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BOTOX® Overview

About BOTOX®

When it comes to BOTOX®, the injector’s skill makes all the difference. At Neem Medical Spa, every BOTOX® treatment is personally performed by Dr. Rosy Sandhu, a board-certified internal medicine physician with advanced training in facial aesthetics. Her precise technique helps smooth fine lines and wrinkles around the eyes, forehead, and brows, creating a naturally refreshed appearance. Dr. Sandhu also uses BOTOX® to treat bruxism (teeth grinding) and excessive sweating.

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Who Is an Ideal BOTOX® Candidate?

Our BOTOX® in Boston is ideal for those looking to smooth facial lines or prevent new ones from forming. It’s also used for certain medical concerns.

Common reasons for BOTOX® include:

  • Forehead wrinkles and frown lines between the brows
  • Crow’s feet around the eyes
  • Preventive anti-aging treatment
  • Relief from migraines or teeth grinding
  • Reduction of excessive underarm sweating

You may not be a candidate if:

  • You are pregnant or breastfeeding
  • You have a neuromuscular disorder (e.g., ALS, myasthenia gravis)
  • You have a history of Bell’s palsy or polio infection
  • You are taking aminoglycoside antibiotics

What Are the Benefits of BOTOX®?

BOTOX® offers a range of aesthetic and therapeutic benefits that can enhance both appearance and well-being. These include:

  • Softening fine lines and wrinkles, such as crow’s feet, forehead lines, and frown lines.
  • Preventing new wrinkles by slowing the formation of deeper lines over time.
  • Providing quick and convenient treatment that takes just minutes with no required downtime.
  • Delivering natural-looking results without a frozen or overdone appearance.
  • Relieving migraines, excessive sweating, and jaw tension.

At Neem Medical Spa, our expert providers tailor each treatment to your goals, ensuring subtle, natural-looking results.

Other Uses for BOTOX®

In addition to its well-known aesthetic applications, BOTOX® is used for a range of off-label treatments that deliver both cosmetic and therapeutic benefits. At our practice, we routinely use BOTOX® for:

  • 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 (excessive sweating in the forehead/scalp)
  • Superficial injections for rosacea-induced redness
  • TrapTox injections to the trapezius muscles for neck and shoulder tension

We’re also proud to offer Letybo, the latest Letibotulinum toxin-A from South Korea, expanding your options for advanced neuromodulator treatments.

How Should I Prepare for BOTOX®?

To prepare your face for BOTOX® in Boston at Neem Medical Spa, please avoid aspirin and ibuprofen for three to four days before your treatment. Alcohol should not be consumed for 24 hours before the treatment. These will all increase your risk of minor bruising in the treated area.

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What To Expect During the Treatment

If it is your first time visiting us to get BOTOX®, we often perform the treatment within the same day as your initial consultation with Dr. Sandhu. You will be asked to make different expressions using your upper face, like frowning, squinting, smiling, etc., to help us plan where the injections will be placed. The face will be prepared, and the BOTOX® will be injected under the skin using a fine needle, followed by a cool compress to help lessen swelling, bruising, and discomfort.

You can ask for a numbing cream to help make the procedure more comfortable, but it is usually not needed. BOTOX® treatments typically take 10 – 15 minutes, after which you may return to your usual day after a short rest.

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What Is Recovery Like After BOTOX® in Boston?

After your BOTOX® treatment:

  • Resume normal activities right away, but avoid strenuous exercise for 24 hours
  • Keep facial muscles moving gently for the first hour
  • Do not lie down, rub, or massage the treated areas for at least 4 hours
  • Sleep with your head elevated the first night
  • Mild redness or swelling may occur and typically fades within a few days
  • Results appear within about a week and last 4–6 months
  • Most patients schedule touch-ups 2–3 times per year to maintain results
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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 Boston?

At Neem Medical Spa, every BOTOX® treatment is personally performed by Dr. Rosy Sandhu, a board-certified internal medicine physician with advanced aesthetic training. Her expertise ensures natural, balanced results that enhance your confidence and overall well-being.

Refresh Your Look With BOTOX®

With BOTOX® in Boston, Winchester, and Lynnfield, MA you can smile, laugh, frown, and make any face you want without developing lines and wrinkles. You deserve healthy, youthful-looking skin. To smooth out lines throughout the face, we invite you to schedule a consultation appointment with Dr. Sandhu to discover more about this revolutionary nonsurgical relaxer for wrinkles.

BOTOX® FAQs

How soon will I see my results?

Are there any side effects/risks associated with BOTOX®?

How many treatments of BOTOX® will I need?

Will BOTOX® make my face look frozen?

What treatments complement BOTOX®?

How soon will I see my results?

Most patients begin to notice results within 3 to 5 days, with full effects typically visible around two weeks after treatment.

Are there any side effects/risks associated with BOTOX®?

BOTOX® is generally safe when administered by a qualified provider like those at Neem Medical Spa, but some temporary side effects may occur, including mild swelling, redness, or bruising at the injection site. In rare cases, slight asymmetry or temporary muscle weakness can develop but usually resolves on its own.

How many treatments of BOTOX® will I need?

BOTOX® is not permanent, and results typically last 3 to 4 months. Based on your unique needs and muscle activity, regular treatments are recommended to maintain your desired look.

Will BOTOX® make my face look frozen?

When administered correctly, BOTOX® provides a natural, refreshed appearance without limiting facial expressions. Our skilled injectors ensure precise placement and appropriate dosage to avoid an overdone look.

What treatments complement BOTOX®?

BOTOX® pairs well with dermal fillers for enhanced facial rejuvenation, as well as treatments like microneedling, chemical peels, and laser therapy to improve skin texture and overall complexion.

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