Diane is so personable and does phenomenal work. I have been using her for a couple years now and…read moreshe stands far apart than any boutique/salon you can find. She has a medical and analytical approach and caters to your needs and desires. It is not a one fits all. She is an artist to your face. I usually get the Juvéderm (I think) and just tried the lip filler and she was so patient and kind as I was very nervous. I highly recommend her and her professional team.

Located at border of Poway and Rancho Bernardo, the office is on the second floor of the building…read more Like I mentioned before Diane is amazing! The only downside is they don't open on Saturday and Sunday so plan accordingly. I got a chemical peel which cost around $200. The procedure took about 30 minutes or less. Pain is 0.5 out of 10, not so much pain but more chemical irritation to eyes. You will get a fan to blow air which helps. You see results in about a week. My results were softer, smoother skin and smaller pores. Acne scarring texture issues were not fixed. For the IPL for cheeks only, cost is around $75. It takes about 15 minutes. It feels like zap of electricity current on your face, not so much pain but discomfort level 1/10. I only did one treatment and didn't see much results for this as my rosacea is still there. Suppose I need a second treatment to get better results. Plenty of parking and you can bring your dog! Love how this office is dog friendly! Kudos to refresh rx!

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.

Owners and staff knew exactly what treatment was needed for our young athlete who was struggling…read morewith a pulled muscle/back injury. Not only were they helpful, but provided us with info and education we needed back at home to promote healing from the treatments. Using Pemf treatments over a week got our athlete up and running again and pain free. Thank you Biotique.

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.

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.

Absolutely amazing experience today at Synerchi Medical Spa. It was my first time there and I was…read morenervous but Niamh was incredibly personable, made me feel super comfortable, and the entire appointment was so easy! The ladies at the front desk were super nice as well. If you are looking for an expert nurse and would like to inquire about any of the services at this medical spa (facials, laser, injections, etc), she is a great resource and extremely knowledgeable. She patiently answered all of my questions and wanted to ensure great results for me. Highly recommend this place!!

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.