Who Is Doing My Treatment?

Our local newspaper, Lakeshore Weekly News, ran a report this past week about Botox ® injections at a local medical spa.   The author received complimentary treatment  and reported how she no longer needed to use Photoshop ® to correct the wrinkles  on her forehead and around her eyes in photographs.   Fortunately, she was very pleased with her result.

It seems facial injections are being done by a diverse group of people in a variety of settings.   This is possible because of the lack of regulation for this treatment.  The consumer would think that these injections would be limited to be done by medical personnel.   However, anyone can begin doing these injections as long as they can get access to the Botox ®, Restylane ®, Juvederm ®, Radiesse ®, or other indictable materials.   Usually, these fillers are obtained through a physician who may be the “medial director” of the site or medical spa.  They may or may not be actively supervising patient care.  Botox ® parties have become fashionable, often taking place outside the medical or clinic arena.

All of these injections carry risks, because anytime the skin is penetrated for injections or surgery, complications can and do occur.   It is important to know what your options are.  A little checking-up is in order and here are some questions to consider.  Who is the medical director of the facility?   What training and experience do they have in the care of cosmetic medicine complications?  What is the level of specialized training?  Does a family doctor have the same training and expertise as say a dermatologist or plastic surgeon in treating problems?

Just as important, is the need to know the education background of the injection therapist, if not medical staff as discussed above.   Does a make-up artist have the same skill as a nurse when it comes to sterility?   Will they be as fastidious about cleanliness?   Who does have the greatest depth  of understanding  when it comes to anatomy, physiology, aesthetics, and alternate treatment options?   I suggest this may be a plastic surgeon or facial plastic surgeon.   It is possible to have injections done by a surgeon or a nurse, actively supervised by a physician.   It may cost a bit more (15% more in my office) but I think this is a wise decision based on safety factors.

Finally, one practice which goes on despite safety concerns, is the injection of silicone gel.   This practice is very risky and carries  the long-term risk of chronic inflammation, which does lead to permanent scarring.  Scarring, so much so that almost all physicians refuse to do injections of silicone gel.   Regardless of what you are told, please seek professional medical consultation or second opinions if you are offered such injections.

2 Responses to “Who Is Doing My Treatment?”

  1. m4k2004 Says:

    I seriously hate botox and think every wrinkle a woman has is earned. Wrinkles are not ugly and true beauty is aging gracefully. Im only 28 but I see the first signs of wrinkles and will not be botoxing them. I just wish other women realized that beauty is more than skin deep.

  2. nipntuck Says:

    Certainly Botox is a choice. It is just like wearing make-up, braces, hair styling and cosmetic surgery. These personal appearance treatments are all options. Thanks for the comment!

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