![]() Part of the problem is that doctors and aesthetics bars seem to prioritize different guidelines when it comes to defining a “safe” experience. ![]() practitioners who are injecting outside their scope of practice and lack specific training. “You would want even the most skilled technician to be supervised by an onsite board-certified physician who is an expert in injectable procedures,” he says. practitioners on a sliding scale “from none at all to pretty good.” His main worry is that no matter how good the technician’s training, it will inevitably be less than that of a board-certified derm. Much like Lawrence, he rates the training levels for non-M.D. practitioner has superior knowledge of facial anatomy, skin physiology, fluid dynamics, and other topics taught in premedical studies and medical school that help them minimize these risks and effectively manage complications when they do occur,” says Murad Alam, M.D., vice chair of the Department of Dermatology at Feinberg School of Medicine at Northwestern University. “These risks are always there, but an M.D. Improper application of fillers can lead to tissue necrosis or blindness in extreme cases-if products are accidentally injected into a blood vessel. For Botox, these can include temporary drooping or infection at the injection site. “Since there is no standardized residency or fellowship for non-physicians, the training really varies and is left up to the individual.” While this doesn’t mean the technician injecting you will do something wrong, it could mean they might not have the necessary scope of knowledge required to deal with potential side effects. “My biggest concern is not only the training but also the experience in handling adverse events and complications,” says Naomi Lawrence, M.D., professor of medicine and director of dermatologic surgery at Cooper Medical School of Rowan University in Camden, New Jersey. doing the injection, who counts as a qualified technician, and what might happen in the event of an emergency. There is contention over whether it’s really necessary to have an M.D. The more popular these companies get, the more doctors voice concerns over potential safety issues. But for many experts in the medical community, the prevailing opinion is that they’re not doing enough when it comes to accountability. “No need to compete with other appointments at a doctor’s office.”Ĭlearly, aesthetics bars are doing something right, at least when it comes to pleasing their repeat clients. “This is all we do,” says Gabrielle Garritano, founder and CEO of Ject. (Levy notes that Alchemy 43 even offers same-day appointments and walk-ins.) Every effort is made to ensure short wait times, and waiting rooms are seldom packed. ![]() “I made an appointment the day before,” she says. Lillian Krohn, who lives in New York and checked out Alchemy 43 on a friend’s recommendation, recalls that a $350 Botox session from its menu was quick and easy.
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