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Over time, genetic and environmental factors cause our skin to age visibly. We begin to lose collagen and elasticity relaxes. This results in blemishes, scars, wrinkles, stretch marks, and dullness of the skin.
Microneedling, also known as Collagen Induction Therapy, is one of the top procedures in San Diego that treats pre-existing wrinkles and scars. It works by penetrating the skin below the surface before new wrinkles can form. As aged skin gets replaced by healthier, rejuvenated skin you’ll see a decrease in fine lines and wrinkles. The texture and firmness of your face will also improve, and scars, stretch marks, and pore size will all diminish.

During the procedure, small needles cause superficial damage to the skin, stimulating skin cell regeneration. Microneedling creates over 500,000 channels within the epidermis through which a selection of topical serums will be applied with immediate delivery to the deeper layers of your skin. As the skin heals, new collagen forms, making the skin thicken and tighten. Traditional facials will have you looking great for a few days, but microneedling lasts much longer.

The ultimate goal of this procedure is to not only treat the pre-existing wrinkles and scars but to penetrate below the surface before new wrinkles form. Regular microneedling treatments several times per year will dramatically improve not only the appearance of your skin but more importantly, the overall health of your skin.

Our professional clinicians only use state-of-the-art equipment in our microneedling procedures. SkinPen® by Bellus Medical has been clinically shown to produce improvements in the appearance of facial scars and wrinkles among all skin types. Not only that, but SkinPen is also the first-ever microneedling device to be cleared by the FDA. At SDBotox, we guarantee the utmost safety and care to our patients. Our aim is for you to feel amazing in your skin.



one session
$325 SDBotox Prime one session

Microneedling Package of 4
Comes with 4 Free PCA products

$1400 REGULAR four sessions
$1300 SDBotox Prime four sessions


Dr. Roher and his team are amazing! I have had a microneedling facial and have been more than pleased with the results. One of the many things that I truly appreciate is that Dr. Roher gives helpful suggestions to ensure that you look and feel your absolute best. I definitely recommend SDBotox for anyone interested in receiving any of the services that they offer.

MICRONEEDLING Treatment Instructions


  • If you have or are currently suffering from cold sores, let your doctor know. A prescription is needed in order to get rid of any infection and eliminate the chance of developing sores post-treatment.
  • Avoid blood thinning and anti-inflammatory medication for 3 days prior to treatment. They increase the chance of bruising and swelling after treatments. Medications to avoid include Aspirin, Advil, Ibuprofen, Motrin, Fish Oil Supplements, Vitamin E, and other NSAIDs.
  • Don’t shave the day of your appointment to avoid skin irritation.
  • We recommend not waxing, using depilatory creams or electrolysis to the treatment area for 5-7 days prior.
  • Avoid laser procedures, unprotected sun exposure and sunburn for 10-14 days prior to your appointment.
  • Don’t use topical products that might increase the sensitivity of your skin for 5-7 days prior to your treatment. This includes retinoids, exfoliants, topical antibiotics and acids.
  • Avoid Accutane 6 months prior to beginning your treatment sessions.


  • Do not wash your face until the following morning. After 48 to 72 hours following treatment, you can return to a regular skincare regimen.
  • Do not use sunscreen for 12 hours following treatment. After that, wear SPF 30 or above at all times.
  • Stay away from skin creams like retinol for a few days, and if you are sent home with any growth serum, continue to apply it before bed until it’s gone.
  • No exercising or strenuous activity for the first 24 hours post-treatment. Sweating and gym environments are harmful, rich with bacteria, and may cause adverse reactions.
  • For at least 2 hours post-treatment, do not use any Alpha Hydroxy Acids, Beta Hydroxy Acid, retinol (Vitamin A), Vitamin C (in a low pH formula) or anything perceived as 'active' skincare.
  • Avoid any intentional or direct sun exposure or heat for a week.
  • Do not go swimming for at least 24 hours post-treatment.
  • Avoid wearing makeup for the first 24 hours.
  • Immediately following the procedure the skin will feel tight, dry, swollen, and sensitive to the touch.
  • Best results are seen if done in a series of 4 treatments, spaced 4 -6 weeks apart and then every 6 months for maintenance.


Disclaimer: SDBotox will not perform the procedure if you are pregnant or breastfeeding, have a skin infection on desired injection site or have had an allergic reaction to any ingredients found in dermal fillers.

We use sterile micro-needles to create small holes in your epidermis leading to the release of serum growth factors. These stimulate the breakdown of aged fibrous collagen and stimulate brand-new collagen and elastin development.

After a treatment your body will begin to regenerate and repair the skin naturally, working below the surface in the dermis. This does take time as new collagen is formed, new skin cells are produced and the supply of blood is enhanced. Normally it takes up to 6 weeks before noticeable indicators of regeneration and restoration are seen. A minimum of four treatments spaced four to six weeks apart is recommended for the best results. The procedure will continue over the next months, offering you a long and natural lasting enhancement.


This product has been around for a long time largely as a result of its broad application and consistent results. It is thicker than its predecessor, Juvederm Ultra, but still, delivers a smooth final look.

A major benefit of Juvederm Ultra Plus is its affinity for water. This means the product attracts water and hydrates the area of the face it is injected to further enhance the desired effect. This can be a very favorable quality when filling deep lines or when trying to achieve a significant increase in volume with minimal product.

Common sites: Lips, nasolabial folds, marionette lines

Duration: 9 months*


Restylane is a great product for the tear troughs. This is because it does not have the hydrating effect of the Juvederm product line. As a result, the hollow below the eyes is less likely to be overfilled, which lends itself to a very unnatural appearance.

Restylane can certainly be injected elsewhere, but it is rarely the best choice when compared to the Juvederm products or second generation Restylane products.

Common sites: Tear Troughs

Duration: 9 months*

Juvederm Volbella

The second generation of Juvederm products (Volbello, Vollure, and Voluma) use what Allergan calls Vycross technology. This relates to how the different size hyaluronic acid molecules interact and crosslink. As a result of this technology, Allergan has been able to extend the duration of hyaluronic acid fillers beyond Juvederm Ultra Plus’ 9 months.

Volbello is a very smooth product and is used to deliver a subtle result. It is typically used to decrease mild to moderate wrinkles or a very subtle lip augmentation making it a great choice if you are very concerned friends and family will notice you had something done.

Common sites: lips, vertical lines above the mouth, tear troughs

Duration: 1 year*

Juvederm Vollure

Vollure exists in the sweet spot between smooth (Volbello) and firm (Voluma). As such, it has primarily replaced Juvederm Ultra Plus as a great broad application dermal filler. It delivers the same beautiful results with twice the duration. Vollure has a slightly less hydrating effect when compared to Juvederm Ultra Plus but has a slightly smoother final appearance. Additionally, there tends to be less initial swelling/ inflammatory response when injecting Vollure vs. Juvederm Ultra Plus.

Vollure has been the number one dermal filler used in Europe for many years and will likely be the number one filler in the USA in the near future.

Common sites: Lips, nasolabial folds, marionette lines, cheeks, temples, and many other areas

Duration: 18 months*

Juvederm Voluma

Voluma is a firm facial filler used to volumize deep structures, particularly the cheeks. It is made up of large hyaluronic acid molecules- a characteristic that lends itself to both its firm nature and long duration.

Voluma can be used for superficial cosmetic injections, but it is more often used deep in the skin to mimic the bone/tissue loss associated with aging.

Common sites: Cheeks, midface, temples, chin

Duration: 2 years*


Restylane is a great product for the tear troughs. This is because it does not have the hydrating effect of the Juvederm product line. As a result, the hollow below the eyes is less likely to be overfilled, which lends itself to a very unnatural appearance.

Restylane can certainly be injected elsewhere, but it is rarely the best choice when compared to the Juvederm products or second generation Restylane products.

Common sites: Tear Troughs

Duration: 9 months*

Restylane Defyne

The new Restylane products use a technology called XPresHAn. It is similar to Allergan’s Vycross technology, but the hyaluronic acid molecules are less tightly bound, allowing for a product more resistant to stretch. Think memory foam. This makes Defyne and Refyne great for injection around highly mobile areas like the mouth.

Defyne is slightly firmer than Refyne which makes it great for deep wrinkles around the mouth.

Common sites: around the mouth- deep lines

Duration: 1 year*

Restylane Refyne

Refyne is a thin injectable filler that is resistant to degradation even in a highly mobile area. It is similar to Defyne but is injected more superficially to address less dramatic wrinkles. It is a great choice for patients just starting to notice lines around the mouth they wish were not there.

Common sites: around the mouth- superficial lines

Duration: 1 year