Kate Ratto, NP

Kate Ratto, NP Esthetic Nurse PractitionerKate Ratto, NP
Esthetic Nurse Practitioner

Kate Ratto has worked as a nurse practitioner since 2000, and worked as an esthetic nurse practitioner for several cosmetic dermatologists and facial plastic surgeons, developing a loyal patient base for over 10 years. She’s performed thousands of injectable (Botox, Dysport, Kybella and dermal filler) treatments.

Kate works with every client to create an optimal, natural look; each patient can expect a personalized treatment plan using a combination of customized therapies and skin care products. She participates regularly in advanced trainings to remain on the cutting edge of anti-aging technology; her practice includes all aspects of non-invasive facial rejuvenation, such as volume replacement, facial shaping with neuromodulators, skin resurfacing, and skin-tightening.

Kate has had extensive training in medical-grade skincare and procedures, including Botox® Cosmetic, Dysport®, dermal filler (Restylane® and JUVÉDERM® Families), KYBELLA®, Sculptra® Aesthetic, laser resurfacing (Fraxel, ResurFX, CO2), IPL (photofacial) and Ultherapy®.

Kate holds a Masters degree in Nursing from the University of California San Francisco, where she graduated Summa Cum Laude. She is also a Valedictorian graduate of the University of San Francisco School of Nursing. In her free time, she enjoys coaching her girls in lacrosse and basketball and long hikes with her dog, Peanut. She lives in Tiburon with her husband and two amazing daughters.

>>>Kate’s three favorite products

“I’ve been seeing Kate Ratto since 2009. If someone told me that Kate was working for a doctor who had a med-spa truck at Off The Grid, I would follow her there. Not kidding.

Filler, Botox, Laser. Hello… it’s your FACE. You really need to know that the person working on it is expert and knowledgeable. Kate is that person. And beyond even expert and knowledgeable, Kate is an artist.

And she’s sincerely kind.”

Tracy B.



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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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