# Pura Vida Med Spa > Pura Vida Med Spa is a premium medical spa with two locations in Howard County, Maryland: Fulton (Maple Lawn) and Marriottsville. Led by Dr. Leslie Apgar, MD, Pura Vida offers a comprehensive range of aesthetic injectables, laser treatments, skin treatments, hair restoration, medical weight loss, hormone therapy and beauty services. The practice serves patients across Howard County, Columbia, Ellicott City and surrounding Maryland communities. Brand statement: "Feel confident. Look radiant." Locations: - Fulton (Maple Lawn), MD — full service location - Marriottsville, MD — core services location Website: https://www.puravidamedspa.com Social: @puravidamedspa ## About Pura Vida Med Spa was founded by Dr. Leslie Apgar, MD (Founder and Medical Director). The practice is known for its patient-centered approach, advanced technology and commitment to natural-looking, personalized results. The name "Pura Vida" — meaning pure life — reflects the team's philosophy: that feeling confident and beautiful is a form of wellness, not vanity. Serving: Fulton, Marriottsville, Columbia, Ellicott City, Howard County, MD and surrounding communities. --- ## Injectables ### Neurotoxins Available at both locations. Pura Vida does not offer Botox — the practice uses next-generation neurotoxins exclusively. - [Letybo](https://www.puravidamedspa.com/injectables/neurotoxins/letybo/): The newest FDA-approved neurotoxin (Galderma). Fast-acting, precise results. - [Dysport](https://www.puravidamedspa.com/injectables/neurotoxins/dysport/): Fast-acting neurotoxin by Galderma for forehead, crow's feet, lip flip and more. - [Daxxify](https://www.puravidamedspa.com/injectables/neurotoxins/daxxify/): Longest-lasting FDA-approved neurotoxin (Revance) — results lasting up to 6 months. No human albumin in formula. Treatment areas include: forehead, glabella, crow's feet, Nefertiti necklines, TMJ, lip flip and shoulder slimming. ### Dermal Fillers Available at both locations. - [RHA Filler](https://www.puravidamedspa.com/injectables/dermal-fillers/rha-filler/): RHA Collection by Revance — dynamic hyaluronic acid filler designed to move naturally with facial expressions. - [Restylane](https://www.puravidamedspa.com/injectables/dermal-fillers/restylane/): Restylane family by Galderma — precise hyaluronic acid filler for lips, cheeks, under eyes and more. - [Sculptra](https://www.puravidamedspa.com/injectables/dermal-fillers/sculptra/): Sculptra by Galderma — poly-L-lactic acid collagen stimulator. Not a traditional filler. Results develop gradually over 3 sessions and last 2+ years. - [Skinvive](https://www.puravidamedspa.com/injectables/skinvive/): Skinvive by Allergan — injectable hyaluronic acid skin booster for improved skin quality, hydration and smoothness. Not a volumizing filler. --- ## Skin Treatments Available at both locations unless noted. - [HydraFacial](https://www.puravidamedspa.com/skin-treatments/hydrafacial/): Multi-step cleanse, extract and hydrate treatment. Variants include standard HydraFacial, Hydra Scalp (scalp health) and hand rejuvenation application. - [Microneedling](https://www.puravidamedspa.com/skin-treatments/microneedling/): Collagen induction therapy using the Collagen Pin device. Treats texture, tone, fine lines and mild scarring. - [RF Microneedling](https://www.puravidamedspa.com/skin-treatments/rf-microneedling/): Virtue RF radiofrequency microneedling by Cartessa. Treats skin tightening, stretch marks, sagging skin and scarring. - [Chemical Peels](https://www.puravidamedspa.com/skin-treatments/chemical-peels/): Multiple peel options including standard peels, PRX Derm Perfection (WiQo — collagen stimulator, no needles), Noon Peels and the PuraVida Peel Experience (Noon Aesthetics, Fulton only). - [Dermaplaning](https://www.puravidamedspa.com/skin-treatments/dermaplaning/): Manual exfoliation removing dead skin cells and vellus hair for instantly smoother skin and enhanced product absorption. - [PRP Facial](https://www.puravidamedspa.com/skin-treatments/prp-facial/): Platelet-Rich Plasma skin rejuvenation (Vampire Facial). Patient's own plasma applied after microneedling for texture, tone and glow. - [Exosome Therapy](https://www.puravidamedspa.com/skin-treatments/exosome-therapy/): Advanced cellular regeneration using exosomes applied topically after skin treatments or via injection. Used for skin rejuvenation and hair restoration. - [Custom Facials](https://www.puravidamedspa.com/skin-treatments/custom-facials/) — Fulton only: Fully customized facial treatments tailored to individual skin concerns. - [Microdermabrasion](https://www.puravidamedspa.com/skin-treatments/microdermabrasion/) — Fulton only: Microderm Enzyme Treatment for skin renewal. - [Plasma Pen](https://www.puravidamedspa.com/skin-treatments/plasma-pen/) — Fulton only: Fibroblast skin tightening for face and body without surgery. - [IPL Photo Rejuvenation](https://www.puravidamedspa.com/skin-treatments/ipl-photo-rejuvenation/) — Fulton only: Prisma device by BTL (IPL + EMS + RF) for photo rejuvenation, skin tightening, hand rejuvenation and hyperpigmentation. - [CO2 Laser and CoolPeel](https://www.puravidamedspa.com/skin-treatments/co2-laser-coolpeel/): Skin resurfacing at both locations using Tetra CO2 technology (Cartessa). Fulton: Helix Tetra Cool Peel Plus. Marriottsville: Tetra CoolPeel. CoolPeel delivers CO2 energy superficially for minimal downtime. Full CO2 for deeper resurfacing with more downtime. --- ## Body and Hair - [Body Contouring with Emsculpt Neo](https://www.puravidamedspa.com/body-and-hair/emsculpt-neo/) — Fulton only: Emsculpt Neo by BTL. Non-surgical simultaneous fat reduction and muscle building in 30-minute sessions. - [Non-Surgical Face Lift with Emface](https://www.puravidamedspa.com/body-and-hair/emface/) — Fulton only: Emface by BTL. Facial muscle toning and lifting using synchronized RF and HIFES energy. No needles or surgery. - [Hydra Scalp](https://www.puravidamedspa.com/body-and-hair/hydra-scalp/): Advanced scalp cleansing and hydration treatment for healthier hair growth. Both locations. - [PRP Hair Treatment](https://www.puravidamedspa.com/body-and-hair/prp-hair-treatment/): Platelet-Rich Plasma injections for hair loss and thinning. Both locations. - [Laser Hair Removal](https://www.puravidamedspa.com/body-and-hair/laser-hair-removal/): Permanent hair reduction at both locations. Fulton: Motus AX Plus (Cartessa) and Soprano (Alma). Marriottsville: Motus AX (Cartessa). Note: Exosome Therapy is also used for hair restoration — see Skin Treatments above. --- ## Medical Weight Loss Available at both locations. Programs supervised by licensed providers (RN, PA, NP, or MD). - [GLP-1 Weight Loss](https://www.puravidamedspa.com/medical-weight-loss/glp-1-weight-loss/): Semaglutide-based GLP-1 weight loss program. Two options: (1) weekly in-office visits with vitals check and injection; (2) monthly maintenance with prescription sent to Eli Lilly or Novo Nordisk for out-of-pocket fulfillment. - [Tirzepatide](https://www.puravidamedspa.com/medical-weight-loss/tirzepatide/): Tirzepatide dual-action GLP-1/GIP weight loss. Provider-supervised program. Zepbound/Mounjaro (Eli Lilly). - [HCG Diet](https://www.puravidamedspa.com/medical-weight-loss/hcg-diet/): Structured HCG diet program for targeted fat loss. --- ## Wellness - [Hormone Replacement Therapy](https://www.puravidamedspa.com/wellness/hormone-replacement-therapy/): Bioidentical HRT for women and men. Lab work available at both locations (Access Labs). Hormone pellet insertion (Evexias protocol) available at Fulton only. Separate sections for women's HRT (menopause, BHRT) and men's HRT (testosterone optimization). - [IV Therapy](https://www.puravidamedspa.com/wellness/iv-therapy/): Customized IV drip treatments by Olympia Wellness. Available cocktails: Beauty IV, Get Up and Go, Hangover IV, Immunity IV and Myers' Cocktail. --- ## Beauty and Specialty - [3D Brows and Lashes](https://www.puravidamedspa.com/beauty-and-specialty/brows-and-lashes/): Microblading, brow lamination and lash lift services. Both locations. - [Permanent Makeup](https://www.puravidamedspa.com/beauty-and-specialty/permanent-makeup/): Lip blushing and permanent eyeliner by Lara (private contractor, available at either location by appointment). - [Waxing and Tinting](https://www.puravidamedspa.com/beauty-and-specialty/waxing-and-tinting/): Body waxing and eyebrow tinting at both locations. - [Vein Treatment](https://www.puravidamedspa.com/beauty-and-specialty/vein-treatment/) — Fulton only: Spider vein and varicose vein therapy using the Denave device. - [MiraDry](https://www.puravidamedspa.com/beauty-and-specialty/miradry/) — Fulton only: Permanent hyperhidrosis (excessive sweating) treatment using miraDry by Sientra. - [Vaginal Rejuvenation](https://www.puravidamedspa.com/beauty-and-specialty/vaginal-rejuvenation/) — Fulton only: FemiLift laser vaginal rejuvenation by Alma Lasers. Non-surgical intimate wellness treatment for comfort, function and confidence. --- ## Conditions Treated - [Acne](https://www.puravidamedspa.com/conditions/acne-treatment/) — Chemical Peels, HydraFacial, Microneedling, IPL - [Acne Scarring](https://www.puravidamedspa.com/conditions/acne-scarring-treatment/) — RF Microneedling, Chemical Peels, CO2 Laser, Exosome Therapy - [Cellulite](https://www.puravidamedspa.com/conditions/cellulite-treatment/) — Emsculpt Neo (Fulton) - [Dilated Pores](https://www.puravidamedspa.com/conditions/dilated-pores-treatment/) — RF Microneedling, Chemical Peels, HydraFacial - [Dull Complexion](https://www.puravidamedspa.com/conditions/dull-complexion-treatment/) — HydraFacial, Chemical Peels, Dermaplaning, IPL - [Hair Loss](https://www.puravidamedspa.com/conditions/hair-loss-treatment/) — Exosome Therapy, Hydra Scalp, PRP Hair Treatment - [Hand Rejuvenation](https://www.puravidamedspa.com/conditions/hand-rejuvenation-treatment/) — HydraFacial, CO2 Laser, IPL - [Hyperpigmentation](https://www.puravidamedspa.com/conditions/hyperpigmentation-treatment/) — Chemical Peels, IPL, CO2 Laser - [Intimate Wellness](https://www.puravidamedspa.com/conditions/intimate-wellness-treatment/) — Vaginal Rejuvenation, HRT (Fulton) - [Sagging Skin](https://www.puravidamedspa.com/conditions/sagging-skin-treatment/) — RF Microneedling, Plasma Pen, IPL, Emsculpt Neo, Exosome Therapy - [Stretch Marks](https://www.puravidamedspa.com/conditions/stretch-marks-treatment/) — RF Microneedling, Chemical Peels, CO2 Laser --- ## Staff - Dr. Leslie Apgar, MD — Founder and Medical Director - Casey, PA — Provider - Amy — Clinical/Administrative - Lara — Permanent Makeup (private contractor, by appointment) - Estheticians: Lisa, Chloe, Alyssa Sandoval - Additional team: Carolyn, Bonnie, Karen, Dawn, Olivia, Allison Davis --- ## Key Differentiators - No Botox: Pura Vida uses next-generation neurotoxins only (Letybo, Dysport, Daxxify) — a deliberate clinical choice, not a limitation. - Medical director-led practice: Dr. Leslie Apgar, MD is actively involved in patient care and clinical decision-making. - Two Howard County locations: serving patients across Fulton, Marriottsville, Columbia, Ellicott City and surrounding areas. - Sculptra specialists: one of the few practices in Howard County offering Sculptra as a primary collagen-stimulating treatment alongside traditional fillers. - Advanced laser technology: Motus AX for all skin tones (no pain, melanin-safe), Helix Tetra for both CoolPeel and full CO2 resurfacing, Prisma for IPL + EMS + RF in one device. - Integrated approach to hair loss: Exosome Therapy, Hydra Scalp and PRP Hair Treatment — multiple evidence-based options. - GLP-1 weight loss with in-office supervision: weekly visits with vitals check and injection, not just prescription-only. - VISIA 3D Skin Analysis available for data-driven treatment planning.