It’s time to head back to Pier Medical Aesthetics with Dr. Doug Mest and Cyndee Spear, RN to continue my quest to turn back the clock with one of the most effective procedures in skin rejuvenation, “The Cyndee Special.” This is, hands down, the best thing I’ve ever done for my skin! I hope you’ll join me!

Pier Medical is the secret jewel of the South Bay. Tucked away in downtown Hermosa Beach, CA, Dr. Doug Mest has created a full-service medical aesthetics boutique offering the latest in skin regeneration technology. He’s created one of the most experienced and highest caliber teams in Los Angeles. Cyndee Spear is a Registered Nurse with over two decades of experience. Between Cyndee and Dr. Doug, they bring almost a half century to the table in medical aesthetics and laser rejuvenation. Dr. Doug is also featured on the popular reality show, “Botched.” Make sure you watch this clip from the show as Dr. Mest is the foremost Sculptra expert on the planet!

My last blog post on Dr. Mest and Pier Medical shared my first experience and foray into medical aesthetics at the age of 57. I was a total virgin with a lot to learn about skin regeneration. In our first session together, we mapped out a plan over the next year where I would be treated with several different procedures including fillers, Botox/Dysport, lasers, micro needling, and PRP and Thermage FLX. I’m also taking you along with me behind the scenes to share absolutely EVERYTHING!

The “Cyndee Special” has a reputation in the South Bay as one of the most effective procedures to reverse skin damage and regenerate aging skin in the shortest amount of time. Cyndee has been with Dr. Mest for over a decade. She created a unique “cocktail” of treatments after experimenting with her clients to find the ideal combination to rejuvenate skin and rebuild collagen in the shortest amount of time with little downtime and recovery. The feedback was incredible. You simply cannot beat this combination of experience, care, effectiveness, dramatic results… and the price!

So what exactly is a Cyndee Special and how can it help you to reverse the signs of aging? Cyndee has personally crafted a procedure that combines multiple lasers, microneedling and Platelet Rich Plasma with the end result being a dramatic difference in skin regeneration with minimal downtime. What does a Cyndee Special include?

Clear and Brilliant Laser Treatment
Intense Pulsed Light Laser
1540 Fractionated Non-Ablative Laser Treatment
Microneedling Treatment
Platelet Rich Plasma Treatment

Over time, in working with her patients, Cyndee has found this powerful combination to be highly effective in reversing sun damage, regenerating aging skin, tightening skin, building new collagen, reducing pore size, eliminating fine lines and wrinkles while healing skin with the benefit of growth factors harvested through Platelet Rich Plasma. The method to the madness lies in the perfection of layering the treatments and performing them on the same day to achieve the greatest impact. Each laser performs its own unique function with different wavelengths or frequency. Here’s an overview of each part of the procedure and the benefits:

Clear and Brilliant – this is the mildest laser in the procedure. It’s gentle and noninvasive. It’s quick, lasting only 15 to 20 minutes and improves fine lines, reduces the appearance of pores and improves both tone and texture of the skin.
IPL – Intense Pulsed Light – Specialized pulses that target brown spots, sun damage and vessels without damaging the surrounding skin. The light delivered to the skin causes them to slowly disappear through your body’s natural healing process. Treatment time is between 5 to 30 minutes with zero downtime.
1540 – Fractional technology uses microbeams of energy to create areas of affected tissue that extend through the epidermis into the dermis. This triggers the body’s natural healing process to create new, healthy collagen. Treatment time is 15 to 30 minutes with long-lasting results and minimal downtime.
Microneedling – The procedure is done with a COSMOPen which naturally induces collagen production and treats pigmentation. It also improves the delivery of the harvested growth factors from the PRP into the skin.
PRP or Platelet Rich Plasma – Platelets are well known to release numerous growth factors that respond to tissue injury and promote the conditions for healing. The natural healing platelets contained in the PRP enter the channels created from the laser and microneedling, effectively allowing for deeper delivery of the PRP.

With the Cyndee Special not only do you receive the largest bang for your buck, but it’s also the most comprehensive skin rejuvenation package designed to give you the greatest results in the shortest amount of time. Her clients come back time and again, year after year, as the treatments have been proven to work. As you can see in the video, Cyndee is extremely thorough in walking her patients through every aspect of the procedure. There is some minor discomfort involved with the laser and the IPL, but as you can see for yourself, it doesn’t last long. Hannah Stiles is part of the fabulous Pier Medical Team and is there to assist with the procedures as well as keeping their patients comfortable. Immediately following the procedure, I was a little bit swollen and my face felt very warm but I was fine to head across the street for a light dinner. When I woke up the next morning, my face was considerably more swollen which is perfectly normal and to be expected. The swelling is part of the healing process. It lasted for a period of 4 days with the majority of the swelling reduced within 48 hours. Overall, the downtime is relatively short. Within 5 days, I looked almost back to normal except that my skin looked dramatically younger. Keep in mind that Dr. Mest performed a Sculptra procedure just before the “Special” so your reaction may be a bit less. You’ll see that in my next post!

Fresh off the Laser Table and Then Popping On My Fisherman’s Cap to Go to Dinner at The Rockefeller!

There is a real method to the madness of combining the procedures. The results are far more effective and long-lasting when done in a layered fashion on the same day. The 1540 Laser is the gold standard in laser technology. It uses laser energy to create microchannels deep in the skin. Think of the pixels on a TV screen. These microchannels are interpreted by the skin as injuries. This stimulates a healing cascade to repair the damage by replacing old, tired skin cells with fresh, healthy cells. The process also triggers additional collagen and elastin production to encourage this recovery process. When you follow this procedure with the micro needling and PRP, you accelerate the healing process. Platelet Rich Plasma (PRP) harnesses the healing powers of your own blood to stimulate collagen production and encourages the regeneration of cells to rejuvenate the skin. Collagen and elastin, the most important factors in skin rejuvenation, especially as we age, are jump-started by the two-step process.

My Recovery Photos!

What makes the “Cyndee Special” extra special? THE COST! LA is known as a mecca where people come from all over the world to turn back the hands of time with some of the most skilled doctors on the planet. It’s also one of the most expensive places for skin regeneration. That’s not the case at Pier Medical as Dr. Mest cares deeply about his patients and offers comprehensive packages at the lowest possible prices. What Pier Medical Aesthetics offers in Cyndee’s treatment cannot be found anywhere else. The cost of the “Cyndee Special” is the cost of one PRP treatment alone. Cyndee includes the laser treatments as part of the package at no additional charge. The normal cost of one PRP treatment is $1300. The cost of the entire “Cyndee’s Special” is only $1295 with an additional 10 percent discount by mentioning this post and CGO. If that’s not enough, the Fierce Dr. Mest is also offering my audience a free consultation. That’s right … FREE! When you meet Dr. Doug, you will know that you are in good hands! There is no better value in the entire LA area! The level of expertise and care at Pier Medical is unmatched.

I can’t say enough about my experience with the team at Pier Medical. I wouldn’t trust my skin to anyone else. The most important thing to consider when it comes to skin regeneration is the expertise of the doctor you choose. There are many “medical spas” popping up. I would encourage you to proceed with caution. Make sure to check out the reputation of the physician behind the medical aesthetics facility you choose. Make sure the person performing the procedure is a licensed medical professional. Schedule a consultation to get a feel for the doctor and the center. Pier Medical has a devoted client base that returns time and again. Their testimonials speak for themselves. That’s a really critical factor in choosing the right team. I know I’ve chosen the perfect team and I look forward to continuing the adventure with you. I’ll be back for another round of the Cyndee’s Special in 90 days. The results have been astonishing in a short amount of time and I could not be happier. Pier Medical is my team and I hope you decide to make them yours. Don’t wait to meet with Dr. Mest for your free consultation. And if you do, please let me know. I would love to hear about your experience.

Cheers Beauties! Stay Fierce and Stay Tuned for my next installment with Pier Medical and Dr. Doug as I get Sculptra!

A Great Big Thank You to Dr. Mest and Pier Medical for sponsoring this post!

Photoshoot 10 Days Later!



You look amazing! So you did all of the this at the same time? Wow!


Yes! I just had my second round the other day. The reason Cyndee combines the procedures is the outcome is significantly enhanced. It forces the skin to maximize production of collagen while also smoothing the surface. It’s been absolutely brilliant. I wasn’t one of those people who started doing things like this in my 30’s and 40’s. I started very late. I’m amazed at the results and I know they will only improve as time goes on and collagen begins to be produced. Have you thought of visiting Dr. Mest and Cyndee?


I’ve been considering “having something done” more and more lately. The price is amazing! How long do they expect it to last and does it go down to your neck (because your neck looks smoother too)? I’m in Texas but I have family in the LA area so going there for a visit is not out of the question 🙂 Thank you for sharing the information!



Hi Ruth, I know exactly how you feel. It definitely took me awhile to find the right person and treatments that I felt were right for me. Dr. Mest will do a free consultation. I know every person is different. It really depends on your skin and the level of sun damage, fine lines, wrinkles, etc and what you are looking to achieve. I’m really happy with my results. It’s made an enormous difference in my skin and I did have a lot of sun damage when I was younger. Dr. Mest does do the neck as well as that is a very important area for us as we get older. People fly in from all over to see Dr. Mest and work with the Pier Medical Team. I’ve never seen such generosity in pricing before. This team really cares about their clients. It’s the relationship first and focusing on their clients individual needs. I can’t say enough about the team.


I have tried laser treatment and micro needling. Personally, I am not a fan of laser but have been getting micro-needling for years and LOVE it. I don’t think I’d try the blood thing just yet.


I know it’s different for everyone. I would do laser again in a heartbeat. I love the combo treatment. I feel that I’m able to achieve results that are much greater than the microneedling alone. You do have beautiful skin so you may not need the laser.


This is truly an amazing package Catherine! I remember when you had your first one. What gentle and beautiful transformation. Words can’t say how wonderful it feels to reverse the signs of aging naturally. Wonderful results!


I love my team and the experience I’ve had. It is an amazing package. I feel very grateful.


Wow, I’m surprised by the layering of treatments and love the idea. Might be worth a trip from NoCa. Great information!


So was I. I haven’t seen anyone else in the area offering anything close to this package. I would absolutely travel in to work with Dr. Mest and Cyndee. They are the best there is. Definitely keep me posted if you do.


Thanks for all this great first hand information! I will definitely give it a try!

You look radiant and beautiful! 💝✨🥰


They are the best in LA, sister. You should consider scheduling a free consultation with Dr. Mest. He’s brilliant and so caring.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.