Do the best plastic surgeons do fillers and Botox at all or I’m better off looking the best dermatologists instead?

Thank you for your question. I agree with you in that it is not easy for the average person to find a physician/surgeon who does great work with fillers and Botox. Botox and fillers seems to be "at a glance" easy to do resulting in many physicians jumping on the band wagon to offer these services. However, Botox and dermal/soft tissue fillers is certainly not easy to do well and it takes a properly trained physician to perform these procedures safely. There are several safety concerns and potential devastating complications such as blindness, or skin necrosis that requires detailed understanding of anatomy as well as what to do in the unlikely case a complication is suspected. An artistic eye, sound aesthetic understanding and judgement along with proper technique and a "gentle hand"  is paramount in providing the best outcomes. Dermal and Soft tissues fillers has evolved dramatically and it not just simply about attempting to fill a line. Its about understanding what product to use where and why... and is it going to be used very superficial, or deep dermal or it it to be used for volume restoration of the area or is it a combination there of ?  Is the product best used in full strength or is it best diluted and with what and how much ?  Understanding the effect of neuromodulators like Botox/Dysport on properly treated areas as well as on the adjacent areas and how to avoid complications and unwanted sequela comes from proper training and experience. Are the neuromodulators being used simply to reduce lines/wrinkles or is it being used for facial shaping or correction of asymmetry?  There is alot of homework to do to find not only a properly trained physician/surgeon who performs these treatments, but one who performs these procedures safely and well. I would agree with Dr Greenberg in that a good place to start is seeking either a board certified plastic surgeon, dermatologist, facial plastic surgeon, or an ENT physician who performs these procedures on a routine basis. Understand that performing these procedure on a routine basis does not necessarily mean that they do it well either. It may be that the best physician/surgeon in performing these procedures in one convenient area or city is a plastic surgeon and in another area, it may be a dermatologist, etc. There may also be several talented choices in one area to choose from, but many more not quite as talented. It is not uncommon for some patients to be somewhat satisfied with treatments from one doctor only to find a world of difference and a much superior and dramatic outcome from another doctor more advanced in these techniques. You will need to do your research in checking their online reviews, meeting/consulting with the doctor and perhaps speaking with any previous patients if possible. Some doctors post before and after photos of these treatments which can be helpful, however many busy practices that do very fine work do not. A well educated patient will have a better chance in finding the best physician/surgeon to meet their needs and get the superior outcomes they are looking for. I hope that helps. Best wishes. Dr Sam Gershenbaum

The answer is absolutely yes. 
Posting photos on your own website and on this website is a controversial topic in medical ethics today. With that said, since all of that is very intensive to do, doctors usually put up more "dramatic" images online to showcase the range of their practice. For dermatologists, fillers, botox, and other noninvasive treatments are the most dramatic in their practice. For facial plastic surgeons, general plastic surgeons, and oculoplastic surgeons, facelifts, breast lifts, BBL, and blepharoplasties, for example, are the more impressive images. I agree with a previous physician, that as surgeons, we know the anatomy of the face in a more intimate way than non-surgeons of the face, and we can offer patients both surgical and nonsurgical option to best treat a given issue. 
No matter who you decide to see, ask about their experience with fillers and botox, and their experience with complications. The response "Oh she/he never has complications" is either a) dishonest (terrible), or b) reflects a lack of knowledge in being able to recognize an issue if it were to occur (even worse).  
Good luck! 

Yes, we most certainly do.  Oftentimes, surgeons who regularly inject fillers and wrinkle blockers are the very best as we know the anatomy intimately from years of operating on it.  Surgeons, in the know, realize that the best results to rejuvenate faces involve not only surgery but medical grade skincare and re-volumizing deficient areas of the face with dermal fillers.  Surgical results and even scarring can be improved with wrinkle blockers (Botox, Xeomin, Dysport) by relaxing the areas that may pull against the incisions.  Find most well reviewed and respected physician injector in your area.  Others may be qualified, but surgeons can be a notch better because of surgical experience and knowing the danger zones and best ways to optimize the results.  I teach at national symposia on wrinkle blockers and fillers as they not only complement my surgeries but sometimes can be a replacement for lower eyelid bag surgery.  Best regards.  

The most important thing is to find a doctor who personally does injections as part of his/her daily practice.  The doctor should be technically proficient but also must possess an artistic eye.  Just because a doctor is a plastic surgeon or dermatologist does not make them a great injector.  Getting a recommendation from other satisfied clients who have been treated might be a good place to start.  Reviews are important too but try to focus on those reviews which seem more authentic without a lot of fluff.Regards,Dr. Ort

Anyone can do any procedure, but can the person doing the procedure handle any possible complication from that procedure?  Risks of filler injection include blindness, vascular necrosis, and injury.  Whereas botox injections can cause unwanted paralysis, eyelid drooping and double vision.  Additionally, if these procedures are not done with the proper technique, infection and granuloma formation are also risks.  The core 4- Dermatology, Plastic Surgery, ENT, and Facial Plastics may be your best option when it comes to Botox and filler injection as it is part of our training during an intense residency program.  Do your own research and ask a lot of questions.  Even the best surgeons will have complications- there are no guarantees in medicine, including cosmetic surgery.

Paraphrasing Edgar Degas, "Filler injection is easy if you don't know how to do it; it is quite difficult if you do know". It takes much more than theoretical expertise and great technique to be a good injector. It requires something one can not learn from a textbook...a proper perception, imagination, ability to see the whole as more than a sum of its ingredients. If all injectors had this innate artistic abilities as they always claim we would not see the monstrosities among the celebrities...those who certainly do not have the procedures done in a motel room but in the offices of the "top" specialists. There is nothing better than a word-of-mouth method of finding one. Ask your friends, assess their results, avoid marketing or self-promotions on the internet. Above all, read as much as you can about the aesthetics, concepts of beauty and human body (particularly facial) proportions. Stay natural and insist on it. Good luck!

Botox and fillers are considered minimally invasive procedures, so plastic or dermatologic surgeons are often the qualified to perform these treatments. It really doesnt make much of a difference, if they are board certified both specialities should be well versed in these procedures. 

This is an interesting question as both types of doctors can be very qualified to perform fillers and Botox.  Filling materials originated with Collagen Corp in 1980s with a group of plastic surgeons and dermatologists and Botox originated with ophthalmologists and dermatologists. the key is to find one who is board certified and experienced and will actually do the procedure

with the use of modern technology today, you can easily find yourself the best injector possible. It could be either a plastic surgeon like myself or dermatologist  alike.Good luck from New York City

Interesting question... All licensed MDs can for facial injections. From PS, dermatologists to GYN, FM, ENT, PMR, etc. You really need to see a few whom do this daily. Most PSs are in the operating room doing surgery so yes we offer fillers and Botox injections but my primary day is to do surgery. I have done injections for over 40years so in my opinion ant MD can inject. Good luck in your quest fr the holy grail of injectors..