Wrinkle Filler Safety

the last thing i want is to get hurt by a person choice about getting botox or restaylne. what are the safe ways to get these injections?

Doctor Answers (5)

Cosmetic injectable therapies are a rapidly growing...

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Cosmetic injectable therapies are a rapidly growing segment of treatment that many people are quick to embrace but don’t yet fully understand. While Botox and dermal filler injections are not surgical, they are still wholly medical procedures that require the experience and oversight of a physician specifically trained in cosmetic procedures of the face. A qualified physician is key, not only to ensure safety, but also to ensure an aesthetically pleasing outcome.

The need to be educated about cosmetic injectables and standards to protect your safety is evident in the findings released by the Physicians Coalition for Injectable Safety.

An independent study conducted by Industry Insights, Inc. surveyed members of the Coalition about U.S. FDA-approved, brand name injectable therapies designed to treat facial wrinkles, improve the signs of aging, enhance facial appearance, and treat skin imperfections with Botulinum Toxin (Botox), dermal fillers, and fat injections.

Top Findings:

  • Member physicians see an average of 2-3 patients each year with complications resulting from cosmetic injections that were either administered in a non-medical setting, by an unqualified provider, or with an unknown substance.
  • 84% of physicians reported that they have seen at least one patient with complications from cosmetic injectables.
  • 29% of member physicians see complications arising from cosmetic injections administered in a non-medical setting.
  • 38% of physicians see complications arising from cosmetic injections administered by an unqualified or untrained provider.
  • 32% of physicians see complications from an unknown, non-FDA approved injectable substance.

Before you get a cosmetic injection, you must:

  1. Know how to choose a qualified doctor/provider
  2. Know what questions to ask your doctor/provider
  3. Ask to see packaging
  4. Know what authentic packaging looks like for any injectables you purchase


Eugene Plastic Surgeon
5.0 out of 5 stars 4 reviews

Patient education information is not only the...

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Patient education information is not only the responsibility of the doctor, but also the responsibility of the patient. By partnering with your physician and asking the right questions consumers have a better chance of achieving the desired results and averting complications with injectable therapies. Patients must understand that all medical treatments have risks, and cosmetic injectable treatments are no exceptions.

Reducing your risk of potential complications requires that you:

  • Recognize that injectables are medical treatments and belong in the hands of a qualified doctor.
  • Choose only U.S. FDA-approved injectables for a use that is specifically cosmetic and an application that is similar to your condition.
  • Accept that there is no such thing as a “generic” or “substitute brand” for U.S. FDA-approved injectables.
  • Do not accept bargain prices or deep discounts, as you may not be getting a U.S. FDA-approved injectable or an appropriate dosage.
  • Do not accept treatment at a party, public gathering, spa, salon or other non-medical setting.
  • Do not act on impulse when you choose injectables. Follow proper procedure by learning about your doctor and the treatment you will have.
  • Understand that fat injections require a two-step surgical process; first your fat is extracted and processed, then it is reinjected into appropriate regions.

Ira D. Papel, MD
Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Consumers should be aware that almost anyone can perform...

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Consumers should be aware that almost anyone can perform a cosmetic procedure. As such, it is extremely important to know just who it is that will be performing yours.

For example, if you are interested in facial rejuvenation, you should look for a physician who is especially skilled in this area.

  • Ask them about their experience with the various fillers and injectables and approximately how long they have been using them.
  • Although before and after photos are generally essential, they unfortunately do not always adequately demonstrate end results of the injectables.

Gregory A. Buford, MD, FACS
Denver Plastic Surgeon
5.0 out of 5 stars 2 reviews

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Going to the right doctor and using the right products

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Botox from Allergan, Restylane, Radiesse, Juvederm, Perlane, are all products that have a long safety profile and have been used throughout the United States in a safe manner by many doctors. They are proven safe in the right hands.

Going to a doctor that is board certified is a starter. Then you need to see the doctor's results or possibly talk to people who have had it done by the particular doctor. These are ways to ensure that you have the right doctor doing the procedure. The doctor's academic performance can also be an indicator. You should be able to research your doctor on their website as well. With all of these pieces of information, you will be able to come up with a bigger picture of whether you would like a paricular doctor to be the one to do your procedure.

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.0 out of 5 stars 37 reviews

Although it is considered safe and widely used, I would...

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Although it is considered safe and widely used, I would use caution when it comes to injecting neurotoxins into the face to paralyze muscles.

Nicholas Perricone, MD
Connecticut Dermatologist

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.