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  2. Elinea on 18th & Noe
Elinea on 18th & Noe

Elinea on 18th & Noe

Medical spa
5.0(146)

LGBTQ+-owned medical spa in San Francisco's Castro offering SkinPen microneedling and skincare treatments, with visible results and a transgender-safe, gender-neutral environment.

State
California
Categories
Medical spa
City
San Francisco

Location

4035 18th St, San Francisco, CA 94114, United States

Details

Review Highlight
"I saw such a difference in the texture and appearance of my acne scarring."
City
San Francisco
State
California
Postal Code
94114
Phone
+1 415-400-5315
Offerings
Skincare treatments
Amenities
Gender-neutral toilets, Toilet
Accessibility
Wheelchair-accessible entrance, Wheelchair-accessible toilet
Payments
Credit cards, Debit cards, NFC mobile payments
Crowd
LGBTQ+ friendly, Transgender safe space
Planning
Appointment required, Appointments recommended
Ownership
Identifies as LGBTQ+ owned
Lgbtq Friendly
Yes
Wheelchair Accessible
Yes
At a glance
Neighborhood
The Castro
  • Get directions
Website
Contact

Top reviews

AB

Ashley B

Nov 7, 2025

I’ve just finished my second SkinPen microneedling session with Komal today. After our first session in late August, I saw such a difference in the texture and appearance of my acne scarring. Plus, almost all the discoloration from my scarring went away! The team takes before and after photos with VISIA between each treatment, and if you do a package like myself, they have each session’s photo saved to see your progress over time. Before coming to Elinea, I had done microneedling about 5 times before in NYC, but the results paled in comparison to just one session with Komal. Typically, I would notice slight changes in removing discoloration, but not really much in terms of texture improvement. This is likely because NYC doesn’t have the same protocols as CA for certain services to be administered by medical providers. A medical provider is able to go much deeper, which gives more effective results. Not only is Komal is so effective in addressing my concerns, she also takes an abundance of caution when treating me. For example, recommending SkinPen over Halo to avoid risk of hyperpigmentation for my skin (which I am wary of as a person of color) and also explaining why she avoids going too deep for my skin. Not only is she a fantastic provider, but she is so lovely as a person too! Honestly, everyone I’ve interacted with at Elinea, (Kriss, Ellen, Tess just to namedrop a few!) is a genuinely kind person. I know Dr. Rami built such a great community at this practice even if we haven’t had a treatment together. The atmosphere is so welcoming and every potential need is anticipated to make sure you’re comfortable. The space is beautiful and incredible immaculate, from the waiting area to the restroom. Since moving to SF, I’ve had trouble finding new places for aesthetic treatments, but I am so happy to have found Elinea and Komal. The team offers so many services, from chemical peels to laser to injectables, I’m sure there’s something for anyone. I am so excited to see my results this time around, and for my next session in December!

KP

Kirtan Patel

From the moment you walk into Elinea you can tell this is not your typical med spa. It genuinely feels like a five-star hotel spa. The plastered walls, exposed wood beams, and overall design feel incredibly high-end and intentional. Even the treatment rooms are spacious and calming, which immediately puts you at ease. **Dr. Rami** is exceptionally knowledgeable and what really sets him apart is that he is not trying to sell you anything. Instead, he takes the time to educate you so you can make a shared, informed decision about your skin and your goals. It feels thoughtful, personalized, and never rushed. I’ve done both microneedling and, more recently, HALO tribrid, and both experiences were amazing. The level of care is truly second to none. From clear prep instructions, to setting expectations for after the procedure, to a curated post-procedure skincare regimen, everything is seamless and thorough. The entire team is attentive, professional, and clearly invested in patient outcomes. I also highly recommend checking out their Instagram, where Dr. Rami consistently educates and empowers patients to make the best decisions for their skin. If you’re looking for expertise, transparency, and a luxury experience all in one place, this is it.

YC

YiJen Cheng

Friendly medi spa in Castro. I'm only here for the hydrafacial sections, but even the clinic doctor would be delightful and great to the clients. Very relaxing environment to start a facial. I have been lucky to have both aestheticians Sara and Angie take care of my face. Both of them are professional and communicative about what I need. Lite music and essential oil defuser are the plus. I feel very comfortable throughout my entire facial experience. I also tried the skincare products they carry during the holiday sale. Very good products. Thank you.

CC

carmen cicerelli

Absolutely Amazing Laser Treatment Experience! I couldn’t be happier with my results! From the moment I walked in, Dr. Rami and his staff made me feel comfortable and well taken care of. The clinic is modern, classy and welcoming. Dr. Rami and Jasmine were incredibly knowledgeable and explained every step of the laser treatment in detail, making sure I understood what to expect. The procedure itself was quick and almost painless, and I noticed visible improvements after just one session. My skin feels smoother, clearer, and more radiant than ever! I truly appreciate the professionalism, care, and attention to detail throughout the entire process and I will definitely come back again in the future for more treatments! If you’re looking for high-quality laser treatments with outstanding results, I highly recommend this place — you won’t be disappointed!

A

Alissa

Komal will take care of you! As a WOC who needs a different level of care than my fairer skinned counterparts, I felt I was always in good hands. Durant my consult, I wanted filler and laser and she suggested I do a lip flip and skin pen instead. She wasn’t pushy at all, and I felt she had my best interest at heart. It really felt like I was talking to a home girl. She did my skinpen and I can’t wait to see the results and be back. Also, the space itself if BEAUTIFUL. The staff are so sweet and theres plenty of parking near by.

RB

Rana Barghouty

I finallyyy got a chance to go to Elinea after hearing so many great things, and the whole experience truly exceeded expectations. I got an amazing facial and a consult with one of the MD’s. I left feeling SO much more informed than when I walked in. I understand the steps I need to take to best support my skin now (something I’ve been struggling with my whole life). Something else I truly appreciated is that not once did I feel pressured to buy any treatments or products, which was truly refreshing. They know what they are doing. What a lovely experience!

EZ

emilé zynobia

I'm surprised this office isnt more expensive for the bespoke experience they provide. Everyone here feels like your friend. Even though I'll typically only have an appointment with one practitioner, I've come to look forward to others like Jasmin, Dr. Rami coming in to check in on and to support decisions and procedures. I feel like I am heard and always in good hands. They care and are so accommodating with what at times can feel like a rushed and transactional experiences at other offices. Shout out Komal, Jamin and Dr. Rami!! I am so happy with my results and to see where we go. Did I mention I just also feel so relaxed and the space is gorgeous!?

LM

Lucia Muolo

I did the Halo laser and had such a great experience from start to finish! The whole team was wonderful, they explained everything clearly, made sure I was comfortable, and took care of me throughout the process. They really care about their patients and love what they do. A big thank you to Dr. Rami, Jasmin and Kriss for making everything so easy and enjoyable. I couldn’t recommend this clinic more!

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