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Arriving late will shorten your appointment time due to other client appointments. Therapist requests will be considered but cannot be guaranteed. Appointment add-ons are available with prior request and full payment through Caramella Skin Couture. Childcare is not available; no unsupervised children are allowed. This price does not include gratuity. As a courtesy to your therapist, it's recommended that you tip based on the full price of the service. If you need to reach the spa, the direct number is (415) 391-0305.