Welcome to Sierra Cosmetic Laser and Spa Sierra Cosmetic Laser and Spa is a locally owned medical day spa, run and operated by Dr. Haven Ritchie and staff since 2005 . We offer a wide array of esthetic services and products including laser treatments, Botox, injectable fillers, massage, facials, waxing and more. SCL also carries the exclusive Eminence Organic Skin Care line. We are conveniently located in beautiful downtown Truckee, right off of Interstate 80. Free parking is always available! Sierra Cosmetic Laser and Spa prides itself on personal service with professional results. Call today for a free consultation!. No Scalpel Necessary! Aesthetic medical treatments can treat a wide array of cosmetic concerns and are safe and effective for almost all skin types. As technology has improved,the demand for these procedures has skyrocketed. Now you can treat unsightly skin conditions and wrinkles on your lunch hour and go right back to work with no down time. Patients are able to look great without spending huge sums of money,having to take time off work or endure the risks of surgery. Non-invasive cosmetic treatments are safe for nearly all individuals and ages. There are a few exceptions,so be sure to inform your provider about all your medical conditions,medications and current or past treatments