1) Schedule Your Consultation

We bring concierge aesthetic medicine directly to your home, office, or private location throughout Placer, El Dorado, Nevada, and Sierra Counties. Together, we'll choose a time that fits your schedule.

2) Personalized Assessment

Every appointment begins with a comprehensive consultation. We'll discuss your goals, medical history, facial anatomy, previous treatments, and expectations before recommending a treatment plan. There is no one-size-fits-all approach. Every treatment is customized to achieve natural, balanced results.

3) Treatment

Once your treatment plan is finalized, injections are performed using precise, evidence-based techniques in the comfort of your chosen location. Treatment typically takes 15–30 minutes, depending on the areas being addressed.

4) Follow-Up

Approximately 2 weeks after treatment, we'll schedule a follow-up assessment.
This visit allows us to:
• Evaluate your results
• Ensure the treatment has settled as expected
• Discuss any questions or concerns
• Perform minor touch-ups if appropriate
Our goal is not simply completing a treatment, it is ensuring you're happy with the final outcome.

5) Ongoing Care

Aesthetic medicine is a partnership. As your goals evolve, we'll continue to tailor future treatments based on your anatomy, preferences, and previous results. Whether you're maintaining existing results or adjusting your treatment plan over time, we'll work together to create a schedule that fits your lifestyle.

• Sarah, PA-C

FOUNDER & INJECTOR

With a background in emergency medicine and a passion for aesthetics, Sarah founded Sierra Skin Spa to offer a personalized concierge experience with natural-looking results to help age gracefully.

• Dr. Bill

MEDICAL DIRECTOR

As a board-certified physician with extensive experience in aesthetic medicine and patient safety, he oversees all clinical protocols to ensure the highest standard of care.