Why wouldn't a doctor who perform lots of injections not use Brilliant Distinctions?

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for you.  Always insist on a board certified plastic surgeon.

Hello, and thanks for your question. Either the physician is unaware (unlikely), or doesn't have the volume or the desire to devote administrative resources to this program. Our patients love the BD program, as it saves them a significant amount of money over time. Best of luck, Dr. Frucht.  

 The main reason a doctor would not use brilliant distinctions is that maybe he or she does not perform enough injections to warrant its use. The second reason may be due to the administration that is required in properly offering brilliant distinctions. I do offer brilliant distinctions because I find  that my clients are appreciative that they have an opportunity to save money. In the end the doctor does get reimbursed whatever the client saves