Should I Go See a Plastic Surgeon or a Dermatologist for my Botox Injection?

The biggest factor when shopping for a Botox treatment is experience.  With experience comes the knowledge of which areas and amounts work best to get a natural-looking result that lasts as long as possible.  Experience should not only be measured in years, but also how regularly it is done by a particular doctor.  In many cases, a board certified plastic surgeon is going to have more experience specifically in aesthetic procedures, however, a very experienced Dermatologist would be a better choice than an inexperienced plastic surgeon.  

Another way to gauge how much experience a doctor or specific practice has is to ask about their Allergan account level.  Allergan is the manufacturer of Botox, and has various levels of accounts by doctor or by practice based on how much Botox they are purchasing.  Levels include silver, gold, platinum, platinum plus, diamond and then black diamond is the highest, meaning they are in the top 1% of injectors nationwide.

After experience comes a good eye.  Just as a dermatologist would have a very developed eye for certain skin abnormalities, a good plastic surgeon will have an artistic eye for what appears natural and what does not when performing Botox and/or injectable filler procedures.

Finally, comfort and price are factors for many.  In my practice, I prefer to use German needles, as they seem to pinch less for my patients.  Also, some doctors sell numbing cream separately and some include it in the price, so be sure to ask if comparing prices between doctors.

 

 

You can see either a dermatologist or a plastic surgeon. What is most important is the level of experience the physician has with the product.  This will allow you to achieve the best and most natural looking results, and to avoid any complications.  You could also consider going to see a doctor who is a trainer for Botox (ie teaches other doctors how to inject).  I am a trainer in Beverly Hills if you are interested

You should go to the most experienced Botox injector for your treatment, whether it's a plastic surgeon or a dermatologist. Both types of physicians typically have a vast experience with the product and know how much and where to inject. As long as your doctor is board certified, you should be in good hands.

Best wishes,

Dr.Bruno

Hi Ms. Shizuka.  Ultimately, it does not matter which specialty you choose as long as you are happy with the results.  We always say training not title when we are speaking with consumers about how to choose a practitioner.  Any good injector, plastic or derm, will have spent the time to understand facial musculature well and have also spent the time learning and perfecting sound injection techniques.

Find a physician that you are comfortable with, preferably one you are referred to by a friend or relative.  Good luck.

Depending upon the state in which you live there may or may not be state regulations dictating who is allowed to perform cosmetic injections of botulinum toxin or filler.  State regulations aside, theoretically, any person can perform any procedure, however....is the person who is performing your treatment able to handle any and all possible complications of that procedure?  These are medical procedures, and all other considerations aside, if you care about your appearance you should see an expert.  Dermatologists and plastic surgeons along with facial plastic surgeons and some other core specialists may be more than able to treat your wrinkles and help you to look your best!