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Charging for Botox or Restylane by the Syringe. Is That Norman Pratice?

asked 10 months ago by Carrie in Georgia in Macon, GA
Latest answer by Ronald Shelton, MD
Question viewed 776 times
Tags: costs, syringe

Is it normal practice to charge for Botox and restylane by te syringe. What is it does not take a full syringe?

19 answers to Charging for Botox or Restylane by the Syringe. Is That Norman Pratice?

Restylane

Restylane is typically charged by the syringe or by cc as the syringes come in different sizes. I use the entire syringe for the same patient, so it is not shared. Botox is charged by either the number of units or by area.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon

www.beverlyhillsfacialplastic.com

Charging for Botox or filler by the syringe

One big misconception is that you are paying for a "syringe" of Botox or Dysport- if someone sell it to you as such, run. Both are dosed as "unit" based injections. Since a syringe may contain no active product or a full bottle of active product , buying a syringe (typically sold by low end injectors) is a bad way to do it. Instead, ask how many units you are purchasing. Fillers, in contrast, are sold in pre-filled syringes but there are different size syringes... more

Kenneth Beer, MD
Palm Beach Dermatologic Surgeon

www.palmbeachcosmetic.com

Fees For Restylane and Botox

The most common way of charging for Botox is by units injected. This is the fairest way to the patient since the Botox can be diluted differently by different physicians. Restylane, on the other hand, is charged by the syringe since the syringes cannot be shared among patients.

John Whitt, MD
Louisville Plastic Surgeon

Charge for botox and filler

It is normal to charge for a syringe of filler, or vial of Sculpta. Left over product is not recommended to be saved by the manufacturer. Botox is usually charged by the unit or the cosmetic area but if a physician typically uses the same amount of units per cosmetic area and they prefill a syirnge of botox, then maybe they're charging per area and not syringe. Syringes of fillers are prepared in advance by the manufacturer but the physician draws up exactly what they wish in... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Restylane, Botox - Charging for Botox or Restylane by the Syringe. Is That Normal Practice?

Policies vary widely on this issue but here are some guidelines: 1) Botox and Dysport typically come in vials that have enough for 1, 2 or 3 patients, depending on how much each patient requires. If your physician does this procedure often enough so that there is always a relatively fresh vial of the material available, then it is typical to charge either by unit of Botox/Dysport (it takes about 2-2.5 units of Dysport to equal the effect of 1 unit of Botox) or areas being... more

Alan Engler, MD
New York Plastic Surgeon

Common Pricing Practices for Botox and Restylane

Greetings~ Most offices in our area charge by the unit for Botox...so you are only charged for what is drawn up from the bottle and used on you in that visit. One bottle of Botox can be divided among multiple patients because a specific amount can be drawn up without risking contamination. Restylane, on the other hand is sold only by the syringe. One syringe is only used for one person, they may not be shared. If you don't use all of the Restylane in the area you ideally... more

Grant Stevens, MD
Los Angeles Plastic Surgeon

It is common practice to charge for Restylane by the syringe

It is common practice to charge for Restylane by the syringe. BOTOX is charged by the unit since it doesn’t come in syringes. Most of these treatments are based on the amount of product used. Some doctors do charge differently depending on the area injected.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Charges for Restylane and Botox

There is no standard as to how offices charge for these products. Restylane comes by the syringe and is charged as such since it cannot be used on anyone else. If you do not need the full syringe, it is discarded. Botox can be charged by area or by units. It is important to ask the concentration and units per injection and how many injections will be performed. That is because it can be diluted a number of different ways.

Albert Dabbah, MD
Boca Raton Plastic Surgeon

Did I really get all the Botox I paid for?

Would you take your car to a garage and have the attendant put gas into your tank and then pay him a certain amount of money with out actually knowing (or seeing) the exact amount of gas you received? What if he charged you for more than he actually gave you? Same thing for Botox. You should know how many 'units' of Botox you received. Being charged for areas injected/treated leaves you open to dishonest charges although I'd hope/expect those charging by the area... more

Harlow Hollis, MD
Victoria Plastic Surgeon

Charging for Botox and Restylane by the syringe

I have used Botox and fillers for over 20 years and in our office, we charge for Botox by the treated area (Glabella, Crow's feet, Forehead etc) which is based on using so many units of Botox. Fillers come in sterile syringes and yes, it's standard to charge for the full syringe regardless of you using all or part of that syringe. It is a vilolation, IMHO, of numerous regulatory policies to save unused portions of syringes of patients for future use. ... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Not necessarily

I do charge for Restylane and the other fillers by the syringe. Of course it is the doctors perogative to change there charges. For Botox, I charge by the area treated.

E. Anthony Musarra II, MD
Atlanta Plastic Surgeon

Making lemonade ;)

Botox and Dysport come to us as physicians as powder. We all HAVE to dilute it to make a solution and since some injectors dilute with 3 syringes of liquid while some dilute with 2 syringes, you cant go by syringe for pricing. You can think of it as making lemonade from a powder mix, if one doctor puts 1 cup of water in the mix and the other puts 10 cups in his mix, there is obviously much less lemonade mix per cup in the 10 cup recipe (1/10th) compared to one cup from the doctor... more

Robyn D. Siperstein, MD
Boynton Beach Dermatologic Surgeon

Botox and filler charges

Fillers are charged by the syringe because it can not be shared with any one else. Botox because it is drawn up in a syringe and then injected is charged either by the units or by the area treated. I usually charged by the area treated for Botox.

Steven Wallach, MD
Manhattan Plastic Surgeon

How You Should be Charged for Botox and Restylane

The fees for Botox injections should always be by the unit so you know exactly how much you are getting. Never accept "by the area" or "by the syringe" pricing as you are less likely to be getting your money's worth. Restylane comes in three different sized single patient use syringes so it cannot be shared and you have to know the size of the syringe to know what you are paying for.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Charging for Botox or Restylane by the Syringe. Is That Norman Pratice?

You should know how many units you are getting and what the price per unit is. Syringe of Botox or Dysport is non sense. Fillers come in syringes on 1 cc or 0.8 cc.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Charging for Botox

Botox is administered either by unit or by are treated and is charged acordingly. Restylane comes as a pre-packaged syringe. We not supposed to save for later or for another patient. Therefore, you buy the whole syringe even if you use all of it

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Work with docs who have transparent pricing policies.

BOTOX comes dry in a small vial. It is reconstituted sterile with saline and then drawn up into individual syringes. Your doctor will know precisely how many units are in that syringe. You should know how many units you are paying for even if they price the service by area or by syringe. This way you can compare offices and services. If they will not or cannot tell you how many units you were treated with, you are being scammed and should look for care else... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Charging for Botox or Restylane by syringe

This is really two separate questions so I will discuss them separately. Botox is not administered or sold by syringe so to charge that way does not really make sense. Most physicians wil charge by units or by the region treated i.e. frown line or crow's feet etc. Restylane is sold and administered by syringe so this is generally how it is charged. There are however different size syringes so prices from one physician to another are not necessarily comparable since... more