Skip the year-long wait.
Expert skin care, this week.

Same-week dermatology appointments. Personalized care with immediate availability, extended consultations, and direct provider access — all for a simple flat fee.

Book My $99 Skin Check

Cash pay only  ·  No insurance  ·  Encinitas, CA

Same-week appointments
Not 6–12 months from now. See a provider this week.
Extended, unhurried visits
Real time with your provider. No rushing through your concerns.
Direct provider access
Reach Neenah directly between visits. No phone trees.
$99 flat fee
One transparent price. Cash pay only — no surprise bills.
Board-certified expertise
10+ years in dermatology and integrative medicine.
The $99 skin check

Everything included in one visit

A thorough skin exam with real time to discuss your concerns — not a rushed 7-minute appointment. All for a simple, transparent flat fee.

Full-body skin exam
Head-to-toe check for moles, lesions, spots, and any areas that look unusual or have recently changed.
Book skin visit
Concern review
Dedicated time to discuss specific rashes, acne, discoloration, or anything you've been putting off getting checked.
Schedule consultation
Personalized next steps
Leave with a clear plan — monitoring, a prescription, a biopsy, or a referral — all explained in plain language.
Book now

Please Note: This concierge service is cash-pay only and does not accept insurance. We focus on delivering personalized, premium care with extended consultation times and dedicated provider attention — all at a transparent, predictable price.

Why concierge

The difference is remarkable

Traditional dermatology wasn't designed around your schedule or your access. Ours is.

Traditional dermatology
6–12 month wait for new patients
Rushed 7-minute appointments
Insurance complications & surprise bills
Different provider every visit
No direct contact after your visit
vs
SOM Concierge Dermatology
Same-week appointments available
Extended, unhurried consultations
Simple $99 flat fee — cash pay
Your dedicated provider every time
Direct provider access between visits
Meet your providers

The team behind your care

Neenah Grade, PA-C — board-certified physician assistant and concierge dermatology provider
Dermatology & Integrative Care
Neenah Grade, PA-C
Board-Certified Physician Assistant

With over a decade of experience in autoimmune disease, chronic illness, and regenerative wellness, Neenah's approach to dermatology is integrative and prevention-focused — addressing both visible skin concerns and the hormonal and metabolic patterns beneath them.

Specializing in concierge care that combines clinical expertise with longer consultation times and personalized treatment protocols.

Schedule with Neenah

Dr. Saami Khalifian, MD — supervising dermatologist and founder of SOM Aesthetics
Supervising Dermatologist
Dr. Saami Khalifian, MD
Board-Certified Dermatologist & Surgeon

Dr. Khalifian is a board-certified dermatologist and reconstructive surgeon with fellowship training in Mohs surgery and procedural dermatology. His clinical focus spans medical dermatology, skin cancer surgery, and longevity medicine.

As founder of SOM Aesthetics, Dr. Khalifian brings a science-first, outcomes-driven approach to every patient — combining the precision of surgical training with an integrative philosophy centered on long-term health and skin vitality. He oversees and supports the clinical care delivered at SOM Aesthetics.

Common questions

Frequently asked

Do you accept insurance?
No — we are cash-pay only. No prior authorizations, no surprise bills, completely transparent pricing. You pay $99 for your skin check, full stop.
How quickly can I get an appointment?
Most patients are seen within the same week. Our concierge model is specifically designed to eliminate the long waits common in traditional dermatology.
What if something needs follow-up?
Your provider walks you through all findings before you leave. Follow-up visits, biopsies, or prescriptions can be arranged quickly through our direct-access model.
Who will I see?
You'll see Neenah Grade, PA-C — board-certified with 10+ years of experience in dermatology and integrative medicine. Same provider every visit.
Where are you located?
We're based in Encinitas, CA. Exact location details are sent upon booking confirmation.
Book your $99
skin check

Fill out the form below and our team will be in touch shortly to assist you.

Prefer to call? 760-766-7546
Cash pay only · No insurance · Encinitas, CA