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A nurse practitioner and/or a physicians's assistant (PA) under the direct supervision of a Physician can inject Botox. However, if If anyone without a medical license who does nor meet these requirements tells you that he/she is allowed to inject Botox, please report them to the Florida Board of Medicine and to Allergan (the company that manufactures and distributes Botox). Florida has some of the most stringent regulations in the United States regarding scope of practice issues.
In any state you need a medical license to ORDER Botulinum Toxin (Dysport or Botox) , As to injection this can be performed by licensed medical professionals which tend to include physician's assitants, and licensed nurse practitioners.
A medical license is requirted if you want to be a doctor. I do not know the specific laws in Florida but in NY I think that a nurse or a PA can also inject under doctor supervision.
A valid and current medical license is required in Florida to practice medicine. Botox therapy would fall under this requirement.
It's best to get your BOTOX from a Facial Plastic Surgeon, Plastic Surgeon, or Dermatologist. In Florida, MD's, DO's, DMD's, PA's, and Nurse Practitioners can inject BOTOX. Nurses can't inject BOTOX in Florida. I believe that Podiatrists, and maybe even Pharmacists can also inject.
Every state has their own regulations for who can inject Botox. In many states, Botox can be administered by nurses or doctors, but some states require that the only physicians inject Botox. I believe in Florida nurses are allowed to inject Botox, but my advice is to make sure the person who is injecting is properly trained (I do all my own injections for my patients) and the physician associated with that practice is a plastic surgeon and not someone who just took a weekend course so they could offer Botox in their office.
Botox is an FDA-approved prescription medicine that should be administered by medical professionals. Each state has its unique regulations as to who may administer Botox, so you should check with the state health board of your state of interest.
Any additional Botulinum Toxin (Dysport or Botox) to correct the "spock" like look will likely drop the brows further and may make your eyelids feel heavier.
Doing good nerve blocks and using the Zimmer Chiller makes the injections for botox and fillers almost painless and so easy to go through that you don't need any sedatives. Sincerely, David Hansen,MD
There are some thoughts that excess Vitamin E may be associated with bleeding which could interfered with Botulinum Toxin (Dysport or Botox) injections. otherwise I am not aware of any other Vitamin interactions.
Botox for crows feet should only be injected on the sides of the eye. If Botox is injected in the lower lid or the creases uner the eye, the muscle support in that area will be weakened and result in worsening skin drrop.
There is no doubt that you can proceed with baby steps and have the Botulinum Toxin (Dysport or Botox) injected in moderation. Perhaps you should start with 4-6 units per side.
The occiptialis pain may be due to compensatory action for the forehead Botulinum Toxin (Dysport or Botox) injections
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