During my last Botox injections (with a new injector) I was surprised the needles seemed dull. He had a hard time breaking my skin, and had to push them in. Since he is a well respected doctor I can't even imagine he would even come close to considering reusing needles. I read that sometimes cannulas are used to inject fillers, and the person referred to a cannula as a "blunt needle" so I wondered if cannulas are ever used to inject Botox & perhaps this would explain what I experienced.
Answers (3)
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There are several muscles that traverse the chin that affect lip position and function. It certainly is possible that botox can affect adjacent muscles. When treating the dimpling skin of the chin with just a tiny amount of units of Botox, the desired effect is to soften this "cellulite"...
In Florida, RN's are unable to inject botox. Based of a review online, Maine is more silent on the subject so you will need to contact the Medical Board in Maine to clarify its guidelines.
You should check with your cardiologist, who may need to speak with your doctor who will inject you, to make sure they all understand the treatment plan. If your INR is of a reasonable level for the cardiologist's satisfaction to make sure the coumadin dose is OK, injections are often done...