This was my first experience ever with neurotoxin and nurse Anyssa was so sweet, she made me feel…read morereally comfortable throughout the whole process. She answered every question thoroughly and listened to any concerns I had. I am really happy that I had her as my nurse for my first time! I already can't wait for my next visit.

I'm no stranger to neurotoxins but this was my first visit with 424 Cosmetic Dermatology. The…read moreoffice was welcoming and the gal at the front desk was super sweet and helpful. Anyssa was my injection expert (that's what I'll call her), she was very knowledgeable in neurotoxins. I was impressed because I've been receiving injections for a few years now and in this first visit with her, I learned new things and was asked questions I had never considered or been asked before. I realize that it's so important to have someone who constantly talks you through the process and is open to having discussions to continue to improve my look and experience. I'm happy to say that I have found my new home for my cosmetic needs! I'll be back!!!

The doctor did a great job. The entire staff and experience was great. This is a little further out…read morefor me but is well worth it!

I've had laser hair removal done on other parts of my body, including my lower legs, at other…read morelocations and have never had such a painful experience as when I got my upper legs treated here. The machine they use appears outdated in terms of technology and is this heavy, iron/ hammer looking device. I commented on the device looking heavy and the esthetician agreed that it gives her a workout. On my 1st session, my left leg had some red marks afterwards and the esthetician said it should fade away. Well, those marks ended up scabbing over, so they were actually burn marks. I informed her of this at my 2nd session and she supposedly lowered the setting. I had to stop her multiple times throughout the session because I was in so much pain. It hurt more than all the brazilian waxes I've ever had combined. That was my 2nd and last visit. As you can see from the pictures, both my thighs were burned and now I have permanent scars.

Can't say enough about the services here... and the RESULTS!!! I look ten years younger. And…read morehonestly, I don't LOVE needles, but Jamie is so gentle and reassuring, this was great. My wife treated me to this and now I'm addicted and have to be back! There's something to be said about preemptive care as well. You need to be doing this magic to your face LONG before too much damage has occurred. So even if you are in your twenties and think you'll live forever.. news flash : you won't. And you'll age like the rest of everybody.. so TAKE CARE of it now!! And for the rest of us... it's not too late!!! Don't delay, treat yourself!

Hi guys! I tried booking an appointment here on by bday! But my appointment was canceled and they…read morenever called me back to reschedule. Unfortunately, I have a Groupon that I cannot use now, because I don't want to support a business that does not respect the time or efforts of their customers.

Loved my facial service I received today from Justine. I'm a fellow esthetician myself so I can…read morerecognize when someone is experienced and passionate about their work. She gave me an amazing scalp massage and overall experience. She was friendly all the way around and provided me with excellent service. Will def be back in the future!

First time doing Botox and it went really well, fast and easy. Love the staff here! They're so…read morefriendly, caring and knowledgeable. Definitely will be coming back.

How did I not know this place was here and so close to home! It is decorated so cute like it at a…read moreswanky place in Del Mar, very clean, spacious, with so many awesome services! I bought my hubby a surprise bday gift of 8 individual infrared sauna sessions... they gave me a nicely wrapped up giftcard. They honored the prices on their website for me even though it looks like the packages have slightly changed. Michelle was very helpful and down to earth - always nice in a spa setting. Parking was a breeze - it is at the back of the building just a skip off Poway Rd.

Found this place on my class pass and I'm so glad I did. When I first walked in the spa was very…read morecute, clean and modern. I was greeted by the owner Leah who explained the infrared sauna and PEMF which I never heard of. A LOT of information on both regarding treatment. I signed up for the infrared sauna, they have a few different lights for different types of treatment. I did the orange light which is both healing and relaxing I think? I forgot but the sauna was a personal use sauna so you get a private room to yourself which has a towel, shower cap some disposable slippers and for after a cool lavender scented towel. My experience was wonderful and relaxing. When I come back I want to try the pemf treatment

I had treatment on Wednesday April 22nd for one syringe filler of Volbella. And a Skinvive…read moretreatment for around the mouth and upper lip. My nurse Niamh was fantastic. She's personable, knowledgeable, and very professional. She had sound ideas of where to inject, listened to my input, and had the gentlest and steadiest hands when injecting! I will definitely be back for more treatments and will always ask for Niamh.

5 Reasons Why I Would Come Here If I was a Beginner Exploring Botox/Dysport…read more 1. Customer connectedness instead of customer service, enough said. 2. Two locations, sometimes a last minute appointment may be available. 3. If you have an issue with whatever service you choose, they will do what is possible to make it right. 4. No pain after effects. Literally momentarily discomfort that's subsidesin less than 5 seconds (dysport). 5. They really do respond to texts AND make appointments. You could be in a boring meeting instead and schedule your appointment. COMMENTARY If you're comparing pricing to Mexico or other countries, Synerchi would be considered high cost. If you're comparing their prices to San Diego industry,, you're good. It ain't cheap but you're good. Technicians would do what they can to work in your budget. But it ain't a budget service, haggling salon. So come with what your means can't afford. Also the goal is beautifying so no negative attitudes allowed. "Gratuities are good karma."

Brittney is excellent. I've been to several other for botox and have never been happy with them for…read morevarious reasons (one gave me a headache, one seemed to use watered down stuff, one I had to go back multiple times bc she just couldn't get it right). Brittney knows exactly what she's doing, never upsells, is conservative in treatment and is always honest. I've never had to go back for a touchup.. I feel confident with my treatments because it feels like a collaboration. I love that she's always willing to have a conversation with me whenever I'm interested in something new. She's awesome and worth the drive to poway

This review is for Dr. Allison Han, I believe she is new to the practice. I loved her so much! I…read moremade an appointment for my first full body skin cancer check and she was so respected and kind. She always checked in when moving on to a new body part and I felt very safe with her. I immediately made an appointment with her to have my 12 year old daughter looked over as well. I recommended Dr. Han to anyone who has been wanting to do a skin cancer check, but has been nervous due to the vulnerability of that type of appointment.

Dr. Elizabeth Vierra and Dr. Mark Vierra are excellent physicians. I have been a patient of the…read morepractice for 25 years. Excellent diagnosticians and super kind and caring. They are terrific. Highly recommend. Staff is also very efficient and patient.