Having recently completed a microdermabrasion package at Caramella, I can't say enough good things about this place! Not only was the treatment visibly effective, but the accompanying facial was a relaxing delight at every visit. I just turned 31 and had begun noticing an uptick in the fine lines...microdermabrasion did the trick and resulted in much-improved skin tone and texture. Owner Mariana is gracious, beautiful, and very knowledgeable, and her staff is impeccably trained. I so looked forward to my appointments - Caramella's spa atmosphere is both soothing (warm, low lighting, nice music) and clinically professional - that is, you feel that you are getting that ""treat-yourself "" atmosphere, while still being in the hands of ""the experts."" I loved the selection of products used, as well as the explanations I got regarding each one before it was applied to my face. Also, I was pregnant during the second half of my treatments, so the staff adjusted my facials accordingly, using the gentlest products and just generally being considerate of my every need. The spa offers and can recommend various products for you, but they are never pushy.
If you are in search of serious skin care in a lovely setting - I would highly recommend Caramella Skin Couture - it's a San Francisco gem!