
Botox, Dysport, Daxxify and the dermal fillers.
Injectables
Acqua Blu Medical Spa has no office inside Pittsburgh city limits. We serve the city from two: Upper St. Clair in the South Hills and Wexford in the North Hills, both under Brian V. Heil, MD, FACS.
Patients make the trip to us from all over greater Pittsburgh, and which office is nearer depends on where in the city you start. Both are the same practice, directed by one board certified plastic surgeon, and every treatment starts with a consultation.
The drive counts most for treatments booked as a series, such as laser hair removal, where you come back for several sessions.

South of the rivers
The nearer office for the South Hills and for city neighborhoods south of Downtown, such as Mount Washington, Brookline and Carrick. The full medical spa menu runs here.

North of the rivers
The nearer office for the North Hills and the city’s North Side, such as Brighton Heights and Observatory Hill. It is home to the hair restoration program.
Several of the people treating you grew up in Pittsburgh or trained at the University of Pittsburgh.

Brian V. Heil, MD, FACS
Founder and Medical Director
MD from the University of Pittsburgh School of Medicine, where he is also a clinical professor of plastic surgery.

Carey B. Steinmetz, MPAS, PA-C
Physician Assistant
A Pittsburgh native from Cranberry Township.

Antoinette Heil, DMSc, MPAS, PA-C
Physician Assistant
A native Pittsburgher.

Breanna Damiani, MPAS, PA-C
Physician Assistant
A Pittsburgh native.

Anna Manion-Birmingham, CME
Medical Aesthetician, Laser Specialist
Born and raised in Pittsburgh, and with the practice since 2015.
Read what patients say on our reviews page. For more on choosing and timing treatment in this city, see “Why Pittsburgh's Gray Winter Is Prime Season for Laser Treatments” and “Choosing a Medical Spa in Pittsburgh: Start With Credentials” on our news page.
Each family has its own page, and so do the individual treatments: Botox, Juvéderm, Restylane and lip augmentation; laser hair removal, BBL Hero, CO2 laser resurfacing and HALO; and RejuvaPen microneedling and fractional RF microneedling.
All of it runs from Upper St. Clair. Hair restoration is the Wexford office’s own program, and the Wexford desk will tell you which other treatments are on its schedule.

No. Acqua Blu Medical Spa has two offices outside city limits: Upper St. Clair in the South Hills and Wexford in the North Hills, and each has its own desk line.
Go by your side of the rivers. Neighborhoods south of Downtown, such as Mount Washington, Brookline and Carrick, sit on the Upper St. Clair side of the city; Google Maps typically shows that office 20 to 50 minutes from Downtown, depending on traffic. North Side neighborhoods, such as Brighton Heights or Observatory Hill, sit on the Wexford side, typically 22 to 35 minutes from Downtown.
Late fall is a good time to start a series, so it can finish before summer. Sun matters after laser hair removal: Mayo Clinic advises protecting treated skin from the sun for six weeks, or as your provider directs, which is easier through a Pittsburgh winter than in July. Clouds do not make sunscreen optional, though: the EPA advises reapplying it every two hours, even on cloudy days.
Start with the medical director’s specialty and the treating provider’s license. Pennsylvania’s licensing system, PALS, shows any licensee’s license status and whether they have faced disciplinary action, and the American Board of Plastic Surgery lets you confirm a surgeon’s certification. Under the State Board of Medicine’s rules, a physician assistant practices medicine with physician supervision, under a written agreement with a supervising physician.
Yes, for anything medical. Your first visit at either office is a consultation, and treatment can follow once a provider has examined you and decided it suits you.
