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The Gold Standard in Medical Spa

Receive a $50 Gift Card towards your first treatment with us!

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Serving San Francisco Since 1998

We Participated in the First FDA Clinical Trials
for Hair Removal in 1996 and have been Providing Treatments Ever Since

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dr patrick bitter sr slide

Founder of the PhotoFacial

Dr. Patrick Bitter Sr, a world renowned Dermatologist and our Medical Director founded
the PhotoFacialSM to treat Rosacea and other skin concerns

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6 Unexpected Fixes with Injectable Fillers


Injectable dermal fillers like Juvederm, Restylane, Sculptra, and Radiesse aren’t just for your face anymore. While these treatments that add volume and hydrate the skin are still great for smoothing facial wrinkles, erasing acne scars, and plumping up lips, plastic surgeons are finding even more uses for injected skin sculpting.

Where dermal fillers are going these days.

Here’s a rundown of the many areas that have been improved with injectable fillers:

  • Feet. Women who wear high heels are having fillers injected into the balls of their feet to alleviate pain and increase the padding that wears down with age. A few have also had injections to the tops of their feet, so they’ll look better in sandals.
  • Hands. You can get rid of the bony, “veiny” look of aging hands with injections like Radiesse or Sculptra.
  • Knees. Baggy knees and gravity folds vanish with skilled injections of dermal fillers. In fact, doctors have been using fillers in knees for years to combat the effects of advanced arthritis.
  • Decollete. Sleep lines and sag-induced creases can be sculpted out of sight using these versatile injections. Dermatologist Dr. Patrick Bitter, Sr. says: “Restylane or Juvederm both are good injectables that fill in the neck and chest creases easily and quickly.”
  • G-spot. No, we’re not making this one up. Plastic surgeons have found success using dermal fillers to give women larger and more…readily accessible pleasure spots. Birmingham plastic surgeon Dr. William J. Hedden elaborates: “We perform an injection of cosmetic filler called Prevelle or collagen in the G-spot area, where there are clusters of nerve endings that, when stimulated, can cause an intense orgasm. The rationale behind injecting is to enhance the G-spot area, making it easier to stimulate.” The G-spot injection procedure takes about ten minutes, and recovery is just 24 hours before you can return to sexy times.

Are non-facial dermal fillers for you?

Depending on the amount used and the area injected, dermal filler enhancements last from 3 to 18 months. Costs vary, but it’s typically $1,000 or less per treatment.
Would you consider sculpting your body with dermal fillers? What problem spot would you target? Let us know in the comments!


Cellusculpt ~ Say Goodbye to Cottage Cheese Thighs

Got cellulite? You’re not alone: The cosmetic condition affects nearly 90% of women at some point during their lives, even women who are otherwise slender and fit.

What is cellulite?

The term cellulite refers to the dimpled appearance of the skin that some people have on their hips, thighs, and buttocks. This appearance is much more common in women than in men because of differences in the way fat, muscle, and connective tissue are distributed in men and women’s skin. The lumpiness of cellulite is caused by fat deposits that push and distort the connective tissues beneath skin, leading to the characteristic changes in appearance of the skin.

Cellulite is not related to the condition known as cellulitis, which is a spreading bacterial infection or inflammation of the skin and tissues beneath the skin.

What causes cellulite?

The dimpled appearance of cellulite can be considered to be a normal variant — one way that many perfectly normal human beings look. Heredity, skin thickness, gender, the amount and distribution of body fat, and age can all influence the extent to which cellulite is present or visible. While cellulite is more common in women than men, men can also be affected. Cellulite occurs in people of all races living all around the globe. Although female hormones may play a role in contributing to this pattern of fat distribution, cellulite is not treatable by hormone therapy. Be the first to experience Epi Center MedSpa’s revolutionary treatment Cellusculpt. This procedure reduces the appearance of cellulite and tightens the skin.

Be the first to experience Epi Center MedSpa’s revolutionary treatment Cellusculpt. This procedure reduces the appearance of cellulite and tightens the skin. Call to book your complimentary consultation for Cellusculpt today at 415.362.4754.

CelluSculpt-before-after-1 CelluSculpt-before-after-2




Summertime Chemical Peels- July 8, 2016

Chemical Peel face

As we grow older, age spots – usually light or dark brown – become more and more prominent. They are most often caused by overexposure to the sun. Melanin begins to concentrate in a small area, so the result is something like a large freckle. They can be removed surgically, but the skin regrowth is often uneven. In other words, a scar may form that is as noticeable as the age spot was before it was removed.

Chemical peel treatment is a suitable option for getting rid of superficial or medium-depth age spots. Before deciding that peel treatment is the best option, check with us at Epi Center Medspa. We will sit down with you, examine the trouble spots on the face, and give you all the information you need concerning treatment options.

How Chemical Peels Work

A light peel treatment is superficial in nature. It only lifts away the uppermost layers of skin. Depending on the size and volume of the age spot, this type of peel may or may not be effective.

A medium-depth peel uses a slightly stronger solution. Its effect is more pronounced because a thicker layer of skin is lifted away. This type of treatment requires a short recovery time on the part of the client.

A deep peel will help to remove thicker age spots as well as lesions and deep scarring. It is also effective for smoothing out deeper wrinkles that have begun to set.

Chemical peels are applied on the facial skin. Over the next week or so, the skin layer dries up and flakes off. The body responds by sending nutrients to the affected area. A new layer of skin begins to grow. The age spot will slowly become less and less pronounced.

A deep peel treatment may be performed if the age spot or other discoloration is quite thick and penetrates below the layers of skin.

Benefits of Chemical Peels

Although this type of treatment sounds rather harsh in terms of what it does to the facial skin, the procedure is actually simple. The healing process – including healthier tissue growth – is automatic. The body does this naturally without the client having to perform any sort of post-treatment care. Deeper peels may require special skin care on a daily basis. Chemical peels do not involve the abrasive resurfacing of the skin.

Learn More About Chemical Peels

If you are looking for a simple cosmetic treatment for age spots or other discolorations, a chemical peel may be just the procedure for you. Contact Epi Center MedSpa today to schedule a personal consultation at 415.362.4754.


Did you know that 71% of people feel that their acne scars negatively affect their self-confidence and 66% of people say their acne scars make them feel frustrated or angry? However, acne scars shouldn’t define anyone. You are beautiful and deserve to break free from your acne scars.


5 Steps for Living Scar Free

1. Find a Supportive Community
Whether it’s a group you meet with weekly, or an online community such as “A Scar Free Me” that allows for dialogue with your peers, find a support system where you feel comfortable – and empowered! – to talk about your acne scars.

2. Talk to an Expert
When it comes to treating acne scars, doctors know best. Schedule a consultation with your local dermatologist to review treatment options. Never be afraid to ask for help.

3. Education is Power
If you feel like you’ve exhausted all your options, reevaluate. Thoroughly research and stay up to date with what treatments are available. You may be surprised at what you find. For example, the FDA recently approved Bellafil, a dermal filler, for the correction of moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years. To learn more, please visit

4. Affirmation
When was the last time you told yourself you’re beautiful? Try and do this every day! Make a habit of it by looking into the mirror each morning and reaffirming your self-image and self-worth. Start out by saying something as simple as, “You look great!,” or “My scars don’t define me.”

5. Confidence is Key
Take proactive steps to become your most confident, beautiful self and love the skin you’re in! Don’t let acne scars impact how you feel.

For a complimentary consultation about ‪‎Epi Center MedSpa‬ treatments for Acne and Acne Scars such as our Anti Acne Detox Treatment, Microneedling , Photofacial, Blue Light Therapy,  please contact us at 415.362.4754 or visit us on the web at

Why should ladies have all the fun.. MedSpas Are for Guys, Too! – 4/29/16


Facial rejuvenation and medical spa services have grown in popularity in recent years, and they’re not just for women—men can also enjoy the benefits a MedSpa has to offer. From Botox to facials to non-invasive fat cell reduction options, professional med spas like Epi Center MedSpa‬ cater to men who desire to look and feel their best. In fact, over 30% of medspa patients nationwide is men from the ages of 18-80 who all want to look their best.

Facial Rejuvenation – Botox and Facials for Men

From dullness and large pores to acne and rosacea to fine lines and wrinkles, facials are a great way to treat a number of skin care concerns for guys. Guys skin is unique and a skin treatment or facial should be designed to target your specific skin care concerns, and a professional MedSpa will provide you with some take-home skin care options to provide optimal results after treatment. At Epi Center MedSpa, the first medical spa in the nation, we offer professional medical grade take-home skin care treatment options from reputable skin care companies such as Obagi Medical Products, SkinCeuticals. Elta MD Skin Care, ClarisonicColorScience Indermica Inc to our very own product line, so your skin can continue the results started in the medspa.

Botox is another option that many guys turn to for the treatment of moderate to severe forehead lines between the brows, as well as crow’s feet lines. Guys are turning to Botox to shave off a few years especially in today’s ultra competitive job market. Results from Botox can be seen within a week and will vary based on the number of units used and the areas treated. If people are frequently asking if you are tired or mad Botox can take the edge off of facial lines that can be interpreted as harsh.

Additional facial rejuvenation options for men include Photofacial Chemical Peels, Microdermabrasion, fillers such as Restylane and Voluma, and Fraxel laser resurfacing treatments and more. We will take the time to get clear about your specific skin care needs so customized treatment plan can be created for optimal results.

Fat Cell Reduction and CoolSculpting

Want a little less to love in the love handle areas? For men looking to reduce fat in those stubborn hard-to-lose areas, CoolSculpting might be the answer. CoolSculpting is the first and only FDA-approved fat reduction option. It requires no cutting, anesthesia, needles, or downtime and has been approved to treat fat around the abdomen, outer and inner thighs, sides, and under the chin. By safely and precisely freezing fat cells in these areas, the cells are naturally reduced from the body, resulting in a more toned-looking body. The number of treatments required will vary per person, and many see results in as little as two weeks.

Determine The Best Treatments to Meet Your Needs with a Complimentary Consultation.

Regardless of your skin care and fat loss needs, we’re here to serve you. Call The Epi Center MedSpa today at 415.362.4754 to schedule an appointment, so our team of professionals can help you determine your facial and body rejuvenation and medical spa needs.

Product of the Month: EltaMD Sun Care/Skin Care- 3/1/16

For more than 25 years, ELTAMD has developed wound healing, sunscreens and skin care products that are widely used and recommended by physicians. EltaMD applies and creates innovative products that help restore, protect and maintain healthy skin. EltaMD features a line of premier skin care products and best-rated sunscreens.
EltaMD skin care provides effective solutions for all skin types to keep you safe from environmental damage. They feature a complete line of sun protection products, with nine unique sunscreen formulas that are hypoallergenic and sensitivity free to provide you with everything from a sunscreen for sensitive skin to one for oily/acneic skin.
In addition to EltaMD sunscreen, the brand includes intense moisturizers to deep gentle cleansers that nourish and beautify the skin with each use. EltaMD products work to prevent sun damage and signs of premature aging, such as wrinkles, and are most effective when used as part of a complete skin care system. They are committed to providing innovative products that help develop and maintain great skin for life!
EltaMD Skin Care/Sun Care provides a simple approach to daily skin care that is safe for even the most sensitive skin. This skin care regimen will prevent skin aging by keeping your skin healthy and repairing any existing signs of aging.
EltaMD sunscreens provide safe, broad spectrum UV protection in natural zinc-based, cosmetically elegant formulations. All EltaMD sunscreens are noncomedogenic, sensitivity-free, fragrance-free and paraben-free
The products are formulated for every skin type, lifestyle and special need. Your physician and skin care professional can recommend the EltaMD sunscreens and skin care products that are right for you.
Cleanse: EltaMD facial cleansers effectively cleanse and leave the face feeling fresh and healthy. They have no harsh chemicals that can irritate and over-dry the skin.
Moisturize: EltaMD therapeutic and super-hydrating facial moisturizers help decrease dryness and itching while minimizing the appearance of wrinkles. Full-body therapeutic moisturizers help achieve and maintain healthy-looking skin.
Renew: EltaMD Renew Eye Gel offers a fusion of innovative peptides, extracts, vitamins and other anti-aging ingredients to diminish and eliminate fine lines and wrinkles, puffiness and dark circles.
Wear a broad-spectrum sunscreen every day to help prevent skin cancer, wrinkling, hyperpigmentation and loss of elasticity. EltaMD sunscreens are formulated for specific skin types and lifestyles.
Elta MD products Epi Center MedSpa offers:
• EltaMD UV Lotion Broad-Spectrum SPF 30+
• EltaMD UV Daily Broad-Spectrum SPF 40
• EltaMD UV Physical Broad-Spectrum SPF 41
• EltaMD UV Shield Broad-Spectrum SPF 45
• EltaMD UV Clear Broad-Spectrum SPF 46
• EltaMD UV Sport Broad-Spectrum SPF 50
• EltaMD Foaming Facial Cleanser
• EltaMD Intense Moisturizer
• EltaMD Barrier Renewal Complex
SPF stands for Sun Protection Factor and refers to the theoretical amount of time you can stay in the sun without getting sunburned. For example, an SPF of 15 would allow you to stay in the sun 15 times longer than you could without protection. So, if your skin starts to redden in 20 minutes without sun block, applying a product with SPF 15 increases that time by a factor of 15, meaning you could stay in the sun for 300 minutes. In addition, a higher SPF blocks out more rays—a product with an SPF of 15 will filter out approximately 93 percent of UVB rays; SPF 30 filters out about 97 percent.
For a chance to win an EltaMD product, tell us your favorite EltaMD sunscreen and why?
#PatientExperience #HealthTalk #Sunscreen #HeathySkin #EltaMD

It’s Love Month, and You Like it Hot – 2/10/16

You Like it Hot

It’s Love Month, and You Like it Hot

A kiss on the hand might be quite continental, but smooth skin is a girl’s best friend. And when you love your skin, gazing in the mirror is more rewarding than trying on diamonds at Tiffany’s.

Of course, full, luscious lips are nice as well. And this month Epi Center MedSpa has great ideas and deals to help you be your most kissable. Whether you’re looking to improve contours or smooth out lips lines, we have the treatment that’s right for you.

Don’t bother to knock. Call today for an appointment and you can look as young as you feel. By the way, smooth skin is a guy’s best friend too.


Gentlemen Prefer Luscious Lips

Do you desire lips as full and luscious as Marilyn Monroe? You may already be using fillers to smooth fine lines and wrinkles. But did you know your favorite filler is also good for plumper, fuller lips? Epi Center knows just how to give you the kissable lips you’re seeking. Whether you use fillers in combination with other treatments or on its own, you’ll get great savings for fuller, more luscious lips.


Some Like it Hot, But They Don’t Like Smokers’ Lips

You don’t have to be a smoker to have smoker lips. We’re talking about the ring of bunching skin that can radiate from your mouth, sometimes called lipstick lines. BOTOX® Cosmetic can relieve the skin around your lips of unsightly lines, making you look years younger. It can be used in many different ways to eliminate wrinkles and even prevent new ones. When paired with a filler like Juvederm® or Restylane®you can smooth even the deepest lines.



Send Fat on a River of No Return,with CoolSculpting

CoolSculpting is an FDA-approved fat freezing procedure that safely and effectively freezes away unwanted fat for good without surgery or downtime. And unlike the hundreds of weight loss programs you’ve heard and read about, it lets you hone in on specific problem areas such as chin, thighs, belly and waist.

Many people believe that weight loss programs and fad diets help them shed fat cells. That’s a common misconception. What’s happening is that the fat cells reduce in size but not in number. With CoolSculpting, fat cells are frozen and eventually eliminated from the body naturally.CoolSculpting reduces your total number of fat cells while creating your ideal contour.



All About Even Skin Tone

PhotoFacialSM is our signature treatment, and it’s ideal for treating a broad range of skin problems. It treats and helps prevent sun damage; it smoothes skin texture; it evens tone and eliminates wrinkles, builds collagen, and so much more.

Using intense pulses of light to gently penetrate the skin, we correct years of sun damage, Rosacea, freckles, broken capillaries, face veins, flushing skin, and uneven pigmentation. Photo-heat breaks down skin abnormalities allowing your body to heal naturally and flawlessly. The results are radiant, evenly toned skin. And because there’s no down time, you can look your best just in time for Valentine’s Day!


How to Marry a Millionaire?

Want to know how to marry a millionaire? Give your sweetheart a $1 million gift card to Epi Center! Gift Cards make a perfect gift for love month, and best of all you don’t have to spend a million to look like a million bucks.

Forgive Yourself and Freeze the Fat- January 1, 2016

Forgive Yourself and Forget the Fat
We’re already a few weeks into 2016, and if you’re like the vast majority of people, you’re still trying to shed the extra pounds you resolved to lose by Valentine’s Day. It’s time to forgive yourself of your holiday indulgences, and forget the fat!

Epi Center MedSpa offers several options to create a customized, non-surgical trim-down plan: CoolSculpting, HCG, Body FX, Kybella and Ultherapy.

Whether you’re looking to shed major pounds all over or focusing in on a single problem area, our aesthetic and medical professionals can develop a treatment program just for you. Forgive yourself and forget the fat!

Freeze Away the Most Stubborn Fat with CoolSculpting
CoolSculpting is an FDA-approved fat freezing procedure that safely and effectively freezes away unwanted fat for good without surgery or downtime. And unlike the hundreds of weight loss programs you’ve heard and read about, it lets you hone in on specific problem areas such as chin, thighs, belly and waist.

Many people believe that weight loss programs and fad diets help them shed fat cells. That’s a common misconception. What’s happening is that the fat cells reduce in size but not in number. With CoolSculpting, fat cells are frozen and eventually eliminated from the body naturally. CoolSculpting reduces your total number of fat cells while creating your ideal contour.

Partner Up for Medically-Supervised HCG Weight Loss
Losing weight is easier when you have a partner. So let us be your weight loss buddy. Epi Center has a medically supervised HCG Weight Loss program to help you lose up to 30 pounds in one month.

HCG is a naturally-occurring hormone which has been shown to help control metabolic function. Participants lose up to a pound a day in the first month. The program includes a medical assessment, weekly injections, nutritional supplements, consultations and continuous progress review.

While calorie restrictions always play an important role in weight loss, HCG enhances diet by burning excess adipose tissue, maintaining proper metabolic function and hunger suppression. At Epi Center, you’ll receive one-on-one support—our program is 100% supervised by Nurse Practitioners and Physicians because we want you to feel safe and secure throughout the process.
Call today for a free consultation to see if HCG is right for you.

Stay Cellulite-Free with BodyFXtm

Nothing is more unforgiving, unsightly and unreasonably stubborn than cellulite. Luckily, Epi Center is one of the few centers in the Bay Area to offer BodyFX, targeting problematic fatty tissues for ideal contouring.

This revolutionary treatment starts by squeezing and holding layers of fatty tissue to provide maximum exposure for radio frequency heat. The treatment gently and effectively targets energy to cellulite to eliminate fat cells while smoothing and recontouring sub dermal layers. The result is a smoother, and more confident you.

Forget cellulite? Gladly… in fact, let’s just pretend it never happened.

Cast Away your Double Chin with KYBELLA™

Let’s face it; losing the fat below your chin is difficult, if not impossible, through simple diet and exercise. If surgery is out of the question, you’re in luck. Now there’s KYBELLA™, an injectable treatment to improve the appearance and profile of moderate to severe fat below the chin, aka “double chin.” It is FDA-approved and available by prescription only.

The active ingredient in KYBELLA™ is deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath your chin, KYBELLA™ causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. Call us today to learn how you can forget your double chin.

Ultherapy®: Don’t Let Sagging Skin Remind You of Lost Fat

Sometimes even the most effective weight loss treatments have a negative side effect: sagging skin. With Ultherapy®, you can easily tighten the excess skin that once covered the layers of fat you’d rather just forget.

By using sound waves to penetrate skin, Ultherapy® gently heats the deepest tissue layers to lift and tighten loose skin. It requires no special recuperation or preparation and typically only takes one 30-60 minute treatment to get a meaningful response. Don’t let sagging skin remind you of the fat you’ve previously lost. Ultherapy® helps remove any trace of forgotten fat.

Epi Center MedSpa’s Product of the Month: Retin-A

Often called a “facelift in a tube,” Retin-A is the gold standard of anti-aging products. This topical treatment has more benefits for your skin than San Francisco has overpriced apartments.

What is Retin-A and what can it do? In a nutshell, it’s a form of Vitamin A that helps your skin renew itself. It helps the look of skin by reducing wrinkles, building collagen, reducing the size of pores, erasing acne, reducing oil, evening skin color and tone, and so much more. After your next facial, be sure to ask your aesthetician about Retin-A. The results are unforgettable.

Indulge at Epi Center MedSpa

As the first medical spa concept in the country, Epi Center MedSpa aims to provide the most leading-edge anti-aging technology in a safe, comfortable and sustainable environment. Not only do we want you to feel confident in the experience of our staff, we want you to indulge your senses and leave feeling refreshed.

This month, we’re delighted to offer seasonal and antioxidant-rich Pears and Grapefruit. Relax with a warm cup of Green Tea with Mint or spice things up with a glass of white wine (or have two, this is all about you!).


Lose Weight in the New Year

2016 Slim Down

‪#‎LoseWeight‬ in the New Year

Losing weight safely and keeping the weight off long-term requires some forethought and planning on the part of the person determined to get in shape. Every New Year many people resolve to lose weight. Weight loss is difficult, and in order to be successful it takes ‪#‎motivation‬, ‪#‎dedication‬and the will to stay ‪#‎focused‬ and on track with ‪#‎goals‬. Medical weight loss at ‪#‎EpiCenterMedSpa‬ can help make the ‪#‎weightloss‬ process easier, especially if you follow a few simple steps.


Determine what would be a reasonable amount of weight to lose each month, and write down that goal. The goal should be in a range that you can accomplish safely, so set a goal of two to three pounds a week. Losing a lot of weight quickly will generally result in gaining it all back, so go for slow and steady weight loss.


Get a journal so that the goal can be tracked, as well as what is eaten daily. If you make a contract with yourself to be honest about what is eaten on a daily basis, even when you go off-track you can journal what happened that day to sabotage the diet. Understanding out-of-control eating is the first step to eliminating the problem.


Write on page one of the journal how much weight you will lose by a specific date. If you want to lose 50 pounds and resolve to lose 5 – 10 pounds a month, then the end date is easy to determine.


Research healthy recipes that are easy to fix, and have those recipes on hand when grocery shopping. Lots of lean protein, vegetables and fruit and lots of water are important to diet success.

Tell your friends that you are losing weight for the New Year, and ask them for support. Medical weight loss at Epi Center can be your successful resolution for the New Year.

Call us to get a jumpstart on your weight loss for 2016. Book your complementary consultation today for ‪#‎HCG‬ and ‪#‎CoolSculpting‬ at 415.362.4754.
‪#‎ForgetTheFat‬ ‪#‎NewYearNewYou‬

Double Chin Begone: Kybella

Kybella, A Fat-Destroying Injectable Drug, Approved By The FDA

Oh, the pesky double chin! Caused by aging, genetics, weight gain — or any combination of these factors – is often resistant to diet and exercise. The double chin has also historically been an undertreated facial aesthetic condition, despite 2014 survey results from the American Society for Dermatologic Surgery (ASDC), which indicate that over two-thirds of consumers are bothered by their double chins.

Double Chin
Just in time for the holidays Epi Center Medspa is proud to offer KYBELLA™ the latest treatment for this “aesthetic condition.” The Food and Drug Administration approved Kybella (deoxycholic acid) for moderate-to-severe fat below the chin. Kybella, a drug that is injected directly into the chin area where it destroys fat cells.

“Using Kybella for the treatment of fat outside of the submental area is not approved and is not recommended,” the FDA warned in its announcement. Kybella is identical to the deoxycholic acid that is produced in the body to help absorb fats.

Learn more about KYBELLA and other Epi Center MedSpa treatments and products by visiting us at, 450 Sutter St. Suite 800, San Francisco, CA 94108 or call us to book your next appointment at 415.362.4754.

Consultations free, results priceless.