Botox: Q&A

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Experienced Botox Injector - Even if Not a Dermatologist or Plastic Surgeon?

Do you think an MD (previously Family Practitioner) who had devoted their practice solely to medical aesthetics, and who administers Botox regularly, would be a good choice for this product? I see that a PS or Dermatologist is usually recommended, but do you think experience of injecting counts for a lot--or is a PS a safer choice?

11 Doctor Answers | Asked by 3324anon
+1

Plastic Surgeon for Botox

There are many instances of family practice and emergency room physicians who have decided to shift their practice into aesthetics without the requisite training to do so. It does not take very long to actually learn to reconstitute the product appropriately and inject Botox. On the other hand, to intimately understand the facial anatomy and the precise functions of the mimetic musculature and learn how to treat them appropriately to obtain a safe and natural result takes... more
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Aesthetic procedures should be done by a dermatologist or plastic surgeon.

Why would you not want a cosmetic procedure done by an experienced dermatologist or plastic surgeon who has spent years of training to deliver the best possible aesthetic results?
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Dermatologist or Plastic Surgeon always recommended for aesthetic procedures

Even though non-aesthetically trained physicians are offering Botox, fillers, and laser treatments, it is always in a patient's best interest to see a physician who has been properly trained in the area in which they are practicing.   After all, who do you really want to trust your face to? Core aesthetically trained physicians (dermatologists and plastic surgeons) spend 4-6 years perfecting their techniques in residency and fellowship. Family practitioners, ER docs,... more

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+1

Why is a family practice doc injecting Botox?

The answer to my question is obvious- $$ Go and meet the family practice doc- strike up a conversation. Ask the doctor why he or she did not bother to do a residency and become board certified in dermatology or plastic surgery since he/she is obviously interested in facial anatomy, neurotoxin treatment, facial aesthetics and skin care. 
+1

Who should inject Botox?

Botox injections involve injecting a substance that relaxes muscular activity. There was just a question on this forum about a patient who had a paralyzed hemi-cheek due to administration of Botox into the upper cheek area. For routine injection into the crow's feet and glabella, most injectors can do this without harming patients.  More complex cases require greater expertise.  When larger and more aggressive doses of Botox are required, say in a patient who... more
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You should get predictable results from an experienced Botox injector.

In most instances I would recommend insisting on a board-certified specialist for non-surgical facial enhancement. When it comes to Botox, however, if a physician is doing a lot of it and getting nice results, then it's probably acceptable to use him as a provider. I'd recommend seeing many Botox photos before proceeding.
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You should search for the most qualified person to treat you

Hello,  like Dr. Lupo, I am also a board certified dermatologist, so I do have my bias.  Having said that, I also completed an internal medicine residency before I went back and did a 3 year dermatology residency and I can tell you that you don't receive the appropriate training to be a qualified cosmetic surgeon/botox injector.  There are many nuances to aesthetic treatment of the face that I believe plastic surgeons and dermatologists know best.  I have had... more
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Botox injector qualifications

A dermatologist/plastic surgeon/ophthalmologist would be a 1st choice. However, if an MD with extensive knowledge of anatomy of the face & causes of skin aging/wrinkles is avilable. He or she would be a good option, provided he had reasonable experience with botox & you have seen 1st hand some of his results.
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A hot question. Here is my opinion.

There may be a rare exception to the rule that a core-trained physician with the background of years of training in dermatology, plastic surgery, facial plastic or oculoplastic surgery is the best choice for an aesthetic procedure. But why risk it?  The "core" training refers to the years of background learning during residency and fellowship training. A family practice doctor spent 3 years learning to take care of sore throats and high blood pressure and... more
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Stick with a dermatologist or plastic surgeon

Family practitioners have absolutely no formal training in their residencies for cosmetic procedures.  Would you take your child to the OB/Gyn instead of the pediatrician?  I doubt it.  Leave cosmetic procedures (i.e. Botox and fillers) to physicians who receive formal training (dermatologists, plastic surgeons, facial plastic surgeons).  While the family practitioner may be cheaper, do you really want to risk it? 
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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.

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