I wanted to add that this medical spa is owned and ran by a physician. She is wonderful! I will never go anywhere else for Botox! When I have some filler done I’ll update my review to include that. I’ve been to lots of other medical spas in Napa and the Bay Area. I was always treated by a nurse. So I feel I’ve hit the jackpot to find Paradigm! Not only is it more inexpensive than most medical spas, I’m treated by a physician who has the best set of hands and a great eye! Why would anyone settle for less? A customer for life!