The popularity of Botox, Restylane, skin peels, lasers and more has medi-spas cropping up in communities across the country. But with little regulation, no industry standards and the influx of advertising, how do you know the medi-spa you’ve chosen will keep you looking pretty, and keep you healthy? Any one of these five clues holds true and you're in the wrong place!

The Doctor is Unknown: Whether unknown to you, to the staff or to the community of medical professionals dedicated to cosmetic services, run if the doctor is unknown. “Many of the treatment performed at medical spas require prescription by a physician,” says plastic surgeon Jeffrey Kenkel, MD, of Dallas, Texas. “In addition, it’s the doctor who is accountable should you have any complication what-so-ever. If that doctor is unknown to you, or unfamiliar with cosmetic procedures, you put yourself at risk.” Demand to know who the medical director is and his or her qualifications.

You feel sold: If the person recommending your treatment isn’t a qualified physician, don’t buy in. “Aestheticians are fine for skin care product choices. For best results, it is of utmost importance that the physician designing and recommending a treatment be board certified in a specialty that is very familiar with facial anatomy, skin physiology, and the proper choices based on the patients skin type, as well as cosmetic needs and goals.” says dermatologist Mary Lupo, MD, of New Orleans. “Unfortunately, doctors barred from their specialty due to sanctions or loss of hospital privileges try to reinvent themselves in a non-regulated environment in which they have no expertise.” Whether directing, treating or supervising, the medi-spa you choose must staff people qualified to treat you, not sell to you.

There’s a revolving door: Whether staff, patients, doctor or even treatments, if you notice a revolving door—do not stop in, just keep passing through. “Consistency is very important when you consider that cosmetic medicine requires either multiple treatments to achieve results, or repeating treatments to maintain results,” says plastic surgeon Renato Saltz, MD of Salt Lake City. “A relationship with the doctor who runs the spa as well as the person who treats you is as important as his or her credentials.” Choose a medi-spa where relationships and products have longevity.