Very warm welcome from reception and had a great appointment with Anissa Samaniego . Professional, approachable, knowledgeable and patient. The new patient special was also a huge plus. Excited I found this office and will no longer shop around. Highly recommend. read more

This was my first experience ever with neurotoxin and nurse Anyssa was so sweet, she made me feel really comfortable throughout the whole process. She answered every question thoroughly and listened to any concerns I had. I am really happy that I had her as my nurse for my first time! I already can't wait for my next visit. read more

I'm no stranger to neurotoxins but this was my first visit with 424 Cosmetic Dermatology. The office was welcoming and the gal at the front desk was super sweet and helpful. Anyssa was my injection expert (that's what I'll call her), she was very knowledgeable in neurotoxins. I was impressed because I've been receiving injections for a few years now and in this first visit with her, I learned new things and was asked questions I had never considered or been asked before. I realize that it's so important to have someone who constantly talks you through the process and is open to having discussions to continue to improve my look and experience. I'm happy to say that I have found my new home for my cosmetic needs! I'll be back!!! read more

Nellie is amazing!!! 5 stars just for her. I'm 44. Time is not on my side. I have a stressful job and life. Nellie treated me with respect and kindness, she reminded me of my beauty and strength as a woman. She is superb! I got a little Botox for the first time, referred here by a close friend who does not look her age who inspired me to do the same! I will return and trust 424 with my face because it looks so natural. Thank you!!!! read more

This was my first ever Cosmetic Derm treatment of Botox. After many years I decided to give it a try. I'm so glad I went to 424. The facility was very clean and staff there was super friendly. My nurse Anyssa knew this was my first time and she went above and beyond answering all my silly questions and putting my mind at ease. She was gentle and informative the entire time so I knew what was happening. I definitely will be back and 424 Cos is now my new home. Thank you for everything!!! read more

I have been going to 424 forover a year. The staff is great. They notify you when they have specials, remind you when your appointment is and keep track of points that you accumulate. Nellie will explain my procedure as she goes along and will take time to show you the results and ask your opinion. Totally recommend them. read more

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! read more

424 Cosmetic Dermatology - Botox, Filler, and a lip flip. - Medical Spas Near Me - Poway, California

this was my first micro-needling treatment and had the best time with nurse anyssa! she is so knowledgable and really takes the time to get to know you personally & all about your skin concerns. she creates a calm and comfortable setting & walks you through every step. i also loved her skin recommendations and you will leave feeling like your best self! she's def worth the hour drive for me and the girls at the front desk are great as well & i can't wait for my next treatment! read more

All the staff at 424 is extremely friendly and professional. Nurse Anyssa did an amazing job. I absolutely love my results. She listened to my concerns and exceeded my expectations. I love that I my results look natural. read more

I love these ladies. Nellie is fantastic. She won't overdue your face but will perfect your look so you can be your best you. I drive from Phoenix for her expertise. My face is faithful to 424 cosmetics. read more

I had such a wonderful experience with Nurse Anyssa. She is professional, gentle and kind. I am so happy I have found her!!! I would highly recommend her if you are looking to have botox done. The office is easy to find, very clean and welcoming. Everyone is very sweet. read more

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 read more

424 Cosmetic Dermatology - Added filler to chin to make it more prominent - Medical Spas Near Me - Poway, California

Nellie is a Stanford university certified Physician's Assistant And was a career paramedic. She really knows and completely understands Cosmetic dermatology. I feel so grateful to be under her care. Her staff is amazing too!! I get compliments often about how much younger I look than my actual age. Thank you Nellie!! read more

I love coming here! Everyone is so welcoming & inviting. They honestly make you feel like family! Very thorough and thoughtful from consultation to completion. I wanted to stay and hang out even though my services were done. I've had at least 8+ sessions of micro-needling, the results are amazing. I will definitely be returning & recommending. read more

Everyone here is so kind and knowledgeable. I was walking you along the way whether you are new or a veteran. Services range and they offer a wide variety of deals and discounts throughout the year. I highly recommend. read more

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

This has been my medical spa for about 7 years. I recently was introduced to injector, and Nurse Practitioner, Brittany Allsup and I am so excited she is a part of this team! I experienced such a high level of care, professionalism, precision, and attention to detail from Brittany. Not to mention warmth and an all-around great personality. I look forward to returning soon and many more treatments with continued great results! read more

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. read more

424 Cosmetic Dermatology - Black eyes before I even got home. Only got WAY worse in the next 24 hours - Medical Spas Near Me - Poway, California

This place is amazing, if I call and no one answers, Jesse calls back right away. I go in on weekly basis to get my vitamin shots . Michelle is so pleasant and friendly. Her injection technique is seamless. Thank you for your great service! read more

I had a wonderful experience here. It was my first time ever getting Botox. I was a little bit nervous, but everyone made me feel very comfortable. Anyssa did my Botox and it turned out exactly how I wanted it to. I can't wait to go back for some more. read more

Love Nellie and her team! I have sent many of my own patients to her and everyone who has met her agrees she is simply the best. Anyone nervous about starting fillers/ neurotoxins will feel heard and taken care of here without being pressured or uncomfortable. read more

424 Cosmetic Dermatology is awesome, knowledgeable and the results are just what I was looking for. RMB read more

Nellie is my go to girl! I have been going to 424 for 5 years and couldn't be happier. Every time I go in I am greeted by the nicest ladies working the front desk that are always beyond helpful. Nellie is always very professional and I always get the best compliments on my lips after my appointments. 10/10 would recommend to anyone looking for Botox and fillers always! read more

424 Cosmetic Dermatology - Lips! - Medical Spas Near Me - Poway, California

I had a great experience with Nellie and I'm very satisfied with my session. I would highly recommend her for any procedures that you are thinking of doing cosmetically. read more

I'm giving this place 1 star because I left a total of 3 messages a few months ago inquiring about services and products but never got a response. Too bad they lost a prospective client. read more

Im a 56 year old active woman that works and plays outside. Evidence of my lifestyle was becoming obvious on my face. The reflection looking back at me did not look as energetic and youthful as I felt inside and quite frankly it was really starting to impact how I interacted with the world. Thanks to Nellies' guidance and skill I am well on my way to a face that really makes me smile. I have had both neurotoxin and filler and 424 has been so great with keepping my cost affordable and maintainable. I would not trust my face to anyone else read more

Scheduling couldn't be easier! The entire staff is incredibly kind, which seems to be a direct reflection of Nellie Blunt. Patient care/safety and beautiful outcomes is obviously what the entire team at 424 prioritizes. Nellie is so very knowledgeable and not pushy AT ALL!! I've already referred so many people, who are also completely thrilled with their experiences here. I'm a patient for life!! read more

Nellie is the best at what she does. Her expertise and technique are on another level and this is something I really value from an injector. She is so knowledgable and will give you her honest opinion. The office is so cute as well! And I love the facial cleaner from her skincare line too. Definitely recommend seeing her if you're looking for an experienced injector, Nellie is your girl. read more

I am seriously IN love with this place. The office is super cute and home-y. The smell of the candles as you walk in along with the receptionist, is super welcoming. NELLIE is the bomb! I have gotten my lips done before, but it didn't compare to this! She asks you what you're looking for in the session. She figures out a plan to make you look perfect without going overboard. She is super honest which I love, because sometimes injections can look not right, but she makes sure her clients come out looking beautiful and natural. I am so happy I found her and would suggest EVERYONE to go her, you will be so happy you did! PS she's smokin hot! Thanks Nellie! :) read more

424 Cosmetic Dermatology - My before and after. Love love love. - Medical Spas Near Me - Poway, California

Wow, Nellie is incredibly knowledgeable and professional. While I was in the waiting room, I met another patient who told me she works in the industry. She mentioned that Nellie is well known as one of the best around and is frequently used by cosmetic companies to train the other trainers in the industry. I highly recommend going to see Nellie. read more

LISA WAS AMAZING. I haven't been to many facials because I am very protective of my skin. I'm sensitive and prone to breakouts. Lisa talked to me for at least a half hour about my skin and where I was going wrong in my daily routine. I came for a facial and peel and overall consultation And she thought it would be best to only do the peel based on my skin. I think it is so cool that she didn't try to oversell me on services that she didn't think we were best for me right now. Because I would have trusted her if she said I needed everything there was to offer. I'll be back. In fact I booked another appointment next week! read more

Nelly has been great and understanding with what I need. I was vey nervous when I had the first visit last year. This is my 4th visit and I am super confident to say she is the BEST! Someone like me scare of injections can be able to see her which means she is the right person with any ladies out there. I am enjoying my pastries while I am waiting for my turn. read more

424 Cosmetic Dermatology - Medical Spas Near Me - Poway, California

It's been a couple years since I saw Dr Nelly, and I am very happy I came back here, it takes me a 38 minute drive, but it's worth it.. She listens to your concerns, explain you how everything works, there is a board in the room with all the key spots to treat your face. She is not pushing in sell you things and I appreciate that,. I am happy with my service. read more

Whether you're getting your first round of Botox or you're a regular this is your place! Nellie is a GENIUS and won't ever let you leave looking any less than the BEST version of you! Very conservative, and super gentle. The staff are hilarious and so welcoming... I would never go anywhere else. read more

You will be hard pressed to find a better and more professional medical spa in North County. Nellie is a master of her trade and absolutely reasonable knowledge comparison to many other practices. As the medical Esthetician at 424, I'm a bit biased- but having multiple injections for many years by others, I can speak honestly about her talent. Nellie's injections are much less painless, more light handed and full of results. I have never bruised or had any issues with muscle droop from Nellie- she knows exactly what areas to address and she does it with care. The spa is cozy, friendly and not pretentious in the least. You will always feel welcome at 424 and you will certainly want to return and refer your friends and family here. read more

Nellie is the ONLY person I will let inject me! I've had procedures done other places before finding her and I will never go anywhere else. Her eye is pure perfection for whatever look you want. Her understanding of the facial muscles and how they work will leave you needing less Botox than other places ( HELLO SAVINGS $$$) I was seriously getting 65+ units of Botox other places and with Nellie, I only need 38 and the results FAR surpass those of previous experiences. I have my lips filled also and LOVE THEM! I've referred several of my friends to her as well who were going elsewhere and they are now lifers with Nellie! She also trains others on the art of injections and is very well known in the Industry for being one of the best! Thanks Nellie, you rock! read more

424 is wonderful! I have been going to get weekly B12 shots and I definitely feel it's giving me more energized. The office is very cute and welcoming, and the staff is very friendly! read more

This was my 3rd time getting Botox from Nellie and I will never go back. I am so sad that my experience here ended this way. 12 days after receiving Botox in my forehead for the 11s, I woke up cross-eyed and in a major state of panic. I called the 424 right away and they agreed to see me in the afternoon. After waiting 20 minutes past my appt time, Nellie looked at me and said I had "lid-tosis" and there was nothing she could do for the Botox that traveled to my eye muscles. Her only response was, "we won't do that again". No refund and no hope to get better other than to wait until the Botox wears off. I consulted with an ophthalmologist who wanted me to be seen by a neurologist for further evaluation. I am so scared right now for what could have happened. I followed all the rules of Botox and this was the outcome of a botched job. I got a second and third opinion by board certified physicians who said she injected too close to the levator muscle. I will be seeing a specialist next week praying there is no serious permanent damage. read more

424 Cosmetic Dermatology - 13 days post Botox in my 11s. - Medical Spas Near Me - Poway, California

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I've been seeing Nelie for a few years now and she never disappoints. She has the unique combination of being artistic and precise. She also has a superior office staff that is friendly and attentive. This is an A+ business!! read more

I went to Nellie in hopes to even out my skin tone and lighten my dark spots. Mind you, I've tried EVERYTHING... except going to Nellie, which I should have just done first. In just 30 days my skin is glowing and my dark spots have improved greatly! It improved so much so that another client in the office complimented my skin (before seeing Nellie that never happened!). I would 100% recommend 424 to anyone! read more