Best Doctor for Dermal Fillers?
- Asked by KGB
- 4 years ago
Is it better to go to a Dermatologist or a Plastic Surgeon for things like Restylane and other fillers?
I am particularly interested in Nasolabial folds without a nerve block, because I recently had a Board Certified Plastic Surgeon hit a nerve during a dental block with severe complications.
Would a dermatologist have more understanding of facial nerves? Just curious as to how to find the best doctor. Thank you!
It's not the specialty as much as the skill of the physician
There are many specialties that cross the spectrum of what we call 'Cosmetic surgery' and some are better at some things than others. Anatomy should cut across all specialties, but keep in mind that knowing anatomy doesn't translate into doing a good job in injecting or numbing.
In fact, you can know a whole lot and do a lousy job of getting a patient numbed. Having said that, I would hope that the more educated a physician, the better job overall they would do.
In our office, we don't even find the need for nerve blocks as I add the injection medicine to the syringe of filler and use a super potent topical numbing medicine along with a very slow and steady technique. Usually, our patients who have done blocks in other offices or ours before we developed this technique ask to NEVER get a block again.
So, you see, there are many things to consider here. One other, by the way, is that you should always insist that the doctor do the injecting. If they are farming it out to a nurse or PA, stay away! Good luck.
Dermatologist versus plastic surgeon for filler injections
First, it most important to seek a Board certified specialist in one of the "core" cosmetic fields, Dermatology, Plastic Surgery, Oculoplastic or ENT, Secondly, be certain that it is the physician who will perform the injection. Lastly, it is best if you have referral from patients or another physician so that you have some knowledge of the specialists experience and expertise.
Best to see physician who does a lot of dermal fillers.
An experienced physician who does a lot of dermal fillers is the best person for you to have this done. A dermatologist or a plastic surgeon is well qualified to perform these types of injections.
Web reference: http://www.seattlefacial.com
Filler by Dermatologist or Plastic Surgeon
The specialty does not matter as much as the training and experience of the individual doctor. You should ask around and find out from friends etc someone who is known to be good. Also, you can use numbing cream before you go for injections and that would avoid any need for nerve blocks.
Click below on a link for information and then 'Botox and Filler Instructions' on how to prepare for filller injections.
Web reference: http://janjuafacialsurgery.com/forms.html
For fillers it is best to see somebody with experience
There are many specialties who are trained to do different aspects of cosmetic and there are world renowned specialists who come from many fields. The majority of physicians who specialize in injectables like facial fillers come form (in alphabetic order)
Facial Plastic Surgery (a sub-specialty of ENT)
Oculoplastic Surgery (a sub-specialty of Ophthalmology)
You should know that there are also truly outstanding cosmetic surgeons who have different backgrounds that those listed above.
That makes it difficult for the patient/consumer. Your best bet is to ask for a referral from a physician or a friend. Take the time to have a consult with a few specialists and decide what feels right to you.
The best results come from long term relationships with your cosmetic surgeon. It is worth taking the time to start our with somebody who makes you confident and comfortable.
Surgeon specialities are less important then experience
Web reference: http://www.michaelelammd.com
Who should do dermal filler injections?
Your question is a politically loaded one, and so you will get a variety of answers. First, I am sorry to hear that you had difficulty after the nerve blocks, but it is unlikely to be related to the specialty-specific training that your doctor had; in order to "hit" the nerve, he had to know where it was and of course that is where the block needs to be placed. Complications from nerve blocks are extremely rare. Secondly, there are a variety of clinicians who are skilled at injecting. I supervise several RN injectors who do it all day every day and so their experience is vastly greater than many of the doctors who assert that only MD's should inject. It comes down to dedication to the art of aesthetic medicine more than the specialty background.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.