift certificate may be applied towards the purchase of products and/or services at La Dolce Vita Spa for Wellness.

It may not be redeemed as cash. Gift certificates expire one year from the date of purchase. 
We recommend you call (302)449-1496 or email ldvspa2@verizon.net 


2 W. Main St.MiddletownDE19709United States
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Unauthorized duplication is prohibited.
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