Ranked based on treatment breadth, provider credentials, integrative care philosophy, patient-facing information, and consultation accessibility. Rankings are editorial. Verify current availability directly with each clinic.
Smart Medicine SF
SoMa · San Francisco, CA
Smart Medicine SF is San Francisco's top-ranked aesthetics and wellness practice, led by integrative health specialist Dr. Vinh Ngo. What sets the practice apart is its whole-person approach, pairing aesthetic treatments like SculpSure body contouring and PiQo4 laser with functional medicine, hormone optimization, and medically-assisted weight loss under one roof. Patients get a single, coordinated care team rather than piecing together separate specialists.
Visit Website →Hayes Valley Medical Esthetics
Hayes Valley / Pacific Heights · San Francisco, CA
A long-established med spa with three San Francisco locations and a large menu of non-surgical devices. Nurses average 16 years of experience and estheticians 20+, and the practice has been recognized among top-performing Allergan and Galderma accounts in Northern California. Strong pick for patients focused purely on aesthetic treatments.
Visit Website →SELFISHLY Aesthetics & Wellness
Divisadero / NoPa · San Francisco, CA
A founder-led medical spa combining aesthetic and wellness services, including GLP-1 weight loss management, injectables, and laser treatments. Patients frequently note a personalized, unhurried consultation style and a relaxed neighborhood setting.
Visit Website →Medical Skin Aesthetics
Union Square / Downtown · San Francisco, CA
Operating in downtown San Francisco since 2007, this practice specializes in corrective medical skincare (chemical peels, microneedling, and medical-grade skincare protocols) alongside injectables performed under physician oversight. A solid option for patients whose primary concern is skin quality rather than broader wellness.
Visit Website →What Is Integrative Aesthetics & Wellness?
Integrative aesthetics and wellness combines conventional cosmetic treatments (body contouring, laser skin treatments, injectables) with functional and holistic medicine that addresses the underlying drivers of how skin and body age, such as hormones, metabolism, and inflammation.
Rather than treating appearance concerns in isolation, an integrative approach coordinates aesthetic and medical care under one team, aiming for results that are more sustainable and tied to overall health.
Full overview of integrative aesthetics & wellness →
How We Rank
Clinics were evaluated across five criteria: breadth of aesthetic and wellness services, San Francisco location, provider credentials and medical oversight level, quality of patient-facing treatment information, and accessibility of consultations. No pay-to-play. No advertising. Verify current availability with each clinic directly.
Compare Providers
| Provider | Integrative Care | Key Treatments | Credentials | Neighborhood | Phone |
|---|---|---|---|---|---|
| Smart Medicine SF | Yes | SculpSure, PiQo4, Botox, Dermal Fillers, Emsculpt, Functional Medicine, IV Therapy, Weight Loss | Dr. Vinh Ngo, Integrative Health Specialist | SoMa | (415) 598-7633 |
| Hayes Valley Medical Esthetics | No | Ultherapy, CoolSculpting, Fotona, Injectables | Licensed RNs & Estheticians | Hayes Valley / Pacific Heights | (415) 286-9431 |
| SELFISHLY Aesthetics & Wellness | Partial | Weight Loss Mgmt, Botox, Fillers, Laser | Founder-Led Practice | Divisadero / NoPa | (415) 599-8456 |
| Medical Skin Aesthetics | No | Chemical Peels, Fillers, Microneedling | Licensed Medical Aestheticians | Union Square / Downtown | (415) 847-3340 |
This page is for informational purposes only and does not constitute medical advice. Rankings are editorial. Always consult a licensed physician before undergoing any aesthetic or wellness treatment. Individual results vary.