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Med spas
Epi Center MedSpa
Epi Center MedSpa

Epi Center MedSpa

Med spa in San Francisco, CA

Rated 4.2 out of 5 (87 on Google Maps) (opens in a new tab) Closed now

Epi Center MedSpa has operated in San Francisco since 1998. Dr. Patrick H. Bitter, Sr. and Margaret Mitchell co-founded it after partnering in 1996. The business credits itself with originating the medspa concept and says it was the first medical spa concept in the United States. It states that it has cared for more than 48,000 patients and has supported more than 250 San Francisco charitable and nonprofit organizations. Its team represents 13 countries and speaks 11 languages.

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About

Epi Center MedSpa has operated in San Francisco since 1998. Dr. Patrick H. Bitter, Sr. and Margaret Mitchell co-founded it after partnering in 1996. The business credits itself with originating the medspa concept and says it was the first medical spa concept in the United States. It states that it has cared for more than 48,000 patients and has supported more than 250 San Francisco charitable and nonprofit organizations. Its team represents 13 countries and speaks 11 languages.

Consultations are free. Under its Centered On You program, a client begins with a free consultation and then receives a customized plan carried out over a series of appointments. Treatments are often combined to aim for natural-looking results. Before any medical treatment, an MD, PA or NP sees the patient to determine whether they are a good candidate. The business says it uses only FDA-approved technology with established treatment protocols.

Injectables are a central part of the menu. Botox and Dysport are used for facial wrinkles and lines, and the business describes a conservative approach aimed at a natural, more youthful look. Results generally last three to four months. Dysport begins to show about two days after treatment and Botox about four to five days after, with full effect around 14 days. Injection visits take 10 to 15 minutes, and the business books 30 minutes per session. According to the website, injections need no anesthetic and are performed by nurses, nurse practitioners and PAs. The business says it has provided Botox and Dysport for more than 15 years and believes Dysport lasts a little longer than Botox for many patients.

Clinical facials are customized to each client's skin type and concerns and are performed by medical professionals, according to the website. Appointments run 60 to 120 minutes and can be combined with other treatments. Options include the Skin & Tonic Custom Facial, which covers the face, neck and décolletage with a massage; HydraFacial Elite; dermaplaning; the Anti-Acne Detox Facial; an Intraceuticals oxygen facial with infusions; and Forma radiofrequency skin tightening, which typically takes 30 to 60 minutes. Clinical facials are listed from $175 to $375, depending on the treatment and whether the face, neck and chest are included. Laser services range from IPL PhotoFacial for brown spots, redness and uneven tone to ResurFX fractional resurfacing and CO2 laser resurfacing at light, medium or deep intensity. CO2 resurfacing requires a $300 deposit, or $500 for medium-intensity face and neck treatment.

The clinic is open Monday through Saturday from 9:30 AM to 6:00 PM and is closed Sundays. Cancellations are made by phone or text, and a $75 fee applies to cancellations made within 24 hours. The business uses medical-grade and organic skincare and sells products through an online store. According to the website, San Francisco Magazine's Best of the Bay named it Best MedSpa in 2026 and in several earlier years, and named its team Best Team in 2026.

Customized, combined treatment plans aimed at natural-looking results, using technology the business says is FDA-approved and carried out after a physician, PA or NP has assessed candidacy.

Specials & promotions

  • New patient VIP pricing: Botox $13 a unit

    $13 (regularly $16)

    For new patients, 6 months of VIP pricing. After that, list price for Botox is $16 a unit.

    On their website as of Oct 30, 2026 · Where we saw it

  • Buy 3, get 1 free on Sculptra, Radiesse or PRF EZ Gel

    Applies to eligible treatments. Treatment suitability and combination options are determined during consultation.

    Valid through Nov 30, 2026 · Where we saw it

  • Send a friend a $100 gift card

    Only one online $100 gift certificate will be allowed per customer. Cannot be used with any other offer.

    On their website as of Oct 30, 2026 · Where we saw it

  • 20% off Juvéderm and Restylane dermal fillers

    Cannot be combined with other discounts or promotions, except eligible Allē and Aspire rewards.

    Valid through Nov 30, 2026 · Where we saw it

  • 20% off Botox or Dysport in November

    Minimum treatment requirements: Botox 20 units, Dysport 50 units.

    Valid through Nov 30, 2026 · Where we saw it

  • 30% off clinical and organic facials

    Holiday promotion; facial prices shown as regular and now prices on the page.

    Valid through Nov 30, 2026 · Where we saw it

Services

Final prices may vary.

Botox and Dysport, dermal fillers, Kybella, PDO nova thread lift, sclerotherapy, Sculptra and Radiesse, Skinvive, vitamin therapy, EZ Gel, PRF therapy and a physician-directed weight management program.

  • Botox® And Dysport® $5.20/unit
  • Cosmetic Fillers Price at booking
  • Ez Gel Price at booking
  • Kybella® Fat Eliminating Price at booking
  • Pdo Nova Thread Lift Price at booking
  • Prf Therapy Price at booking
  • Sclerotherapy Price at booking
  • Sculptra® & Radiesse® Price at booking
  • Skinvive™ By Juvéderm® Price at booking
  • Vitamin Therapy Price at booking
  • Weight Loss Management Price at booking

Injectables for forehead lines, crow's feet, frown lines, drooping brows, under-eye wrinkles, smile lines, neck bands and excessive sweating, priced per unit.

  • Dysport (per unit) $5.20/unit
  • BOTOX Cosmetic (per unit) $13/unit

Several filler brands for restoring volume and enhancing facial contours, including Juvéderm Ultra, Voluma, Vollure, Volux, Lyft, Contour, Kysse, Refyne and Defyne.

  • Contour® Price at booking
  • Defyne® Price at booking
  • Juvéderm Ultra® Price at booking
  • Kysse® Price at booking
  • Lyft® Price at booking
  • Refyne® Price at booking
  • Vollure® Price at booking
  • Voluma® Price at booking
  • Volux® Price at booking

Facials customized to skin type and concerns, including Skin & Tonic, HydraFacial Elite, Forma skin tightening, dermaplaning and anti-acne options, plus add-on infusions.

  • HydraFacial $175
  • Oxygen Facial $175
  • Skin & Tonic Facial $175
  • Clinical Facial $195–$375
  • HydraFacial Elite $195–$375
  • Pen & Peel - Microneedling + Chemical Peel $195–$375
  • Skin & Tonic Custom Facial $195–$375
  • Pen & Peel $245
  • Anti-Acne Detox Facial Price at booking
  • Atoxelene Add-On Price at booking
  • Clarity Infusion Price at booking
  • Dermaplaning Facial Price at booking
  • Forma Facial Skin Tightening Price at booking
  • Intraceuticals Oxygen Facial Price at booking
  • Opulence Infusion Price at booking
  • Rejuvenate Infusion Price at booking

Peels including the Perfect Derma Peel and glycolic and lactic peels customized by aestheticians, and combined options such as Pen & Peel.

  • Chemical Peels Price at booking
  • Clinical Facials Price at booking
  • Forma™ Facial Price at booking
  • Hydrafacial™ Elite Md Price at booking
  • Organic Facials Price at booking

Facials using FarmHouse Fresh botanical skincare.

  • FarmHouse Fresh Facials Price at booking

CoolSculpting Elite, EvolveX Tone and Morpheus8 for the body.

  • Coolsculpting® Elite Price at booking
  • Evolvex Tone Price at booking
  • Morpheus 8 For Body Price at booking

Hair restoration, Keravive and scalp HydraFacial treatment.

  • Hair Restoration Price at booking
  • Keravive Price at booking
  • Scalp Hydrafacial Treatment Price at booking
  • Botox® Price at booking
  • Dysport® Price at booking
  • CO2 Deep Intensity Laser Resurfacing 2/3 Face Only Price at booking
  • CO2 Deep Intensity Laser Resurfacing Face & Neck Price at booking
  • CO2 Light Intensity Laser Resurfacing 2/3 Face Price at booking
  • CO2 Light Intensity Laser Resurfacing Chest Add On Price at booking
  • CO2 Light Intensity Laser Resurfacing Chest Only Price at booking
  • CO2 Light Intensity Laser Resurfacing Face and Neck Price at booking
  • CO2 Light Intensity Laser Resurfacing Face, Neck, Chest Price at booking
  • CO2 Light Intensity Laser Resurfacing Face Only Price at booking
  • CO2 Light Intensity Laser Resurfacing Hands Price at booking
  • CO2 Light Intensity Laser Resurfacing Neck Only Price at booking
  • CO2 Medium Intensity Laser Resurfacing 2/3 Face Only Price at booking
  • CO2 Medium Intensity Laser Resurfacing Face Price at booking
  • CO2 Medium Intensity Laser Resurfacing Face & Neck Price at booking
  • CO2 Medium Intensity Laser Resurfacing Face, Neck, Chest Price at booking
  • CO2 Medium Intensity Laser Resurfacing Hands Price at booking
  • CO2 Medium Intensity Laser Resurfacing Neck Only Price at booking
  • Solarias CO2 Laser Resurfacing Chest Only Price at booking
  • Solarias CO2 Laser Resurfacing Face, Neck, Chest Price at booking
  • Solarias CO2 Laser Resurfacing Face Only Price at booking
  • Solarias CO2 Laser Resurfacing Hands Only Price at booking
  • Solarias CO2 Laser Resurfacing Neck Only Price at booking
  • Co₂ Laser Resurfacing Price at booking
  • Ipl Photofacial℠ Price at booking
  • Laser Hair Removal Price at booking
  • Microneedling Price at booking
  • Morpheus 8 Radio Frequency Microneedling Price at booking
  • Resurfx™ Laser Resurfacing Price at booking
  • Sofwave Skin Tightening Price at booking
  • Ultherapy® Skin Tightening Price at booking
  • PRF EZ Gel Price at booking
  • Radiesse® Price at booking
  • Sculptra® Price at booking

Photos

  • Treatment lounge with fireplace, sectional sofa and city view
  • Founders of the MedSpa posing together
  • Botox injection on forehead by clinic nurse, wide banner photo
  • Lounge corner with lit fireplace, plant and drink station
  • Clinical facial before photo showing acne and dark spots
  • Clinical facial after photo with clearer skin
  • Before and after clinical facial on sun spots under eye
  • Before and after clinical facial on acne and dark spots
  • Practitioner in white coat injecting Botox into a client's forehead
  • Group photo of about eight staff in black outfits

Meet the team

Team members listed on their website. Individual roles, credentials, and current employment have not been independently verified.epicentermedspa.com (opens in a new tab)

Highlights
  • Centered On You program: a free consultation followed by a customized plan over a series of appointments
  • Conservative Botox and Dysport approach aimed at a natural, more youthful look, according to the business
  • Silver LEED certification, which the business describes as making it the first LEED-certified MedSpa in the nation
  • PRF EZ Gel, made from the client's own blood
  • Clinical facials performed by medical professionals and customized to skin type
  • Free consultations, with a physician, PA or NP reviewing candidacy before medical treatments
Good for
  • Planning a customized, multi-visit treatment plan
  • Natural-looking injectable results
  • Clinical facials and skin resurfacing
  • Patients considering laser resurfacing with a deposit
  • Body contouring interest
  • Hair restoration interest
Treats
  • Facial wrinkles and lines
  • Expression lines
  • Forehead lines and crow's feet
  • Volume loss and facial contours
  • Brown spots and uneven tone
  • Redness and broken capillaries
  • Texture and pores
  • Acne
  • Sun-damaged skin
  • Unwanted hair
Techniques
  • Botox
  • Dysport
  • Dermal fillers
  • Sculptra and Radiesse biostimulatory treatments
  • PRF therapy and PRF EZ Gel
  • IPL PhotoFacial
  • ResurFX fractional laser resurfacing
  • CO2 laser resurfacing in light, medium and deep intensity
  • Microneedling alone or with PDGF or exosomes
  • Morpheus8 radiofrequency microneedling

Products & treatments

  • FarmHouse Fresh botanical skincare for organic facials
  • Intraceuticals oxygen facial serums
  • Medical-grade and organic skincare sold through the online store
  • Juvéderm Ultra, Voluma, Vollure, Volux, Lyft, Contour, Kysse, Refyne and Defyne fillers
  • Sculptra and Radiesse
  • Skinvive by Juvéderm
  • Botox and Dysport
  • Kybella
  • Keravive
  • Ultherapy
  • Sofwave
  • Morpheus8
  • CoolSculpting Elite and EvolveX Tone

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