Botox and Lip Filler: A Natural, Refreshed Result
R+H Aesthetic Medicine · Roseville · West Sacramento · Lake Tahoe
Before and After Feature
She Did Not Want to Look Different. She Wanted to Look Like Herself Again.
R+H Aesthetic Medicine · Roseville · West Sacramento · Lake Tahoe
The most common thing patients say before a consultation is not "make me look younger." It is "I just want to look more rested." They are not asking for a transformation. They are asking to come back to themselves, to look the way they feel on a good day, just more consistently.
That is exactly what this result represents. We are sharing this patient's transformation because it captures something that is difficult to articulate but instantly recognizable when you see it: the outcome that does not announce itself, that simply looks right.
Treatment: Botox and lip filler, combined in a single appointment, with one clear purpose. To soften facial movement while restoring lip volume, creating a result that is refreshed, balanced, and entirely natural-looking.
Purpose: To soften facial movement while restoring lip volume to create a refreshed, natural-looking result.
What We Are Seeing in This Transformation
Before discussing the treatment, it is worth taking a moment to observe what has actually changed, because this result is as much about what was preserved as it is about what was softened.
- Visible forehead and expression lines reflecting years of natural facial movement
- Lips with reduced volume and less defined shape and border
- An overall appearance that reads as tired or tense, despite a naturally attractive face
- Forehead lines are visibly softer, with natural expression preserved
- Lips appear more hydrated, balanced, and gently restored in volume
- The overall face reads as rested, polished, and quietly refreshed
- She still looks entirely like herself
That last point is the one that matters most to us. A great injectable result should not be identifiable as a procedure. It should be identifiable as the person, at their best.
The Two Treatments and Why They Work Together
This result came from addressing two distinct concerns simultaneously. Each treatment served a specific clinical purpose, and together they created a more complete and harmonious outcome than either could have achieved independently.
Botox works by temporarily reducing the activity of the muscles responsible for dynamic expression lines. In the upper face, these are the muscles that create forehead lines, frown lines, and crow's feet through years of repeated movement.
The goal is not to eliminate expression. It is to soften the visual intensity of those lines so the face looks rested rather than tense, without altering how the patient moves or communicates.
Lip filler, in this context, was used to restore subtle volume and structure to lips that had experienced natural age-related thinning. The goal was not dramatic augmentation. It was gentle restoration of shape, hydration, and facial balance.
When the lips are properly proportioned relative to the rest of the face, the entire lower third looks more balanced. This contributes to the overall impression of being refreshed rather than treated.
Used together, Botox and lip filler complement each other in a way that a single treatment cannot fully replicate. One softens movement in the upper and mid face. One restores structure in the lower face. The combined effect is a face that looks balanced, proportionate, and quietly renewed from forehead to chin.
What Makes a Result Look Natural
This is the question we are asked most often, and it is the right question to ask. The difference between a result that looks natural and one that does not rarely comes down to which product was used or how much was injected. It comes down to the assessment before any product is opened.
Why the MD-Owned Model Matters
R+H Aesthetic Medicine is an MD-owned, family-owned medical practice. We are not private equity backed. We are not managed by a corporate group optimizing for volume. Every clinical and operational decision at R+H is made with one priority: the patient experience and long-term trust, not the number of appointments on the schedule.
This matters for injectable treatments specifically because the pressure to over-treat is real in a volume-driven environment. When a practice is built on patient relationships rather than throughput, the incentive structure is entirely different. We succeed when our patients look like themselves, come back because they trust us, and refer people they care about. That is the model we have built across Roseville, West Sacramento, and Lake Tahoe.
Natural results are not a marketing line at R+H. They are our clinical standard, and they are the reason our patients keep coming back.
R+H Aesthetic Medicine
The R+H Track Record
- Allergan Top 250 Award 2026, placing R+H in the top 1% of aesthetic practices recognized nationally
- Official Allergan Platinum Partner, the highest tier designation for providers of Botox and JUVÉDERM
- Best of Sierra Nevada Gold Winner, 2025
- Sacramento Favorites Best Med Spa, three consecutive years: 2023, 2024, and 2025
- Morpheus8 Top Provider, recognized by InMode
Safety. Comfort. Results. Luxury.
Look Your Best and Most Refreshed.
Frequently Asked Questions About Botox and Lip Filler
Will Botox and lip filler make me look overdone?
Not when it is planned and executed with care. The result shown here is a direct example of what thoughtful, conservative treatment looks like in practice. The goal is always to enhance what is already there, not to exaggerate or alter. When the assessment is thorough and the technique is precise, the result looks like a better version of you, not a different version. The risk of looking overdone increases significantly when too much product is used too quickly. Our approach prioritizes starting conservatively and building gradually over time.
Can Botox and lip filler be done in the same appointment?
Yes, in most cases. Many patients benefit from combining treatments in a single appointment, both for convenience and for the cohesive result that comes from planning both treatments simultaneously. Your provider will assess your goals and anatomy and determine whether a combined appointment is appropriate for your specific treatment plan. There are cases where staging treatments separately makes clinical sense, and your provider will advise accordingly.
How much downtime should I expect after Botox and lip filler?
Most patients return to normal daily activity the same day. Botox carries very minimal downtime, with mild tenderness at injection sites occasionally lasting a day or two. Lip filler may cause more noticeable temporary swelling and occasionally bruising, particularly in the first 24 to 72 hours. The final result of lip filler is best assessed at two weeks, once initial swelling has fully resolved. We recommend avoiding intense exercise and significant heat exposure for the first 24 hours after any injectable treatment.
How long do Botox and lip filler results last?
Botox results typically last three to four months, with many patients finding their results extend longer with consistent treatment over time. Lip filler longevity varies by product and individual metabolism but generally lasts six to twelve months in the lip area. Your provider will discuss realistic expectations for your specific anatomy, product selection, and treatment goals during your consultation.
Who is a good candidate for this kind of combined treatment?
This combination works well for patients who are experiencing visible expression lines in the upper or mid face alongside a loss of lip volume or definition that has occurred naturally over time. Ideal candidates want to look refreshed and balanced without dramatic change, and they want to still look like themselves after treatment. A personalized consultation is the only way to accurately determine candidacy, as individual anatomy, skin quality, and goals all influence what is appropriate.
What is the difference between lip augmentation and lip restoration?
Lip augmentation refers to increasing lip size beyond the patient's natural baseline, which is appropriate for some patients but not the goal for everyone. Lip restoration, which is what was performed in this case, refers to returning the lips to a version of their previous natural shape and volume after age-related thinning has occurred. The distinction matters because the technique, amount of product, and placement goals are different. Restoration tends to produce the most natural-looking outcomes because it is working with the patient's existing anatomy rather than against it.
Will I still be able to make natural facial expressions after Botox?
Yes. Properly placed Botox softens the intensity of muscle contractions without freezing or eliminating movement. The goal is a face that looks relaxed at rest and expressive in conversation, not static. The amount of Botox used and the precision of placement are the primary factors that determine how natural your expressions remain. Our providers plan dosing conservatively to preserve natural movement while achieving visible line softening.
Does lip filler hurt?
The lip area is one of the more sensitive areas for injectable treatment. At R+H, we apply topical numbing cream before the procedure and most lip filler products also contain lidocaine, which provides additional comfort during injection. Most patients find the experience very manageable. Some describe mild pressure or a brief stinging sensation, which resolves quickly. Post-treatment tenderness and swelling are normal and temporary.
How do I know how many units of Botox I need?
The appropriate number of units depends on the strength of the muscles being treated, the depth of the lines, and your desired level of softening. These factors are evaluated during your consultation and initial treatment. Rather than providing a universal unit count, our providers customize dosing to each patient and often recommend starting conservatively, assessing the result at two weeks, and adjusting at a follow-up if needed. This approach ensures the most natural outcome for your specific anatomy.
What is the R+H approach to injectable artistry?
Our approach is built on three foundations: deep clinical knowledge of facial anatomy, conservative treatment philosophy, and consistent follow-through. We do not apply standard templates across patients. We assess each face individually and make placement decisions based on the specific structural and movement patterns we observe. This is why our results tend to look natural across a wide range of patients and age groups. With over 900,000 units of neurotoxin and 7,000 syringes of filler administered since 2019, our team has developed a level of pattern recognition that cannot be taught in a weekend course.
Is R+H right for a first-time injectable patient?
Yes. First-time patients are some of our most rewarding consultations because there are no prior treatments to navigate around. We approach first appointments with particular care, taking extra time during the consultation to understand your concerns, explain what we are recommending and why, and set realistic expectations for what the treatment can and cannot do. We never pressure a first-time patient into more treatment than they are ready for. Our goal is to earn your trust with a single excellent result, not to maximize product usage at the first visit.
How do I book a consultation for Botox or lip filler at R+H?
You can self-book online or call and text any of our three locations directly. Consultations for injectable treatments are available at our Roseville, West Sacramento, and Lake Tahoe practices. If you are unsure which location is most convenient or which treatment is the right starting point for your goals, our front desk team is always available to help guide you to the right appointment type before you book.
Our monthly specials are updated regularly and include savings across Botox, filler, Morpheus8, skincare, and more. Promotions change each month, so check current offers before booking.
View Our Current Specials Explore BEAUTY BANK Membership
BEAUTY BANK members receive Botox at $11 per unit and Dysport at $3.70 per unit, a complimentary ZO Skin Health Stimulator Peel once per year, and 20% off medical-grade skincare and supplements annually. Flexible financing is available through CareCredit and Allē Payment Plans powered by Cherry. Visit our financing page to learn more. Earn points on qualifying treatments through the Allē Rewards Program and ASPIRE Rewards.
This Is What We Mean by LOOK YOUR BEST AND MOST REFRESHED
The result in these photos is not the most dramatic transformation we have ever produced. It is one of the most meaningful. Because the patient in the after photo looks exactly like herself, just more rested, more balanced, and more confident. She did not trade her identity for a procedure. She came back to it.
That is the outcome we pursue at every appointment across Roseville, West Sacramento, and Lake Tahoe. Not the result that impresses at first glance and fades into regret. The result that holds up over months, earns compliments the patient cannot quite explain, and brings them back not because they need to be corrected but because they want to maintain something that is working.
This is Safety, Comfort, Results, and Luxury applied to real people with real goals. And it is what we show up to do every day.
THE BEST YOU is not a different you. It is you, returned to yourself.
Explore Our Current Promos and Book Your Appointment
Ready to see what a thoughtful Botox or lip filler treatment could look like for your face? Our clinical team is available at all three R+H locations for personalized consultations. Check current specials and book online, or reach us directly by call or text.
View Our Current Specials Self-Book Online Now
Call or Text Us to Book Your Appointment:
Lake Tahoe: (530) 237-4730
Roseville: (916) 209-0545
West Sacramento: (916) 617-2331
Posted images are actual R+H patients who have signed photo release consents. We respect our patients’ privacy. Please do not repost without consent, reposting will be reported.
Botox and Lip Filler: A Natural, Refreshed Result
R+H Aesthetic Medicine · Roseville · West Sacramento · Lake Tahoe
Before and After Feature
She Did Not Want to Look Different. She Wanted to Look Like Herself Again.
R+H Aesthetic Medicine · Roseville · West Sacramento · Lake Tahoe
The most common thing patients say before a consultation is not "make me look younger." It is "I just want to look more rested." They are not asking for a transformation. They are asking to come back to themselves, to look the way they feel on a good day, just more consistently.
That is exactly what this result represents. We are sharing this patient's transformation because it captures something that is difficult to articulate but instantly recognizable when you see it: the outcome that does not announce itself, that simply looks right.
Treatment: Botox and lip filler, combined in a single appointment, with one clear purpose. To soften facial movement while restoring lip volume, creating a result that is refreshed, balanced, and entirely natural-looking.
Purpose: To soften facial movement while restoring lip volume to create a refreshed, natural-looking result.
What We Are Seeing in This Transformation
Before discussing the treatment, it is worth taking a moment to observe what has actually changed, because this result is as much about what was preserved as it is about what was softened.
- Visible forehead and expression lines reflecting years of natural facial movement
- Lips with reduced volume and less defined shape and border
- An overall appearance that reads as tired or tense, despite a naturally attractive face
- Forehead lines are visibly softer, with natural expression preserved
- Lips appear more hydrated, balanced, and gently restored in volume
- The overall face reads as rested, polished, and quietly refreshed
- She still looks entirely like herself
That last point is the one that matters most to us. A great injectable result should not be identifiable as a procedure. It should be identifiable as the person, at their best.
The Two Treatments and Why They Work Together
This result came from addressing two distinct concerns simultaneously. Each treatment served a specific clinical purpose, and together they created a more complete and harmonious outcome than either could have achieved independently.
Botox works by temporarily reducing the activity of the muscles responsible for dynamic expression lines. In the upper face, these are the muscles that create forehead lines, frown lines, and crow's feet through years of repeated movement.
The goal is not to eliminate expression. It is to soften the visual intensity of those lines so the face looks rested rather than tense, without altering how the patient moves or communicates.
Lip filler, in this context, was used to restore subtle volume and structure to lips that had experienced natural age-related thinning. The goal was not dramatic augmentation. It was gentle restoration of shape, hydration, and facial balance.
When the lips are properly proportioned relative to the rest of the face, the entire lower third looks more balanced. This contributes to the overall impression of being refreshed rather than treated.
Used together, Botox and lip filler complement each other in a way that a single treatment cannot fully replicate. One softens movement in the upper and mid face. One restores structure in the lower face. The combined effect is a face that looks balanced, proportionate, and quietly renewed from forehead to chin.
What Makes a Result Look Natural
This is the question we are asked most often, and it is the right question to ask. The difference between a result that looks natural and one that does not rarely comes down to which product was used or how much was injected. It comes down to the assessment before any product is opened.
Why the MD-Owned Model Matters
R+H Aesthetic Medicine is an MD-owned, family-owned medical practice. We are not private equity backed. We are not managed by a corporate group optimizing for volume. Every clinical and operational decision at R+H is made with one priority: the patient experience and long-term trust, not the number of appointments on the schedule.
This matters for injectable treatments specifically because the pressure to over-treat is real in a volume-driven environment. When a practice is built on patient relationships rather than throughput, the incentive structure is entirely different. We succeed when our patients look like themselves, come back because they trust us, and refer people they care about. That is the model we have built across Roseville, West Sacramento, and Lake Tahoe.
Natural results are not a marketing line at R+H. They are our clinical standard, and they are the reason our patients keep coming back.
R+H Aesthetic Medicine
The R+H Track Record
- Allergan Top 250 Award 2026, placing R+H in the top 1% of aesthetic practices recognized nationally
- Official Allergan Platinum Partner, the highest tier designation for providers of Botox and JUVÉDERM
- Best of Sierra Nevada Gold Winner, 2025
- Sacramento Favorites Best Med Spa, three consecutive years: 2023, 2024, and 2025
- Morpheus8 Top Provider, recognized by InMode
Safety. Comfort. Results. Luxury.
Look Your Best and Most Refreshed.
Frequently Asked Questions About Botox and Lip Filler
Will Botox and lip filler make me look overdone?
Not when it is planned and executed with care. The result shown here is a direct example of what thoughtful, conservative treatment looks like in practice. The goal is always to enhance what is already there, not to exaggerate or alter. When the assessment is thorough and the technique is precise, the result looks like a better version of you, not a different version. The risk of looking overdone increases significantly when too much product is used too quickly. Our approach prioritizes starting conservatively and building gradually over time.
Can Botox and lip filler be done in the same appointment?
Yes, in most cases. Many patients benefit from combining treatments in a single appointment, both for convenience and for the cohesive result that comes from planning both treatments simultaneously. Your provider will assess your goals and anatomy and determine whether a combined appointment is appropriate for your specific treatment plan. There are cases where staging treatments separately makes clinical sense, and your provider will advise accordingly.
How much downtime should I expect after Botox and lip filler?
Most patients return to normal daily activity the same day. Botox carries very minimal downtime, with mild tenderness at injection sites occasionally lasting a day or two. Lip filler may cause more noticeable temporary swelling and occasionally bruising, particularly in the first 24 to 72 hours. The final result of lip filler is best assessed at two weeks, once initial swelling has fully resolved. We recommend avoiding intense exercise and significant heat exposure for the first 24 hours after any injectable treatment.
How long do Botox and lip filler results last?
Botox results typically last three to four months, with many patients finding their results extend longer with consistent treatment over time. Lip filler longevity varies by product and individual metabolism but generally lasts six to twelve months in the lip area. Your provider will discuss realistic expectations for your specific anatomy, product selection, and treatment goals during your consultation.
Who is a good candidate for this kind of combined treatment?
This combination works well for patients who are experiencing visible expression lines in the upper or mid face alongside a loss of lip volume or definition that has occurred naturally over time. Ideal candidates want to look refreshed and balanced without dramatic change, and they want to still look like themselves after treatment. A personalized consultation is the only way to accurately determine candidacy, as individual anatomy, skin quality, and goals all influence what is appropriate.
What is the difference between lip augmentation and lip restoration?
Lip augmentation refers to increasing lip size beyond the patient's natural baseline, which is appropriate for some patients but not the goal for everyone. Lip restoration, which is what was performed in this case, refers to returning the lips to a version of their previous natural shape and volume after age-related thinning has occurred. The distinction matters because the technique, amount of product, and placement goals are different. Restoration tends to produce the most natural-looking outcomes because it is working with the patient's existing anatomy rather than against it.
Will I still be able to make natural facial expressions after Botox?
Yes. Properly placed Botox softens the intensity of muscle contractions without freezing or eliminating movement. The goal is a face that looks relaxed at rest and expressive in conversation, not static. The amount of Botox used and the precision of placement are the primary factors that determine how natural your expressions remain. Our providers plan dosing conservatively to preserve natural movement while achieving visible line softening.
Does lip filler hurt?
The lip area is one of the more sensitive areas for injectable treatment. At R+H, we apply topical numbing cream before the procedure and most lip filler products also contain lidocaine, which provides additional comfort during injection. Most patients find the experience very manageable. Some describe mild pressure or a brief stinging sensation, which resolves quickly. Post-treatment tenderness and swelling are normal and temporary.
How do I know how many units of Botox I need?
The appropriate number of units depends on the strength of the muscles being treated, the depth of the lines, and your desired level of softening. These factors are evaluated during your consultation and initial treatment. Rather than providing a universal unit count, our providers customize dosing to each patient and often recommend starting conservatively, assessing the result at two weeks, and adjusting at a follow-up if needed. This approach ensures the most natural outcome for your specific anatomy.
What is the R+H approach to injectable artistry?
Our approach is built on three foundations: deep clinical knowledge of facial anatomy, conservative treatment philosophy, and consistent follow-through. We do not apply standard templates across patients. We assess each face individually and make placement decisions based on the specific structural and movement patterns we observe. This is why our results tend to look natural across a wide range of patients and age groups. With over 900,000 units of neurotoxin and 7,000 syringes of filler administered since 2019, our team has developed a level of pattern recognition that cannot be taught in a weekend course.
Is R+H right for a first-time injectable patient?
Yes. First-time patients are some of our most rewarding consultations because there are no prior treatments to navigate around. We approach first appointments with particular care, taking extra time during the consultation to understand your concerns, explain what we are recommending and why, and set realistic expectations for what the treatment can and cannot do. We never pressure a first-time patient into more treatment than they are ready for. Our goal is to earn your trust with a single excellent result, not to maximize product usage at the first visit.
How do I book a consultation for Botox or lip filler at R+H?
You can self-book online or call and text any of our three locations directly. Consultations for injectable treatments are available at our Roseville, West Sacramento, and Lake Tahoe practices. If you are unsure which location is most convenient or which treatment is the right starting point for your goals, our front desk team is always available to help guide you to the right appointment type before you book.
Our monthly specials are updated regularly and include savings across Botox, filler, Morpheus8, skincare, and more. Promotions change each month, so check current offers before booking.
View Our Current Specials Explore BEAUTY BANK Membership
BEAUTY BANK members receive Botox at $11 per unit and Dysport at $3.70 per unit, a complimentary ZO Skin Health Stimulator Peel once per year, and 20% off medical-grade skincare and supplements annually. Flexible financing is available through CareCredit and Allē Payment Plans powered by Cherry. Visit our financing page to learn more. Earn points on qualifying treatments through the Allē Rewards Program and ASPIRE Rewards.
This Is What We Mean by LOOK YOUR BEST AND MOST REFRESHED
The result in these photos is not the most dramatic transformation we have ever produced. It is one of the most meaningful. Because the patient in the after photo looks exactly like herself, just more rested, more balanced, and more confident. She did not trade her identity for a procedure. She came back to it.
That is the outcome we pursue at every appointment across Roseville, West Sacramento, and Lake Tahoe. Not the result that impresses at first glance and fades into regret. The result that holds up over months, earns compliments the patient cannot quite explain, and brings them back not because they need to be corrected but because they want to maintain something that is working.
This is Safety, Comfort, Results, and Luxury applied to real people with real goals. And it is what we show up to do every day.
THE BEST YOU is not a different you. It is you, returned to yourself.
Explore Our Current Promos and Book Your Appointment
Ready to see what a thoughtful Botox or lip filler treatment could look like for your face? Our clinical team is available at all three R+H locations for personalized consultations. Check current specials and book online, or reach us directly by call or text.
View Our Current Specials Self-Book Online Now
Call or Text Us to Book Your Appointment:
Lake Tahoe: (530) 237-4730
Roseville: (916) 209-0545
West Sacramento: (916) 617-2331
Posted images are actual R+H patients who have signed photo release consents. We respect our patients’ privacy. Please do not repost without consent, reposting will be reported.
