San Francisco Facial Plastic Surgeon
500 Sutter Street, Suite 430
San Francisco, California 94102 US
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24 years experience
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4.5 out of 5 stars 4.5 stars from 18 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

Definitely Worth It (For HIV Related Fat Loss in Cheeks) - San Francisco, CA

I had four treatments to counteract the effects of HIV fat loss in my cheeks. It looks fantastic and did so much for me psychologically. It's not cheap, but they have program where you can receive a pretty good discount on the product if you're income is less than $80K annually. You look great right at first due to the swelling, then it subsides slightly, then gradually fills in over...

4 out of 5 stars Sculptra

I Am Happy with It After 4 Treatments

This doctor is a leader in Scuptra treatments and came well recommended. Now I can recommend him to others based on my experience.

5 out of 5 stars CoolSculpting

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...

5 out of 5 stars Sculptra

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.

5 out of 5 stars Sculptra

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.

5 out of 5 stars Botox

Because I'm Worth It - San Francisco, CA

I have known Dr. Echavez for many years. Often I see him at fund raisers and other civic events. Never without a smile. When someone is working on your face, you want him to be a happy person. Dr. Echavez totally gets this concept and I felt 100% comfortable with him. He was very easy to get an appointment with and always a pleasure to talk to. I'll use him again.

5 out of 5 stars ArteFill

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.

5 out of 5 stars Botox

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.

5 out of 5 stars Botox

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 Botox

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!

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology


American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)

Consultation Fee

Please mention RealSelf

Awards & Recognition

RealSelf Top Doctor

Hospital Privileges

Dr. Echavez has hospital affiliations at California Pacific Medical Center.


  • Undergraduate & Medical School

    Undergraduate: University of California, Berkeley

    Medical: University of California, San Francisco

  • Post-Medical School Training

    General Surgery, UCSF
    Otolaryngology - Head and Neck Surgery, UCSF

    Fellowship: Facial Plastic and Reconstructive Surgery, AAFPRS, Cincinnati

Treatments offered at Michael Echavez, MD

Most popular answers from Michael I. Echavez, MD

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I am planning on having a full facelift in the near future. Are such procedures typically done in office or hospital/clinic?

Facelifts can be performed in all of the settings you mentioned. I would recommend finding a surgeon you like and feel comfortable with to perform... READ MORE

Legit Botox? Was my Latest Experience Kosher?

It's impossible to know if you had legitimate Botox or not, without seeing the vial that was used. It would be important to know exactly what areas... READ MORE

How Do my Results Look So Far with my Chin Augmentation? (photo)

I would agree that at only six days after your chin augmentation, that there is still some swelling involved. It can take several months and sometimes... READ MORE

What Lasers Work Best to Get Rid of Red Scars from Blepharoplasty and How Soon After Surgery Can I Start? Thank You

After blepharoplasty surgery, it is normal to have some redness of the scars during the healing process. With time, this redness normally resolves... READ MORE

How Do I Fix my Lazy Eyelid? (photo)

It appears that you may have some ptosis (lowering) of your right upper eyelid. There are surgical procedures that can correct this condition. I would... READ MORE

Belotero for Under Eye Creases, Mild Tear Trough Groove and Upper Cheek Volume?

Belotero is an excellent choice for use under the eyes because it is soft and can be injected more superficially (if needed) unlike the other... READ MORE

Best way to eliminate double chin? (Photos)

There are several treatment options to improve a double chin.  These would include, liposuction, CoolSculpting and Kybella injections.  All of these c... READ MORE

Wondering if 7 days is too soon to be discouraged about Dysport? (Photo)

I would recommend waiting another week to judge the results of your Dysport treatment, as it can take 1-2 weeks to see the full effect.  You also ... READ MORE

Do I need a chin implant?

Based on your photos, I would say that you appear to be a good candidate for a chin implant as well as liposuction under your chin.  Both of these ... READ MORE

43 years old and tired of chicken neck. What is the best procedure for lower chin area with loose skin? (Photos)

One non-surgical option to help improve loose skin under the chin would be Ultherapy.  This is an office treatment that uses ultrasound waves to ... READ MORE

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.