*Individual results may vary

(5 out of 5 stars)
Review from Pam H. | Source: Yelp |
Dr. Echavez is fantastic!  I was a bit nervous at first about having any cosmetic procedure, but he carefully explained everything and there was no pressure to do it.  He is exceptionally knowledgeable and helpful.  I first did the coolsculpting and was very pleased with the results.  I went back to have it done in other areas - all with great results.  I also had Dr. Echavez perform blepharoplasty on my droopy eye lids.  I was really nervous about that because of the plastic surgery horror stories you hear about.  However, when I was checking into the hospital, EVERY one I met at the hospital raved about his careful and professional work.  The head nurse said he was everyone's choice for the blepharoplasty procedure because he is so methodical and careful to achieve a very natural-looking result... just enough but not too much.  And, they were correct - he did a wonderful job in making my heavy eye-lids and bags under my eyes look SO MUCH better.  People tell me I look 10 years younger now (they don't know about the blepharosplasty because it doesn't show at all).  Anyway, if you are considering coolsculpting, botox, blepharoplasty or other cosmetic procedure, please check out Dr. Michael Echavez.  I'm sure you will be delighted with the results!
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(5 out of 5 stars)
Review from Rita Magazine H. | Source: Yelp |
Dr. E is very knowledgeable and fair. He doesn't push you to do unnecessary procedures. He has an incredible office location and great staff. He is a creative yet highly professional  artist who looks at your whole facial structure and gives you realistic expectations. His gentle kindness is a relief if you are squeamish with injectables. He's the BEST!

(5 out of 5 stars)
Review from David T. | Source: Yelp |
Dr. Echavez is friendly, knowledgeable, and does great work.  He has a wonderful aesthetic sense and never tries to push you into unnecessary procedures.  The restorative work done by Dr. E. has restored my self-esteem and truly improved my life.

(5 out of 5 stars)
Review from Rick A. | Source: Yelp |
Good guy who does excellent work. Very competent without being Beverly Hills flashy about it. He can initially come across as being a bit cold, but that's really more a reflection of his low-key nature. Extra points for the fact that his office assistant is very easy on the eyes, too (but won't give me the time of day, probably because I had to put my real age on the paperwork I filled out there). Highly recommended.
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(5 out of 5 stars)
Review from Andrea G. | Source: Yelp |
Dr. Echavez is an honest, REAL,  person who works with clients collaboratively, unlike many other surgeons who are in age-denial, superficiality land.  He will patiently describe various treatment modalities when you inquire but will never push anything on you. I have been seeing him for around 8 years for Sculpra Aesthetic treatments as I was no longer a good candidate for Restalyne according to  another Dr. who referred me to Dr. Echavez, the reason being I needed too many Restalyne treatments to make a difference, and that would make it very costly.  Although Sculpra does not last as long as I would have liked on me (maybe only 6-8 months) I am pleased with the results of more fullness in the somewhat hollowed-out areas of my face. (I have a thin face to begin with). As I have ruled out plastic surgery as an option that feels right for me, I will plan on continuing to see Dr. Echavez for this particular treatment!
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(5 out of 5 stars)
Review from Kurt S. | Source: Yelp |
Dr. E is awesome.  A first-rate practice, always professional and friendly, and really takes care of his patients.  I wouldn't take my face anywhere else!

(5 out of 5 stars)
Review from Daniel J. | Source: Yelp |
Can't really say enough good about Dr E --- beautiful office of course, but his demenor, expertise and humor makes the visits (and the outcome) among the best in the city. He gives a great assessment (and an honest one) allowing you voice your opinions and desires, but reflects them with an honest assessment -- a great back and forth  -- and you end up with what you need --- very fair pricing........... There are a lot of choices in the city, but Dr E's the only one I consider.
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(5 out of 5 stars)
Review from Carla T. | Source: Yelp |
I was a former employee of Dr. Echavez as his clinical esthetician. I can sincerely say that, as a 51 yr old female, I have never worked with a kinder,more respectful 'boss". He treated me as his equal and was never condescending, like most can be in that position. I was also a patient of his. I have yet to find a clinic/nurse/doctor that can give me that 'brow lift' like Dr. E! I haven't lived in SF for many years, so it's difficult for me to get to him, but I can highly reccomend this man. Not only is he a very good cosmetic surgeon, he is a decent human being with a stellar character!
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(5 out of 5 stars)
Review from Jeannie C. | Source: Yelp |
I move a lot, so I've gone to a bunch of doctors for botox and fillers over the course of the past 7 years. But I'm so glad I'm back in the bay to come back to Dr. Echavez. Dr. Echavez brings a level of taste and competence to the whole world of "New Beauty" style self improvement that I haven't seen in any of the other doctors I've had in NYC, LA, or Boston. For example, at a recent trip to his office I asked him about a few of the latest treatments that I read about--and I was prepared to get them if he deemed it worthwhile. He was honest with me, and told me it didn't make sense to get those procedures yet...even though it might have meant money to him in the short term. Also, I like that he does mini consultations with me every time I see him just to make sure I agree with his plan for injection placements--even though they are always very natural looking, with or without my input. I've been to many a (well meaning, but too rushed) doctor that just jumped immediately into poking me with syringes willy nilly. Not only is his skill top notch. He's also very affordable. I often go into see him with a plan on how much I want to spend. I'll say something like, "400 bucks, but I want forehead and crow's feet." And every time, he makes it work with my budget. Magic man:) Dr. Echavez strikes me as having too much class to ever actually self merchandise, hence the surprisingly low number of reviews on Yelp! thus far. But this is a clear case of being under appreciated, or of his current patients being strategic enough to keep their secret to themselves. But I figure I'll be a nice girl and share...Pssst, five stars!
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(5 out of 5 stars)
Review from Marvella W. | Source: Yelp |
This review is long over due.  Dr. Echavez removed a large, dark, freckle spot off the bridge of my nose. Removing the spot off the bridge part of my nose, requires careful skill.  Not easy suturing a tight area like the bridge of my nose! The procedure was done beautifully and painless.  Thank you so much! My apologies for this over due review, and again, thank you so much!

(5 out of 5 stars)
Review from Amber T. | Source: Yelp |
I have been seeing Dr Echavez for over 2.5 years ever since I saw him back in April 2014 when he (perfectly) fixed a Belotero job that a SF dermatologist had placed incorrectly. He is very talented with his work and also very kind. His office assistant Karla is also great. They never fail to call after any visit and they genuinely care about your results, pocketbook, appearance and feelings. I highly recommend.
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(5 out of 5 stars)
Review from Gabe T. | Source: Yelp |
I've been going to Dr. Echavez for the past 20 or so years and I have to say that I wouldn't go anywhere else. I've had multiple procedures done at his office. From the removal of broken capillaries, to the removal of moles, tags etc, to BOTOX and fillers. He's always professional, never rushed and thoroughly precise. He has an excellent bedside manner and is painless both in his procedures and on the pocketbook. I highly recommend his services and I couldn't be happier with the results we've achieved.
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(5 out of 5 stars)
Review from Ved Ivanov | Source: Google Reviews |
Fantastic and kind doc. top facial plastic surgeon in the country.

(5 out of 5 stars)
Review from Rick Stolley | Source: Google Reviews |
Have had Sculptra treatments over the last decade with several different providers. Dr Echavez's technique is without any doubt the best. I have had several treatments this year with no bruising. What a relief.

(5 out of 5 stars)
Review from Linzie Connally | Source: Google Reviews |
If you want the "BEST IN THE BUSINESS" Michael Echavez is the man to see. He has performed work on me for 20 years and I am getting ready for additional procedures in the next month. I literally have had everything procedure possible. FYI--I am approaching 70 years old and really look incredible due to Michael Echavez. Do not even consider any other surgeon. The quality of his work can not be surpassed. You will be very happy with his professional approach and caring manor. Robert Linzie Connally
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(5 out of 5 stars)
Review from James C | Source: Google Reviews |
Dr. Echavez is the most professional and knowledgable Plastic Surgeons in the area. He takes the time to listen to your needs, and makes suggestions so you can get the results you want.

(5 out of 5 stars)
Review from GSL GSL | Source: Google Reviews |
Dr. Echavez is hands down the best doctor I have ever visited. He takes the time to make you feel comfortable and actually listens to what you want him to do. He gives his opinion and options to consider in your treatment. There is no pressure to do anything that does not feel right for you. His technique has given me excellent results every time. I cannot recommended him highly enough.

(5 out of 5 stars)
Review from Henry Ostendorf | Source: Google Reviews |
Excellent care by Dr. Echavez. Been going to his office for years and find the staff efficient and friendly they've even helped me find patient assistance programs to lower my costs.

(5 out of 5 stars)
Review from Kurt San | Source: Realself |
Great Skills, Caring Doc - San Francisco, CA Dr. E is the best. Highly skilled, highly educated, and he really cares about his patients. I've been going to him for years, and wouldn't let anyone else near my money-maker ;-). He's not cheap, but this isn't a specialty where you want to go bargain-hunting. His experience shows every time I look in the mirror.

(5 out of 5 stars)
Review from Carla1 | Source: Realself |
Best Cosmetic Physician in SF - San Francisco, CA Not only was I a patient of Dr. Echavez, but I was also his medical esthetician for a brief period. I can honestly say that, as a 51yr old woman who has had many employers, Dr.Echavez was probably the only "boss" I had that treated me like his equal. Unlike others in his position, he never spoke down to me, but always treated me with kindness and dignity. He was my favorite employer of all time. I was also a BOTOX patient of his, and to this day, not one has been able to give me that "brow lift" like he did! I no longer live in SF, so I have been trying various other doctors/clinics since. I cab sincerely say that he is worth every penny!
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(5 out of 5 stars)
Review from albert bray | Source: Realself |
Dr. Echavez has been my Doctor for over 15 years. He has treated me for facial Wasting due to a health condition. I have nothing to say other than he’s the best there is. Not only has he restored my face to a natural appearance but he’s been the kindest and most considerate physician I have ever known. Key point for me is that I know other people who have had the same procedure done with other Doctors and their results are FAR from mine. It’s all in the hands of the physician and Dr Echavez is truly an artist and a surgeon. He has helped me with my confidence and I can’t thank him enough. I would recommend him to anyone thats looking for a surgeon or to have a cosmetic procedure. Hi . Without a doubt he’s the best!
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(5 out of 5 stars)
Review from Gabe T | Source: Realself |
I Look Fantastic! - San Francisco, CA I can sum up this reveiw in a few short sentences. I was turned on to Dr. Echavez by a couple of very close friends of mine. We were at lunch and were talking about cosmetic (botox) procedures that they had done within the past year. The two of them looked rested and fresh. That's when I thought, " I want to look rested as well." I asked for the number and made an appointment that very day. A few days later I had the procedure done. I was in and out of that office within a half hour! It was that fast and convenient! I've been back every 6 months or so for the past 6 years and let me tell you, "It's worth every penny.'
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(5 out of 5 stars)
Review from RSMember18339 | Source: Realself |
Pleased with my results for sunken cheeks via Juvederm Voluma/tear troughs via Restylane I am 28 years old, an age I thought was too young to consider any type of procedures. After recently losing 20 pounds and back to the weight I was in my early twenties, I was shocked at what the fat loss did to the contours of my face! I have been feeling SO desperate and wanting to return to how I once looked. I look SO GAUNT now. After much research I finally pulled the trigger with injectables. Dr Echavez seems almost indifferent and business-like, he was not pushy at all. He is not what you would call warm. I felt like I had to ask a lot of questions he should have offered up, but thankfully I had done my research. He was honest about his opinions; consultation very brief. I relied on his expertise on my hollow tear trough for recommendation: Restalyne. I had to be the one asking about Sculptra and Juvederm Voluma, but he probably would have recommended. He told me both would end up having the same results. At the last minute, I changed my mind about my appointment for Sculptra (they need to know in advance because it takes a day to mix the Sculptra) and switched to Juvederm Voluma. Sculptra provides gradual results and I honestly want immediate ones. I hated looking in the mirror. Procedures: The doctor was professional, though once again I had to ask and ask nervously about the procedures. It didn't take long at all and didn't really hurt that much at all. Just pokes, and he numbs you before the HA filler. He used one syringe per cheek. Very pleased with the Juvederm Voluma results on my cheeks! He rounded out the apples of my cheeks, near my nose which I wasn't expecting but I'm not the expert; I would have just filled in the sunken hollows. The effect has the area around my nose and upper lip thicker than I'm used to but ultimately I'm happy. I was told there shouldn't be much swelling, so I will update and be hopeful for the following days. No bruising. Am able to put on makeup and am going to work 3 hours after. As for the under eye tear troughs, his expertise led him to use not even a full half-syringe for both. He is saving the rest for when I come back again, which I'm certain I will. Well....It is less hollow under my eyes to be sure, but it's hard to tell with the light bruising. So far, the results aren't dramatic but improved. I didn't expect to be blown away, recalling other reviews of under-eye fillers used for volume. I'll keep updated. He also did inject under the muscle! I've read terrifying reviews about doctors who injected too shallowly, and not under. I will see how it is after 2 weeks of settling. I am still considering a couple rounds of Sculptra as well. He explained the longevity of Sculptra but also how many sessions it would take. I'm glad I decided to get the results today instead of being disappointed about Sculptra after the first week's swelling went down, and having to go back again and again. Definitely returning as needed, though.
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(5 out of 5 stars)
Review from gcsf | Source: Realself |
Great result - Great Experience! - San Francisco, CA I have been to Dr. Echavez several times for treatment. The experiences have always been nothing but pleasant. Great results from a great physician. He has always provided the best possible care. He is always ready for me at my appointment time, always professional and personable and always provides great results!

(5 out of 5 stars)
Review from susanbayarea | Source: Realself |
I Highly Recommend Dr. Michael Echavez! - San Francisco, CA My dermatologist in San Francisco recommended Dr. Echavez for filler and botox, and I am very happy with him. He listens to what I am looking to do (I don't want to look like a different person, rather just my younger self) and is very careful, attentive, and knowledgeable. I had filler in my lips for the first time and it enhanced my look without being artificial in any way. I have had some less than favorable experiences with other providers when it comes to filler in the past, and I definitely trust Dr. Echavez with my face.
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(5 out of 5 stars)
Review from Cristobal20 | Source: Realself |
Very Satisfied with Medical Treatment and Professional Experience Due to a medical condition, I have been fortunate to have Dr. Michael Echavez assist me with sculptra treatment. I have always been very satisfied with the results. Excellence and professionalism stand out.

(5 out of 5 stars)
Review from armando59 | Source: Realself |
Immediate Results I've been seeing Dr. Echavez for years for Sculptra treatments and decided to try Voluma. The results are pretty much the same but it is more immediate rather than taking a week for full results with Sculptra. Dr. Echavez said both will last about a year to 18 months.

(5 out of 5 stars)
Review from California Darling | Source: Realself |
Michael is Patient, Kind and Does Great Work - San Francisco, CA

Michael helped me with minor restoration using Sculptra. He is patient, kind and has a great sense of humor. He also does fantastic work. He studies your face in detail and works with you to very subtly enhance your natural appearance. He is extremely talented and I have recommended him to several friends. Each person has been pleased with their results and they continue to see him. This is the highest compliment.
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(5 out of 5 stars)
Review from David San | Source: Realself |
Best BOTOX - San Francisco, CA

Referral from a friend. Dr Echavez knows what he is doing. I went away feeling like I received my money worth and within a few days started to notice the change in the way I looked. The botox seemed to last longer than other times I have had botox from other Doctors. He took his time to talk to me and to tell me what he was going to do before he did it. He was very helpful in talking to me about different types of services he offered but was not pushy in "trying to make a sell" I 100% will return to him.
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(5 out of 5 stars)
Review from JAC60SF | Source: Realself |
Great Bedside Manner. Great Results - San Francisco, CA

I found Dr. Echavez through another patient referral. I have been to Dr. Echavez on more than one occasion, and have always been impressed with his professionalism and demeanor. He always explains any given procedure,answers questions honestly, and doesn't try to push other procedures. I could not be happier with my BOTOX treatments. He's the best in the city of San Francisco, as far as I'm concerned.
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(5 out of 5 stars)
Review from BayAreaMan | Source: Realself |
55 Year Old Male With Belly and Love Handles - San Francisco, CA

I've tried to stay in relatively good shape most of my adult life after being overweight throughout my childhood and teen years. My whole family is very overweight and we've all battled our weight most of our lives. Over the years, no matter how much I exercise or maintain a good eating regime, I've always had a protruding belly and love handles except for a few times when I did some extreme weight loss which was impossible for me to maintain. This year I started researching things like Lipo because I was tired of my waist always looking larger than my chest. Lipo just didn't feel right for me. Then I stumbled across CoolSculpting and was intrigued. And it turned out that one of my best friend's plastic surgeon whom he swears by - Dr. Michael Echavez - performs it. I read dozens of the reviews on here before making the decision to go for it. Maybe I'm just lucky, but I had mostly no pain, (though the procedure itself at the beginning of the treatment is a bit uncomfortable for about 15 minutes), very little bruising (some on my flanks, none on my belly) and no nerve pain in the days/weeks following and really no need for any pain killers. I definitely had all the swelling and numbness for several weeks. I didn't see any results until about 8 weeks after the procedure. Then I really starting noticing the difference. The very noticeable "ridge mound" between the flat part of my pubic bone and the bottom of my protruding abdomen really began to shrink and flatten out. That was a big deal for me. And my love handles began to become smaller. I'm very happy with the results. I'm going back for a second round of treatments to get rid of the elongated "doughnut" of fat around my navel and to take away more of my love handles, especially around on my back now that the fat on my two sides has reduced.
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(5 out of 5 stars)
Review from kalmbachad | Source: Realself |
Because I'm Worth It - San Francisco, CA

Ok, so I stole the line from a shampoo commercial, but it is true. If having a little touch up makes me look and feel better about myself, so be it.

(5 out of 5 stars)
Review from maryanncoralrealself | Source: Realself |
Excellent Results With Sculptra Treatments

I began Sculptra treaments with Dr. Echavez after moving to California and looking for a cosmetic procedure that would fill out gaunt cheeks. My reseach indicated that Sculptra was very effective in adding roundness to sunken cheeks due to aging. Additionally, the results lasts for months, as opposed to other fillers, which generally last for a much shorter period. I understand this is because of how Sculptra reacts with existing tissue in rounding out the cheek area. I am extremely happy with the results and the professional coutesy and advice of Dr Echavez. I initially found Dr. Echavez through the Sculptra website when looking for providers and learning that he instructs other physicians on the proper use of Sculptra. A recent photo is provided after treatment. I am 73.
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(5 out of 5 stars)
Review from smiles821 | Source: Realself |
Great. San Francisco, CA

Conducted CoolSculpting and then followed up with SculpSure. This was focused on my abs as well as my inner thighs. Much better impact/results on the abs and faster changes than any diet and exercise alone had provided for me over the years. Glad I made the move and will continue over time as I feel it is helpful.

(5 out of 5 stars)
Review from Happy Daniel | Source: Realself |
Dr. Echavez is a Restoration Artist - San Francisco, CA

Facial wasting prematurely made my face hollow and sad. Dr. Echavez was kind and sensitive to my particular needs. I supplied him with picture of my face before facial wasting. My wasting had been asymmetrical. After a few treatment, Dr. Echavez restored my face with a his precise and artistic hand. He gave me my face back! I am very happy with his work. Dr. Echavez is a Restoration Artist.
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(5 out of 5 stars)
Review from T415 | Source: Realself |
Dr Echavez Was Knowledgeable on my Options and Answered All Questions - San Francisco, CA
I've had several great experiences Dr Echaves, he takes his time to clearly explain what the procedures involved, risks, recovery expectations and the expected results. He was right on all accounts and would have no reservations recommending him to others. I am more than happy with the results I have seen (and continue to see) and would definitely return to Dr Echaves when needed.
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(5 out of 5 stars)
Review from Fillmore_Girl | Source: Realself |
I Love Dr Echavez! - San Francisco, CA I was introduced to Dr Echavez a few years ago by a friend in NYC who swears by him. She's in the public eye and has to look "perfect." Ive seen Dr Echavez many times over the last few years. He's kind, patient, thorough and a straight shooter. He's truly in this business to help people, not for the money. I continue to see Dr Echavez and have referred several friends as well.
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(5 out of 5 stars)
Review from frank8567 | Source: Realself |
I Am Happy with It After 4 Treatments I did not expect Scuptra to turn me into George Clooney and I had very realistic expectations. I just wanted the un-natural sunken 'valleys' on my cheeks to be filled in. After four treatments, I am quite happy with the results and I have not experienced side effects described in here. I had some pin sized bruisings but they went away within days. I had my treatments from April to July 2009.
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