Confused as to where to go for botox treatments, a neurologist, ophthalmologist or dermatologist?

For facial tics, I would suggest a neurologist. If the twitches only affect your eyelids, then the ophthalmologist. Best wishes, Dr. Aldo

Hello! All providers listed perform Botox injections for facial tics. Your choice of provider is entirely up to you! Do a little research and ensure your provider does a large number of injections (You can call Allergan or Galderma to research how much Botox/dysport a provider does) and find out WHO is doing injections. The physician, PA, NP or RN should be doing the injections- not an unlicensed provider. Good luck!

Hello.  Botox is very safe- hence its popularity and diverse group of providers who offer Botox injections.  However, the results will depend on the expertise of the injector.  Any unsatisfactory result will go away in 3-6 months.  Who to see really depends on what your goal is.  If it's for facial twitches or spasms, this may be covered by insurance and you probably should see a neurologist first.  An oculoplastic surgeon is another option.  Facial plastic surgeons, plastic surgeons, & dermatologists tend to use botox for cosmetic reasons and all are good choices.  Take care.

I recommend getting a formal consultation with a cosmetic dermatologist who would be trained in Botox injections. See an expert for best outcomes. Best, Dr. Emer

All of the specialists mentioned have the knowledge required to do injections.  I would speak with them and determine who has the most experience with your condition.

Thank you for sharing your question.  Although all the listed specialists can perform your injections I would start with your neurologist and if they are uncomfortable performing the injections have them refer you to a plastic surgeon.  Hope this helps.

Botox for cosmetic indications should be done by a physician trained in aesthetics, like a dermaatologist or plastic surgeon. For eye twitches and crossed eyes, an opthalmologist is best. If you have bladder problems, a urologist is best. Finally, for migraines and muscle spacicity, a neurologist is best qualified for optimal results.Always go to a well trained physician for Botox.

If you are having twitches or tics I would recommend that you consult a board certified neurologist to evaluate you and treat this condition.  Dermatologists generally treat cosmetic wrinkles with Botox and not neurologic conditions. Best, Dr. Green

In our experience, the credentials of the injector matter far far less than their experience and knowledge.  In many practices, for example, the nurses will do the majority of injections rather than the doctor, so the specialty of the doctor may be much less important than what is assumed.

Bottom line:  make sure that the person doing your injection is officially trained and certified doing injections.  Check out their reputation and how long they have been in practice.  If you see many satisfied clients, you will be in good hands.

Thanks for your question and as noted on the board with a lot of doctors answering, there is no correct answer. We always recommend that you see a board certified dermatologist or plastic surgeon for these injections which are done only for cosmetic reasons.  We also can all use Botox for facial tics as we understand Botox, how it works, where to inject it, and so forth.  But if you have a true facial tic I would highly recommend seeing a neurologist first to have an appropriate medical work-up to assure we are not masking something by injecting Botox.  And if they are not confident in injecting, find a true expert and let them help you.  Best of luck.