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Medical Spa MD is a world-wide physician community for clinicians in skin clinics, laser centers and medspas with thousands of physician members around the world. By using this site you agree to our terms of service and fine print.

Injectable Treatments: Botox & Filler Injections > Who should be injecting

Practitioners are continually voicing their concerns about the safety and regulation in aesthetic surgery. Shockingly, a number of practitioners have witnessed untrained and unregulated members of the public offering dermal fillers etc. Who do you think should be injecting?

01.13 | Unregistered CommenterLiz

This has become a huge problem as more and more totally unqualified people are injecting in so-called medispas. Sure, physicians who are trained should inject but there are doctors who have no training and start doing aesthetic medicine. Nurses should perform procedures under the auspices of a physician on the premises not in some location away from the spa and aestheticians should never inject anything--they are not qualified and it is actually illegal for them to inject any material or perform medical procedures. the lure of money as the baby boomers continue to come into the population will continue to be a problem and i realize there is no easy answer but we don't need to continue to add to the problem by allowing anyone to perform aesthetic procedures because it is lucrative.

01.15 | Unregistered CommenterMElson

Please help I am wanting to know the laws for IN? I'm an RN and took a class on injections and I'm considered certified. I just started at a medspa...what can I do legally? how should I go about doing this?

01.18 | Unregistered Commentercurtsinger

This is not just a problem of unqualified people that are injecting in spas, aesthetic centers or wherever. The problems runs right across the board in all kinds of fields and in all kinds of applications. In the UK for example the medical profession here continue to lobbying against Beauty Therapists (for example) working with IPL systems, not because of the lack of experience of the beauty therapists in the application of hair removal, but because what it comes down to it, when you analyse it is an industry that is money driven rather then what is actually correct.

01.22 | Unregistered Commentersharonl

I believe it is best is for a board certified dermatologist, plastic, facial or ophthalmic surgeon injecting botulinum and fillers, doctors from other specialties who have significant training (not a weekend course) are next along with nurses under the care of physicians in the same facility. Nurses with no training and no supervision should not be injecting --even in their own "medi-spa". Doctors who have no training and simply want to increase the income should not be injecting either. Then come 2 groups from left field--aestheticians who are not trained to do this type of thing at all and pure charlatans who have no expertise in anything medical who just open a spa and start doing procedures. These 2 groups should never even touch a needle. It is not just a matter of expertise and the ability to obtain good results, but it is about what to do in the event of side-effects and there are side-effects and they will occur. Not only that it is not legal for aestheticians, hair dressers etc to inject anything into the human body. Why has this become such a problem? Some will say turf battle but that is not the issue--the issue is the safety of the patient. It is that simple.

01.23 | Unregistered CommenterW. Bolt

Board certified dermatologists and plastic surgeons dont necessarily have traning in cosmetic surgery or aesthetic procedures.. A burns and cancer reconstructive surgeon, or a general dermatologist would not, in the course of their training, ever go near someone to evaluate their facial musculature for aesthetic purposes. On the other hand, an internist or FP who has been doing this for 5-6 yrs will be much more qualified and experienced in such matters. Of course if the plastic surgeons turned their attention to purely cosmetic matters it is a different issue. But let us remember that training and experience are the most important matters in getting certified for aesthetic medicine and surgery - not titles or bureaucracy.

06.15 | Registered Commenterben pal

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