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First visit to Fourth avenue medical aesthetics. Very friendly and professional staff. Immaculately clean. Most importantly my microneedling session with Katrina was painless. She explained the process and after care throughly. Will definitely continue with microneedling.

Anne V.

9 Sep 2025

Going to a home based business is number one for me. Rapi always allows me to feel welcomed, calm and confident. Me and my kids (who are teens and both have their skin cared for by Rapi) will always return.

amy g.

15 Mar 2024

Good experience at Hamilton location. Love how each client needs are being attended to and feedback is always welcome. Atmosphere is nice and professional.

Ecaterina c.

24 Aug 2023

Staff was friendly, unpretentious and welcoming Alyssa was informative and made great suggestions for my skincare as well as ways to treat any unwanted issues

Sandra C.

26 Jun 2025

Today’s facial with Rapi was a lovely, relaxing experience, as always. Rapi is magical!

Jane M.

4 Dec 2025

Alyssa goes over and beyond to make me feel taken care of. I wouldn’t recommend anyone else !!!!

Chantel C.

14 May 2024

ashlyn is the absolute best in hamilton! <3

Tiffany B.

19 May 2023

This my third visit to Fourth Avenue Medical Aesthetics, this time for my first treatment with Botox. Jacqueline took time to explain the process, the results that I could expect and my options. I felt that she genuinely cared about providing me with the best advice to achieve the results I am looking for.

Debra V.

22 Apr 2025

Always taking such good care of me, and offering great suggestions too! Thanks for your attention to detail and making it such a great experience!

Katie M.

9 Apr 2024

I had my first visit to Fourth Avenue Medical Aesthetics and was very impressed! The salon is beautiful and the staff very courteous. I had a consultation with owner Jacqueline who spent a lot of time explaining the various procedures and options to me, which I much appreciated as a novice to medical aesthetics. Jacqueline is obviously very knowledgeable and patient and did not make me feel pressured to make a quick decision. I am looking forward to returning for my first treatment!

Debra V.

13 Mar 2025

Annie was fantastic! So lovely to chat with and does a great job. Elva Medical is always clean and the staff are welcoming!

Lisa M.

18 Jul 2025

I’ve seen Alyssa for a little while now and she’s been extremely knowledgeable, patient, honest and understanding every time. I’m someone who likes to understand 1000% of all pros and cons to treatments and Alyssa is right there every step of the way making sure you feel confident, comfortable and happy with the decision you’re making. I’m so glad I found a medical professional that I can trust! Go see Alyssa for all your beauty needs!!!!

Sarah B.

5 Apr 2024

I had an amazing experience getting a facial again at elva esthetics! Linsey was knowledgeable, explained every step of the process, and tailored the treatment to my skin type. The products used felt luxurious, and my skin was glowing by the end of the session. The environment was clean, calming, and beautifully set up—exactly what you’d want in a skincare clinic or spa.

Ashlyn M.

15 Jul 2025

I’ve been going to Fourth Avenue for several years and trust all the girls with my beauty concerns. Their guidance and care has made me love my skin again! I can’t thank them enough 💕

Jackie D.

30 Jan 2025

Always such a pleasure to visit Jaqueline and staff. Such a professional, chic and spotless clinic!! They have so much to offer. Jaqueline is very professional and takes the time to talk to you about your skin care needs.

Marnie C.

12 Nov 2024

Always a very comfortable friendly experience curated with care and great results

Heather F.

14 Mar 2024

IPL facial with Linsy was fantastic and skin care class had great learning opportunities for everyone! Thank you all!

Kristen A.

30 Apr 2025

I had a relaxation massage with Adila. She was absolutely amazing. She touched on all the stress points and it is not an easy feat to make me relax, but she succeeded. Very kind and personal! I absolutely recommend Adila for a massage and Elva Medical aesthetics for any treatment. Very professional and welcoming.!

Tracy G.

17 Apr 2025

Alway top notch service. Clean, bright medical spa that is very friendly. Professional team with all the up to date procedures

Beth G.

17 Nov 2023

Most amazing medical nurse. I have been going to see Alyssa for about 4-5 years and her work is life changing. A lifelong client for sure.

Diana L.

28 Feb 2024

Great team at Elva. They make sure you are comfortable, explain the process and keep you on schedule. They have a lot to offer with IPL photo facial, infrared laser facial, vaginal rejuvenation, waxing, laser hair removal, eyelashes, skin care….the list is endless.

Kim S.

14 Mar 2025

I absolutely love this clinic. I would not go anywhere else. I have been going here for years and she has always been incredibly straight forward and helped answer all my questions and concerns. They will never over inject you or do something that would end in bad results for you. I love that she is concerned for your overall beauty long term! She truly cares about you as a client which is very rare. Absolutely immaculate service everytime!

Kelsey M.

31 May 2023

I had a consult with Jaq and she was amazing! She thoroughly explained the process to me and helped me feel comfortable. I left feeling like I know I am in good hands with someone who isn't just out to take your money. She cares to fix the root of the problem instead of putting a bandaid on it. Looking forward to my treatment!

Nicole B.

17 Mar 2023

I loved my skin care class so much!!

Shannon D.

26 Feb 2025

Professional care unsurpassed while you're treated for what your skin needs. All in a soothing atmosphere.

Excellent services done with care and true professionalism.

I had the most incredible facial with Rapi, and I couldn’t be happier with the results! From the moment I arrived, she made me feel completely at ease with her warm and professional demeanor. Her expertise truly shines—she is extremely knowledgeable and took the time to explain everything she was doing. The products she used were top-notch, and I could instantly feel the difference in my skin. My complexion looked brighter, and my eyes had a noticeable glow. Beyond the facial itself, Rapi provided excellent skincare advice. I will definitely be back!

Amazing care- I have a fresh concussion so once I got the go ahead Rapi was very attentive to my needs and my abilities- esp after the amazing Indian scalp massage, also integrating reiki- taking care I was safe. Thanks Rapi- will def be back!

Words cannot express the feelng of comfort a trip to Rapi gives you. Such a professional, giving great care to client's

Super knowledgeable, super patient and works with what your skin care goals are! Thank you so much for a lovely first experience.