Patient Comfort

Patient Comfort Pain Management

Let us know about your experiences with discomfort or anxiety during your treatment. What works, what doesn’t?

We’re continually looking for ways to improve your experiences with – let’s face it – sometimes pain-causing treatments. We inject, shoot lasers, light and sound, abrade, freeze and burn! All safely, medically, and designed to improve your skin, aging process, lifestyle, and confidence, but even so, anxiety and/or pain can make the process uncomfortable.

First and foremost, we cause as little discomfort as possible by using the best equipment, skillfully applied. We’ve experienced most treatments ourselves, and so can relate to not only the discomfort, but also to the techniques to minimize it.

We start during the initial consultation by discussing any concern and share with you options for managing it.

During treatment, we frequently check in with you to make sure you are as comfortable as possible. And also, we encourage you to let us know if the feelings are too intense, or if you need a break.

For many treatments – IPL for example – we use a topical numbing cream. We apply it to the area to be treated, and wait for about 20 minutes for it to reach full efficacy. The treated area will feel a little numb. For many patients, this is all that is needed.

Many treatment devices have built-in comfort management. For example, with CoolSculpting, we use the CoolAdvantage handpiece which immediately cools the skin with each pass, and our lasers utilize cooling devices such as Zimmer, which spritzes cool air to quickly ease any pain.

For anxiety, or pain not well-managed with these options, we offer the FDA-cleared PRO-NOX Nitrous Oxide System as an add-on service. During your treatment, you have the option to self-administer this 50/50 mix of oxygen and nitrous oxide for short-term relief of pain and anxiety throughout your medical treatment. Relief is immediate, while the gas stays in your system for only about ten minutes, so you are safe to drive after your appointment. More info on PRO-NOX and cute video.


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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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