Can a Medical Assistant (California) prepare the dilution of Botox and saline?

Question

I recently discovered my doctor is having his medical assistant prepare the dilution of botox and saline. When I asked how the RATIO of Botox and saline is determined, he said he determines it, but the assistant mixes it. I don't know how to feel about this. Is this standard practice? Is it okay?

Jason Emer, MD · Answer

Medical assistants commonly prepare botox dilutions and other medications for dermatologists in practice.  There is no reason this should be of concern if you trust your physician and their practice.  Best, Dr. Emer.

Rachel Nazarian, MD · Answer

The dilution of Botox is very straightforward. Once the primary MD determines what dilution he or she is comfortable with, a medical assistant can can help by reconstituting the bottle. Medical assistants are pretty capable and are trained to handle small tasks such as drawing up and mixing fluids- even the anesthetic in the office!

Harry V. Wright, MD · Answer

While I personally prepare and draw up Botox in my own practice, I know of other highly-regarded facial plastic surgeons who have their trusted assistants do this for them. The ratio is usually predetermined and recommendations for dilution come from the manufacturer so there is no guess work. Unless you are having results that are unsatisfactory I wouldn't be concerned about this discovery.Best wishes!  Harry V. Wright MD

Can a Medical Assistant (California) prepare the dilution of Botox and saline?

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Can a Medical Assistant (California) prepare the dilution of Botox and saline?

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