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

brilliant distinctions is for large Allergan accounts who use Botox Juvéderm and voLuma and kyBella. Not all doctors use those products and that may be a reason why the doctor doesn't participate. Or doctors who say they're using Botox but really are using Dysport or xeomin for example. Botox is the brand name. And  it requires a lot of administration from the office and some offices are just not organized enough to do it. Some doctors may also feel that it's just not worth it for them. Its a lot of work to keep up the BD account properly. 

Hi there, I am not sure how to answer your questions without insulting other doctors. Instead I will just tell you why my office uses Brilliant Distinctions extensively and makes sure all of our clients are signed up and get and use all of their points. Brilliant Distinctions is free to the practice and to our clients. It does require us to be tech savvy but we love technology. We also remind all of our clients when they have expiring points to make sure they use them. My suggestion is if Brilliant Distinctions is important to you (or saving money is important) and your provider doesn't participate in BD, it's time to switch providers.