BOTOX® Overview

About BOTOX®

Not all BOTOX® providers have the same experience. At Neem Medical Spa in Salem, our highly trained injectors specialize in precise, natural-looking treatments to smooth lines and wrinkles. Common areas treated include:

  • Crow’s feet around the eyes
  • Horizontal forehead lines
  • Frown lines between the brows

Our team also offers BOTOX® for medical concerns such as teeth grinding (bruxism) and excessive sweating (hyperhidrosis). With skill and attention to detail, our injectors help patients achieve refreshed, youthful results safely and effectively.

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Who Is an Ideal BOTOX® Candidate in Salem, NH?

BOTOX® is suitable for anyone looking to smooth lines or prevent wrinkles from forming. It’s also helpful for certain medical conditions.

Common uses include:

  • Forehead lines and frown lines
  • Crow’s feet around the eyes
  • Preventive anti-aging
  • Relief from migraines or teeth grinding
  • Reducing excessive underarm sweating

Not recommended if you:

  • Are pregnant or breastfeeding
  • Have neuromuscular disorders (ALS, myasthenia gravis, Lambert-Eaton syndrome)
  • Have a history of Bell’s palsy or polio
  • Are on aminoglycoside antibiotics

What Are the Benefits of BOTOX®?

  • Smooths fine lines and wrinkles
  • Creates a refreshed, natural appearance
  • Quick treatment with minimal downtime
  • Can be combined with fillers or other skin treatments for enhanced results

Other Uses for BOTOX®

Beyond its cosmetic benefits, BOTOX® at Neem Medical Spa in Salem is used for a variety of therapeutic and aesthetic treatments:

  • Jawline and neck tightening with the Nefertiti Lift
  • Treating platysmal bands (now FDA-approved)
  • TMJ dysfunction and teeth grinding (bruxism)
  • Hyperhidrosis (excessive underarm sweating)
  • Craniofacial hyperhidrosis (forehead/scalp sweating)
  • Superficial injections for rosacea-related redness
  • TrapTox injections to trapezius muscles for neck and shoulder tension
  • Letybo, the latest Letibotulinum toxin-A from South Korea, for advanced neuromodulator treatments

How Should I Prepare for BOTOX®?

  • Avoid alcohol 24 hours before treatment
  • Refrain from anti-inflammatory medications if possible
  • Arrive with a clean, makeup-free face
  • Discuss any medical history or medications with Dr. Sandhu
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What To Expect During the Treatment

  • Quick, in-office procedure lasting 10–20 minutes
  • Minimal discomfort; topical numbing available if needed
  • Small injections placed strategically for a natural look
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What Is Recovery Like?

Our post-treatment guidelines for BOTOX® in Salem:

  • Resume normal activities immediately, avoid strenuous exercise for 24 hours
  • Keep facial muscles gently active for the first hour
  • Avoid rubbing or pressing on treated areas for 4 hours
  • Sleep with your head slightly elevated the first night
  • Mild redness or swelling may occur and usually resolves quickly
  • Results appear within a week and last 4–6 months
  • Follow-up treatments recommended 2–3 times per year
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Baby BOTOX & Preventative BOTOX

  • Baby BOTOX: Smaller doses for a subtle, natural refresh
  • Preventative BOTOX: Helps delay the formation of deep lines

Patient Reviews

S.K.

 I just recently started going to Dr. Sandhu. I had an issue with a different provider when I got Botox over a year ago. I was gunshy about having it done again. I had a consult with Dr. Sandhu and she did an amazing job. I was very happy and even my husband said I looked "refreshed". I just...

A.C.

 Fran and Debbie are the best duos at Neem in Boston. They are all always so accommodating with my schedule and check in with me periodically after my treatments. Most importantly, I’ve seen a massive change in only three months with my coolsculpting journey. I highly recommend this pl...

J.R.

The people here are amazing. This is my second time needing them and I don’t know what took me so long to leave a great review. Great collection of face soap and other products, I don’t break out at all as long as I use their products. 

M.V.

 I’ve had excellent experiences coming to Neem. Deb is wonderful when it comes to making and adjusting my appointments. I’ve been seeing Kristina for my cut and color. Fran for my eyebrows. Everyone is professional, friendly and very accommodating. Highly recommend. 

M.S.

Really friendly and knowledgeable staff, very pleasant, convenient, "spa-like" atmosphere. (I've visited both the Winchester and Boston offices.). Dr. Sandhu is a great doctor with great credentials, and I feel very comfortable consulting her about procedures. She's also delightful as a person. I...

A.T.

Neem Aesthetics is professional from start to finish. Deb and Fran are nothing short of professional and personable. I was lucky enough to have Dr. Sandhu perform my PRP injections at my last visit and she gave great suggestions for the next steps with my skincare. Fran is knowledgeable and makes...

S.P.

I've been going to Neem Med Spa since 2014 and I absolutely love it and the way my skin looks! I regularly get facials and Dysport every 3 months and have also tried the laser therapy for facial skin improvement (dark spots/sun spots). They always take such great care of me and my friends are ver...

N.B.

Highly recommend! Very professional, nice, and reliable! 

N.M.

Dr. Sandhu is a very attentive doctor. She always makes me feel well cared for and listens to my concerns. I know I can trust her. 

S.C.

I have been to several practices in the area .. this is by far the best I been too! Amazing staff and the dr is beyond! They don't push products and super honest .. so happy with the results .. 

C.C.

 I have been to several practices in the area .. this is by far the best I been too! Amazing staff and the dr is beyond!  They don’t push products and super honest... so happy with the results... 

N.H.

This is a really great place, everyone is so professional and the staff knows how to make clients comfortable during services. Fran is awesome and the vibes are great!! 

A.K.

I highly recommend Neem for their hydrafacial and cosmetic services. I was nervous to start treatment and was guided by their staff who helped tailor a skin care routine for me. They also have helped me manage the cost of treatment, adjusting packages to suit my financial needs. I love being able...

A.F.

Such a great spot, Got a Botox lip flip from NP Joy and she was amazing so comforting and educated, I have bad reactions to needles (fainting) and the entire staff was so great and accommodating. Also lip flip looks great! 

E.S.

I've been with Neem since 2016 and I absolutely love it!! Fran does an excellent job and she's just the best! Any questions or concerns I have, she is always so responsive and willing to help. She is super professional while also creating a comfortable environment for you. Super recommend!!! ...

N.T.

 What a wonderful staff, amazing service and excellent medical professional. 

C.K.

 I’ve been coming to Neem since 2019 in both Somerville and Winchester for a variety of services and have had nothing but high quality results from kind, warm, experienced providers, whether it’s Dr. Sandhu herself or anyone else who’s worked with me. They may not be the ab...

K.N.

For a variety of reasons associated with accessibility limitations , I couldn’t see Dr. Sandhu for about two years . I just went back to Neem and was immediately reminded why I love this med spa more than any others I’ve been to in the interim ... Dr. Sandhu is the most relaxing force...

W.M.

 Dr. Sandhu, Fran and Deb are a dream to work with. I come here for facials and other derm work and have been consistently happy every time. Can’t recommend enough! 

Z.B.

 I have been coming to Neem Aesthetics since early 2021, and have been so thrilled with all of the services and results of my services! All of the team members are so thoughtful and give such expert advice. The whole team treats me as a friend and makes sure I am well taken care of whenever ...

T.P.

 Amazing, amazing, from the doctor to all her staff, make you feel special, they go out of their way to make you feel welcome , from offering you a drink to explaining all services and just simply make you beautiful, thank you , thank you all ❤️❤️ 

R.L.

The doctor, she’s an absolute artist with botox. I look amazing every time, natural and 5 years younger. She’s an absolute sweetheart and cares about what I want and uses her eye and skills to get results that look best on me. I do think the cost is a bit higher than other places, but...

M.N.

 I had a facial done by Fran and it was the most relaxing facial I’ve ever had! She listened to what I want to accomplish and change about my skin and really helped educate me through out. I am so excited for my next few facials and to see the continual progress. After just one facial ...

B.Z.

 Awesome!! Just had a HydraFacial with Fran and she is the best!!! 

M.S.

Accommodating people, I enjoyed my visits here. I had a couple procedures done including Botox and vanquish. Dr. Sandhu is very nice and her salespeople (assistants) are sweet as well. The Botox was great and Dr. Sandhu will ensure your happy with the results. The vanquish, $2400, don't do it! Th...

E.L.

 I visited NEEM in November 2015 for the first time interested in weight loss and it was the best decision I have ever made. Dr. Sandhu and her staff were so welcoming, I began my appointment reviewing different weight loss programs with Dr. Sandhu, she took the time to review each option wi...

S.P.

I have been here twice now. The staff is excellent. Dr Sandhu is very knowledgable about all the procedures and guides you all the way through the treatment plan. I recommend it for everyone. They have area of expertise in various fields including aesthetics and weight loss. We even bought Zo ski...

L.W.

 Dr Sandhu is thorough and amazingly gentle. She goes for good results and does a great follow up. Explains everything too. Lip injections are subtle, not obvious at all, and she is so good with a needle for this and Botox , hardly even a pinch. All her good reviews are true. It’s why ...

K.

 Amazing Experience! Can't Wait to Go Back to Dr. Sandhu at NEEM!! - I visited NEEM Medical Spa in Winchester for my first time as it came highly recommended by a friend of mine. From the moment I walked in I felt so comfortable. Jenny greeted me and got me prepped and took before pictures a...

A.S.

 been going to this place for 2 years now... I was regular at another med spa at newbury st but went for shopping in Assembly sq area and stumbled upon this great place. Dr. Sandhu is super knowledge physician, sometimes find it hard to understand medical terminology, but she is very friendl...

D.L.

 I found Neem Medical Spa after my previous Doctor retired. Although change can be scary, I find that it ALWAYS happens for a reason! I asked several friends for recommendations and Neem sounded like a fit for me. I couldn't be happier. I was immediately impressed with Dr. Sandhu, her staff ...

J.B.

 I could not say enough about Dr Sandhu and their staff at Neem Medical Spa. I have been coming to Neem and seeing Dr Sandhu for botox for four years. She is the only one who has always gotten it just right. Never have I had less than a 5 star experience all the way, from the minute I call t...

C.P.

 Dr Sandhu is an EXCEPTIONAL physician who REALLY GENUINELY CARES! So many times you feel like you are just another chart for a physician and feel rushed. Rarely do you find someone that really cares about you. She is not only a truly skilled physician, but in addition he has a wonderful hea...

F.

 Dr Sandhu is Great! - Dr. Sandhu is very welcoming and patient. I never feel pushed into trying something that I am not comfortable with. I usually get fillers and recently started Botox. Had a bad experience with it in the past but now I'm a big fan, thanks to her expertise! 

S.D.

 Dr. Sandhu is truly amazing! She is an artist when it comes to dermal filler and Botox, I also love how she is always current with the latest and greatest in the industry...  she is very knowledgeable which provides a true sense of comfort.  Neem also offers an array of skincare s...

S.L.

 Dr. Sandhu is amazing! She’s an artist with filler and Botox. She is always current with the latest and greatest skin care treatments too.. very knowledgeable. Neem also offers an array of skin care services which makes it my one stop shop!! 

S.

 The best! Dr. Sandhu has a true talent with filler and Botox. - Dr. Sandhu is has true talent with filler and Botox. I tend to be very particular and I have to say I am extremely happy with her work. Neem also offers an array of skincare services, Dr. Sandhu offers some amazing services. Sh...

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Why Choose Neem Medical Spa for BOTOX® in Salem?

At Neem Medical Spa in Salem, our team of highly skilled injectors delivers precise, natural-looking BOTOX® results. With extensive training and experience in facial aesthetics, they ensure every treatment is tailored to your features and goals. Patients trust our injectors for safe, effective, and subtle enhancements that refresh your appearance without compromising expression.

Restore Your Youthful Expression Naturally

With BOTOX® in Salem, NH, you can smile, laugh, and express yourself freely without worrying about lines and wrinkles. Our expert injectors help you achieve smooth, youthful-looking skin with natural results. Schedule a consultation at our Salem location to learn more about this safe, non-surgical treatment for facial rejuvenation.

BOTOX® FAQs

How soon will I see results?

Are there side effects?

How many treatments will I need?

Will my face look frozen?

What treatments complement BOTOX®?

How soon will I see results?

Most patients notice improvement within 3–5 days; full effects appear around two weeks.

Are there side effects?

Temporary redness, swelling, or bruising may occur. Rarely, slight asymmetry or temporary muscle weakness can develop.

How many treatments will I need?

Results typically last 3–4 months; follow-up treatments maintain your desired look.

Will my face look frozen?

No. When administered correctly, BOTOX® provides a refreshed, natural appearance without limiting facial expressions.

What treatments complement BOTOX®?

Dermal fillers, microneedling, chemical peels, and laser therapy enhance overall results and skin texture.

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