Cancel

    Open app

    Search

    424 Cosmetic Dermatology

    4.7 (89 reviews)
    Closed 10:00 am - 5:00 pm

    By appointment only

    Request an appointment

    You can now request an appointment from this business directly from Yelp

    Services - 424 Cosmetic Dermatology

    Laser hair removal

    424 Cosmetic Dermatology Photos

    Recommended Reviews - 424 Cosmetic Dermatology

    Your trust is our priority, so businesses can't pay to alter or remove their reviews. Learn more about reviews.
    Yelp app icon
    Browse more easily on the app
    Review Feed Illustration

    Reviews With Photos

    Botox, Filler, and a lip flip.
    Pamela H.

    How to age on your terms... go to 424 see Nellie for those little aging areas that you would like to be not as defined. She brings Botox & fillers to you where you are natural! Those compliments of "Wow! You're how old, no way!" is directly because of Nellie! She listens and also is very knowledgeable. She won't just "poke" you. She will advise and give wisdom that is spot on!! Also, you can see Dr. Rodriguez (naturopath) for your inside. She is professional and really goes to find root of what might be happening & guides with supplements, "game plans, & gets you back to heal. Finally, the office staff greet you with kindness & check in on you. If you want an experience that you leave literally feeling 100%. This is where you should go!

    Added filler to chin to make it more prominent
    London F.

    With this letter, I would hereby like to compliment "424 Cosmetic Dermatology," for excellent service that the owner, Nellie provided me with today. Nellie helped me out by making me feel confident and in love with my new look. Her attention to detail, great communication skills, and ready smile made the experience even better than I expected. I have always been pleased with the all the compliments I hear at, "424 Cosmetic Dermatology" for the last couple years. Hence, Nellies professionalism and enthusiasm to get to the look I wanted to achieve promptly exceeded my expectations. She asked me what I was wanting, listened, and we came to a plan on the way products would work within my face. Once we finished up, I came out of the room so happy and so impressed with her professionalism and her magic touch. Not only does she have amazing deals, but she has a great skincare line that I have now switched completely over to. This type of professionalism and commitment to the highest level of customer's satisfaction has to be acknowledged. Having in mind such a pleasant experience with her and all her lovely employees, it would be my pleasure to continue doing business with her company in the following years to come. With that being said I do have to scream to everyone when looking for something to make you feel youthful and beautiful again, Nellie is your girl. You can be assured of another thing, that I will not hesitate to bring future clients to your establishment. Sincerely, London Fiehler

    Black eyes before I even got home.  Only got WAY worse in the next 24 hours
    Carol C.

    I know I am in the minority here as far as reviews, and I went to 424 Dermatology based on other 5-star Yelp reviews alone. But I am extremely unhappy with the results and unprofessional treatment I received and feel compelled to write this review. I first made an appointment with Nellie to get a consultation on fillers. My daughter was to be married in a few months and I just wanted to look a little more refreshed in pictures. My first appointment was scheduled for 4:30pm, and I left work (about 9 miles away) at 3:30 so I would be early. As luck would have it, I ran into stand-still traffic, completely stopped for miles, on the 56 due to an accident. At about 4:15 I called the office to let them know my GPS showed I would be there 5 min late, at 4:35. I was immediately told by the receptionist that I would have to reschedule then, that they had another 'appointment' immediately after mine and they could not give me any leeway even though I explained I had already sat in traffic for 45 min when it should have been a 15 min. drive. As the receptionist is telling me I need to reschedule, I heard Nellie in the background saying 'well, if its just gonna be 5 min than have her come in'. I asked the receptionist if my appointment would be rushed in any way, due to my being 5 min. late, because if it would be rushed I would rather reschedule. I was told it would not be rushed, injections are usually 10 min appointments anyway, so to proceed to come in. When I got there, instead of fillers that I initially went in for, Nellie sold me on getting Sculptra instead. She said instead of filler it is rather an injection that builds up your own collagen and is a better and more long lasting approach. Although the price was more than I would have spent on fillers, I agreed, (feeling rushed to make a decision), was injected, paid and was pretty much rushed out of the office. It turns out the 'appointment' they had immediately following mine was a hair appointment that Nellie had. I was not given ANY information whatsoever on after care, just another appointment to come in a month or so later to follow up. When I got home and read about Sculptra online, I was shocked to read the area treated should be massaged every day, 5 times a day, for 5 min. at a time to be effective. Again, I was given no before-or-after care instructions and was shocked to think a 5-star 'dermatology' clinic would fail to give a first time patient what is important after care instructions. I called the office the next day and was told by the receptionist 'oh, yeah, sorry, we should have told you that- about massaging the area. usually we give a sheet of after care instructions, I guess we just forgot'. Apparently, they 'forgot' the most basic of patient care because they were too busy trying to close up the office for the hair appointment. I should have learned from that first encounter not to go back. I also read online that Sculpra is not a quick process, it requires multiple treatments and sometimes takes 6 months or more to see results. This was not my objective, as I specifically told Nellie I wanted to look good for a wedding in a few months. When I went back the second time, things went from bad to worse. I told Nellie that I was disappointed, to say the least, that I was not given after care instructions after the Sculpra, and felt like since I was not told to massage the area immediately after receiving the injections, I was concerned I would not get good results. Nellie said that the massaging was no longer recommended, and it would not affect the outcome. I beg to differ - if you Google Sculpra treatment and after care right now, today, on any website including the manufacturers own website, it specifically says the area treated needs to be massaged multiple times a day for 5 min at a time for 5 days. I got the impression that Nellie was very put off by the fact that I called them out on the lack of any after care instructions. I then asked her about seeing more short term results as opposed to spending months and thousands of dollars more than I wanted to spend in order to see results for my daughters wedding. So she then suggested Juvederm injections instead to see immediate results. To make a long story short, despite calling herself a 'master injector', I was in extreme pain, had a severe headache, and several hours after being injected by Nellie had two completely black eyes that lasted 3 weeks. Once again, I was given ZERO after care instructions, but was in so much pain when I left the office I forgot to ask. WHY does a patient need to ask for what should be standard basic patient care? I emailed pictures of my black eyes the next day and was told apparently the injections went into blood vessels, which bled all night and caused the black eyes. If I had been told to ice the areas they might have been less severe, but since I was told NOTHING I had to live with and go to work with two black eyes for 3 weeks.

    Lips!

    See all

    1 year ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0
    Photo of E E.
    5
    14
    12

    2 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    3 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0
    Photo of Mike S.
    84
    11
    3

    2 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    2 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    1 year ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    1 year ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0
    Photo of Pamela H.
    579
    33
    13

    4 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    3 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 1
    Photo of Iris E.
    265
    145
    55

    2 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    2 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    3 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0
    Photo of London F.
    1230
    6
    2

    5 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    3 years ago

    Nellie is FANTASTIC! She doesn't oversell you on services - just the right amount. The staff is lovely; so welcoming. 424 makes it easy!

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0
    Photo of Deb A.
    0
    12
    0

    4 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    2 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0
    Photo of Carol C.
    3
    266
    49

    6 years ago

    Helpful 10
    Thanks 1
    Love this 3
    Oh no 5

    2 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    4 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0
    Photo of Jill T.
    24
    14
    5

    4 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0
    Photo of Rosie B.
    119
    11
    0

    7 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    5 years ago

    Business owner information

    Photo of Tairyn H.

    Tairyn H.

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    4 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    6 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    7 years ago

    Helpful 8
    Thanks 2
    Love this 1
    Oh no 1
    Photo of Mandy S.
    34
    42
    12

    4 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    4 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    8 years ago

    Helpful 1
    Thanks 0
    Love this 0
    Oh no 0

    8 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0
    Photo of Leah V.
    62
    56
    26

    10 years ago

    Helpful 0
    Thanks 0
    Love this 1
    Oh no 0
    Photo of Burcu B.
    115
    29
    11

    8 years ago

    Helpful 1
    Thanks 0
    Love this 1
    Oh no 0

    5 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    4 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    9 years ago

    Helpful 9
    Thanks 0
    Love this 11
    Oh no 0
    Photo of Lexi N.
    341
    46
    19

    7 years ago

    Helpful 2
    Thanks 0
    Love this 2
    Oh no 0

    9 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    5 years ago

    Helpful 8
    Thanks 2
    Love this 0
    Oh no 2

    7 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    4 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 0

    6 years ago

    Helpful 0
    Thanks 0
    Love this 0
    Oh no 1

    Page 1 of 3

    Ask the Community - 424 Cosmetic Dermatology

    Review Highlights - 424 Cosmetic Dermatology

    Nellie will explain my procedure as she goes along and will take time to show you the results and ask your opinion.

    Mentioned in 56 reviews

    Read more highlights

    Synerchi Medical Spa - Synerchi storefront image

    Synerchi Medical Spa

    4.9(51 reviews)
    4.8 miScripps Ranch

    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.

    5 Reasons Why I Would Come Here If I was a Beginner Exploring Botox/Dysport…read more 1. Customer connectedness instead of customer service, enough said. 2. Two locations, sometimes a last minute appointment may be available. 3. If you have an issue with whatever service you choose, they will do what is possible to make it right. 4. No pain after effects. Literally momentarily discomfort that's subsidesin less than 5 seconds (dysport). 5. They really do respond to texts AND make appointments. You could be in a boring meeting instead and schedule your appointment. COMMENTARY If you're comparing pricing to Mexico or other countries, Synerchi would be considered high cost. If you're comparing their prices to San Diego industry,, you're good. It ain't cheap but you're good. Technicians would do what they can to work in your budget. But it ain't a budget service, haggling salon. So come with what your means can't afford. Also the goal is beautifying so no negative attitudes allowed. "Gratuities are good karma."

    Photos
    Synerchi Medical Spa - The pouty without the duck look.  Love it!

    The pouty without the duck look. Love it!

    Synerchi Medical Spa - Knowledgable staff explain treatments and packages available.

    Knowledgable staff explain treatments and packages available.

    Synerchi Medical Spa - Skinbetter, Skinceuticals, and more... available in the spa.

    See all

    Skinbetter, Skinceuticals, and more... available in the spa.

    Be Youthful Aesthetics

    Be Youthful Aesthetics

    4.7(12 reviews)
    2.1 miRancho Bernardo

    Was referred by my GP for the GLP 1 treatment. Dr Stan has been terrific and after 13 weeks I have…read morelost 25 pounds! The team there is fantastic, supportive and knowledgeable about what to expect and how to handle any issues. I'd highly recommend them for anyone looking to get healthy and lose a little weight with the procedure. Mark S.

    I scheduled a consultation with Dr. Kohatsu for laser treatments. My appointment was at 4pm. I…read morewas told to arrive at 3:45, which I did. I sat in the waiting room for 30 mins. Then, was taken to a room where the consultation was supposed to happen; waited another 30 mins. No one talked to me in the hour I was there, I was just waiting. I heard Dr. Kohatsu in the room next to me chatting with a patient. When I opened the door to see if there was anyone I could check with, Dr. Kohatsu was standing in the doorway of the room next to me continuing chatting with a patient about the things not related to an OBGYN visit (there was no rush). I walked back to the waiting area and told the front desk person that I waited for an hour and I would like to leave. She didn't even apologize, just issued my consultation refund and said, "Have a great day." On my way back, I received a call from the office to tell me that they were sorry that they were running behind. The person didn't even ask me if I want to reschedule, she just said that they were sorry for running behind. When I responded that running behind is ok, but what's not ok is to leave people waiting for an hour without any communication. She hung up on me. Just rude unprofessional people.

    SEV Laser - Always a gorgeous view while I wait

    SEV Laser

    3.9(214 reviews)
    16.2 miLa Jolla
    $$$

    I got my first brazillian laser treatment from Sev and this is how it went. It was my first time so…read moreI got in for the free session. I had gotten laser on my stomach before from another clinic and it did not work. I was pretty upset so I went ahead and got electrolosis and it went away. I came to Sev with low expectations due to my previous laser experience at the other clinic. I walked in and I was not greeted by the front desk receptionist. I signed in with the Ipad. After my laser treatment- the front desk receptionist told me I was supposed to sign in with her... well you did not greet me when I walked in and you asked all the other patients in there to sign in with the IPad so I followed the lead since it is my first time here and I have no clue what I am supposed to do. Anyways- I got my treatment done. My nurse was amazing. I wasn't expecting this to work. But it has been 2 weeks and my hair is ACTUALLY starting to fall out. I never experienced this at the last clinic.... Anyways- I would absolutely love to buy a package for the 1.5 years, but I just started a testosterone treatment that will make me hairy and my doctor advised me to old off on laser right now. Overall machine experience was a 10/10. I recommend. It works.

    I did the Black Friday SkinPen deal and tried microneedling for the first time. I made my…read moreappointment and was able to get in within just a few days, which was way faster than I expected. It was really busy on the day I went, but Priscilla at the front desk did an amazing job juggling all the clients coming in while handling phone calls. Even though it was hectic, she still made sure everyone--including me--had their needs met without ever feeling rushed. My microneedling was done by Dianna, who is hands down AMAZING. She was so sweet, thorough, and made me feel completely comfortable. She explained everything step by step and made the whole experience wonderful. I ended up signing up for their membership so I can come back for more SkinPen sessions with Dianna!

    Photos
    SEV Laser - Checked in @ SEV La Jolla for my 4th session of laser hair removal.

    Checked in @ SEV La Jolla for my 4th session of laser hair removal.

    SEV Laser - Laser hair removal

    Laser hair removal

    SEV Laser - Waiting area

    See all

    Waiting area

    424 Cosmetic Dermatology - medicalspa - Updated May 2026

    Loading...
    Loading...
    Loading...