I have been to several med spas for fillers and I have to say this is the best place I have been so far. If you get something done and think you need it corrected, they will bring you back in with no hesitation and make sure you leave satisfied. I love them. Every single person who works here is amazing and super friendly. I would recommend coming here to anyone!

I recently tried the age defying routine that consisted of a moisturizer, serum and facial cleanser! IT IS AMAZING! My skin has completely cleared up and is very soft. Will definitely use again!

The Dr is super professional and made me feel comfortable before and during my procedure. The atmosphere is great & the staff are all lovely. I am so happy about the results and would 100% recommend coming here

I am usually not the type to write reviews but this place is too amazing. I look forward to every visit I have had with them. Tara is so kind and helpful with explaining how everything is going to work and being a person of color she made me feel comfortable getting laser done. I have had consultations at many other medical spas in Delaware and they have all said they were too worried to work on my skin because I have a darker complexion. If you are a person of color and are seeking out a medical spa I definitely recommend First State Med Spa.

This was my first time ever having Botox done and I couldn’t be more pleased! All the staff was super friendly and made me feel very comfortable. I love how the Dr asked some personal questions before getting to work. I really loved how he explained every little detail about what he thought would be best!I highly recommend!!Thanks again guys!Jessica

Very dedicated and personable staff. Dr. Shapiro is very friendly and explains your options in a very realistic way. I felt welcomed and comfortable from my first visit. They keep results realistic and dont overdo things. I highly recommend

My appointment was fantastic. The entire staff was super friendly, professional, and helpful. The doctor has a great sense of humor and such a warm demeanor. He makes you feel comfortable and answers all of your questions. I never felt rushed or pushed to buy anything. The prices are completely reasonable. This was my first experience with First State Med Spa but plan on coming back soon!

Good morning Lynn,I just wanted to send a thank you to the Doctor and you ladies for a very pleasant first time experience at your office. I was a bit nervous and all of you made me feel very comfortable. I will be back. I was telling my husband how much I appreciated the treatment that I received and now he will be making a appointment too, soon. See you in the near future. I will definitely be coming in for some lip filler and maybe in the further future those threads that he was talking about. The ladies that you have working for you are great!! Im excited to see what this Botox treatment that I had done last night will turn out.Thanks again.

Dr. Shapiro and his wife have such and exceptional staff there. I felt so comfortable from the second I came in the door, until the minute I left. The experience that I had with the procedures that I had done was nothing short ofthe utmost professionalism and I also felt that I was a priority during my whole appointment. My results are AMAZING! I have made future appointments to go back to 1st State Med Spa because I not only trust them, I feel like part of the family. I very highly recommend this spa to everyone because it is nothing short of the best in Delaware!D. BolducWilmington.De

I saw Dr. N. Shapira this week for an evaluation of what I believed to be lipedema on my lower body. Prior to the visit I submitted an assessment form and pictures of my body. When I arrived at the office, I saw the doctor in passing and he guessed who I was based on my pre-submitted materials and remarked that I had traveled a bit to get to him. Right away that made me smile because I felt personally acknowledged instead of just a patient in a list of patients for the day. Once I went inside the office I changed into a gown and some standard paper underwear.I was posed for pictures in front of a grid which I believe demonstrates the extensiveness of the disproportionate shape of the lower body. Dr. Shapira came in shortly after and initiated the interview process which took at least one hour. It was by far the most extensive interview I have ever had from a doctor. The doctor took a short break and offered me a refreshment before returning to begin the physical assessment. He was again very thorough with gauging my tissue quality, pain, heaviness and tenderness throughout the affected areas. After about another 45 minutes he had me get dressed and we discussed his finding. He diagnosed me with lipedema stage 3 and dercums disease. He discussed conservative measures that he wanted me to take going forward but he stated that my condition was fairly advanced with a great amount of nodules present under my skin. He believes that I am a candidate for lymph sparing liposuction which he performs in the office under local anesthesia. He is highly knowledgeable about this condition and I would recommend him to anyone looking for quality, compassionate care. For what its worth I am an RN for 32 years and I consider myself to be a great judge of doctors. He is certainly one of the smartest doctors Ive ever encountered and he has great bedside manner.

All of the staff were very friendly and professional. They talked to me about different options they felt would work best to fit my needs. I never felt pressured to have any procedure done. I had some botox injections done and am looking forward to the results. I will definitely return in the future.

My consultation and experience with Dr. Shapira and his staff was amazingly positive - everyone was genuinely kind and welcoming. I felt comfortable speaking with Dr. Shapira as his down-to-earth personality puts you at ease from the minute he walks in the room. I was also impressed with Dr. Shapiras medical background, knowledge and the time he dedicated to answering my questions. I would highly recommend this practice to anyone who wants to maintain the best version of themselves. Best regards, DJ

FOLLOW BRANDY. Mint and Needle. She was the ONLY talent ever that this place ever had. EVERYONE else has NO real experience.

The entire staff is truly amazing! I had previously gone to a place in PA for years and suffered in pain every time and felt awful. Today at First State, I had Pixel, Botox and filler with no pain! I was shocked! And I look great! You can tell that the staff and Dr. Shapira care a great deal. They took a team approach and made me feel very safe and at ease. I am so glad I made the switch and wish I had done so sooner!!!

Love everyone in this office ...

Hands down my favorite experience with a staff. They are so welcoming and I am so happy with the service

Dr. Shapira is an experienced physician who will only be honest and thorough in all of his work. I’ve personally witnessed many patients he’s made happy and satisfied with his injections & treatments. The skincare products and treatments available at First State Med-Spa are medical grade and among the best of the best. The office is beautiful and your experience is personal & comfortable. 5 stars for First State Med-Spa!

Paper reviews from clients!⭐️⭐️⭐️⭐️⭐️Everyone was kind and professional! Office was clean and comfy. Leah C Jan 30, 2019⭐️⭐️⭐️⭐️⭐️ I had a great experience. The staff were all so friendly and Janine was amazing! She did an awesome job with my laser treatment and was very accommodating. I highly recommend her. Susan L Jan 22, 2019

Make an appointment with NP Brandi! She was amazing! She went over everything in such detail, and any questions I had she answered. Hen genuinely cares about each of her clients, and caters to your individual needs! I recommend her to all my family and friends!

The staff is very personable, welcoming and made me feel part of their family. They took extreme measures to make my procedure possible and safe. I am extremely happy with their work.

Outstanding service and a very welcoming atmosphere. Would recommend them to everyone. Can’t think of anything that they didn’t think of. First class!!!

The care I received was beyond expectation. Dr. Shapira is an amazing doctor. He helped put me at ease the entire time. I am beyond grateful for the compassion and for the attention. At no time did I ever feel rushed. Everyone in the office made me feel that I was important. Love them and highly recommend them!!!Thanks for your

When shopping around for a trust worthy and respectable place, study experience and history. Facts.Brandi has been Injecting less then a year. She’s also not a dr.Dr. Shapira has been a doctor for many years but not this kind of “Dr”.It’s a shame why and how “patients” write reviews these days.Without a bribe and or being uncomfortably asked to write a review, I’m telling you what you want to know when reading a review.

First the enviorment was welcoming,comfortable and well manicured with products and examples of services offered, classy and chic! This was my very first experience at a Med spa and it will not be the last. Donna was PHENOMENAL! I am African American and I know my skin needs are different so sometimes Im scared to try new things. Donna gave me great deal of info that educated me on how to tweak/create a routine works best for me and not some random instructions on the back of some random cleanser. Highly recommended for ALL skin types! Shes a great esthetician, she made me feel super comfortable and confident about my appearance (something we all want)👏🏾

I have LOVED my experience at the Medi Spa! Jennifer is so incredibly attentive and has worked with me to ensure that all of my needs are met. She has customized my care to better suit my needs and really worked with my budget to recommend what would be best! Highly recommend them for laser hair removal!

Amazing Experience!Tara and Lynn were so helpful and pleasant.Fast and clean service. A+I am so happy! Thanks, Ladies!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Session 2 of my laser hair removal and already seeing drastic results

I’ve been a patient of Dr Shapira’s for the last 4 years. His dedication to his patients is like no other. Also, I recently had treatment with Brandi...she’s incredible. She did an amazing job.

Ive had nothing but good experiences with the staff here. Everyone has been friendly and flexible with my crazy work schedule. I know several people who have had work done through First State Vein & Laser, and theyve all been happy with their treatments.

I have had three treatments with Brandi, and see a very noticeable improvement in my skin. Brandi is caring, knowledgeable, and LOVES her work, which shows! I would recommend Brandi for any work at First State Vein and Laser!

I received a chemical peel and skin tightening and I must say I loooove the results. My skin is brighter and more smooth! The skin tightening was relaxing and made me forget I was getting an actual procedure. I was able to listen to music while I lost inches off my waistline. Talk about a Win Win!

From the time I stepped in the door I knew this was the place for me. The staff was welcoming and helpful. The treatment I received was top notch and the results are amazing! I highly recommend First State Vein & Laser for all of your Med-Spa needs.

Nice spa. Lots is services, great, friendly staff!

The First State Vein & Laser Medspa staff is always welcoming and friendly, helping me to feel relaxed and comfortable. Dr. Shapira, Brandi Gregge, N.P, and the entire care team immediately gained my confidence in their professional and expert treatment. Brandi thoroughly explained the intended procedure and talked me through each step as she proceeded. Again, helping me to relax, feel comfortable and certainly confident that I made the correct choice. The results are amazing!!

I have been going to Dr. Shapira for years . Him and his wife are the sweetest people . I have always gone back for treatments. Recently, I met Brandi who I absolutely fell in love with. So knowledge and a gentle touch . I refuse to age ! With the help of Dr. Shapira and his staff I won’t :) I highly recommend:)

Wonderful experience from start to finish. Brandi performed my Botox procedure, I could not be more impressed with the entire process. Brandi devoted more than ample time to conduct a thorough consultation and pre-evaluation that she specifically designed to address my individual concerns. As a newcomer to the Botox procedure I truly appreciate Brandis warm bedside manner and cannot recommend her enough to others.

RUDE & unprofessional receptionist. I called to book a body contour exam and Botox & I was referred from my friends to see the esthetician Jenifer who has very impressive reviews plus my friends all have beautiful & glowing skin ! I was informed that Jennifer moved on and when I wasn’t sold on the new “skin care specialist “ this receptionist grew a tasteless and unprofessional style. I’m appalled & I decided to take my business elsewhere. Lynn has a reputation and her staff answering the phone matches it.

Wow this Spa is Amazing. I have been a client at first state vein and laser for almost two years and I have not been anywhere else. Like anyone else I love the sun. Tanning, etc, however now that Im 26 years old I have sun spots and acne scars. I never even wanted to leave the house without putting makeup on. I was terrified because I was getting ready to compete 4 months away for the Miss Earth Title. My aunt who also is a client, suggested the spa, to try and see if there is anything they could do for me. YESSS. They had an LHE Machine, also known as a photo facial. It was a laser machine that literally vanished my scares, and my skin tone looks perfect. I now where no makeup and only sunscreen. Thank you first state vein and laser. I took home the title as Miss Earth Delaware 2013!!Love,Nina

The entire staff is friendly, fun and very professional. They always make me feel at home!

Great place! The specials are fantastic. The staff is wonderful. The new esthetician is amazing.

Their laser hair removal SIMPLY DOES NOT WORK. I am the perfect candidate- light skin, dark hair. Two years...literally over two years I have been going to these people. Such a waste of gas and time. Oh, and they would not give me money back...I dont even have the energy to argue with Lynne over it. Be mindful...there is no guarantee and they told me not even tattoos are permanent what?! yes they are...lol. Im not saying I have just a little bit of hair left...its ALL still there. One girl was googling how to use the machine while I was on the table....YIKES

Dr. Shapira and staff should be rated above 5 stars! Have had 3 water assisted liposuctions and the results are phenomenal, both aesthetically and pain reduction for lipedema. I have never had a more caring and professional doctor. I travel from Virginia 4 hours for treatment and would not go anywhere else!

Love the Shapiras. Clean beautiful office, very professional. Loved it!

I had a great experience with this group . My legs feel so much better . Lack of pain !!!!! Thanks everyone

The office is comfortable, the rooms are cozy, and the staff is amazing. The knowledge is there and shared with you. You will be surprised with the amount of time they spend with you. Their consultations and visits are for your personal best with the least amount required. My experience felt natural and I trust their advise. I am currently trying the IPL, which saw a change after one and will be trying microneedling. (Jennifer is awesome!) Less is truly more, and possible, when you have the best working for you.It has been 6 weeks since I completed a skin care package and can say my results are amazing. Definitely turned back the clock and I barely wear makeup. I did a combination of IPL, microneedling, and hair removal. I have stuck to the basics with cleansing and have found my skin to be better and has retained the glow. I am looking forward to continue on a maintenance plan shortly. In addition I plan to return for all my future consults and needs. Jennifer, THANK YOU. I cannot recommend enough the staff at First State Vein & Laser.

I am a lipedema patient which recently underwent a WALS procedure. The staff at the First State Vein and Laser Med-spa are among the great group of medical professionals I have ever worked with. Especially a member of the team that really works behind the scene, Stephanie. She is an absolute angel. Being a patient herself gives her great insight into the stressors and concerns of such a large surgery. Her compassion, warm personality and commitment to Dr. Shapira patients can be felt in every interaction had with her. She is on-call via text, phone, and email to accomplish her mission to support each and every lipedema patient she can. I can not say enough about her. My journey to comfort from lipedema would not be the same without her.TeresaBaltimore, MD

Dr. Shapira is so knowledgeable! I told him I get really bad migraines and he looked at me and realized I grind my teeth really bad and that could be giving me migraines. He injected botox into the muscle and I have been mostly headache free since!! I also received the SmartLipo treatment. It was amazing! I have lost 3.5 inches around my waist/ love handle area, and I love the way my clothes fit me now! And Liz is amazing with skincare. Her facials are the best thing ever! I love this place and will definitely be back for more!

I work there fabulous team.

Avoid this place like the PLAGUE! I have been getting laser hair removal here for more than TWO YEARS under my arms and it still literally looks exactly the same. They have gone through three technicians (one of which was googling how to use the machine while I was laying on the table) and all of them swear that this round will be different. They admitted that they were not properly trained to use the machine and that they told me to come back at all the wrong intervals and we would start over. Lynn refuses to give me my money back because there is no guarantee. I have gone in when they were being investigated for burning another client. They have no idea what they are doing. I bought more services because I thought for some reason it was my fault it wasnt working (I bought facials and they threw in more underarm sessions). The girl used a scalpel (dermaplaning or something?) on my face and cut me- I had scabs on my chin for days. I think I felt bad for the technicians because they were sweet but they really had no idea what was going on or how to use any of the equipment. Later I spoke with my dermatologist and she had to giggle that I went through this and explained that laser hair removal is different than electrolysis and its not something you can have done in a place like this. I put off writing a review and giving up because like I said, the receptionist and techs were trying but they. I officially give up.

Purchased laser hair removal for my legs, havent finished the treatments but like my results so far!

The front office staff is rude and appointments must be booked a month in advance.