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The 12 Best Med Spas in San Francisco

San Francisco's med spas range from physician-run practices, where the doctor does the injecting, to larger clinics where nurse practitioners and nurses work under a medical director. Most offer the same core of Botox, fillers and microneedling, so the real differences lie in who holds the needle, which lasers are on site and whether dermatology or surgery is available in the same practice.

This guide notes who leads each clinic, the main injectables and devices it uses, and practical points such as free consultations, weekend hours and second locations.

How we chose and ordered them

This selection of med spas in San Francisco weighs each business's reputation, which anyone can check online, against how much of its work is devoted to this service. Those that do exactly this, and have done it well for years, come first.

Some businesses pay for a fuller profile or a featured position. It is only open to those that have already passed our selection, and it is always marked.

Top 3All optionsMapWhat to look for

Weigh 12 local options side by side

Elinea Medical Aesthetics, San Francisco#1
What it does well
  • Physician leads the clinic

  • Complimentary filler consultation

  • Open Saturdays and weekday evenings

Elinea Medical Aesthetics

5.0190 reviews
4035 18th St, San Francisco, CA 94114, USA
Works well for
Physician-planned injectables

Elinea works well for Castro and Noe Valley residents who want a physician to plan their injectables. Dr. Rami Hosein, who trained at UC Davis and holds a Harvard master's in public health, leads the team and offers a complimentary filler consultation. Treatments include Botox, Dysport, Restylane, Juvederm and Sculptra, plus MOXI, BBL HEROic and Halo lasers and Morpheus8. Saturday and weekday evening hours make it easier to fit treatments around a working week.

Nob Hill Aesthetics, San Francisco#2
What it does well
  • Physician among the injectors

  • Halo, Morpheus8 and BBL devices

  • Botox club and online packages

Nob Hill Aesthetics

4.9977 reviews
909 Hyde St Unit 415, San Francisco, CA 94109, USA
Works well for
Injectables and body contouring in one clinic

Nob Hill Aesthetics suits patients who want injections and device treatments under one roof, with a physician among the injectors. Konstantin Bukov, MD, and a registered nurse handle injectables and lasers, while a separate team runs body contouring. The menu covers Botox, Xeomin, Dysport, fillers, Sculptra and SkinVive, plus Halo, Morpheus8, BBL and Emsculpt Neo. A Botox club and treatment packages can be booked online, which helps regular patients plan repeat visits.

Hayes Valley Medical Esthetics, San Francisco#3
What it does well
  • Physician medical director

  • Fotona, Fraxel and Ultherapy Prime

  • Second branch in Cow Hollow

Hayes Valley Medical Esthetics

4.9289 reviews
182 Gough St, San Francisco, CA 94102, USA
Works well for
Wide range of lasers and fillers

Hayes Valley Medical Esthetics fits patients who want a wide choice of devices and an experienced nursing team. Founded by a registered nurse, it works under medical director Yngvar Hvistendahl, MD, with nurse practitioners and registered nurses as injectors. Lasers include Fotona, Fraxel Dual and Clear + Brilliant, alongside Ultherapy Prime and CoolSculpting Elite. A second branch on Fillmore Street in Cow Hollow lets patients book follow-up visits closer to home or work.

REJUV Medical, San Francisco#4
What it does well
  • Led by a nurse practitioner

  • Rejuran and CO2 resurfacing

  • Hormone and weight-loss programs

REJUV Medical

4.9100 reviews
255 King St # A, San Francisco, CA 94107, USA
Works well for
Injectables plus hormone and weight care

REJUV Medical suits Mission Bay and SoMa residents who want injectables and wellness treatments from the same provider. The King Street clinic is led by a family nurse practitioner with a background in dermatology and aesthetic medicine. Beyond Botox, Daxxify, fillers, Sculptra and PRF, it offers Rejuran skin boosters, CO2 resurfacing and CoolPeel. Hormone therapy and a medical weight-loss program are available for patients whose goals go beyond the face.

SkinSpirit Presidio Heights, San Francisco#5
What it does well
  • Open seven days a week

  • Free consultations

  • Second branch in Noe Valley

SkinSpirit Presidio Heights

4.8174 reviews
3325 Sacramento St, San Francisco, CA 94118, USA
Works well for
Evening and weekend appointments

SkinSpirit suits patients who need evening or weekend appointments and a large team of medical injectors. The Sacramento Street clinic belongs to a group co-founded in 2003 by a board-certified plastic surgeon who is still its corporate medical director. Nurse practitioners, physician assistants and nurses offer Botox, Dysport, Daxxify, Juvéderm, Restylane, Sculptra and Radiesse, plus Morpheus8, BBL and laser hair removal. Consultations are free and the clinic opens every day of the week.

SKIN Medical Spa, San Francisco#6
What it does well
  • Doctor-founded in 2005

  • Botox, Dysport and fillers at the core

  • CoolSculpting available

SKIN Medical Spa

4.860 reviews
1825 Union St, San Francisco, CA 94123, USA
Works well for
Straightforward Botox and filler visits

SKIN Medical Spa suits Cow Hollow locals who want a focused menu rather than a long list of devices. Dr. Robert Colvin founded the Union Street clinic in 2005, and its specialties remain Botox, Dysport and dermal fillers. Laser treatments, medical peels, facials and CoolSculpting complete the offer. Every plan starts with a conversation about goals, so first-time patients can ask their questions before committing to any treatment.

Ocean Medical Clinic, San Francisco#7
What it does well
  • Physician-led practice

  • Botox, Daxxify and Voluma

  • Close to I-280

Ocean Medical Clinic

4.750 reviews
199 Ocean Ave #2550, San Francisco, CA 94112, USA
Works well for
Southern San Francisco neighborhoods

Residents of Ingleside, Balboa Park and other southern neighborhoods get a doctor-led option close to home here, away from the downtown cluster. Dr. Edwin Yuen leads the practice, which focuses on cosmetic dermatology and skin rejuvenation. Treatments include Botox, Daxxify, Juvéderm, Voluma, lip injections, laser treatments and microdermabrasion. PRP for hair loss, TMJ treatment and varicose vein care are also offered, and new patients can start with a free consultation.

Recharge Medical, San Francisco#8
What it does well
  • Two physicians on staff

  • Medical services since 2007

  • Primary care in the same clinic

Recharge Medical

4.8182 reviews
1456 California St, San Francisco, CA 94109, USA
Works well for
Cosmetic and general care with doctors

Recharge Medical suits patients who like the idea of a doctor's office handling their cosmetic injections alongside routine care. Physicians Kamal Ghei, MD, and Philippe T. Nguyen, MD, run this direct-pay clinic on California Street, which has offered medical services since 2007. Its med spa side offers botulinum toxin, fillers, Kybella, thread lifts, PRF, laser hair removal and CoolSculpting. The same clinic also handles primary care, travel health and immigration medical exams.

The Maas Clinic, San Francisco#9
What it does well
  • Facial plastic surgeon as medical director

  • Ultherapy, Sofwave and Renuvion

  • Surgery available if needed

The Maas Clinic

4.8142 reviews
2400 Clay St, San Francisco, CA 94115, USA
Works well for
Non-surgical care with a surgeon on hand

The Maas Clinic suits patients who want non-surgical treatments with a facial plastic surgeon overseeing the plan. Corey S. Maas, MD, is board certified in facial plastic and reconstructive surgery and led the facial plastic surgery division at UCSF for more than a decade. Its Appearance Care Center on the same block of Clay Street handles injectables, Ultherapy, Sofwave, lasers and body treatments such as CoolSculpting. Anyone weighing a filler against a facelift can discuss both options in one practice.

SF Aesthetics, San Francisco#10
What it does well
  • In San Francisco since 2005

  • Laser medicine fellow

  • Tattoo and vascular laser treatments

SF Aesthetics

4.818 reviews
1818 Lombard St, San Francisco, CA 94123, USA
Works well for
Lasers and injectables from one doctor

SF Aesthetics suits Marina residents who prefer a long-established solo physician for injections and lasers. Dr. Jeannie Tsai has practiced medicine in California since 1997 and has treated patients in San Francisco since 2005. She is board certified in emergency medicine and a fellow of the American Society for Laser Medicine and Surgery. Beyond Botox, Dysport and fillers, she treats tattoos, sun spots, veins and jaw clenching, so one doctor can handle several concerns over time.

Dr. Sheena Kong Med Spa, San Francisco#11
What it does well
  • Non-surgical rhinoplasty and chin filler

  • Thermage FLX and Ultherapy

  • Virtual consultations

Dr. Sheena Kong Med Spa

4.543 reviews
490 Post St Ste 1150, San Francisco, CA 94102, USA
Works well for
One physician for face and body

Patients who want a single physician to handle both injectables and non-surgical contouring will find that here. Dr. Sheena Kong, described by her practice as board-certified and Harvard-trained, works near Union Square on Post Street. Her menu runs from Botox, Daxxify and a long list of fillers to non-surgical rhinoplasty, Thermage FLX, Ultherapy and Smartlipo. Virtual consultations let out-of-town patients discuss a plan before traveling in for treatment.

Caren Campbell MD Dermatology, San Francisco#12
What it does well
  • Board-certified dermatologist

  • VBeam, Excel V and PicoWay lasers

  • Skin checks in the same office

Caren Campbell MD Dermatology

4.788 reviews
450 Sutter St #2340, San Francisco, CA 94108, USA
Works well for
Cosmetic care from a dermatologist

Patients who want cosmetic treatments from a board-certified dermatologist, with medical skin checks in the same office, are well served here. Dr. Caren Campbell founded the Sutter Street practice and offers neurotoxins, fillers and Kybella alongside a well-stocked laser room. Devices include Fraxel, Excel V, VBeam Perfecta, PicoWay and Clear + Brilliant, useful for redness, pigment and scarring. Full-body skin exams and mole removal are handled by the same team.

A quick comparison of the options

#BusinessRatingReviewsWorks well for
#1Elinea Medical Aesthetics 5.0190Physician-planned injectables
#2Nob Hill Aesthetics 4.9977Injectables and body contouring in one clinic
#3Hayes Valley Medical Esthetics 4.9289Wide range of lasers and fillers
#4REJUV Medical 4.9100Injectables plus hormone and weight care
#5SkinSpirit Presidio Heights 4.8174Evening and weekend appointments
#6SKIN Medical Spa 4.860Straightforward Botox and filler visits
#7Ocean Medical Clinic 4.750Southern San Francisco neighborhoods
#8Recharge Medical 4.8182Cosmetic and general care with doctors
#9The Maas Clinic 4.8142Non-surgical care with a surgeon on hand
#10SF Aesthetics 4.818Lasers and injectables from one doctor
#11Dr. Sheena Kong Med Spa 4.543One physician for face and body
#12Caren Campbell MD Dermatology 4.788Cosmetic care from a dermatologist

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Map of med spas in San Francisco

Clinics in this guide gather around Union Square and in the Marina, Cow Hollow and Pacific Heights, with others in Hayes Valley, the Castro, Mission Bay and near Balboa Park.

Services to look at

  • NeurotoxinsBotox, Dysport, Xeomin or Daxxify to soften frown lines, crow's feet and forehead lines, or to treat sweating and jaw clenching.
  • Dermal fillersHyaluronic acid fillers such as Juvéderm and Restylane restore volume in the cheeks, lips, chin and under-eyes.
  • Collagen stimulatorsSculptra and Radiesse build collagen gradually over several sessions for a subtler, longer-lasting change.
  • Lasers and lightIPL or BBL for redness and sun spots, fractional lasers such as Fraxel or MOXI for texture, and laser hair removal.
  • Skin tightening and body contouringRF microneedling, Ultherapy and Thermage for loose skin, and CoolSculpting or Emsculpt for stubborn fat and muscle tone.

How to pick Med Spas in San Francisco

  1. Ask who will treat youCalifornia requires med spa treatments to be supervised by a physician, but injections are often given by nurses or nurse practitioners. Ask who performs your treatment and whether a doctor sees you first.
  2. Check licenses onlineLook up the doctor, nurse practitioner or nurse on the California Department of Consumer Affairs license search, and ask which physician acts as medical director.
  3. Match the device to the problemRedness, brown spots, rough texture and loose skin call for different lasers and energy devices. A clinic with several platforms can choose the right one instead of the only one it owns.
  4. Get the plan and price in writingToxin is usually priced per unit and filler per syringe. Ask how many units or syringes you are likely to need and whether touch-up visits are included.

Common questions

How much does Botox cost in San Francisco?

Prices vary by clinic and by how much product you need. Most clinics charge per unit of toxin, so the total depends on the areas treated and the strength of your muscles, while fillers are usually charged per syringe. Ask for an estimate at the consultation and check whether follow-up adjustments are included.

Who is allowed to inject Botox and fillers in California?

Physicians, physician assistants, nurse practitioners and registered nurses can inject, but nurses and physician assistants work under a supervising physician, and a doctor, nurse practitioner or physician assistant must examine you before your first treatment. Estheticians are not allowed to inject.

How should I prepare for my first appointment?

Bring a list of your medications, supplements and allergies, and mention any past cosmetic treatments or a history of cold sores. Some clinics suggest avoiding aspirin, fish oil or alcohol for a few days before injections to reduce bruising, but never stop a prescribed medicine without your doctor's agreement.

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