The Lotus Medspa

Verified listing
14239 Old Bandera Rd, Helotes, TX, 78023
5.0(442 Google reviews)
Read reviews on Google ↗as of Oct 2026

Pricing

Monthly program

$300–$400/mo

Initial consultation

$350

Copied from the clinic's own published pricing on their site, checked 2026-10-11. Prices change — confirm with the clinic before you book.

About The Lotus Medspa

What is The Lotus Medspa?

The Lotus Medspa is a medical spa at 14239 Old Bandera Rd. in Helotes, Texas, and it says it serves San Antonio and the surrounding area. Most of its listed services are aesthetic, including dermal fillers, neurotoxin, skin tightening, facials and chemical peels. Three are medical: medical weight loss, hormone replacement therapy and peptide therapy. The clinic describes its team as Board-Certified Physician Assistants and Licensed Medical Aestheticians but does not name who prescribes. Google lists it as a medical spa with a 5 rating from 442 reviews. Hours are 10 am to 5 pm, Monday through Saturday, and closed Sunday, and the clinic notes that hours can change.

The weight loss program uses two GLP-1 medications, semaglutide and tirzepatide, both given as weekly injections. The clinic states that its semaglutide is compounded. In its own words: "Our Semaglutide is compounded to include Vitamin B12." It does not say whether tirzepatide is compounded. Hormone replacement uses bioidentical hormones delivered as pellets, described as Evexipel pellet therapy. The clinic lists peptide therapy but does not describe what it involves.

What does it cost?

The weight loss program is priced two different ways, and the clinic does not reconcile them. One is a monthly figure: semaglutide at $300 to $400 a month and tirzepatide at $400 to $500 a month. It does not say whether medication is included in those monthly prices. The other is a per-visit and per-supply figure for semaglutide: $350 for a consultation, $400 for the first medication and supplies (a new patient supply lasts about 4 weeks), and $400 for each maintenance supply (lasting 6 to 8 weeks). The weight loss program also calls the first consultation complimentary, so confirm which price applies to you. Existing semaglutide users who switch to the clinic pay $100 for an initial consultation. Hormone pellets cost $350 for women and $750 for men. The clinic does not say whether it accepts insurance. It lists financing but does not describe the terms.

What should you ask before you book?

Start with the consultation. Is it complimentary or $350, and does the $100 rate apply to you? Ask whether the monthly price includes the medication, or whether each supply is billed on top of it. Ask who writes the prescription, since no prescriber is named. Ask whether tirzepatide is brand-name or compounded, and which pharmacy fills the semaglutide. Find out what follow-up visits, lab work and the monthly body composition scan cost. For hormone pellets, ask how often they are replaced (the clinic mentions re-insertion 3 to 4 months after the first) and what each replacement costs. Ask what peptide therapy involves and what it costs. Finally, ask whether insurance is accepted, whether any part of care can be done by video, and how cancellation works, including any minimum term.

Who is it a good fit for?

This is a good fit if you want aesthetic treatments and a weight loss or hormone visit in one office, and you are ready to pay cash. If you need a named prescriber, a clear monthly price or insurance billing before you commit, get those answers first.

Sources: thelotusmedspa.com, thelotusmedspa.com/services-san-antonio-tx/hrt, thelotusmedspa.com/services-san-antonio-tx/medical-weight-loss, thelotusmedspa.com/services-san-antonio-tx/peptide-therapy, thelotusmedspa.com/services/semaglutide-weight-loss-management

Services Offered

✓NEUROTOXIN (TOX)
✓RADIESSE
✓XERF SKIN TIGHTENING
✓DERMAL FILLER
✓MOXI
✓BBL
✓MEDICAL WEIGHT LOSS
✓HORMONE REPLACEMENT THERAPY
✓PEPTIDE THERAPY
✓SCULPTRA
✓PRF/PRF EZ GEL
✓PDGF+
✓THE GOLD PROTOCOL
✓RF MICRONEEDLING
✓WELLNESS INJECTIONS
✓IV THERAPY
✓FACIALS
✓ACNE BOOTCAMP
✓SKIN IMPERFECTION TREATMENTS
✓CHEMICAL PEELS

What we confirmed

Read off The Lotus Medspa’s own website on 2026-10-11. These are their words, not ours.

  • ✓Medical weight loss — listed on their site as “We use advanced GLP-1 medications such as Semaglutide and Tirzepatide, combined with medical guidance, lifestyle support, and individualized treatment plans.” source
  • ✓Hormone therapy — listed on their site as “At The Lotus Medspa, we offer bioidentical hormone replacement therapy using Evexipel® pellet therapy.” source
  • ✓Peptide therapy — listed on their site as “Peptide Therapy for Wellness and Optimization in San Antonio, Texas” source

Hours

10 am - 5 pm

Location