Of course injectable fillers are available from a lot of unqualified/under-trained providers, so a dermatologist or facial plastic surgeon would be the way to go. However, getting the impression that some of them have Physician Assistants, maybe even nurses, doing the injections. That seems to be putting one at the same risk by having an inexperienced injector.
Answer: Injectable Filler procedures are best performed by qualified physicians.
This is another great question. Dr. Oppenheim hit the nail right on the head with his thoughtful response below. Skin necrosis does happen with HA and other gel-fillers, and in my opinion, this disfiguring complication is at least somewhat technique-dependent. If signs of ischemic skin changes are noted at the time of treatment, there is a protocol involving immediate hyaluronidase and nitroglycerine paste to improve outcomes. Examples of disfiguring HA complications were presented at 7th annual multi-specialty symposium. Las Vegas, 6/24/2011 515pm.
In my view, Injectable Filler procedures are best performed by qualified physicians.
Hope this helps.
Dr. Joseph
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CONTACT NOW Answer: Injectable Filler procedures are best performed by qualified physicians.
This is another great question. Dr. Oppenheim hit the nail right on the head with his thoughtful response below. Skin necrosis does happen with HA and other gel-fillers, and in my opinion, this disfiguring complication is at least somewhat technique-dependent. If signs of ischemic skin changes are noted at the time of treatment, there is a protocol involving immediate hyaluronidase and nitroglycerine paste to improve outcomes. Examples of disfiguring HA complications were presented at 7th annual multi-specialty symposium. Las Vegas, 6/24/2011 515pm.
In my view, Injectable Filler procedures are best performed by qualified physicians.
Hope this helps.
Dr. Joseph
Helpful 1 person found this helpful
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CONTACT NOW January 23, 2012
Answer: Fillers
While you may be able to get injectables by someone other than a doctor, I would highly recommend finding someone who is at least licensed and well trained on how to properly inject fillers. Definitely do some research before hand.
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January 23, 2012
Answer: Fillers
While you may be able to get injectables by someone other than a doctor, I would highly recommend finding someone who is at least licensed and well trained on how to properly inject fillers. Definitely do some research before hand.
Helpful
January 16, 2012
Answer: The MOST IMPORTANT thing about Restrylane, Botox and Juvederminjectables
The most important thing about receiving any cosmetic treatments utilizing injectableagents is who is at the other end of the needle.
Botox, Dysport, Restylane and Juvederm are our FDA regulated treatments and are only available to licensed physicians. Different states will have different regulations as to what tasks a physician may delegate to his staff.
A board certified dermatologist/ENT/Plastic Surgeon has had extensive training in the anatomy physiology, and repair of skin. When you receive the treatment your goal should be to receive the highest quality treatment from a doctor with the most knowledge and experience.
You may be offered lower prices from a strip mall medi-spas who have no actual medical director on-site. In cases like this you really have no idea of the experience or training of the person offering the treatment.
When it comes to your face demand only the best. When I was in medical school I remember a plaque on the wall of a shoe repair business I frequented the plaque said the bitterness of poor quality lasts much longer than the sweetness of low price.
Not only should you insist and expect that the physician perform your treatment you should ask three basic questions 1. what is the medical name of what you're injecting into my face? 2. how does it work? 3. what are the anatomical sites of where you're injecting it?
If the person doing the injections can't tell you what the scientific name of what they're using is, the mechanism of action of how it works, and 3. where they're injecting it,, thenthey shouldn't be doing it.
Helpful 3 people found this helpful
January 16, 2012
Answer: The MOST IMPORTANT thing about Restrylane, Botox and Juvederminjectables
The most important thing about receiving any cosmetic treatments utilizing injectableagents is who is at the other end of the needle.
Botox, Dysport, Restylane and Juvederm are our FDA regulated treatments and are only available to licensed physicians. Different states will have different regulations as to what tasks a physician may delegate to his staff.
A board certified dermatologist/ENT/Plastic Surgeon has had extensive training in the anatomy physiology, and repair of skin. When you receive the treatment your goal should be to receive the highest quality treatment from a doctor with the most knowledge and experience.
You may be offered lower prices from a strip mall medi-spas who have no actual medical director on-site. In cases like this you really have no idea of the experience or training of the person offering the treatment.
When it comes to your face demand only the best. When I was in medical school I remember a plaque on the wall of a shoe repair business I frequented the plaque said the bitterness of poor quality lasts much longer than the sweetness of low price.
Not only should you insist and expect that the physician perform your treatment you should ask three basic questions 1. what is the medical name of what you're injecting into my face? 2. how does it work? 3. what are the anatomical sites of where you're injecting it?
If the person doing the injections can't tell you what the scientific name of what they're using is, the mechanism of action of how it works, and 3. where they're injecting it,, thenthey shouldn't be doing it.
Helpful 3 people found this helpful
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January 15, 2012
Answer: Injectables and injectors
I do all my own injecting because I feel that the patients want me to do it for them, and I was trained in aesthetic procedures and have an "eye" for it. Yes there are some good non physician injectors like nurses and PA's. I believe in NY state( my home state) these two individuals are allowed to inject under the supervision of a physician but I am not sure in other states.
Helpful 1 person found this helpful
January 15, 2012
Answer: Injectables and injectors
I do all my own injecting because I feel that the patients want me to do it for them, and I was trained in aesthetic procedures and have an "eye" for it. Yes there are some good non physician injectors like nurses and PA's. I believe in NY state( my home state) these two individuals are allowed to inject under the supervision of a physician but I am not sure in other states.
Helpful 1 person found this helpful
January 13, 2012
Answer: Who Should be injecting Wrinkle Fillers and Botox?
Opinions re divided on WHO is best qualified to inject filles and Botox. If done efficiently and in large numbers fillers and Botox can be very profitable. Understandably, Family Practicea and Ob-Gyn as well as salons and "spas" jumped into he fray. In addition a lot of Plastic Surgery | Dermatology practices are very profitable bt delegating these procedures to "injectors". Are their results better than those of inexperienced injectors? yes. Are their results better nd more customized than the results produced by Doctor-administered fillers and Botox? Hardlly. When you get an interested Plastic surgeon to do your fillers and Botox you WILL get a much better and customized result. You AKWAYS get what you pay for. Look for a Plastic surgeon who does his/her own fillers and Botox.
Helpful 1 person found this helpful
January 13, 2012
Answer: Who Should be injecting Wrinkle Fillers and Botox?
Opinions re divided on WHO is best qualified to inject filles and Botox. If done efficiently and in large numbers fillers and Botox can be very profitable. Understandably, Family Practicea and Ob-Gyn as well as salons and "spas" jumped into he fray. In addition a lot of Plastic Surgery | Dermatology practices are very profitable bt delegating these procedures to "injectors". Are their results better than those of inexperienced injectors? yes. Are their results better nd more customized than the results produced by Doctor-administered fillers and Botox? Hardlly. When you get an interested Plastic surgeon to do your fillers and Botox you WILL get a much better and customized result. You AKWAYS get what you pay for. Look for a Plastic surgeon who does his/her own fillers and Botox.
Helpful 1 person found this helpful