Dermal filler
Filler and Facial Balancing in Roseville, CA
Physician-led dermal filler treatments that restore volume, sculpt contours and bring balance to your natural features. An anatomy-first approach for volume that enhances your features, never erases them.
Medically reviewed by Inderpreet Sanghera, MD on
Hyaluronic acid filler
What is filler and facial balancing?
Dermal fillers are injectable treatments made with hyaluronic acid (HA), a substance found naturally in your skin. They restore volume, smooth folds and strategically support facial structure. Placed by someone with a deep understanding of facial anatomy and proportion, filler gives natural-looking results without surgery.
At Lotus MD, facial balancing goes beyond adding volume. We look at the face as a whole: your bone structure, soft tissue, skin quality and natural symmetry, so the result complements every feature rather than changing it. That is the difference between filler that looks obvious and filler that simply makes you look well.
Our philosophy is rooted in restraint and precision. Less is often more, especially when you understand how the face ages and how its proportions interact. We use FDA-approved hyaluronic acid fillers and take a staged, conservative approach that allows for adjustments over time.
Rather than following a one-size-fits-all protocol, we tailor every treatment to your anatomy, your goals and your lifestyle, so the results feel as natural as they look.
Candidacy
Who is filler for?
Ideal candidates include adults with volume loss in the cheeks, lips or under the eyes, people who want to enhance facial contours and symmetry, and anyone looking for subtle, non-surgical improvement with physician-led care. You may be a good candidate if you:
- Notice hollowness under the eyes or flattening in the cheeks
- Want fuller, more defined lips without an overdone look
- Feel your jawline or chin lacks definition
- Prefer gradual, reversible enhancement over surgery
- Value an artistic, anatomy-first approach over a volume-first one
- Want a treatment with minimal downtime
- Want a physician overseeing your care
Volume restoration
- Cheeks and midface volume loss
- Under-eye hollows (tear trough filler)
- Temple hollowing and lateral face volume
- Nasolabial folds (smile lines)
Candidacy is always confirmed at your consultation. If a different treatment fits your goal better, we will tell you.
Areas we treat
Where filler can help
Your provider assesses your facial structure, discusses your concerns, and designs a plan that enhances your natural proportions without changing what makes you you.
Volume restoration
Cheeks and midface, under-eye hollows, temples and the lateral face, and nasolabial folds, the smile lines from nose to mouth.
Lips and lower face
Lip augmentation and definition, refinement of the lip border and cupid’s bow, marionette lines and the corners of the mouth, chin projection and jawline contouring.
Facial balancing
Correcting asymmetry between the two sides of the face, refining the nose-to-lip ratio, and overall proportion, all planned with facial mapping before treatment.
Treatment benefits
What filler can do
Hyaluronic acid filler works right away, and because it can be adjusted or dissolved, it gives you control that surgery cannot.
- Restores lost facial volume right away for a rested look
- Precise structural enhancement without surgery and with little downtime
- Results last 9 to 18 months, depending on the area and product
- Hyaluronic acid filler can be adjusted or dissolved if needed
- Complements Botox and other treatments for full-face rejuvenation
- Subtle, proportional changes you can feel confident about
Our approach
The art and science of natural results
Conservative dosing
Volume placed precisely for your anatomy and the outcome you want, refined gradually over visits, with your natural movement, expression and identity preserved.
Anatomical expertise
An understanding of facial ligaments, fat compartments and bone structure, placement that lifts and supports rather than simply fills, and balance rather than uniformity.
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 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.
Treatment, 30 to 60 minutes in all
Injection sites marked to your anatomy, filler placed with fine needles, cannulas or both, symmetry checked throughout, then a brief rest, aftercare instructions and a follow-up if needed.
Recovery
Filler recovery and timeline
Most patients return for maintenance every 9 to 12 months. Some areas, like the lips, may be refreshed every 6 to 9 months. On a consistent schedule, results stay continuous and natural-looking over time.
| When | What you’ll notice |
|---|---|
| Right after | Mild swelling or bruising at the injection sites, which is common and expected |
| 24 to 48 hours | Swelling peaks, then begins to settle |
| 3 to 5 days | Most bruising resolves and early results show |
| 7 to 14 days | The filler settles in and final results are visible |
| 9 to 18 months | The filler gradually breaks down, time for maintenance |
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
Filler questions, answered
Still unsure? Book a consultation and ask us in person.
How long do dermal fillers last?
It depends on the area and the product. Lip filler typically lasts 6 to 9 months, while cheek and jawline filler can last 12 to 18 months. Metabolism and sun exposure also play a part.
Is filler reversible?
Yes. Hyaluronic acid filler can be dissolved with an enzyme called hyaluronidase if needed. This is one of the key safety advantages of HA filler, and it gives both our team and our patients peace of mind.
Will my results look natural?
Our whole approach is built around natural-looking results. We work with your facial structure, focusing on balance and proportion rather than volume alone. The goal is for people to notice that you look rested and refreshed, not that you’ve had filler.
Does filler hurt?
Most patients find filler treatment very tolerable. Topical anesthetic is available, and many filler products also contain lidocaine to reduce discomfort during injection. Expect mild tenderness or pressure in more sensitive areas like the lips.
What’s the difference between Botox and filler?
Botox relaxes the muscles that cause dynamic wrinkles. Filler adds volume and structure where the face has lost volume with age, or where you would like more definition. The two work well together and are often combined for a full-face approach.
Can I go back to work the same day?
Yes, for most patients. Some bruising or mild swelling is possible, but most people return to normal activities right away. Avoid strenuous exercise, alcohol and extreme heat for 24 to 48 hours after treatment.
How much does filler cost?
Cost depends on the number of syringes and the areas treated. We discuss it openly at your consultation, before any commitment, with no hidden fees, and we help you prioritize treatments to fit your budget.
Can filler be combined with other treatments?
Yes. Filler pairs well with Botox for full-face rejuvenation, and can be done alongside or in sequence with microneedling, PRP or other skin treatments. We guide you on sequencing and timing for safe results.
Keep exploring
Other treatment categories
- Botox and Skin Rejuvenation
- Concierge Medicine
- Exosomes
- Hormonal and Metabolic Optimization
- Medical Weight Loss
- Microneedling
- Microneedling with PRP
- PRP Hair Restoration
Read: Botox vs. Fillers: Which One Is Right for You? Read: What Is Botox and How Does It Work? Read: Botox vs. Fillers: Which One Do I Need?
Your next step
Ready to restore balance, naturally?
Your consultation includes a full facial analysis, personalized recommendations, 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