Dermal Filler at R+H Aesthetic Medicine

Achieve Natural Results At R+H Aesthetic Medicine
You Deserve To Look Your Best and Most Refreshed

Over 4,700 Syringes of Dermal Filler Administered

Achieve natural-looking results. Look and feel refreshed, confident, and beautiful.

Physician-Owned Medical Practice, Expert Injectors.

When choosing R+H for your Dermal Filler treatment you can rest assured you have made the right choice. We prioritize your well-being above all else. Our unwavering commitment to safety is at the core of everything we do, ensuring that you receive the highest standard of care. Our experienced medical providers are not only experts in their field but also dedicated to making your visit comfortable and enjoyable. We're not just about results; we're about achieving natural, beautiful results tailored to your unique needs. What truly sets us apart is our personalized luxury patient experience – from the moment you step through our doors, you'll be treated to a world-class atmosphere that elevates your entire journey with us. Trust us for the ultimate in aesthetic medical care, where safety, comfort, results, and luxury converge to create an unparalleled experience.

YOU WILL NOT BE OVERFILLED At R+H, natural is our aesthetic. Obtain subtle volume replenishment and rejuvenation without the puffy face filler effect.

EXPERIENCE MATTERS At R+H, all of our medical providers are expert injectors with 5+ to 15+ years of experience and are well trained to deliver natural looking results that will highlight and accentuate your natural beauty instead of changing the way you look.

SAFETY At R+H, your safety is our number one. Dermal Filler is a medical procedure that requires extensive medical training, precision and a knowledge of anatomy. Our team of expert injectors will ensure a safe, comfortable, and luxurious experience with results you will love!

COMFORT At R+H we understand Dermal Filler can seem like a scary experience. Our entire team is here for you and promise to take the best care of you. From the moment of first contact, you will be provided with the personalized care and attention that you deserve. In addition, we offer a comfort menu including potent topical numbing, ProNox Gas, vibrating devices, cozy blankets, and hot tea. We are here for you every step of the way through your treatment and after. The entire R+H team works together to help you reach your aesthetic goals and ensure you receive the R+H luxury experience.

Dermal filler is clear, gel-like medical injectable made of hyaluronic acid (HA), a naturally occuring sugar in the body, that is used to restore volume loss, lift, plump, contour, sculpt and hydrate the aging face, neck, and other body areas. As we age we lose facial volume, collagen and elastin in our skin, and even our bony structure changes, all contributing to what we see in the mirror. Dermal filler is a safe and effective non-surgical way to address sagging cheeks, smile lines, under eye hollows, jowls, thinning lips, and fine lines. Additionally dermal filler can be used to fill the temple hollows, contour and enhance the chin and jawline, and even rejuvenate aging hands and earlobes.

Dermal filler is not one size fits all. We have many different fillers to choose from depending on your anatomy and your desired outcome. At R+H our experienced medical providers will take the time to listen to your concerns and formulate a specialized treatment plan just for you to achieve your desired outcome.

Dermal fillers are popular with younger patients to elevate the cheek bones, define the chin and jawline, and plump the lips. For mature patients we can address global facial aging and volume loss for a refreshed and rejuvenated look that reverses the signs of aging with a natural, refreshed look.

Meet our Dermal Filler Medical Providers

Heidi Young, PAC, Co-Founder R+H Aesthetic Medicine

Physician Associate, 24 years | Aesthetic Injector, 14 years
Heidi began her medical career in NYC, at a Level 1 Trauma Center in the Emergency Department, where she practiced for 2 years before transitioning to the specialty of orthopedic surgery. She worked at the Hospital for Special Surgery in NYC, specializing in sports medicine and joint replacement surgery, where she had the opportunity to be a part of the medical staff for NFL, NBA, and college sports teams. She was also honored to be a guest instructor at the Cornell Medical School Physician Assistant Program. In 2009, Heidi relocated to Santa Monica, CA, and joined a private orthopedic practice specializing in spine surgery. Around this time, she had her first BOTOX treatment, and her love for aesthetic medicine was born! Wanting to share with others the sense of rejuvenation and refreshed confidence that she had experienced following her own treatment, her journey as an aesthetic Physician Assistant began. Heidi was lucky enough to join a growing medical spa in the Los Angeles area, Beverly Hills Rejuvenation Center. She continued to work in both aesthetics and orthopedic surgery until relocating to Rocklin, California in 2018. In 2019, following her passion and love for aesthetics, she and her husband, Dr Rei Young, opened R+H Aesthetic Medicine. Today, Heidi continues to combine her love of medicine with the ability to bring out the inner beauty in her patients at R+H. She is a perfectionist with a conservative approach and prides herself on helping her patients become the best version of themselves. Her many years of surgical experience has taught her the importance of symmetry and precision, and this is conveyed in her aesthetic practice. She takes her time with her patients, listening to and hearing their concerns while formulating a specialized plan to help them age beautifully and slowly.

Katie Aguilar, FNP-BC, MSN, Co-Owner R+H West Sac

Nurse Practitioner, 12 years | Aesthetic Injector, 6 years
Katie's professional journey in the medical field began in 2011 when she joined the medical-surgical unit and urgent care as a registered nurse. Her passion for aesthetics eventually led her to explore the world of aesthetics in 2017, where she started her career as a nurse injector at R+ H Aesthetic Medicine. Driven by her deep-seated dream of owning a medical spa, Katie decided to pursue a master's degree in Family Nurse Practitioner, which has been instrumental in helping her achieve her goal. Today, she is proud to be a co-owner of R+H West Sac, where she continues to utilize her knowledge and expertise to provide the best possible care to her patients. Katie is recognized for her compassionate advocacy for patients. She combines her love for science, beauty, and creativity to enhance her patients' natural features, ultimately boosting their confidence. Katie strongly believes in the power of relationships and is dedicated to building lasting connections with her patients.

Alicia Choquette, PAC

Physician Associate, 14 years | Aesthetic Injector, 5 years
Alicia began her aesthetic medicine career in 2012 as a Physician Assistant in a medical spa and laser center in La Jolla, California, where she gained experience and a passion for aesthetic medicine. In 2014 she started working with a large neurology practice in San Diego as the lead Physician Assistant for their headache center. As a migraineur herself, Alicia is passionate about treating migraine sufferers. She knows how the condition can impact, and even disable, one’s life. During this time she became an expert injector of BOTOX. In 2019 Alicia and her family moved to Danville, California and she joined Blackhawk Plastic Surgery to develop and manage their migraine center. In addition, Alicia treated patients in the plastic surgery center using cosmetic BOTOX. In 2020 she relocated back to her hometown of South Lake Tahoe, joined R+H, and is thrilled to be able to share her injector expertise and experience with the Tahoe locals.

Joni Tran, RN

Registered Nurse, 6 years | Aesthetic Injector, 4 years
Joni received her Bachelor of Science in Nursing from San Jose State University in 2018. At the start of her nursing career in the ICU, it was quickly recognized that her top priorities were providing her patients with comfort, safety and precision. After receiving aesthetic treatments herself, Joni went on to gain experience in aesthetic medicine and medical dermatology. She loves the positive impact aesthetic medicine provides and with her gentle approach, her patients feel cared for and refreshed. She finds such joy in them feeling like the best versions of themselves and bringing out their inner confidence.

Filler can be used to refresh and enhance the following areas for beautiful, natural-looking results:

• Cheeks, Chin and Jawline
• Lips and skin surrounding the mouth
• Under Eye and Temple hollowing
• Smile lines and Expression lines
• Jowls
• Facial balancing
• Volume loss in the hands and earlobes
• Tech-neck lines

With over 750 5-star reviews, what you think and feel matters to us.
See what our patients are saying about us

Heidi is absolutely the best! I've been doing Botox and filler for over 15 years and I've never had someone as good as her. I'm so lucky I found her through a referral a few years ago. She has just an amazing eye & knows exactly where I need filler and Botox without me having to say anything! Her work is so natural nothing looks overdone. Her Botox skills are A++++! I feel so confident when I go to see her! We've been slowly building jawline filler, and my jaw is looking great! To anyone that comes across this gem of a place consider yourself beautiful! –S.M.

I heavily researched my options when picking an injector. I called to make an appointment with Katie for lip filler and the front desk girl was so nice and extremely knowledgeable with pre- appointment instructions. When I checked in she greeted me with a smile and again was so kind. I picked Katie because she has shown amazing results on her instagram, how she talked on her instagram about patient care, and educating patients through that platform was a major green flag for me. She made sure I was comfortable before and during my appointment, she did exactly what I asked for and educated me on future appointments. I could not be happier with my results, they look so natural and beautiful. She is my injector for life. –K.B.

Absolutely loved my experience with Joni. This was my first time getting lip fillers mainly because I'm a baby (feared the pain) and feared the dreaded duck lips. I wanted more volume without the lip filler look. Joni was so delicate and gentle with me. Felt the same as Botox! I was able to do a half a syringe and then at my four week touch up we just did a quarter of a syringe. They look stunning - just perfect. Would recommend 10/10. I will be back. –M.M.

My sister referred me to R+H because she was so happy with her lip filler, and I am SO glad she did! I received the same procedure by Heidi, who also did hers. I am SO happy with my results, and the experience was just as great. Heidi is so nice and informative. She and her staff went out of their way to make me feel comfortable and confident. The receptionist greeted us upon arrival, and even remembered my sister by name because she remembered her. The medical assistant who got me set up was wonderful and informative as well. The whole experience was amazing and everyone was so professional and nice.
Heidi texted me the next morning to ask how I was doing and to make sure I was satisfied and feeling good. I would 1,000% recommend R+H to anyone thinking about receiving the procedure that they are wanting. I will definitely be going back! –B.W.

Katie and her staff are amazing! I received my first ever lip and chin filler and I'm more than happy with the results so far. Katie has now recommended me with some skin care for rosacea and eczema and I can't wait to see the results of these products! Katie & her staff have given me a new meaning to beauty & confidence! I never thought the look I wanted was achievable, and by just adding in the smallest of changes, I am happier than ever with how I look and feel on the inside. –M.D.

Real patients with real results!

Juvederm collection of fillers

• Juvederm Ultra XC
• Juvederm Ultra Plus XC
• Juvederm Voluma XC
• Juvederm Volbella XC
• Juvederm Vollure XC
• Juvederm Volux XC
• Juvederm SKINVIVE (skin hydrator and booster)

Restylane collection of fillers

• Restylane L
• Restylane Lift
• Restylane Refyne and Defyne
• Restylane Silk
• Restylane Kysse
• Restylane Eyelight
• Restylane Contour

All of our Dermal Filler appointments include a comprehensive consultation to be sure all of your concerns are addressed and all of your needs are met. At your appointment, you will meet with your medical provider, an R+H expert injector, and the two of you will discuss your concerns and aesthetic goals and a personalized treatment plan will be formulated specifically for you. This treatment plan will take into account your budget, allowance for downtime and any other family or work commitments that need to be taken into consideration. 

If it is decided that Dermal Filler is the right treatment for you, you will receive same day treatment. To ensure your comfort, you may receive topical numbing, ice may be used, and if desired ProNox Gas. The Dermal Filler procedure time ranges from 30 minutes to 1.5 hours depending on your areas of treatment. Upon completion of your procedure, you will be provided with post procedure instructions, arnica tablets for accelerated healing, and a follow up appointment with your medical provider to review your final results to be sure you are 100% satisfied.

As Dermal Filler is an implant, we need to be very clean and cautious with these procedures to prevent infection and complications. Your safety is our number one priority. The following is required for medical clearance for treatment with Dermal Fillers.

1. No dental work (including dental cleanings) or vaccines 2 weeks before and 2 weeks after your scheduled dermal filler procedure to minimize risk of infection or adverse reaction.
2. No far travel (out of the local area) for the first 48 hours after your filler procedure.
3. Avoid supplements and anti-inflammatories (Aspirin, Ibuprofen, Aleve) for 7 days before your appointment (you can take Tylenol/acetaminophen) and avoid alcohol for 2 days before your appointment to minimize swelling and bruising. If you are on a prescribed blood thinner please alert us before your scheduled appointment.
4. If you have a history of any autoimmune or inflammatory disorders, or any major medical conditions, please alert us before your scheduled dermal filler appointment.
5. If you have a history of cold sores (herpes simplex) please alert us ahead of time so that we can prescribe an antiviral medication to start 2 days before your scheduled dermal filler procedure to prevent a cold sore.
6. Schedule your filler procedure 2 weeks in advance of a special event to allow for healing of swelling and bruising.
7. If you are pregnant or breastfeeding we will be unable to treat you. Your safety and your baby’s safety is our priority.
8. Please arrive at your dermal filler procedure appointment with a clean face free of make-up and please have your hair pulled back off your face.
9. If you are not already a member, sign up to become a member of the Juvederm Filler rewards program, Allē, to save money on your treatments.

1. To minimize the risk of infection, avoid the following for the first 24 hours after your Dermal filler procedure:
   • Make-up, Lipstick, Chapstick, Lip Gloss
   • Use of make-up brushes or sponges
   • Kissing (including pets and children)
   • Holding your phone close to the treated area
2. To minimize swelling and reduce the risk of infection DO the following for the first 24 hours after Dermal Filler procedure:
   • Elevate your head (sleep with 2 pillows)
   • Keep your hair pulled back
   • Use a clean pillow case
   • Take arnica tablets, topical arnica may be used (apply with clean fingers or a Q-tip)
3. Avoid vigorous scrubs, exfoliation or any facial treatments/facials for 72 hours following your Dermal Filler procedure
4. Avoid vigorous exercise, excessive heat, or prolonged exposure to direct sunlight or UV/tanning beds for 48 hours after the procedure.
5. Avoid manipulation and massage of the area following the procedure unless specifically instructed otherwise by your medical provider.
6. For pain/discomfort, use ice and over-the-counter analgesics (Acetaminophen, Tylenol) as directed by your provider.
7. Aspirin, Ibuprofen, Advil, Aleve, St. John's Wort, oral Vitamin E, non-steroidal anti-inflammatory drugs (NSAIDS), and other blood thinning supplements may increase the risk of bruising and bleeding.
8. Avoid alcohol for 48 hours after your treatment to minimize swelling and bruising
9. We kindly ask that you do not travel out of the local area for the first 48 hours after your treatment so we may see you for follow up if needed.
10. Contact (call or text) R+H Aesthetic Medicine immediately if you experience any of the following: severe pain or swelling, excessive redness or skin discoloration (red/white/blue), large bruises, fever, drainage or discharge, numbness, visual changes, scabbing, blisters, weakness, slurred speech, or if you have any concerns at all.

How long do Dermal Fillers last?

Results vary and depend on the amount of product used, type of product used, site of injection, and your individual metabolism. Typical results last 6 months - 2 years. The more regularly you maintain your dermal filler treatments, the longer they typically last before requiring a touch-up.

What is the downtime and recovery time expected with Dermal Filler?

It is common to experience swelling and bruising following dermal filler procedures. The majority of swelling and bruising resolves within a week, but it can take up to a full two weeks for some bruises to heal. We recommend scheduling your dermal filler procedure at least two weeks from any important events to allow for healing. As dermal filler is an implant complete healing can take 6-8 weeks, but most swelling and bruising will resolve in the first 2 weeks.

What can I do to minimize bruising and swelling associated with Dermal Filler and Medical Injectable procedures?

To minimize bruising and swelling we recommend the following: discontinue any anti-inflammatory medications (ibuprofen, Aleve, aspirin, Motrin, Advil, turmeric, fish oils, Vitamin E, other supplements) 7 days before your injectable procedure, avoid alcohol for 2 days prior to your procedure, avoid caffeine or stimulants for a few hours before your procedure. Additionally, you may use Arnica tablets the evening before and the morning of your procedure to help minimize bruising.

What is the difference between Wrinkle Relaxers and Dermal Fillers?

Wrinkle Relaxers (Botox/Dysport) work by inhibiting muscle movement so they are ideal for treating wrinkles of the forehead, between the brows, and around the eyes. Dermal fillers help to restore lost volume, enhance facial structure or define facial features so they are ideal for areas like lips, cheeks, under eye hollows, temples and jawlines.

Are Dermal Fillers safe?

Yes, Dermal Fillers are safe and have a very low risk of adverse reactions (HA is a naturally occurring sugar in the body) and are backed by decades of scientific clinical studies. When performed by an experienced, well trained R+H Aesthetic Medicine injector, complications are very rare. Common side effects include swelling and bruising, but this is self limiting and resolves within a few days to 2 weeks. Our expert providers will review all of the potential side effects and possible complications related to Dermal Fillers before your treatment and will make sure all of your questions and concerns are answered.

What are the requirements for Dermal Filler procedure?

As Dermal Filler is an implant, we need to be very clean and cautious with these procedures to prevent infection and complications. Your safety is our number one priority. The following is required for medical clearance for treatment with Dermal Fillers:

• No dental work, including cleanings, 2 weeks before or 2 weeks after your scheduled Dermal Filler procedure
• No vaccines, of any kind, 2 weeks before or 2 weeks after your scheduled Dermal Filler procedure
• No long distance travel or air travel for the the first 48 hours after your Dermal Filler procedure
• If you have a special event, please schedule at least 2 weeks before or after your event to allow for healing of bruising and swelling
• If you have any active or currently are being treated for any autoimmune disorder or disease we may not be able to treat you, please consult the office before scheduling
• No active infections of any kind, skin lesions in the area to be treated, on current antibiotics, steroids, or blood thinning medications
• If you are pregnant or breastfeeding we are unable to treat you
• If you have a history of oral herpes or cold sores, please alert our office prior to you appointment so that we can prescribe an anti-viral medication for you
• Age 21 or older for Dermal Filler treatment