Botox and skin rejuvenation
Botox in Roseville, CA
Physician-led Botox treatments that soften lines with precision and restraint, so you look refreshed and still like yourself. A conservative approach for results that look naturally refreshed, never overdone.
Medically reviewed by Inderpreet Sanghera, MD on
Natural results
What is Botox and skin rejuvenation?
Botox Cosmetic uses purified botulinum toxin type A to temporarily relax the specific facial muscles that cause dynamic wrinkles, the lines that form when you frown, squint or raise your brows. Placed with a careful eye, Botox smooths lines, helps keep new ones from forming, and leaves your natural expressions intact.
At Lotus MD, we approach Botox as both medical treatment and artistic enhancement. Our philosophy centers on precision and restraint. The best results make you look like the most refreshed, confident version of yourself, not like you’ve “had work done.”
Our skin rejuvenation approach often combines Botox with complementary treatments to address several signs of aging at once, supporting your natural features while improving the health of your skin.
We take the time to understand your facial anatomy, your expressions and your goals, so the result looks natural.
Candidacy
Who is Botox for?
Ideal candidates include adults with dynamic wrinkles from facial expressions, people looking for preventive treatment, and anyone who wants subtle, non-surgical improvement with physician-led care. You may be a good candidate if you:
- Notice lines appearing when you make facial expressions
- Want to keep existing fine lines from deepening
- Prefer subtle enhancements that don’t change your appearance
- Value the safety of physician-led treatment
- Have realistic expectations about non-surgical results
- Want a treatment with minimal downtime
- Want to keep your natural expressions while smoothing unwanted lines
Dynamic wrinkle correction
- Forehead lines and horizontal creases
- Frown lines between the eyebrows (the “11s”)
- Crow’s feet around the eyes
- Bunny lines on the bridge of the nose
Candidacy is always confirmed at your consultation. If a different treatment fits your goal better, we will tell you.
Areas we treat
Where Botox can help
Your provider assesses your facial anatomy, discusses your concerns, and recommends the treatment areas most likely to give a natural-looking result.
Dynamic wrinkles
Forehead lines, frown lines between the brows, crow’s feet and bunny lines on the nose.
Advanced techniques
A subtle brow lift, a lip flip, masseter reduction for a slimmer jawline, gummy smile correction and neck bands (platysmal bands).
Prevention
Early treatment for emerging lines, softening the expressions that would otherwise etch wrinkles deeper over time.
Treatment benefits
What Botox can do
Botox works on the muscles behind expression lines, so the skin above them can smooth out. With consistent treatment, results build on each other.
- Smooths dynamic wrinkles for 3 to 6 months
- Helps prevent new lines from forming when used consistently
- Creates subtle lifting in targeted areas, such as the brows
- Softens lines without freezing your natural expressions
- Little to no downtime for most patients
- Complements other treatments for fuller rejuvenation
Our approach
The art and science of natural results
Conservative dosing
Units calculated for your muscle strength and the outcome you want, a gradual approach with room to adjust at follow-up, and your natural expressions preserved.
Anatomical expertise
A detailed understanding of how facial muscles interact, strategic injection patterns, and attention to the natural asymmetries every face has.
Personalized plans
Treatment built around your facial structure and goals, combined with other treatments when appropriate, and planned for consistent results over time.
The appointment
What to expect
Consultation, 45 minutes
An assessment of your facial anatomy at rest and in motion, your goals, your medical history and past treatments, realistic expectations, and a personalized plan with dosing recommendations and preparation instructions.
Preparation
Facial cleansing and photos for your record, a review of your plan and consent, and a topical anesthetic if you want one, though most patients find it unnecessary.
Treatment, 30 to 45 minutes in all
Injection sites marked to your anatomy, several small injections with ultra-fine needles for even results, a brief check that you are comfortable, then aftercare instructions and a follow-up if needed.
Recovery
Botox recovery and timeline
Most patients benefit from treatment every 3 to 4 months at first. With consistent treatment over time, some patients can extend that to every 4 to 6 months as the muscles become used to contracting less forcefully.
| When | What you’ll notice |
|---|---|
| Right after | Minor redness or swelling at the injection sites, which fades within hours |
| 24 to 48 hours | Subtle softening begins in the treated areas |
| 3 to 7 days | Steady improvement as the muscles relax |
| 10 to 14 days | Full results, and the right time for a follow-up assessment |
| 3 to 6 months | Movement gradually returns, time for your next treatment |
Beyond basic wrinkle treatment
Advanced Botox techniques
Brow lift
Strategic Botox placement for a subtle lift of the brows, opening the eyes for a more alert look without surgery.
Lip flip and gummy smile correction
Precise injections to enhance the look of the upper lip and reduce how much gum shows when you smile, for a more balanced smile.
Jawline contouring
Masseter reduction to slim the lower face and refine the jawline, often considered by patients who grind their teeth.
Neck rejuvenation
Treatment of platysmal bands, the vertical cords in the neck, for a smoother neck profile without surgery.
Real patients
Before and after at Lotus MD
Before and after at Lotus MD. Individual results vary. 
Before and after at Lotus MD. Individual results vary.
Founder and Medical Director
Dr. Inderpreet Sanghera
- MD, licensed physician
- Board certified, ABFM
- Certified, CPSO
- Certified aesthetic injector
- XERF Master Certified 2026
- Nearly two decades in medicine
Dr. Sanghera is a licensed medical doctor (MD), board certified by the American Board of Family Medicine and certified by the College of Physicians and Surgeons of Ontario. She is a certified aesthetic injector trained in Botox, Dysport and Xeomin, is XERF Master Certified (2026), and spent much of her career caring for veterans at the VA. She founded Lotus MD to bring evidence-based medicine and an artist’s eye to aesthetic care.
About Dr. SangheraQuestions
Botox questions, answered
Still unsure? Book a consultation and ask us in person.
How long does Botox last?
Results typically last 3 to 6 months, depending on your metabolism, muscle strength and lifestyle. Consistent treatment often leads to longer-lasting results over time.
Will I lose all facial expression?
Placed properly, Botox softens wrinkles while preserving your natural expressions. Our conservative approach is designed to keep your face mobile and expressive.
Is Botox safe?
Botox has a well-established safety profile when given by qualified medical professionals. It has been FDA-approved for cosmetic use since 2002 and is supported by decades of clinical research. Your medical history is reviewed at your consultation before any treatment.
Does Botox hurt?
Most patients find the injections very tolerable and describe them as quick pinpricks. The needles are very fine, and the injections themselves take only minutes.
When will I see results?
You may notice the first effects within 24 to 48 hours, with full results visible in 10 to 14 days. This gradual onset makes the change look natural rather than sudden.
Can I exercise after Botox?
We recommend avoiding strenuous exercise for 24 hours after treatment so the product stays where it was placed. Normal daily activities can resume right away.
What if I don’t like the results?
Botox is temporary, and we work to get it right the first time through careful consultation and conservative dosing. Any concerns can be addressed at your 2-week follow-up.
Can Botox be combined with other treatments?
Yes. Botox often complements dermal fillers or microneedling for fuller facial rejuvenation. We discuss combination options at your consultation.
How much does Botox cost?
Cost depends on the number of areas treated and the units each area needs. We go through it clearly at your consultation, before any treatment, so you know exactly what your plan involves.
Keep exploring
Other treatment categories
- Concierge Medicine
- Exosomes
- Filler and Facial Balancing
- Hormonal and Metabolic Optimization
- Medical Weight Loss
- Microneedling
- Microneedling with PRP
- PRP Hair Restoration
Read: Top Questions to Ask Before Getting Botox Read: Botox Cost in Roseville, CA: What Affects the Price Read: Botox for Men: The Rise of Brotox in Roseville Read: Combining Botox with Microneedling or PRP Read: How Long Does Botox Last? Results and Maintenance Read: Botox vs. Fillers: Which One Is Right for You? Read: Preventative Botox: When to Start and What to Expect Read: What Is Microneedling and How Does It Work? Read: What Is Botox and How Does It Work? Read: Botox vs. Fillers: Which One Do I Need?
Your next step
Ready for a refreshed, natural look?
Your consultation includes a facial and muscle assessment, personalized recommendations and a dosing plan, a frank talk about expectations and timeline, clear pricing with no hidden fees, and detailed aftercare instructions.
Sacramento: 4250 H Street, Suite #2 · Granite Bay: 4067 Cavitt Stallman Road