How Do I Choose a BOTOX® Provider?

Written on February 17, 2017 at 12:00 pm

BOTOX injections remain the most popular nonsurgical cosmetic procedure in the United States. Botulinum toxin injections, which includes BOTOX, Dysport®, and XEOMIN®, surpassed 4 million procedures according to statistics released in 2016 by the American Society for Aesthetic Plastic Surgery (ASAPS). What a decade ago seemed intimidating to many is now widely accepted, even considered routine beauty maintenance to some!

Yet with growing comfort and popularity comes the expected jump on the bandwagon, with an overwhelming number of providers and spas now offering BOTOX — and varied levels of experience and training.

There are many options to choose from when deciding to get BOTOX in the Raleigh, NC area. With the variety of locations to choose from, it’s crucial to do your homework.

So how do you know who you can trust your face with?  

Ask, ask, ask!

Having a personal recommendation is always a great place to start. You can also hop online and start with a search of approved BOTOX providers in the Raleigh, NC area. This approval from Allergan®, the makers of BOTOX Cosmetic, means the provider has actually purchased the approved product from the parent company, versus online or another country (which does happen — if a price is too good to be true, it probably is!)

After you’ve narrowed down a few offices in your area, we recommend calling and asking specific information about the actual provider’s experience and onsite physicians. Personal consultations are usually complimentary, and the actual provider should be able to give you realistic outcomes, product estimates, pricing, and actual patient result photos.

BOTOX may sound easy to administer, but a successful outcome requires a sophisticated knowledge of facial structure. Once injected, neurotoxins work by blocking signals between the nerves and muscles, effectively preventing movement of wrinkle-causing muscles. So, while talk of BOTOX can be nonchalant and the treatment is fairly quick, please remember that it should only be administered by a highly trained professional. All of our injectors enthusiastically continue their education regularly through continuing medical education (CME) courses, industry-sponsored education, and onsite training. Injectors can also become Certified Aesthetic Nurse Specialists (CANS), which is an additional level of expertise that Skin Raleigh offers.

Be clear about what you want.

Experience definitely matters, but open communication with your provider is equally important. That means not only asking a lot of questions but also being clear about what bothers you on your face and what you want to look like. “I give the patient a mirror and let them talk,” says Lisa Adams, RN, BSN. “Some parts of the face can bother someone more than others, and it’s those conversations that help us steer the treatment towards the best result. Listening is just as important as technical skill.” Sometimes, those conversations also help us decide whether adding dermal fillers to your treatment is a good idea.

Here’s what our injectors recommend.

Skin Raleigh advises getting BOTOX at least 4 to 6 weeks before an important event. Not only does that allow potential bruising to subside, but it also lets the neurotoxin take full effect. A good injector should also encourage you to return for a follow-up visit two weeks after treatment. “At that time,” Adams says, “we can check in to see if the results are in line with your goals, take ‘after’ photos, and talk about skincare methods to make your BOTOX results last even longer.”

Injectors need to be intimate with facial anatomy—able to identify, among other things, a person’s musculature. “The only way to achieve a great outcome with BOTOX or other botulinum toxins is to watch a patient go through a number of facial expressions. We note which muscles are stronger than others and base our injecting patterns around that, personalizing the amount injected from what we learn during those observations,” according to Adams. We spend time educating our patients on the ins and outs, recovery, and best time to have treatment — so there are no surprises.

At our practice, BOTOX is also often part of a larger conversation on how best to bring out your best, no matter what your age is.