Questions to ask when choosing an Injector for Filler or Botox?

Here are questions any prospective patient should ask of an aesthetic injector:

1) Tell me about your training. Expert injectors will have formal and ongoing training including time in the OR with a board-certified plastic surgeon

Cadaver Training is also essential. Other than being in the OR observing surgery, it is the only way for medical professionals to truly see what is under the skin.

Understanding the details of the anatomy of the face including vascularity, nerves and muscles is the only way that injectors can truly perform safe and effective procedures. 

2) Who is your Medical Director? What are their credentials? Is the Medical Director onsite?

In some states, a Medical Director may not need to be onsite. In fact, being in the same state, many hours away can effectively “check the box” Additionally, in some states, any physician,of any specialty can be a Medical Director whether or not she or he has received formal surgical training. A psychiatrist, a pediatrician, an ER doc or a family practice physician can all legally serve as  medical Directors, even if they have no formal training on the vasculature of the face.

3) Which product lines do you offer?

Multiple products are available for providing enhancement to the face by enhancing with filler. Likewise, multiple neurotoxin options are available today.  It is ideal to select a practice that can customize a treatment plan for you based on having a full spectrum of products available 

4) Tell me about our protocols for adverse reactions or unsatisfactory results?

At Blue Water Spa, our highly trained NP injectors work as a collaborative team. We offer ALL products as some products work better for some indications than others. By having expertise, often less material can be used in the right place, to provide a better result with less product and therefore, less cost. 

In the event of a patient with a unique situation, or an adverse reaction of any kind, there is a full team of NP’s available to work together. Dr. law, a board certified, fellowship trained plastic surgeon is available to oversee treatments and a full administrative staff is available to get information to the right people quickly.

The expert injectors are available to educate you on what is best. No pressure, no quotas, and no performing treatments until a very intensive training process has been completed.  

In the event that a patient would experience a vascular occlusion, how would you manage that?

Vascular occlusion is a rare but potentially serious complication of hyaluronic acid filler injections. It results from accidental injection of the product into an artery, and it can also be due to compression of the artery from surrounding filler. “In certain circumstances, when filler is injected near or into the blood vessel, they become occluded due to the pressureTo put it plainly, the artery or capillary is constricted due to pressure of the filler or injected with filler. As a result, it is unable to function properly. The lack of blood flow causes the skin to suffocate and thereby can be damaging to both vision and skin

The best way to treat a vascular occlusion is to have very well trained professionals administering treatment. That will significantly limit the possibility of a vascular occlusion. Should a vascular occlusion take place., time is of the essence. This is often an “all hands on deck moment. You want to be certain that many hand are available, and that those hands are very capable

Aesthetic injections, when performed by well trained medical professionals in a safe and appropriate environment can be a quick way to make natural looking, yet transformative changes to the face. With skilled injectors, treatments are comfortable with little to no down time and the result is very natural looking