Conveniently located to serve the Charleston area.


young woman with shadows across her face


Hydrafacial is a medical-grade hydradermabrasion device that carries out a patented three-part regimen — cleansing, exfoliating, and then infusing skin with intensive serums for extreme hydration.

This gentler approach vacuums out pores while simultaneously pushing in potent actives, which moisturize, brighten, plump, and protect the skin. The machine’s handpiece holds patented spiralized treatment tips equipped with the “vortex technology” of the Hydrafacial device— the whirling force that both give and take.

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The Sweet Spot


Beyond the standard three steps, there are targeted add-ons, or boosters, which take aim at unique skin concerns, like brown spots or nagging lines. In Charleston, Hydrafacial is perfect for everyone, from teenagers with acne to adults with pimples, wrinkles, and hyper-pigmentation, as well as older patients with sun-damaged or flaky skin. Hydrafacial hits the sweet spot — it’s more than a basic spa facial but less than a laser treatment. Our experienced team at Totality Medispa will tailor the Hydrafacial treatment to address your specific skin needs and provide you with a rejuvenated and radiant complexion.


Our Treatment Options

• Back Hydrafacial (45 min)
• For oily/acneic skin types
• Signature Hydrafacial *included in monthly memberships* (30 min)
• Deluxe Hydrafacial (45 min)
• Sensitive Hydrafacial (30 min)
• Signature Hydrafacial plus booster and LED Light Therapy
• Clarifying Treatment (45 min)
• Teen Express Facial (30 min)

Add-On Options

Dermabuilder Booster

Minimizes signs of aging & recharges skin with a combination of peptides.

Growth Factor Booster

Minimizes the appearance of fine lines and wrinkles to restore healthy & vitality Britenol Booster- minimizes the appearance of dark spots, sun spots, melasma, and evens out skin complexion.

LED Light Therapy

Red Light LED therapy helps stimulate cellular activity, which can increase the production of collagen and elastin. That helps minimize fine lines and wrinkles, treat sun-damage, stretch marks, and reduce redness after more aggressive IPL or laser treatments. Blue Light LED therapy helps stimulate collagen and helps with treating mild to moderate acne by killing the p.acne bacteria that lives below the surface of the skin. Green Light LED is absorbed into skin the where it has a calming effect. It helps to lighten hyper-pigmentation spots revealing a brighter complexion. The calming effect also has anti-inflammatory properties that soothe the surface of the skin.

Frequently Asked Questions

How Often Should This Treatment Be Performed?

At Totality Medispa, we recommend monthly Hydrafacial treatments. Although our patients report seeing visible skin refinement after just one treatment, monthly treatments are recommended to see improvements in the appearance of fine lines, wrinkles, brown spots, oily and congested skin.

How Long Does The Treatment Take?

About 30-45 minutes.

Is There Any Downtime Or Pain Involved?

You may put on makeup and return to your normal activities right after the treatment since there is no downtime.

How Much Does Hydrafacial Cost?

At our medical spa, we offer a range of treatments to enhance your natural beauty and rejuvenate your skin. Our pricing varies depending on the specific treatment and individual needs. During your consultation, our experienced professionals will discuss the potential costs and help you choose the best treatment options to achieve your desired results. Contact us now to schedule an appointment and learn more about our treatments and pricing.

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Hydrafacial Benefits


Exfoliate + Cleanse

Hydrafacial gently exfoliates and cleanses your face.


Reduce Fine Lines

Hydrafacial prevents and reduces the appearance of fine lines.


Treats Acne

Hydrafacial is indicated for the treatment of mild to moderate acne and superficial acne scarring.


Brighten + Even

Results from Hydrafacial leave complexion bright and even.


Rejuvenate + Hydrate

Skin is rejuvenated and hydrated.

Schedule a Consultation

Please contact us today if you have any questions about Hydrafacial in Charleston or would like to schedule a consultation at Totality Medspa. We will build the ideal treatment plan for you in order to help you achieve smoother, more radiant skin.

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Spray tan was flawless and quick! Highly recommend

Locally owned and operated Dr. Nicole Nadel. Scheduling is easy and the service is kind and prompt. Lovely selection is product as well. Her boys are friends with my kids and they’re just the best too!

dr nicole did a great job!

Wonderful customer service! Super quick and nice, very helpful with any questions!! Friendly environment:)

Dr. Nicole has been great! I get occasional Botox (this was new to me and I was able to get a free consult to discuss everything) and I’ve been so happy with my results! Definitely recommend.

Love the location, service and deals at Totality! Thank y’all!

I have been a big fan of everyone at Totality ever since my very first appointment. Have been a regular for years and I highly recommend. Great prices, quick and easy, online scheduling, amazing and kind people. Only good things to say about them!

Professional Staff! Excellent experience!

Love Totality! Mostly go for spray tans and Botox. Go see Sarah if you have fair skin! She is conservative and never does any more than is needed to achieve a natural enhanced look!

Love coming here. Everyone is so nice and professional. They greet me by name and make me feel special! Everyone is smiling from the beginning to the end of the experience. The environment is beautiful. They offer a wide range of services and skin products. There’s absolutely no pressure from them to do anything you’re uncomfortable with. I get tox and am on the weight loss program and have had wonderful results. So glad to have found this place!


Recently Featured

Before + After


Take a look at our gallery to view real patients’ before and after photos of treatments performed by Dr. Nicole Nadel and the rest of the Totality Medispa team in Charleston, SC.

Visit our Instagram account for a full portfolio.