Botox® Training, Learn to Sculpt the face, not just Inject

Botox&rep; Cosmetic Training has become one of the most common procedures physicians and nurses are interested in learning. We know at this  point how substantial the results can be and also how profitable. Learning to perform these injections improperly may result in an unhappy patient. Lets discuss one of the most common areas that is injected with Botox&rep; but yet has the most variable results.

Botox&rep; Cosmetic is FDA approved for treatment of Glabeller Rhytids. One of the off label uses for Botox&rep; injections is to treat forehead (frontalis) rhytids. The dosage most physicians are familiar with is injecting up to 30 units in a male patient. (Provided the correct dosing is used as determined by the manufacturer- 2.5 cc non preservative saline). At Empire Medical Training programs we teach starting at a much lower dosage, typically up to no more than 10-12 units. We recommend this initially because injecting the forehead improperly can create many unwanted side effects. Some examples of this include uneven eyebrows  or even the undesired “spock look”. There are other potential side effects as well if not careful, in worst case scenarios you can even see the entire frontalis “drop” down so that the person appears tired and aged.

Using a lower dosage on that first visit will help minimize any unwanted effects. What we teach our students at Empire Medical Training during all Botox&rep; Training programs is to use a lower dosage and have the patient return 1 week later for touch up. The patient will be happy that you care enough to see see them for a second visit. Also, you will be charging the patient extra for this touch up. Remember, the first set of patients you may not see the results of your work. It is best to develop a comfort level prior to using the full dosage. Over the long haul, you will develop a better technique and your patients will appreciate your skills.