I went here about 3 years ago, just for botox. I felt it was okay, and Mary did an okay job. I just went back for a little tear trough filler and botox about two months ago. Somehow, I got the feeling that the products were strongly diluted. I didn't get much affect from the botox, and the tear trough filler was minimal. I paid for a full syringe. I'm not sure what has changed, but I didn't get the same results other friends have gotten from other medical spas. Their staff is very friendly, but I also feel like it is so big and "mall like" that there is never any privacy or discretion when coming in for a treatment.