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  • Jennifer Jacobs FPA APRN

The Best Botox & Filler RN, NP, MD Injectors

Whether you are new to Botox and Filler or an experienced client, here are some tips and tricks on what to look for to ensure you have one of the best Botox & Filler injectors:


1) When receiving Botox, Xeomin or Dysport the injector can explain the difference, knows that the product will diffuse and recommends a low dose to start.


2) When injecting crows feet the needle is pointed away from the eye.


3) The injector is paying attention to where the product is injected to avoid unwanted side effects. (ex. You don't want your injector to point the needle towards the eye and then inject Botox/Xeomin/Dysport; this has a higher risk for unwanted side effects.)


4) Injector is aware of facial anatomy. They should be aware of muscles, and vessels.


5) Injector offers numbing cream and ice packs for discomfort.


6) When injecting fillers your injector aspirates the syringe before injecting. This is very important! You want your injector to aspirate so they do not deposit the product into a vessel!


7) For fillers your injector informs you that if you do not like the results, the filler can be reversed with Hyaluronidase.


8) Before reversing a filler the injector does a patch test of Hyaluronidase to ensure there is no allergic reaction.


For all clients receiving cosmetic injectables it is important to remember that the injector cannot predict diffusion for neuromodulators (Botox, Xeomin, Dysport). The results are different for everyone and it is important to follow up with your injector approximately 2 weeks after your initial injection to ensure you are getting the result you want. In addition, Forehead injections can be tricky and most injectors stay more medial with lower dosing to prevent unwanted side effects such as brow or lid ptosis. If you have had a forehead injection and wrinkles toward your temporal region are still visible, your injector can fix this with approx 1-2 units depending on the severity. It is always better to go with a lower dose and have some wrinkles an injector can "touch up" versus a dropped eyebrow or eyelid that needs time for the product to wear off (3-6 months).


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