Injectables, laser and weight management in Livermore, from doctors who teach other doctors.
Dr. Tam Nguyen is on the faculty of the American Board of Aesthetic Medicine and has trained hundreds of physicians. He works alongside two more board-certified doctors, six days a week.
101 E. Vineyard Ave, Suite 103, Livermore · Monday to Saturday
Three kinds of work, one practice on Vineyard Avenue.
Injectables and lifts
- BOTOX · Xeomin · Dysport
- Dermal fillers · Lip filler
- Sculptra
- Silhouette InstaLift · PDO thread lift
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Laser and skin
- GentleMax Pro laser hair removal
- Age spots and facial veins
- RF microneedling · Morpheus8
- HydraFacial · Corrective laser
Explore →
Weight and body
- Physician-supervised weight management
- Weight loss injections · Appetite suppressants
- Meal replacement
- SmartLipo body sculpting
Explore →
Before and after, from their own galleries.
Silhouette publish dozens of their own results, most with their mark in the corner. They are spread across six separate gallery pages that the homepage never shows.
Individual results vary.
The physicians who would actually treat you.
Dr. Tam Nguyen
Physician · Nonsurgical facial rejuvenation
On the faculty of the American Board of Aesthetic Medicine and the American Academy of Family Practice. Has performed thousands of injections, lectured internationally and trained hundreds of doctors. Specialises in the Silhouette InstaLift.
Dr. Soraya Esteva
Board-certified OB/GYN · Weight management
Doctor of Medicine and residency in Obstetrics and Gynecology at USC’s Keck School of Medicine. Certified in weight loss management after years of seeing how hard lasting weight loss is for women.
Dr. Elyas Parsa
Board-certified family medicine · Injectables and laser
Program director in a medical residency programme, teaching advanced procedures. Performs BOTOX, Xeomin, Dysport and dermal fillers, and laser treatment for sun damage, tattoos and hair.
A needle in your face is not a haircut.
The single most common reason someone leaves an aesthetics website without booking is that they never found out who would be treating them.
A doctor who trains other doctors, three clicks in
Dr. Nguyen teaches cosmetic injection technique to physicians for the American Board of Aesthetic Medicine. Almost no practice in the Tri-Valley can say that. On their homepage he is a name with a “Learn more” link, below a services list and above a “Promos / Events” strip of seven identical “CLICK HERE TO LEARN MORE” buttons.
To ask a question, you have to agree to marketing
Their consultation form states that by submitting it, the patient “consent[s] to receive marketing text messages, emails, and calls”. A first-time patient who only wants to know whether filler would suit her has to sign up for promotions to find out. On this page she can simply ask Sandy.
What a physician-led practice actually changes.
Doctors at the needle
Three physicians — family medicine and OB/GYN, both board-certified, and a nationally recognised cosmetic trainer.
Open six days
Monday to Saturday, nine to six — including the Saturday most working patients need.
Weight and aesthetics together
A doctor-supervised weight management programme under the same roof as the injectables and laser.
Plans that reward coming back
Their own memberships: 30% off every unit of toxin from $39 a month, or a Beauty Bank that turns your monthly payment into points.
Beauty Toxin — $39 a month. Beauty Bank — $169 a month.
Their own two plans, both on a 12-month commitment.
See the membershipsBeauty Toxin, $39/month
30% off every unit of toxin, 10% off retail skincare, and invitations to member events and product launches.
Beauty Bank, $169/month
20% off most services, 15% off retail, and every dollar of your membership earned back as a point to spend on services and products. Early access to promotions and events.
$100 off your first treatment.
Their own new-client special, from the promotions on their homepage. They also run a refer-a-friend offer: give $100, get $100.
Book a consultationTheir own limited-time offer, as published in September 2026. Ask the office for current terms.
Physicians treating patients
Days a week, Monday to Saturday
Of doctors trained by Dr. Nguyen
Tri-Valley cities served
The things people ask before they book.
Who will be treating me?
One of their three doctors. Dr. Tam Nguyen focuses on nonsurgical facial rejuvenation and teaches injection technique to other physicians. Dr. Elyas Parsa, board-certified in family medicine, performs injectables and laser. Dr. Soraya Esteva, a board-certified OB/GYN, leads weight management.
What is the Silhouette InstaLift?
A nonsurgical treatment that uses dissolvable threads to lift and support the mid-face. It is Dr. Nguyen’s specialty, and whether it suits you is decided at a consultation.
Do you do laser hair removal on darker skin?
Yes. They use the GentleMax Pro, which they describe as suitable for all skin types. It can also treat age spots and visible facial veins.
How does weight management work here?
It is supervised by a physician and starts with a consultation about your health and history. The options include appetite suppressants, weight loss injections and meal replacement. Whether any of them is right for you is the doctor’s decision.
Do you offer memberships?
Yes — two plans. The figures are on the membership section of this page, and the front desk can go through them.
When are you open?
Monday to Saturday, nine to six. Closed Sunday. Telehealth appointments run seven days a week, from seven in the morning.
Where are you?
101 East Vineyard Avenue, Suite 103, Livermore, California 94550. They also serve Pleasanton, Dublin and San Ramon.
One practice, on East Vineyard Avenue.
Suite 103, Livermore — serving the Tri-Valley.
Meet Sandy, the front desk that never goes home.
She knows every treatment Silhouette offer, which doctor performs it and when the practice is open. Ask her out loud — she answers in about a second.
- “What is the InstaLift?”
- “Which doctor does lip filler?”
- “Are you open on Saturdays?”
- “What do the memberships include?”
- “Book me a consultation next week.”
Demonstration only. Any appointment Sandy takes here is not placed with Silhouette.
The same Sandy can answer the phone.
What you just spoke to is the website half. The identical agent — same treatment knowledge, same booking rules, same voice — can be connected to a phone line to catch the calls nobody gets to.
Unanswered calls. Sandy picks up when the line rings out because the room is busy.
After hours and weekends. She answers questions and takes bookings while the doors are shut.
Overflow. When two calls arrive at once, the second one stops going to voicemail.
Nothing about your existing number changes. You keep it, you keep answering it, and Sandy only takes what you would otherwise have lost. You can listen to every call and read every booking she makes.
- Sandy gets her own numberA dedicated line, never published to your guests.
- You set the forwarding rulesBusy, no answer, or after hours — your choice, with your carrier, reversible in a minute.
- She answers what you missSame knowledge she has here. She can also hand a caller straight to a human.
- Bookings land in your systemConnected to your real diary once you say so — never before.
Turn the demo into a decision.
Everything on this page came from silmedspa.com — your own doctors, your own results, your own plans and hours. Nothing was invented. A 60-minute Discovery Call with Ignatius covers what it takes to run properly — the phone line, the Saturday diary, the membership follow-up — and whether it is worth doing at all.
Book a Discovery Call
Pick a date, choose your local time and tell me what would make the conversation valuable.
View available appointments