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What Are the Questions We Should Ask Regarding Botox TXs?

Could you shed some light on the questions we should be asking to our Botox Providers whether they are MDs, nurses,spas before we get any additional treatment? What would you recommmend? Is there a way to find out if any of the Botox Treatment shots have any preservatives eg mercury or anything that would cause a crystal type of material eg grainy filaments from the injection sites? Are there any metals we should worry about or are the injections only Botulinum toxin type A?

Doctor Answers (8)

What are the important questions to ask regarding Botox treatment?

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There are several important questions to ask regarding Botox treatment. First, make sure that the Botox that is being used is FDA approved from Allergan and that it is not diluted with anything else. This should ensure the purity of the Botox. FDA approved Botox has a great track record of safety.

Second, make sure that your injector is experienced. The application of Botox is more of an art than a science. Plastic surgeons, ENT/Facial Plastic Surgeons, Dermatologists, and Oculoplastic Opthomologists are all examples of physicians who have access to great training in the application of Botox. That being said, many RN's, Nurse Practitioners, and Physicians Assistants are also very skilled with Botox. The degree behind the name doesn't necessarily infer a great result. If you are being injected by an RN, RNP, or PA, make sure that the facility that they work in is compliant with state medical regulations and that they are properly supervised.


Orange County Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Questions to ask regarding Botox

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It seems like anyone who can pick up a syringe can inject Botox. I recommend seeking a board certified plastic surgeon or dermatologist or a nurse under their supervision. Fortunately Botox injections are not permanent. As I have seen eyelid and brow deformities done by people who were not trained or skilled.

Ask the number of units to be used and the cost per unit. Generally, it takes about 20 units for thr crow's feet and 20 units for the frown lines, according to the severity. Ask about the risk for each area,and if it is made by Allergan and pure.  Ask about the injector's experience and their knowledge of the muscles of the face.

E. Ronald Finger, MD
Savannah Plastic Surgeon
5.0 out of 5 stars 33 reviews

Questions for to ask when receiving Botox treatments

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There seems to be much opinion regarding plastic vs. dermatology vs. physician vs. registered nurse etc.

As we can see by stories of negative outcomes or dissatisfied patients - title is not as important as training.  Whether physician, Physician Assistant, or Registered Nurse, the most important factor is that the practitioner is properly trained and skilled in delivering safe and effective treatments.  If a non-physician is rendering the treatment, be certain to ask if they are working under the direction and supervision of a medical doctor that is actively involved in the practice.  Be aware of your own state's regulations and make certain that your facility of choice is adhering to these.

As if your product is direct from the manufacturer, that the injector understands and verbalizes your goals, and is able to provide you with before and after photos.  Keeping you involved in the treatment plan and providing adequate teaching goes a long ways in establishing a valued relationship.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Botox inections by a physician who is board certified and experienced

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board certification in plastic surgery or dermatology are the most common types of specialties that inject Botox, but others have been known to do so including, Ob Gyn and other doctors.  One should not only make sure they're board certified but they have a great deal of experience in botox injections. It is an art and science. I am not aware of an  metallic grains what-so-ever in Botox.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 31 reviews

Questions about Botox

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It's important to know whether your injector is board certified in plastic surgery or dermatology----not in another specialty with weekend courses in cosmetic surgery. Additionally, you'd want to know whether, in the practice, the doctor or a nurse performs the injections. If the physician doesn't take a complete medical history, I'd walk out the door. Finally, many spas and doctors may discount Botox but are over diluting the product or purchasing gray market Botox, so you should inquire whether the Botox was purchased directly from Allergan Corporation and not offshore.

Robert L. Kraft, MD
New York Plastic Surgeon
5.0 out of 5 stars 11 reviews

What Are the Questions We Should Ask Regarding Botox TXs?

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Neurotoxins (Botox, Dysport and Xeomin) are great treatments to decrease unwanted lines and wrinkles.  be sure the MD you select understands and follows the proper aesthetics of facial beauty for the creation of a naturally, more attractive face.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

The best Botox injectors are physicians with lots of experience

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Anyone can inject neurotoxins such as Botox, Dysport or Xeomin but doing it safely and correctly requires a comprehensive understanding of functional anatomy to maximize outcomes. It is as much an art as it is a science. There is no substitute for experience. And please ignore advice, such as that below, from plastic surgeons suggesting you only see a plastic surgeon.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
5.0 out of 5 stars 8 reviews

Questions to Ask Before Botox

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When choosing your Botox injector, it is important to determine their training and skill set.  As most RealSelf.com readers know, it is important to go to a Board Certified Doctor.  Many offices have Nurse Injectors, but these people have less training and familiarity in anatomy and the biochemistry of Botox and the other fillers.  That is why I would suggest only being injected by a doctor and, more specifically, a Board Certified Plastic Surgeon.  Furthermore, it is important to identify what it is that you want treated.  Your injector should be able to explain to you the difference between Botox and Fillers and identify specific areas on your face which can be improved or enhanced.  Botox and Fillers are very useful and can achieve amazing natural results when used appropriately. Other resources are patient reviews like on this website, talking to other patients at the doctor's office and talking with the staff in the office.  You want to make sure that you have good communication with the office and feel comfortable and open with the doctor and their staff.    

 

Good Luck

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 57 reviews

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.