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The 10 Best Med Spas in San Francisco (2026)
This list ranks San Francisco med spas using public Google review data and a Bayesian-style weighted score that balances average rating with review count; the list was refreshed for 2026. San Francisco supports a wide range of medical aesthetics and wellness providers across its neighborhoods, from compact storefront clinics to larger downtown practices. Whether you’re comparison-shopping for a first consultation or returning for maintenance, local reviews help show which places consistently earn positive feedback while also reflecting the city’s busy, quality-focused market.
This ranking is computed from Google reviews (our method). Listings marked Partner are paid advertising spots: they sit alongside the ranking without changing its order.
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Elinea on 18th & Noe
Elinea on 18th & Noe tops our list because it combines a perfect 5.0 Google rating with a substantial 190 reviews, giving it the strongest weighted score among entries. That mix of a flawless average and a relatively high review volume is precisely what pushes it to number one in our Bayesian-style ranking. The Google category lists it as a Medical spa, and its name and listing place it on 18th Street at Noe.
The full ranking
ParlourRx
With 128 Google reviews, ParlourRx holds a 5.0 rating and appears under the Medical spa category. Its Google entry lists an address on Union Street in San Francisco.
128 reviews
Urban Allure Medical Spa
Urban Allure Medical Spa posts a 5.0 rating from 90 reviewers on Google; the listing shows 660 Market St in San Francisco. It is categorized as a Medical spa on Google.
90 reviews
Eternia Medspa
At 170 Grant Ave, Eternia Medspa is listed with a 5.0 rating from 50 Google reviews and categorized as a Medical spa. The Google listing reflects that rating and review count.
50 reviews
Premier Wellness & Aesthetics Center
Premier Wellness & Aesthetics Center is rated 5.0 on Google with 24 reviews and appears in the Medical spa category. Its listed address is 490 Post St in San Francisco.
24 reviews
Nob Hill Aesthetics | Medical Spa
Nob Hill Aesthetics holds a 4.9 rating from 945 Google reviews and is categorized as a Medical spa. As the name indicates, it operates in Nob Hill and is listed at 909 Hyde St.
945 reviews
Mabrie Facial Institute
Rated 4.9 by 478 reviewers, Mabrie Facial Institute appears in Google’s Medical spa category at 166 Geary St. The Google listing shows the review total and rating.
478 reviews
Idan Med Spa
Idan Med Spa has a 4.9 Google rating from 328 reviewers and is listed under Medical spa; its address on the listing is 3520 20th St. The review count and score place it among the city’s higher-rated clinics.
328 reviews
Hayes Valley Medical Esthetics – Hayes Valley
Located in Hayes Valley, Hayes Valley Medical Esthetics – Hayes Valley records a 4.9 rating from 284 Google reviews and is listed as a Medical spa at 182 Gough St. The name and listing identify its neighborhood explicitly.
284 reviews
Serenity Wellness Spa
Serenity Wellness Spa carries a 4.9 rating from 230 Google reviews but is categorized on Google as a Spa rather than a Medical spa. Its listed location is 2087 Union St in San Francisco.
230 reviews
Frequently asked questions
How should I choose a med spa in San Francisco?
Look for clear information about practitioner credentials and medical oversight, read recent client reviews, and confirm the clinic offers the specific treatment you want. Schedule a consultation to ask about experience, expected results, risks, and aftercare before committing to any procedure.
What do med spa treatments typically cost?
Costs vary widely by treatment type, provider experience, and geographic location; expect different price ranges for injectables, lasers, and facials. Ask for a written estimate during a consultation and check whether follow-up sessions or touch-ups are included.
What should I check before booking an appointment?
Verify licenses and training for anyone performing medical procedures, ask about the facility’s safety protocols and consent procedures, and request before-and-after photos for the specific treatment. Also confirm cancellation, refund, and emergency policies so you know what to expect if something goes wrong.
How is this ranking built and updated?
This list is based on public Google review data using a weighted (Bayesian-style) score that balances average rating with the number of reviews so high ratings with very few reviews don’t automatically outrank well-reviewed larger practices. The dataset behind this page was refreshed for 2026; readers should check current reviews and contact providers for the latest information.