Botox and Fillers 411: 5 Important Questions to Ask


botox fillers 411

According to the American Society of Plastic Surgeons, the number of annual Botox injections has increased 748% from 2000 to 2014. This leap in Botox use can be attributed to an increase in education about the products used for fillers, which have been proven safe to use and even have excellent side effects, like reducing migraines. However, being educated about the product doesn’t mean much if you’re not researching the person performing the procedure.

When it comes to cosmetic procedures, Botox ranks number one in the country, which is great because it gives clients a non-invasive option with minimal recovery time. However, the reasons clients love Botox are the same reasons trendy medical spas like them. The multi-billion dollar Botox industry can be done by estheticians out of medical spas or even dentist offices. Medical licenses are required to purchase these products; however, the cosmetic injectable training is optional so we’re seeing a lot of unusual places turning into Botox mills, hoping to capitalize on the trend.

“It is scary that almost anyone working in a doctor’s office can inject you with Botox or fillers. It is also scary that some doctors take a weekend course and suddenly, they are ‘experts’,” said Dr. Paul Wigoda. “Unfortunately, many patients have learned the hard way that you can’t always believe what you are told, even by a doctor. I would recommend sticking to a plastic surgeon, dermatologist, or facial plastic surgeon that learned how to do these procedures during their residency where they were trained over a period of years, not hours.”

Remember, no matter how safe Botox and fillers are, you can still end up with less desirable results if performed incorrectly. Ask the person injecting your fillers these 5 questions before you commit:

Botox and Fillers 411: 5 Important Questions to Ask


  1. What is your medical background?

Remember, a medical license is not required to perform cosmetic injections.  In some states, the injections can be delegated to a non-licensed assistant, regardless of the person’s medical background.

  1. What type of training have you undergone?

If so, for how long? Certification is not required so think about how much you really trust someone who lacks adequate instruction and practice. The person injecting you can get the optional Continuing Medical Education credit (CME) in a weekend course. Ask yourself if you can trust someone who didn’t bother taking the time to get professional training.

  1. How often have you performed this specific injection?

If you choose to go with someone who did complete the training, find out when. They may have gotten certified but aren’t as practiced as you would like. Ask if they’ve injected that product into this particular area before. Botox is different from soft-tissue fillers; therefore, it is important to know if they have done that exact procedure before so you can make sure they are experienced.

  1. Is this what the product is primarily used for?

Different products have different purposes and just because it’s called a “filler” doesn’t mean it should be used in any problem area. Be sure to ask important questions, voice your concerns, and do your own research. There are over a dozen product varieties, each with a specific purpose and focal area so make sure you are getting the right one for the best results.

  1. If something goes wrong, what happens next?

When done incorrectly, negative reactions can occur! Can your procedure be reversible? If so, how long will it take? Botox can last for months while some fillers can be immediately dissolved. Other fillers are non-dissolvable and can last around two years! Know your options! Also, if there is an immediate reaction, what will this person injecting you be able to do? If it’s just “call a doctor,” you may wish you just started with a medical professional in the first place.

So when you’re ready to get your Botox and fillers, ask these 5 questions first so you won’t regret it later. For professional results that you can feel confident in, contact Dr. Wigoda, board-certified plastic surgeon by the American Board of Plastic Surgery, who has had zero lawsuits, zero disciplinary actions, and zero major complications.


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