Emily is AMAZING! She is knowledgeable, realistic, and so gentle! I've gotten lip filler in the past and bruised like crazy - I mean like 2+ weeks of bruising... with Emily, I looked "normal" within 72 hours, with minimal bruising and swelling on my lips. I also got masseter botox for the first time, both to relieve tension and for jaw-slimming aesthetic purposes. It's been 3 weeks and I'm very happy with the results I'm starting to see, I received 25 units on each side. Today, I went for a check-in and to receive a consultation for botox in my forehead area. Emily could see what muscles were dominant and targeted the precise injection spots to achieve the look I'm going for (smoother skin but still expressive). I ended up getting 30 units in my eyebrow/forehead area. I am looking forward to seeing how it settles. My experience with Emily has been wonderful! Sure, it's a bit pricier to come here versus other med spas in the city - but it's worth it. You don't want to mess around when it comes to your face. You can also download the Allē app to earn points and save a little $ at each visit. Lastly - The lovely staff at the front, Autumn and Niloo, are so friendly and helpful! Overall I've had a great experience and plan to continue to see Emily regularly. read more

Emily Sespaniak, NP - Yay, now my top lip shows when I smile! - Nurse Practitioner Near Me - San Francisco, California

See all

Emily is really nice and pleasant and so is the staff. However....my Botox did not take. At all. Not only that, but I gained a huge wrinkle on top of my right eyebrow. Maybe everyone had wonderful experiences with her, I don't know why so many positive reviews. But that was my first and last time at that office after 6 years of getting Botox at a place in Union Square. I wanted this place to work since it's closer to home. When I called the office and explained the situation after two weeks, they offered to see me again but I would have to pay AGAIN another $700 for two areas of my forehead. No, thank you. read more

Emily Sespaniak, NP - Nurse Practitioner Near Me - San Francisco, California

I cannot say enough great things about Emily--this is actually my second review for her because she is that wonderful! She is truly the gold standard for an injector, combining skill, artistry, and an incredible bedside manner. I trust her completely, and every time I leave my appointment, I feel confident, refreshed, and natural-looking. Emily is not only highly professional and knowledgeable, but she also makes every appointment such a pleasant experience. She takes the time to listen to my goals, explains everything thoroughly, and never rushes the process. Her attention to detail is unmatched--she has an amazing eye for balance and symmetry, ensuring that the results enhance my natural features rather than overdo them. Beyond her technical expertise, Emily is so warm, friendly, and easy to talk to. She creates such a comfortable, welcoming environment that makes every visit enjoyable. I wholeheartedly recommend her and will continue to trust her with all my aesthetic needs! read more

Big thank you to Emily for the care, and the whole office crew for the kindness! i appreciate all you do!

Emily is incredible!!!! I can't say enough good things. I have been to several other injectors in my life and my experience with Emily was absolutely the best. She is so knowledgeable and is very honest about expectations and what may be needed to get the results you're looking for. She made the Botox & filler look so natural and I couldn't have been happier with the results. She prescribed me tretinoin for my forehead and even was okay with me emailing her a list of my current skincare products and made recommendations for additions/revisions. ALSO, I always get super nervous & anxious for filler, and she is just so calming and wonderful. I am so appreciative of her bedside manner, knowledge, & expertise. Highly recommend. Thank you, Emily!! read more

(TMJ) I had been suffering since October 2023 with ringing in my ears, teeth clenching, grinding my teeth at night, severe headaches, and not sleeping. I was at the lowest point of my life ever. I visited several clinics seeking help to no avail. One morning at 2:30 a.m., I logged onto my computer as soon as I went to my search engine, San Francisco Plastic Surgery appeared. What a blessing. I read, Dr. Karen Horton and Emily Sespaniak, NP. bio's and all of the wonderful procedures the clinic offered. Most of all, BOTOX for TMJ. I was sold. I called the office, the staff is so polite, so much compassion. I knew this was where I wanted to be treated. Remember, I had been suffering since October 2023. My pain level was a 10. I met with Emily Sespaniak,NP she took her time talking and asking questions, the questions she asked I knew I was in the right place, not to mention how clean and beautiful the office and exam room were. Three weeks later, my pain level is at one (1). If your suffering look no further, please call the office. Emily and her staff saved my life. read more

I got lip filler for the first time ever and Emily was amazinggggg. I was so scared since I've never done anything cosmetic like this before and wanted natural results. I sent a picture to my girls immediately after while they were still puffy and swollen and all of them are booking appointments with her now! 10/10 recommend read more

I have been VERY impressed and satisfied with the care and treatment from Emily! She is so thorough and caring while listening to concerns, discussing treatment options, and during procedures. She's extremely knowledgeable and experienced, I got so lucky finding her and cannot imagine going to see any one else for treatments :) I have already recommended to many friends who are looking to find someone as trustworthy and skilled as Emily! read more

I appreciate all the positive reviews, and perhaps it was only my experience that was less than stellar. I found her to be somewhat condescending of my anxiety before getting lip fillers (I had a poor experience elsewhere prior, who would blame me for a little nerves?), and my top lip ended up looking warped. I really wish I could go back and just not have added the filler at all. Am looking into a lip lift after understanding my anatomy a bit better--a lot of folks upper lips will just get pulled down by adding filler to it, which is something I'd expect an expert to recognize--but figured this was worth sharing in case it's helpful for anyone. read more

I've seen Emily twice now for Botox/fillers. She really knows her stuff and took the time to explain & answers my question. The process itself was good, no one enjoys needless but I felt comfortable. I had slight swelling in my lips. Really loved the results! My overall experience with Emily and rest of the staff in the office was great and I would highly recommend them. read more

Emily is great at what she does. I have been to her several times and am always thrilled with the results (filler & botox). Very natural looking results and I always feel like I'm in good hands with her. I also like the helpful and inspiring hints she posts on her instagram page, great tid-bits that make me think of ways I can keep my skin healthy on the daily. Thank you, Emily! read more

After going to a number of providers in the Bay Area, I have been most impressed with Emily. She has outstanding bedside manner, is extremely knowledgeable and highly trustworthy. I would recommend Emily to anyone-- she's smart, compassionate and truly cares for her patients. read more

The search for a skilled medical professional can be a difficult and time intensive task. Adding to that, being a male in need of a minor procedure, I was somewhat self-conscious and didn't know where to begin to look. Upon meeting Emily Sespaniak shortly thereafter, her non-judgmental and friendly demeanor made me feel at ease. I appreciated how Emily carefully explained what she was about to do before she did it and the level of pain to expect. More importantly, when she was finished with her explanation, she made sure to ask if I had any questions. Emily's handing of a needle and syringe was impressive. I could tell she was experienced by the way she provided treatment. No one enjoys needles, but Emily was as fast as she was precise. Additionally, she had a way in which she was very gentle with the syringe against my flesh. I was expecting more pain than what I was actually exposed to. While Emily was very quick and efficient with the procedure, she never made me feel like she was in a hurry to get me out of her exam room. When she was done with the treatment, she gave clear follow-up instructions, precautionary measures to take, and once again, asked if I had any questions. Emily is a no-nonsense nurse practitioner, who does an excellent job of walking the tightrope between, great bedside manner and being considerate of the patient's time. This goes for the patients in the waiting area as well. I have never once had to wait a second beyond my scheduled appointment. This speaks volumes to Emily's ability to manage her time as well as her many clients'. Skilled, professional, and courteous... I was happy with the results and that I found exactly what I was looking for in Emily Sespaniak. I highly recommend her. read more

I had heard about Emily through a friend of mine who has exceptionally beautiful skin! As a performer who needs to look her best onstage and off, I was intrigued by reports about the benefits of IPL to improve skin appearance. It turned out that the reports are right.... IPL really makes a difference! And Emily is an exceptional person to work with. Skilled, knowledgeable and every inch the professional, she is THE person to recommend! Go see her. You'll be glad you did! read more

She's thorough and won't do anything she doesn't back so you can trust her. Loved all the results so far. :)

I absolutely adore Emily. Not only is she incredibly skilled, talented, knowledgeable, professional and a perfectionist...but she's also honest, kind and personable. I highly recommend her and have gone back to her several times. I've even followed her from her last office. Whatever you're looking for, if she offers it...GO SEE HER. I promise you won't be disappointed. She's one of the best. read more

If you are considering injectables I would highly recommend making an appointment with Emily. Her attention to detail is impeccable and I love that she explains to me exactly what she is doing! She has a super gentle touch gets NATURAL results. What more could you ask for? read more

Emily is amazing! She is so natural with her results, and never over does it. I fully trust my face in her hands and know she'll give me the best fresh look possible. Thanks Emily!! read more

If you are considering Botox, I highly recommend Emily Sespaniak! Injecting is an art...you either have it or your don't. You have to understand someone's facial anatomy and how to inject without over doing it. Emily possess these skills and makes it not hurt! There's no high pressure sales or attitude, she is very professional. She totally put me at ease and knew exactly what I was looking for without over doing it! I look natural and younger!!! Will definitely go back! read more

Emily did an awesome job helping out a younger, adult family member with a persistent problem...excess perspiration. She not only solved the issue, she handled it with a great deal of sensitivity and professionalism. read more

I came to Emily having had a prior cosmetic procedure with complications. I received lip filler with a very stiff material apparently intended for facial filler, not lips. Not surprisingly, that created nodules in my lips that persisted for 2 years. They looked uneven and bumpy. I came to her requesting filler to fix the uneven appearance but she advised that we dissolve the existing filler before. She fixed the problem with multiple rounds of hyaluronidase and then I later received filler with a softer material that looks and feels natural. No nodules. While a long process, I am so happy with the outcome and feel incredibly satisfied with my appearance. I respect the careful approach and am relieved she did not just provide more filler as I had requested. read more

I had an awesome experience with Emily. I've gotten shots/fillers randomly throughout the years but wanted to find someone close by who could be my regular person. I loved Emily's attention to detail. I especially liked that she was focused on creating a very natural result which is exactly what I got. I feel like I look just like myself, but with the wrinkles softened and hollow areas slightly more plumped. No one would ever know I've had anything done, but now I look how I feel inside. I also greatly appreciate that she offers a "perfection checkup". I did take advantage of it since it was my first time seeing her, but overall I loved my results and didn't feel the need for any adjustments. I highly recommend! read more

Aging is inevitable, but slowing down the effects of the aging process is something we actually have some control over. Insert Nurse Practitioner Emily, my go-to expert for keeping my skin looking fresh and youthful. Having just turned 30 and with my wedding only a few months away, I decided it was time to get advice from a professional about how to best care for my skin. I saw Emily having no clue what I needed to improve my skin. I did know that I wanted to address 3 main concerns: chronic redness, sun spots and fine lines. Emily listened carefully to my concerns, did a thorough assessment of my skin and determined I had mild rosacea. Through a series of IPL treatments she was able to minimize my redness and get rid of my sunspots. For the first time I'm going foundation free!! My skin looks great! Even my fiancé noticed. Emily also did my Botox last time I saw her and I love it! Perfect, natural results. I would recommend Emily to anyone looking for a skilled skin care expert. Like a trusted friend, she will not steer you wrong! read more

I went to Emily for Botox to treat my bruxism (teeth grinding) after having a few medical professionals recommend I try Botox. I was really nervous about getting it. I found Emily through research due to her high reviews and have had a great experience so far! She has a great bedside matter, put me at ease, and treats conservatively, which I appreciate. She's a very skilled practitioner and I highly recommend her! read more

I've been going in to see Emily for Dysport and fillers for awhile now and I am always very pleased when I leave. She has a great eye and never goes overboard. She does just the right amount to make you look refreshed without looking like you've had anything done. It's hard to find someone you trust with your face, but I 100% trust Emily with mine. read more

I've been to several 'non-surgical' lifesavers here and in london and have an experienced opinion on who is good and who is not. Emily is GREAT! She's knowledgeable, experienced, appointments are timely (thank-you) and a very delightful friendly demeanor. PS-try cool sculpt! Amazing!!!! read more

I've been seeing Emily for over a year now. Always looks super natural, I absolutely love the results.!!! Emily is super professional and makes you feel comfortable about the procedures she is preforming. I highly recommend her for all of your Botox/injectables. read more

I contemplated visiting Emily for almost a year and kept cancelling my appts.... This was a decision I had not made lightly- but honestly, now I wish I had gone to Emily sooner! I am so happy with Emily's skillful work. Emily is a professional; she's super informed; she has a very natural aesthetic in terms of the work she does; and she will tell you when something you want is a bad idea. She's attentive, approachable, answers all questions, makes great suggestions, and knows EXACTLY how to do what she does: oh and she is a perfectionist. I trust this NP with my face, as should you. Very happy with the outcome. read more

I have nothing but great things to say about Emily. I wanted to try filler for years but was overwhelmed with finding the right person and of course so nervous for the procedure itself. Emily walked me through every step... even guiding my breathing (yes I was that nervous)! I just went back for my second filler appointment and although filler can be uncomfortable, Emily is so gentle and patient and I always leave smiling. My lips look so natural, I could not picture a better result and overall experience. Thank you Emily! I will be back soon! read more

Looking young these days is not an easy task, you try to eat all the right things, work out and take supplements and still time marches on leaving in its wake lines on your forehead around the eyes and lips! I have had the pleasure of going to Emily for injections recently and I have to say I am very pleased! She's not only efficient sweet and gentle, she listens. I explained what look I wished to have and with my vision and her skills it was achieved, exceeding my expectations! I am incredibly grateful and look very forward to seeing her again :) thank you Emily for my smooth forehead and fuller lips, for helping me turn back the clock!!! read more

This review is long overdue. I've been seeing Emily for Botox for a couple years now, and I am so happy with the work she does and the results I see. Its never over the top, or to the extent where I look...too "intense" (you've seen that before, you know you have ). Obviously the results are the most important part, but it's also important to acknowledge that going to get injections can be a little unnerving, but knowing how friendly and warm Emily is really puts my mind at ease every time I walk through the door. She really listens to what you want, and clearly takes pride in what she does. I'd definitely recommend Emily to any of my friends considering Botox, and I'll be seeing her as soon as tomorrow! read more

Botox! This girl makes it feel like you are putting on make-up! Very Gentle, Very Precise, and VERY kind. Emily is a rockstar! I just had my first EVER shot on the eyes and middle of my nose. No bruising, No pain.. and 5 days later WALAH! No more lines... will I be back you BET. Will Emily be the only one who comes that close to my face with a needle...YES!!! read more

l highly recommend Emily for Botox and Fillers. She is absolutely brilliant! She is very knowledgeable and does a thorough service. I love how well she explains everything and puts me at ease. I have had both Botox and Juvederm done by Emily and she does such a natural job, the results are just perfect. So glad I found Emily! read more

For over two years Emily has been my stellar professional for aesthetic procedures. She knows her stuff and patiently answers my many questions. I feel comfortable with sometimes scary procedures because she takes extreme care with her work. She listens to my fears and concerns and doesn't suggest anything I wouldn't be comfortable with. I really trust her so it would be hard to imagine going to anyone else. read more

I was interested in getting Botox but had never gotten it before. Emily was referred to me by a friend so I made an appointment. I was extremely nervous because I HATE needles but the minute I got to her office, she put me at ease. I told her since it was my first time that I wanted it pretty light (because I wasn't sure if I was going to like it). It was actually a very pleasant experience, not nearly as painful as a thought it was going to be. She was very calming and a could barely feel it. The result (after a week or so) was perfect! You could defenitely see a different but it wasn't too much, just as asked for. I've been back several times for touch-ups and have always had the same experience. I've recommended her to all of my friends, which most of them now go to her, she's the best! read more

I am a mother of twins in my early 40s & wanted to (finally) do something for myself, so I went to see Emily at Horton spa. It was the best decision I could have made! Emily and the other staff at Dr. horton's office were immediately friendly, welcoming, and put me at ease. I had Coolsculpting on my c-section scar area and love handles. Emily kept me informed at every step regarding what to expect during the treatment, and made sure I was comfortable at regular intervals. Emily also did Botox for the lines on my forehead. I was nervous about having too drastic a change or not looking like myself and Emily really listened to my concerns. She was truly "the gentle injector" and I'm thrilled with the very natural, subtle results! I live out of state and have had several people tell me that I look very relaxed since I returned from my vacation. I highly recommend Emily & Dr. Horton's office! read more

I really enjoyed my experiences with Emily. She is absolutely lovely and so good with communication before, during and after your procedure. She is so smart about not letting people go overboard and making things look so natural. If you are even thinking about getting anything done I would go see her. She gives you no pressure and will be very honest with you. read more

I cannot recommend Emily enough! She is my new go-to anti-aging consultant. Emily is gentle, kind, and very a well-educated. She is not pushy and really listens to her clients. I was ready to slowly begin an anti-aging regimen, and she patiently listened to my needs and recommended my new favorite anti-aging skin care products. I have already seen improvements in my skin. Emily really provided her honest opinions and took the time to discuss what I was hoping to achieve for my skin. I've never encountered another health care professional that was willing to do this for me to the extent that she did. I will definitely continue to see Emily for all of my skin care needs! read more

I have been going to Emily for a few years now and she is excellent! She is so patient with me. I get very nervous when getting aesthetic procedures and she has a way of calming me down. Emily listens and explains everything in detail and answers all my questions. Emily is very experienced and very friendly!! Thanks Emily!!!! read more

Emily is a great source of information and knowledge. She steps back analyzes and suggests what she thinks should be done. I had been getting injections for many years from another nurse and Emily is like a breath of fresh air. You can tell that she takes pride in what she does. My philosophy has always been to go to the best for the best outcomes and Emily does not disappoint. read more