About Us

Founded in 2014, Hayes Valley Medical Esthetics is a boutique medical clinic and spa with a Hayes Valley, San Francisco location and a Marin location in historic downtown Larkspur.

Our founder, Linda Behla, R.N., is a skin care expert with extensive training and has over 20 years of proven clinical expertise in the medical and skincare industry. We offer an array of high-quality services under the medical supervision of Yngvar A. Hvistendahl, MD, board-certified plastic surgeon.

We are committed to providing safe and effective treatments utilizing tested technologies, combination therapies, and medical-grade skin care products to achieve optimal, natural-looking results.

Our expert practitioners will provide you with a complimentary consultation and personalized skin care plan perfect for your needs, expectations, and budget.

Client testimonials

I love coming to hayes valley med spa in larkspur! Kate is super knowledgeable and never recommends treatments I don’t need. Appointments are also extremely easy to make through text and they are so great about responding in a timely manner. Overall I cannot imagine going anywhere else for my face!
Iris C.

I have been to HVME five times now, and continue to be so impressed with the results they are able to deliver. When I have gotten Botox in the past I have ALWAYS bruised, sometimes badly enough that it takes well over a week to heal, so I just assumed that was my price to pay for getting rid of my forehead lines. Thankfully I found Linda and Cherie, because I haven’t bruised a bit with the treatments I have received from them. Additionally, my Botox with previous providers would take about a week to really show its impact, but when I am treated here I begin seeing results almost immediately (like within an hour).

They also turned me on to the skincare line Defenage, and it has been a total game changer. I managed to get my husband to start using it, and when we went back to NYC (where he grew up) ALL of his friends kept commenting on how amazing he looks. Anyway, I am so happy I found HVME and will be using them for all my treatment needs going forward!
Sarah S.

My mom and I had some fillers and Botox injected by Kate Ratto, NP recently and we could not be happier! I’ve had my lips filled elsewhere before and ALWAYS had to go back to have them fixed, but Kate got it right – so, so right – the first time. Best results I’ve ever had ! My lips are full and juicy, but totally natural looking. I love them!

My mom, who was in town visiting from New York, is so happy with her results she’s already planning her next “cosmetic trip” to Marin. Hehe.

Anyway, don’t go anywhere else for cosmetic treatments – trust me, I’ve gone everywhere and Hayes Valley is the best!
Paula K.

Microdermabrasion with Elizabeth was awesome!

I haven’t had microdermabrasion in a couple years and really wanted my skin to look great for an upcoming trip. Elizabeth did microderm, a light peel and extractions around my nose. My skin feels and looks so much smoother, even my makeup looks better. Elizabeth has been in the esthetics industry for years so I felt really comfortable and trusted her recommendations. I like that HVME has Saturday appointments available as I work full time and commute. I will absolutely be booking another treatment soon!
Danielle D.

For more endorsements and recommendations, please visit our testimonials page.


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Kirsten S.
Linda and staff are amazing. I am always very happy with my treatment results. It is apparent that she researches various technologies and techniques. The applications are always evolving with new and improved products. Highly recommended.
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Suzanne P.
Excellent service and an overall pleasant experience. Victoria was professional and knowledgeable. She proposed treatments addressing both my anesthetic and medical concerns.. I could not be happier with the results. Also, the Receptionist, Mattie, was pleasant and efficient. I look forward to future treatments.
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Lisa M.
Hayes Valley is the best! Kate did an incredible job with Dysport removing the wrinkles from my forehead, Sandra gave me great abs and glutes with Emsculpt, and Linda gave me my youthful facial structure back with Sculptra. These women are truly amazing. So glad that I found them!
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Gene V.
I love Hayes Valley Medical and Esthetics! I've been coming for a while now for Botox and filler treatments. Linda is AMAZING! She knows just the right amount of product needed in all the right places to bring out my best facial features. I feel more handsome every time!!

The front desk staff are super sweet and helpful. They always ask exactly what I want and I never feel like I'm being 'upsold' or encouraged to do anything other than what I came in for. I would highly recommend HVME to anybody that is on the unsure about trying some of the services they offer. You won't be disappointed. Thank you!!
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Julie S.
This was my first experience with any filler/injection treatment and it was very pleasant, professional and everyone there made me feel safe, welcome and I felt very knowledgeable coming out of my treatment about what to expect. I will absolutely be back!
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Tina B.
Diana at the front desk is so sweet, the medical assistant was amazing & personable and Kate who did my procedure is my favorite! As I walked out and met my husband, I told him how much I enjoy being there & what a good vibe Hayes has.
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Cher B.
Sheila and Linda took great care of me and I look younger and vibrant.  I do not trust anyone else for injectables.  Linda is careful, thoughtful, and respectful of one’s budget. I have followed her from Marin into SF and I will continue to follow her where ever she practices.
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Emily N.
I highly recommend Hayes Valley Medical & Esthetics!! All the front desk staff are warm, friendly and professional and Denise is the best for laser, she goes above to make you feel comfortable and at ease. Andrea is exceptional at explaining the services they offer. They are the best in SF in my opinion and I do my research!
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Kathleen F.
Excellent customer service, advice, and care. Botox and Microneedling. Melonie is a gem. She is extremely knowledgable, sincere and honest. Everyone here is helpful, They carry a fabulous array of skin products too. I am so pleased with my results!
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Receive 10% off your first treatment at either location!