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Dr. Romano’s “Exquisite Care” Medical Spa

A San Francisco Delight!

San Francisco has long been known for its quality of food and services.  Dr. Romano’s “Exquisite Care” Medical Spa is no exception.  Dr. James Romano recognizes the importance of quality skin care to defy aging and create a younger appearance.  

The Spa’s Medical Aesthetician, Liza Pielsticker, is highly experienced, and in addition, has been personally trained by Dr. Romano.  Patients love her warm, upbeat personality and she is incredible in the performance of skin care artistry.  .It is also important to note that as a Board Certified Plastic Surgeon, Dr. Romano is dedicated to maintaining the highest of standards and personally inspects, as well as oversees every aspect of his Medical Spa ranging from the latest techniques in skin rejuvenation to providing patients with top of the line prescription strength products. 

Dr. Romano’s Medical Spa services include a wide variety of non-surgical procedures and skin rejuvenation treatments.  

The following provides a menu of these services with each personally described by Dr. Romano.

San Francisco Medical Spa

Dr. Romano’s “Exquisite Care” Medical Spa

Injectables and Fillers
Perlane, Restylane, Cosmoplast, Cosmoderm, Captique and others.

Medical Grade Skin Care
Prescription Strength Skincare Products
Wrinkles & Loose Skin
Skin Textural Irregularities
Stretch Marks
Sensitive Skin
Peels, facial treatments, skin tightening, and wrinkle removal.


Anti - Aging
Skin Maintenance
Postoperative Skin Care

Thermage - Radiofrequency energy non-invasive skin tightening.

Prescription Strength Skincare Products not available through salons or department stores.



Dr. James Romano, M.D.
San Francisco Plastic & Reconstructive Surgery
1650 Jackson St., Suite 101, San Francisco CA 94109