Anti Aging Treatments in Fresno, CA
The signs of aging sit in different layers of the face, and no single treatment reaches all of them. At Savage Serenity MedSpa in Fresno, Angela Hash, BSN, RN, and the injectors she trains match each sign to the treatment made for it: lines that movement makes, volume the face has lost, skin that has loosened, and a surface that has changed in texture or tone. This page tells you what each treatment we offer is aimed at, so you know which one to ask about first.
The treatments we offer, and what each one is for
Which sign of aging you are seeing
Most people arrive saying some version of “I want my skin to look better.” That is a fine place to start, and the consultation turns it into something a treatment can act on. It helps to know which of these you are describing.
Lines that move with your face
Frown lines, forehead lines, and crow’s feet appear when the muscles beneath them contract, and with years of repetition they start to show at rest. Botox relaxes the muscle that makes the line, so the line softens. A line that has been etched into the skin for years may soften without disappearing, and your injector will tell you which kind you have.
Volume that has gone
A cheek that has flattened, lips that have thinned, and a deepening fold from the nose to the mouth usually come from volume that has thinned deeper in the face. Dermal fillers add volume the day they are placed; Sculptra builds it gradually over more than one visit. Which one suits you depends on where the volume has gone and how quickly you want to see the change.
Skin that has loosened
When the brow sits lower than it used to, or the skin under the chin and along the neck no longer holds its line, the concern is laxity. Sofwave delivers ultrasound energy beneath the surface, aimed at lifting the brow and the loose tissue under the chin and on the neck, and at facial lines. The change is gradual and the Sofwave page explains what to expect.
Texture
Skin that feels rough, looks crepey, or carries fine lines you can feel with a fingertip is a surface concern. Microneedling creates controlled, very small channels in the skin, aimed at fine lines and acne scars. Chemical peels remove the damaged surface layer at a chosen depth. Both are usually repeated, and both ask for a few days of recovery, which the treatment pages describe.
Tone
Sun spots, uneven pigment, and a dull surface are tone concerns, and they live in the color of the skin. Chemical peels are the treatment on this page aimed at tone. If the concern is redness, tell your injector at the consultation; it changes what is chosen and how deep the peel goes.
How a plan is built across treatments
Angela Hash leads the practice and trains its injectors in one approach. In her words: “My approach is always full facial balancing rather than chasing one line or treating one area in isolation. I look at the face as a whole and create a treatment plan that restores balance, supports the way you’re naturally aging, and still keeps you looking like you.”
In practice that means the consultation comes before any treatment is chosen. Your injector looks at your face at rest and in motion, asks what bothers you, and tells you plainly which treatment addresses it and which would not. A plan usually runs in an order, and the order depends on what you see in the mirror: for one person the lines that move come first and volume later; for another the surface is the place to begin. Treatments can share a visit or sit months apart, and your injector sets the timing so each one has settled before the next is judged.
For a longer walk through what these treatments can and cannot do, read what anti aging aesthetic treatments cover.
When to start
No age rules you in or out. What changes is the question you bring. In your twenties and thirties it is usually a line that now shows at rest, or a surface that no longer looks even. Later, the question tends to include volume and laxity as well. Your injector answers the question in front of you, whatever your age, and sometimes the answer is that nothing is needed yet.
Recovery, and what each treatment asks of you afterward
Every treatment on this page has its own recovery, and every treatment page states it, together with the risks and the reasons to call us. In broad terms: the injectables can leave bruising and swelling at the injection sites for some days; microneedling leaves the skin red, and a chemical peel leaves it red and then flaking as the surface renews, for a period set by the depth of the treatment; the Sofwave page explains what to expect after ultrasound. None of these treatments is free of risk, and the treatment page is where the risks are stated in full.
What these treatments cost
Each treatment is priced its own way; Botox, for example, is priced by the unit. Every treatment page explains how its price is built, and your consultation ends with a quote for your plan, before anything is scheduled. Financing is available through Cherry and CareCredit.
Who performs your treatment
Angela Hash, BSN, RN, leads the practice and trains its injectors, Michelle Perkins, RN, and Candice Brantley, NP. Your injector is one of the three. Dr. Luis Lee is the practice’s medical director and supervising physician.
Savage Serenity sits on East Champlain Drive in northeast Fresno, near Highway 41, and treats patients from Fresno, Clovis, and across the Central Valley.
Frequently asked questions about these treatments in Fresno
The one that matches what you see. A line that shows when your face moves points to Botox. A flattened cheek, thinned lips, or a deepening fold points to dermal fillers or Sculptra. Loosening skin along the brow, under the chin, or on the neck points to Sofwave. A surface that looks rough, uneven, or spotted points to microneedling or a chemical peel. If you are not sure which you are seeing, book the consultation and say so; sorting that out is what it is for.
No age rules you in or out. If something in the mirror bothers you, a consultation tells you whether a treatment addresses it, and sometimes that nothing is needed yet.
It depends on the treatment and the plan. Each treatment page explains how its price is built, and your consultation ends with a quote for your plan. Financing through Cherry and CareCredit is available.
Yes, and most plans do. Botox and dermal filler are often done in one visit. The skin treatments are usually spaced from the injectables so that each can be judged on its own. Your injector sets the order and the timing.
Each treatment has its own span, and each treatment page states it with the study it comes from. Botox is temporary and wears off over months. Dermal fillers and Sculptra last longer and are also absorbed by the body over time. Microneedling and chemical peels are usually repeated. None of these treatments is permanent.
It varies by treatment, from a short period of redness to days of bruising or flaking, and every treatment page states what to expect and when to call us.
No fixed packages. We build a plan for you: it lists each treatment, the order, and the price of each, and you can start with one and add the rest later.
Book a consultation in Fresno
Book online and choose a consultation. You will leave knowing which treatment addresses what you see, in what order, and what each one costs.
Keep reading
Sources
U.S. Food and Drug Administration. BOTOX Cosmetic (onabotulinumtoxinA) Prescribing Information (BLA 103000). Revised 10/2024. https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/103000s5316s5319s5323s5326s5331lbl.pdf
U.S. Food and Drug Administration. RHA dermal fillers, premarket approval P170002 and supplements. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=P170002
U.S. Food and Drug Administration. Evolysse dermal fillers, premarket approval P240022. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpma/pma.cfm?id=P240022
U.S. Food and Drug Administration. Sculptra patient labeling, P030050/S039. https://www.accessdata.fda.gov/cdrh_docs/pdf3/P030050S039D.pdf
U.S. Food and Drug Administration. 510(k) Summary K250146, SofWave System. 04/18/2025. https://www.accessdata.fda.gov/cdrh_docs/pdf25/K250146.pdf
U.S. Food and Drug Administration. Microneedling Devices. Updated 10/15/2025. https://www.fda.gov/medical-devices/aesthetic-cosmetic-devices/microneedling-devices
American Academy of Dermatology. Chemical peels: FAQs. Accessed 09/30/2026 (page undated). https://www.aad.org/public/cosmetic/younger-looking/chemical-peels-faqs