Beata Danek, MD

You must have really bad experience with nurses:( 

Most of them study for at least 4-5 years, sometimes 8 (Nurse Practitioners). Only in some states it is allowed for nurses to inject Botox, always under doctor's supervision.They may not know about medications as much as doctor of pharmacy, but they are trained to do procedures, including injections, as opposed to pharmacists. You should always chose an injector that you trust, and most of them are doctors. Good Luck.

Absolutely not!! Regulations may vary by state, but it is a medical procedure. Even if it is relatively simple to do by an expert, it requires knowledge of anatomy and physiology. Also Allergan (company that makes Botox) would not sell it to someone without a licence, so I would question where is this Botox coming from (most likely not legal sources). Botox contains Botulinum Toxin made from live bacteria, and it needs to be stored in the freezer. Illegal transport from China, Europe or even Canada doesn't meet those standards when Botox is shipped, thus it may be dangerous to use. Be careful and check Allergan site if a person offering you the Botox is listed there as a provider. Good luck!

O-shot  is a very simple, painless procedure that utilizes your own blood to stimulate new cells growth in your intimate area, therefore it  makes your reaction more sensitive to stimulation. As with all natural processes in your body, everything is ongoing and nothing is permanent. Our new cells age, including those stimulated by the O-shot. Average patient will sustain the results for about 1 year, however it can vary. O-shot doesn't help if there is emotional reason for the issue, unhealthy relationship etc. The price is regulated by the patent holders and it has to be at least $1200. Some clinics may run specials and add other cosmetic procedures for free. I hope that helps. Good luck!

Acne is a chronic condition and it is not uncommon to need repeated courses of treatment. However your dosing is exceptionally high. Maybe you should have your testosterone tested. I think you need additional treatment with Spironolactone 100mg and Oral contraceptives. Also very important to follow up after treatment is completed to establish treatment to prevent reoccurence - I typically keep patients on Tretinoin cream for a few years, together with birth control and Spironolactone as needed. hea;thy diet with limited dairy and sweets, but lots of fruits and vegetables also helps. Good luck!

It takes usually 2 months to start seeing results, but it may take up to 12 months (and sometimes longer) to get the skin you want. It may not be 100% better, but close to it. Sometimes scaring may require additional treatment after you are done with Accutane. Be patient and good luck!