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Esthetic Finesse
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Esthetic Finesse

5.0(503)
5520 N 69th Place, Paradise Valley, AZ 85253

Our Take

Esthetic Finesse is, by the weight of its reviews, a one-injector boutique built around Diane Howard's reputation for restraint: clients return again and again for Botox and lip filler that reads as a quieter, more symmetrical version of themselves rather than an obvious "done" look, delivered with a gentle hand and unhurried, one-on-one attention in a private setting. The praise is remarkably consistent across hundreds of five-star reviews, with the recurring refrain being a genuine "less is more" philosophy and a warm, professional chairside manner. The one honest caveat: this is premium-priced work (filler starts around $700 per syringe), so it's a splurge rather than a bargain. If you want a high-volume menu or rock-bottom pricing, look elsewhere; if you want a careful artist who errs toward natural, this is squarely that.

The Aesthetiq editorial synthesis of public reviews & social sentiment. Individual results and experiences vary.

About

Esthetic Finesse is a medical spa in Paradise Valley, Arizona offering Botox & Neurotoxins, Dermal Fillers, Kybella, and more. It holds a 5★ rating across 503 Google reviews.

Founded/owned by Diane Howard, RN (registered nurse, cosmetic/aesthetic nurse injector)In business since 2016 (BBB business started 6/30/2016; ~9 years)Allē and Aspire rewards program providerBBB A+ rating (file opened 3/28/2025; not BBB accredited)Featured in Arizona Foothills Magazine (June 2025)Signature trademarked Finesse Harmony Method

Treatments

Before & After

Esthetic Finesse publishes real before-and-after results on their own website and social channels. Out of respect for patient privacy and consent, we link to the source instead of re-hosting those photos here.

See real results →

Reviews (563)

Reviews from GoogleRead all on Google →
Jillian Waln· 5 months ago
5.0

I have been going to Nurse Diane for over 8 years. I refer all of my friends to her and they love the services that they get from her as well. Diane stays on top of the latest trainings and new knowledge coming from her field. I love her approach to simply enhance and not overdo, her clients including myself look fresh and natural. She has an eye for what you need and exactly where you need it. Not everyone has that. I always look forward to my appointments because the office is beautiful, the customer service is amazing, and Nurse Diane is not only a joy to be around but she’s always open to answering any questions I have as time progresses. I view these services as a form of investment in your self care and mental health, and the environment that Diane provides to her clients brings forth that thoughtful, caring, and healthy energy. I’ll never go to anyone else!! Nurse Diane is an absolute pro at what she does!

Annette Sajecki· a month ago
5.0

I cannot recommend Diane enough! From the moment I walk in, she makes me feel completely comfortable, heard, and confident in the process. She has such a gentle touch and an incredible eye for natural, beautiful results. Diane took the time to explain everything thoroughly and truly listened to what I wanted. The entire experience felt professional, luxurious, and personalized. I’m beyond happy with my results and already looking forward to my next appointment. If you’re looking for someone talented, honest, and detail-oriented, Diane is absolutely the one to see!

Brooke Morrison· a month ago
5.0

Diane is truly exceptional at what she does. I’ve trusted her with my Sculptra treatments, and her eye for detail is next-level. She doesn’t just inject—she understands facial balance, structure, and how to create results that look natural and refreshed, never overdone. What I love most is how thoughtful and precise she is. She takes her time, explains everything, and makes you feel completely comfortable throughout the process. You can tell she genuinely cares about her clients and the outcome. And her staff is just as incredible—welcoming, professional, and so kind from the moment you walk in. The entire experience feels elevated and seamless. If you’re looking for someone who combines skill, artistry, and a natural approach—Diane is it. I wouldn’t go to anyone else.

Nikki Vanhof· 2 months ago
5.0

I always have the best experience at Esthetic Finesse with Nurse Diane! She’s incredibly knowledgeable, gentle, and truly listens to what I want, making sure everything looks natural and balanced. Whether it’s Botox or lip fillers, I always leave feeling refreshed and confident—still like me, just enhanced. On top of that, she’s so sweet and welcoming, which makes every visit enjoyable. I trust her completely and wouldn’t go anywhere else. Highly recommend! 💕

Becca R· 5 months ago
5.0

Nurse Diane and her crew are absolutely incredible! She does such an amazing job, she’s very thorough, incredible knowledgeable, easy to talk to, does a very good job at explaining what she’s doing and why. I love their approach to treatment plans. Overall, just an amazing experience and incredible injector! Highly recommend.