I've been a patient here for many years--since I was quite young--and for a long time I recommended…read morethe practice without hesitation. The clinicians I saw early on were attentive and professional, and I felt confident in the care I was receiving. More recently, however, my experience has shifted in ways that I think prospective patients should understand. One notable change is the increasing emphasis on in-office product sales. In several instances, I was offered skincare products directly through the practice that, upon further inquiry, could also be prescribed and filled at a pharmacy--often at a significantly lower cost. I would strongly encourage patients to ask whether any recommended product can be called into a pharmacy rather than purchased in-house. In my experience, many items packaged under the practice's label or sourced from well-known brands are not exclusive formulations, despite how they may be presented. I've also noticed some confusion around provider credentials. For example, not everyone seeing patients is a board-certified dermatologist, even if they are highly capable clinicians such as nurse practitioners working under physician supervision. That distinction matters to me, particularly for annual skin exams or more complex concerns, and I believe patients should feel empowered to ask directly about the qualifications of the person treating them. Finally, the practice appears to be expanding into offering more procedures in-house, including skin cancer-related surgeries. While convenience can be valuable, I personally feel more comfortable being referred to highly experienced specialists for these types of procedures. Others may feel differently, but it's an important consideration when weighing where to receive care. To be clear, this office can still be a solid option for routine checks or minor concerns, especially if you are comfortable setting boundaries around product purchases. However, I would advise patients to stay informed, ask questions, and make decisions that prioritize both their health and financial transparency. In short: competent care is available here, but it's wise to approach recommendations--particularly around products and procedures--with a thoughtful and informed perspective.

I was a patient there. They were great. However, I promptly paid the bill for my final appointment…read morebut have been receiving past due notices for months. I haven't been there for over 1.5 years. The only discrepancy is a late fee which I clearly do not owe you. Despite all of my attempts to reach out I keep receiving past due notices. Please get your act together!!!

First I want to say my masseuse Gina was wonderful. The facilities though- not so much. Apparently…read morethey are renovating the women's locker room and bathroom. There was no place for me to change or store my belongings. To use the restroom I had to walk out to another building in the rain and wait in line for the other women who were using it as a dressing room. This spa is very expensive. If I had appreciated how this would impact me- I would have booked elsewhere.

We were looking forward to a beautiful spa day, but this facility is really subpar, especially at…read morethese price points. The pool is uninspiring, the gym is under-equipped and crowded with even a handful of people, and the spa treatment rooms are dull and mundane. Add to that the aforementioned price point, which is egregious for a facility of this nature. We don't mind paying 5-star prices for a 5-star facility...but this operation is far far below that. The upside is the polite and engaging staff - shame they don't have a facility that matches their abilities.

I came in here for a walk in blow out appointment for my 30th birthday - was blown away by the…read moreimmediate response and service of this place! I wasn't sure if I wanted to do it but was convinced by my sister to go. I came in not knowing what I wanted so I showed a picture of volumous curls. My hair dresser went above and beyond expectations and made me feel my absolute best!

I scheduled an appointment to have my hair cut and blown. It was super easy to make the appointment…read moreonline. The salon is on Main St of St Helena so it starts out being adorable. Figgie cut my hair and she was great - attentive to what I was looking for and made suggestions when I was on the fence. Super friendly also. Very pleased with my experience here!

Toni does an excellent facial! She takes her time and really opens pores and moisturizes. Highly…read morerecommend .

An amazing experience. Every time I leave after my facial and run into friends they always comment…read morehow great my skin looks. Toni is the best around!!

I cannot say enough about SkinLab and most especially Liz...in a word amazing!!!…read moreShe's so knowledgeable and professional, I would not go anywhere other than to see Liz at SL

The rudest front office staff ever in Saint Helena. Always…read moreplaced on a long hold, just to simply schedule an appointment. Today I was on hold for 15 minutes and then they say they're available to see you in four months. The front staff seems to delight in holding you up and being rude, just for fun. I never post on these sites, but this was so egregious that I needed to let everyone know . I had to give them one star just to place this review, but I'd like to give them a -3 stars.

First, I'd like to say that my massage therapist was excellent and I have no complaints about the…read moreactual massage. However, for $200 for a massage, the overall management and service was disappointing. They add a mandatory 20% gratuity, which is steep on such pricey services. After my massage I walked right into a huge ladder in the hallway, and had to pin myself against the wall to get around. They must have had some issues because I then walked into the women's room to meet 3 male repairmen. No kidding! They charged me $200 to relax and unwind and failed to close down the bathroom for repairs. The woman who checked me out did not apologize and In fact tried to guilt me into adding more money. Uh, no!!

Inside the Las Alcobas hotel. Place is small, but service is excellent. You get what you pay for…read more The thing I like about this place is that you don't have to stay at this hotel to get a wonderful 5 star massage. Staff is so friendly and the place is super clean. I got the pregnancy massage and my hubby got a deep tissue massage. We were in their VIP room. It was excellent. When you check in, they bring you to the bathroom/locker rooms. They give you a nice warm robe and a "goodie bag". I never been to a massage place where they give you a little bag of toothpaste, mouthwash, hair tie, etc.... What a nice gesture. In the waiting area, my hubby and I had the whole place to ourselves. It was so nice. They offer fruit, teas, different flavor infused water. It was a great experience.

Perfection. As soon as you walk through the door, you wish time can stop. From the moment you walk…read morethrough the doors, you're greeted with warm friendly staff. The welcome area is so calming you can just fall asleep on the couch. We made reservations for a couples massage package, and a mustard bath. The locker rooms were in perfect working conditions. The outdoor rest area with the umbrella was so inviting although you'll be sharing the space with a few bugs. The small snacks, tea and fruit was a nice touch. Nice spacious steam rooms with an outdoor shower in perfect working order. The only thing absent was a jacuzzi. The couple massage was very good and relaxing, and the baths are a must try. The bath rooms have a partial open to the element so you can enjoy the outdoor scene while relaxing and soaking in the tub. Overall this place is a definite repeat, and reservations are recommended.

From entering the establishment it was impressive. The staff was great and attentive, they walk you…read morethrough everything and can answer all of your questions. The spa is broken up into his and hers, but if you get a suite you can share time together in there (highly recommend a suit, you will not regret it). This was by far the best spa experience I have had. Can't say enough about the staff, they are world class.

My experience was lovely, I was in dire need of a haircut and my expectations were met, very sweet…read morewoman with a wonderful personality.

Sara is the best! Her depth of knowledge in the beauty industry, with years of experience to back…read moreit! She always takes the time to make everything just right. She is always on time. Her space is warm, inviting and you feel so comfortable. My hair is my everything, it's a huge part of my personality. Sara's nails it every time! Cut & color. Hands down the Napa Valleys best Beauty Atelier.