Regenerative aesthetics is all about prompting your body to do what it already does best—heal, renew, and rebuild. Instead of just temporarily masking a concern or freezing a muscle, these treatments use your body's own natural biochemistry to stimulate cells into producing fresh collagen, elastin, and healthy tissue.
Think of traditional treatments like a quick fix that mimics youth from the outside, while regenerative treatments are like a long-term investment that cues your skin to actually act younger from the inside out.
We want your first visit to feel entirely comfortable and collaborative. During your 45-minute consultation, we'll sit down together to discuss what you already love about your features, any specific skin or aging concerns you have, and your ultimate aesthetic goals. From there, we'll design a personalized treatment plan that fits your lifestyle.
Your comfort is our priority, so there is never any pressure. However, if you're ready to get started, we can usually complete most wrinkle relaxer (like Botox) or filler treatments during that very same appointment!
Because every face has its own unique blueprint, the overall cost of your treatment depends entirely on your personal goals and your individual anatomy—including your skin quality, muscle movement, and the number of areas we are treating. We don't believe in a one-size-fits-all approach here.
You are investing in highly specialized care. we utilize a meticulous, anatomy-based approach backed by over 9 years of medical and aesthetic experience, including time spent training and working directly alongside the Medical Director of Allergan (the makers of Botox). During your consultation, we will map out a customized, transparent plan so you know exactly what to expect before we begin.
Bold Confidence Aesthetics is a boutique medical spa, which means we focus entirely on advanced aesthetic and skin-rejuvenating treatments rather than general medical care. We offer a curated menu of services, including wrinkle relaxers, dermal fillers, medical-grade skin resurfacing (like microneedling and chemical peels), laser therapies, and cutting-edge regenerative treatments. We truly specialize in that regenerative approach, using products that work alongside your body's natural biochemistry to stimulate lasting, beautiful results from within.
Every treatment is performed by our team of licensed, highly skilled providers and industry experts, under the direction of our Clinical Director, Laura Smutz, PA-C, a board-certified Physician Associate with nearly a decade of advanced aesthetic experience. Safety is always our first priority, followed closely by results that look natural and still feel like you. Our team is committed to ongoing education and advanced training so we stay current as aesthetic techniques evolve.
Laura brings a rare and incredibly thorough depth of medical knowledge to the aesthetic world. She is a Board-Certified Physician Associate who began her educational journey with a B.A. in Economics from the University of Georgia, followed by a Bachelor of Science in Nursing from Marymount University. She then earned her Master of Physician Assistant degree from Eastern Virginia Medical School.
Before dedicating her career exclusively to aesthetics, Laura honed her precision and care during three years as a thoracic surgery PA. After relocating to San Diego, she channeled that surgical precision into dermatology and aesthetics, practicing at two of the area's premier med spas. Most notably, she spent time training and working directly alongside the Medical Director of Allergan (the makers of Botox) to master advanced facial anatomy. Laura founded Bold Confidence Aesthetics to combine this elite clinical expertise with a warm, supportive environment where patients feel safe, heard, and beautifully cared for.
You can find us in the heart of Rancho Bernardo! Our beautiful, welcoming space is located at:
Address: 11610 Iberia Pl, Suite 102 San Diego, CA 92128
In-Clinic Treatment Hours:
Monday: 8:00 AM – 4:00 PM
Tuesday: 8:00 AM – 12:00 PM
Thursday: 9:00 AM – 6:00 PM
Friday: 8:00 AM – 2:00 PM
Virtual Support Hours (Available via Phone & Text):
Tuesday Afternoon: 12:00 PM – 4:00 PM
Wednesday: 8:00 AM – 4:00 PM
If you have any trouble finding us or want to check availability, please don't hesitate to reach out. We can't wait to welcome you into the clinic!
Absolutely. We believe investing in your confidence should feel accessible and stress-free. We are proud to offer flexible financing through Allē Payment Plans powered by Cherry as well as CareCredit. This allows you to break your treatment cost into manageable monthly payments with an instant application that won't impact your credit score.
We also love helping you maximize your savings! We gladly accept major aesthetic loyalty rewards, including Allē points (for Botox and Juvederm) and Aspire points (for Dysport and Restylane).
For standard payments, we accept cash as well as all major credit cards.
Just yourself! Ahead of your visit, we'll email you any relevant pre-treatment instructions so you know exactly how to prepare - some treatments have simple guidelines (like avoiding certain products or activities beforehand) to help you get the best possible results. Come with makeup-free skin if possible, so we can get a true read on your skin. We'll take care of the rest, including a quick intake form covering your health history so every treatment we recommend is safe and tailored to you.
More than okay, we love working with first-timers! Your consultation is entirely no-pressure and no-obligation. We'll walk you through exactly what to expect, answer every question (even ones that feel silly, they aren't), and build a plan at your pace. Many of our patients start with something low-key, like a consultation alone or a single small treatment area, before deciding what's next. There's no rush, and you're always in control of the plan.
In most circumstances, we don't, and it's actually for your benefit! We find that being in person gives us a far more realistic, accurate look at your unique anatomy and allows for a much richer conversation about your goals. Subtle details in your skin, muscle movement, and facial structure are simply easier to assess and plan around face-to-face, so we can build you the most precise treatment plan possible. If circumstances make an in-person visit genuinely difficult, reach out to our team and we'll see what we can do.
We completely understand that life happens, and we just ask for a little advance notice so we can offer your spot to another patient. If you need to reschedule or cancel, please let us know as early as possible. Missed appointments or last-minute cancellations may be subject to a cancellation fee - if you have any questions about the specifics, our front desk team is always happy to walk you through it before you book.
For most injectable appointments, no deposit is needed. For laser treatments specifically, we do require a deposit at the time of booking, this helps us reserve dedicated time and prepare for your session. Your deposit will be applied directly toward the cost of your treatment.
No, we do not accept HSA or FSA payment for any of our treatments. For standard payments, we accept cash and all major credit cards, and we also offer flexible financing through Allē Payment Plans powered by Cherry, as well as CareCredit.
Absolutely! Gift cards make a beautiful gift for a friend or loved one (or, let's be honest, a wonderful excuse to treat yourself). We also love rewarding our patients who share the Bold Confidence experience with the people they love, ask our team about our current referral perks when you're in for your next visit.
Our front desk team is available during regular business hours for all scheduling and general questions. For true emergencies only outside of business hours, you can reach us at 858-223-9029. Please reserve this line for urgent, time-sensitive concerns—for anything else, our regular line and text during business hours is the fastest way to reach us.
We believe pricing should be simple and transparent, which is why we charge based on a "Botox Equivalent Unit" model.
Different brands of wrinkle relaxers require different physical amounts to achieve the exact same effect. For example, it takes 3 units of Dysport or 2 units of Daxxify to equal the strength of 1 unit of Botox. Instead of making you do confusing math at checkout, we standardize everything.
If a treatment area requires the strength of 20 units of Botox, you pay for exactly 20 "equivalent units"—regardless of which brand we choose together. Even if we use Daxxify and physically inject 40 units, your bill will only show 20 Botox-equivalent units. This allows us to focus entirely on what is anatomically best for your face without you having to worry about fluctuating unit math!
In the San Diego area, standard Botox pricing typically ranges from $11 to $16 per unit. At Bold Confidence Aesthetics in Rancho Bernardo, our standard rate is $13.50 per unit, and Bold Basics and Bold Elevated members save $1 off every unit.
Because everyone's facial movements are unique, your total cost will depend on your personal goals and anatomy. For context, a single common treatment area, like the horizontal forehead lines or the frown lines between the brows, typically requires around 20 units.
When looking at Botox in San Diego, it is important to remember that you aren't just paying for the product in the syringe; you are investing in the skill of the injector. At Bold Confidence Aesthetics, you receive a highly specialized, anatomy-based approach backed by over 9 years of medical experience, including time spent training and working directly alongside the Medical Director of Allergan, the makers of Botox.