Aesthetics by Rhiana

Your visit to our licensed medical aesthetician, Rhiana DeGennaro,  is much more than going for a quick facial.

Rhiana DeGennaro understands that skincare needs fluctuate for the same person at different stages of life.  There is no cookie-cutter approach.    When a patient visits seeking a chemical peel, microneedling, plasma pen treatment, etc.,  their existing conditions –oiliness, dryness, complexion and sensitivity–will be careful examined.   All of these details are necessary when deciding upon a personalized treatment to provide optimum results.

We value you as our patient.   You  are unique.   Likewise, your treatment will be unique.    Please review Rhiana’s services in the menu below.  To see any current specials, please click “Here”.

Be sure and visit our Before & After Page! 

I recently had the Perfect Dermal Peel.  I absolutely LOVE it!  Very simple process with wonderful results. 

Dawn Kennedy
Why Aesthetics by Rhiana?
Rhiana DeGennaro is a board certified aesthetician, specializing in medical aesthetics.   Rhiana is a native of Bristol, Tennessee.  Although she has also lived in Charleston, South Carolina and Indianapolis, Indiana, Bristol has always been  “home.”   She attended Northeast State College in Blountville and Honors Beauty in Indianapolis, Indiana.  Rhiana as 12+  years of experience in the field of aesthetics with over 10 years focusing in medical aesthetics.Rhiana has a passion for helping people look and feel their best and looks forward to bringing patients in the Tri-Cities and surrounding region the very best, cutting-edge medical aesthetic treatments.

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Follow Rhiana at “Aesthetics by Rhiana” on Facebook and Instagram.

Chemical peels remove layers of skin, revealing the youthful skin underneath. Chemical peels can reduce or improve fine lines and wrinkles, acne, scars, uneven skin coloring and other skin imperfections.

Rhiana will discuss the proper depth peel for your unique skincare needs and provide expectations on estimated down time following your peel. Chemical peels offered include the ZO Three-Step Peel, Perfect Derma Peel, TCA peel, Jessner peel, Obagi Blue Radiance and retinol peels.

Call for your free consultation!


Plasma pen therapy is also sometimes called fibroblast therapy. It is a non-invasive therapy used to lift, tighten and dramatically improve skin wrinkles, aging skin and acne scars. This treatment may be used for a number of procedures to rejuvenate and enhance the appearance of skin without costly, invasive surgery. The principal involves the ionization of gases from the air to create a micro-electrical discharge or “ARC.” The ARC never touches the skin, yet it causes a “micro injury” to the skin’s surface (epidermis). The heat is then transferred into the epidermis all the way to the deeper dermal structure of the skin which contain fibroblasts. Fibroblasts are stimulated and, as a result, produce collagen. This anti-paging treatment uses a series of tiny dots strategically placed on the skin crating plasma sublimation-vaporization which allows resurfacing and tightening of the skin.

Rhiana is having dramatic success with the Plasma Pen — providing real results for real skincare challenges.  Call for your free consultation!

Beautiful skincare, for most of us, does not just happen.  It’s a process, and the best starting point is a good aesthetician.  Rhina is one of the best.   She will approach your face methodically–first looking at the overall skin, then focusing on specific areas–making sure to work around the entire face and neck.

Touching the skin is also important, to feel for elasticity and texture.

Taking the time two-to-three times per year to discuss your skincare regime is important.   Age, pregnancy, disease, stress, diet, and sun damage influence your skin.  As it changes, your skincare regime should change with it.

With Rhiana you’ll never feel shamed about the treatment of your skin in the past — that’s yesterday.  She’ll get you on the right path and concentrate on where you are going.   Beautiful skin takes work, but it’s well worth it.

As one of the world’s leading dermatologists, Dr. Zein Obagi, says “If you want to feel good, have a martini…real skin health takes work.”   

Call for your free consultation!  

Microneedling is sometimes called collagen induction therapy.   The microneedling treatment stimulates new collagen and elastin production by creating microscopic channels in the skin.   Following an application of a numbing cream, this is done with an FDA-approved device called the Rejuvapen™ using tiny needles  to create small holes in the skin.  This immediately stimulates a collagen response resulting in a smoother, firmer, more toned appearance.    Microneedling can also treat scars, hyperpigmentation, wrinkles and large pores.

Benefits of microneedling with Rejuvapan™ include:

  • Reduced fine lines and wrinkles
  • Controlled oil production and fewer breakouts
  • Diminished hyperpigmentation discoloration and a more even skin tone
  • Increased cell turnover
  • Overall brightened skin tone
  • Softer, smoother skin

Patients typically experience redness during the first 24 hours, but this effective treatment has minimal downtime.

Call for your free consultation!

IPL – stands for Intense Pulse Light Treatment.

With the use of a hand-held device, IPL delivers pulses of broad-spectrum light into the skin to target the skin’s hemoglobin and melanin. The heat energy of the light waves target and destroy pigmented cells and close off superficial blood vessels. Over the ensuing weeks the body absorbs the dead cells and tissue, leaving fresher looking skin cells.

A wound-healing response is also stimulated which enhances the body’s production of skin-building collagen and elastin. This helps add volume to the skin, which can help reduce the appearance of other signs of skin aging.   Typically four treatments are required and these should be spread by about four weeks.

IPL treats:

  • Rosacea
  • Acne
  • Sunspots
  • Scarring
  • Enlarged Pores
  • Dilated Blood Vessels

Call for your free consultation!  

PRP is an abbreviation for “Platelet Rich Plasma.”  PRP possesses growth-promoting properties that accelerates the repair of aged and damaged tissues–like our skin. It has been shown that PRP contains many growth factors, hormones, nutrients, protein stabilizers, and other compounds important for cellular and tissue regeneration.

Platelets release growth factors which signal surrounding cells to repair damaged tissue and regenerate new tissue. This means new collagen formation resulting in firmed, lifted skin, improved texture, tone, and glow. This quick and simple treatment provides skin rejuvenation with results appearing in 10-14 days.

PRP is collected by a simple blood draw in the medspa.  The procedure for the patient is very similar to blood being drawn in a lab.    Following the drawing of the blood, it is then placed in a centrifuge where the PRP is isolated.   Once this is done,  the PRP is then microneedled into the skin.

Call for your free consultation!

Acne is not a “one-size fits all condition” nor does it have one specific treatment.   Treating acne correctly depends on the type of acne and the patient’s budget.    Rhiana has experienced excellent success in helping patients’ manage and heal their acne, but each one is different.

Treatments may include facials, topical products, microdermabrasion, microneedling, IPL and plasma pen.

For an accurate assessment, an in-person visit must be made.   This consultation is free, and the patient is always treated in a caring, sensitive manner.


Lash Lift & Tint is a  natural, way to achieve  full curled lashes using your own lashes!   Results last approximately six weeks. Lash lifts with tint are a great option for those interested in low-maintenance and beautifully curled lashes that give your eyes that extra wow!

Call for your free consultation today!

Facials are dependent on the patient’s desires, needs and skin type.   Occasionally patients  seek only a relaxing facial, and Rhiana is happy to provide them with this relaxing, spa-like experience this type of facial delivers.  However, many facials, while also relaxing, may be customized to address a condition such as oily skin, dry skin, aging skin, roseacea, and/or acne.   These facials will include a combination of treatments which may include a deep cleansing, warm towels, exfoliation, extraction, mask, etc.

Considering a facial?   Call for a free consultation or to make your appointment!  

Dermaplaning is a method of gently shaving the skin which leaves it softer and smoother.  Dermaplaning is a safe treatment that offers three benefits: it physically exfoliates the skin;  it removes peach fuzz;  and it allows skincare products to penetrate better.

Dermaplaning is an excellent treatment for rough, dry skin and improves hyperpigmentation, mild scarring and fine lines.

Dermaplaning begins with a surgical blade, which is passed over the skin to “shave” it. Only the top layer of skin – the epidermis – is affected. The skin is manually exfoliated as the blade removes the dry, dead cells of the epidermis. Peach fuzz – vellus hair – comes off along with it, immediately leaving you with smoother skin. With the old outer layers of skin gone, additional treatments and products are able to penetrate the skin better and more effectively.

Call for your free consultation!


Staff Favorite!!   If you have an event and want to look great for that event, make your dermaplane appointment the morning of or the night before!   You’ll glow! 

Eva Beaule
Microdermabrasion exfoliates the skin by buffing it with a stream of fine crystals, reducing a very thin layer of your skin– less than a thousandth of an inch thick. The skin that is reduced consists of dead skin that has lost its luster and has suffered sun damage and damage from the elements.   The treatment typically takes less than an hour and has no downtime, leaving your skin looking healthy and glowing. The treatment feels like a superficial skin polishing and is painless and easy.    Combining microdermabrasion with a prescriptive skincare program like Obagi or ZO will maximize results.   For optimum results, Rhiana recommends a series of treatments spaced 3-4 weeks apart.

Call for your free consultation!  


You will notice that your skin is softer, smoother, and cleaner after your first treatment. It will look healthy and glowing immediately afterward.

Occasionally a patient requires a customized treatment where two services are combined.  For instance, the patient may need both a microdermabrasion and  a TCA peel.    If you are a patient whose skincare condition benefits from a customized treatment such as this, Rhiana will go over the benefits so that the two of you can determine the best course of action.

Every individual is different.   Your unique needs may require something different than what we typically list on our service menu.  A customized treatment may be the solution that meets your need.   These are all discussion points that will be reviewed during a personal consultation.   If you are uncertain, make that appointment and determine the best steps for your glowing skin.

Call for your free consultation.  

Teeth whitening is now available.  This before and after picture depicts one of our first patients following a one-hour session.  

Treat yourself!    You deserve it!

Call TODAY for your Free Consultation