Medi-spas, locations that can offer
everything from facials and hair removal to pharmaceutical injections and
other medical procedures, are proliferating across the country. Medi-spas
may be located in a physician's office, or in non-traditional locations
such as shopping malls, store fronts and beauty salons.
There are many excellent and convenient Medi-spas that offer safe,
physician supervised treatments. However, for those providing treatments
outside of the physician's office, there are no national standards for
medi-spas, no recognized definition of what constitutes a medi-spa, and no
oversight organizations that provide the information you need to make an
informed, safe choice for your medi-spa experience.
As advocates for patient safety and healthy outcomes, The American
Society for Aesthetic Plastic Surgery (ASAPS) and The American Society of
Plastic Surgeons (ASPS) have created the following questions you should ask
before committing to any procedure or medical treatment in a spa or
non-traditional facility. It is important that you do your homework as you
should on anything that can affect not only your appearance but your health
and safety as well. We suggest obtaining the following information:
About the facility:
Is the Medi-spa located within a physician's office?
While problems are infrequent, physician's offices generally have
medical personnel available if a problem develops.
Is the Medi-spa located outside of a doctor's office in, for example, a
mall or salon?
If so, ask the name of the physician responsible for oversight and when
they are available for consultation or questions before having any
injectable, deep peel or laser treatment. Also ask about the training of
any other medical personnel. This is vital to protect your health and
insure an optimal outcome. These are generally safe procedures with
minimal recovery, but do have real risks.
About medical supervision and personnel training:
Does your medi-spa have a physician who can help in determining your
goals, provide a treatment plan and direct your care?
What are the credentials of the physician supervising your treatment in
the medi-spa?
Injectables (such as Botox and tissue fillers), skin treatments (such as
laser, intense pulsed light, and radiofrequency) and deep peels should
be under the supervision of board-certified plastic surgeons or
dermatologists. Ask to see these credentials. Doctors in other
specialties, designating themselves as "cosmetic medicine physicians"
may lack the comprehensive training that is needed for administering
drugs and treatments to the deeper levels of the skin and lack the
experience necessary to achieve optimal aesthetic results or to manage
potential complications. Just as you wouldn't see an allergist if you
were having a baby, it's in your best interest to see a physician who
specializes in plastic surgery and dermatologic care when seeking
cosmetic medical procedures.
Who is performing the injection?
Depending on the State you're in, injections and deep peels may be
performed by a nurse, physician's assistant or nurse practitioner.
However, never allow a non-medical, unlicensed person to perform a
medical procedure and be sure that the procedure is supervised by a
physician board-certified in plastic surgery or dermatology. Your
health and safety depend on it.
About efficacy and risk of procedures and realistic expectations:
How effective are facial injectables and what is the right product for
me?
Injectables are generally very safe and effective treatments. There are
a wide range of products on the market that are FDA approved and provide
good outcomes. However, be sure to ask your provider the following
questions:
Is the product FDA approved? Is it approved for this use?
If your provider is reluctant or does not directly answer this question,
don't proceed with the treatment. Don't be afraid to ask to see the
manufacturer's label for any injectable product.
Can a medication, filler, or a device be used for a purpose different
from which the FDA originally approved it?
In the United States, FDA regulations do not prohibit physicians from
prescribing approved medications, fillers and devices for other than
their original intended indications.
Good medical practice and the best interests of the patient require that
physicians use legally available drugs, biologics and devices according
to their best knowledge and judgment.
If physicians use a product for an indication not in the approved
labeling, they have the responsibility to be well informed about the
product, to base its use on firm scientific rationale and on sound
medical evidence, to fully inform the patient that it is being used
"off-label" and to maintain records of the product's use and effects.
Will injections last and prevent the need for a facelift in the future?
In most cases injectables are temporary solutions and will not give the
long-lasting outcome of a surgical procedure.
Have you been fully informed of the possible benefits and side effects
ofthe proposed treatment and have you been apprised of possible
options?
Have all of your questions been answered and are you are fully aware of
the risk and rewards of the procedure?
All medical procedures, whether they are injections or surgery carry
some risk. If you are not fully informed of all risks and requirements
for after care, find another provider.
These procedures should never be performed in someone's home, hotel
room, or at a party. This is not only unethical and legally risky for
the injector but unsafe and potentially dangerous for you.
About taking control of your own treatment options:
What do I expect from my medical procedure?
Discuss your expectations with your provider. If you are promised
unqualified, 100 percent success it is probably best not to proceed.
If it sounds too good to be true, it probably is!
Am I taking the procedure seriously?
Surgical deep peels and injectables like soft fillers and Botox are not
the same as getting facials or other superficial beauty regimens. Make
sure you have done your homework on the treatment you seek and be aware
that these are medical procedures.
Am I basing my decision on the best treatment option and not on price?
Medical care of any kind is not a commodity. Be sure you have based your
decision on the credentials and experience of the practitioner, not on
price.
Have you asked to see before and after pictures?
They can be very helpful in determining with your provider the right
treatment for you.
What if I'm unhappy with the result?
A qualified practitioner can provide you with appropriate revisional or
after-care. Make sure you ask this question before the injection or
treatment.
Have you been told who holds financial responsibility for any revisions
or if complications arise?
You don't want any surprises later
The American Society for Aesthetic Plastic Surgery (ASAPS) is the
leading organization of board-certified plastic surgeons specializing in
cosmetic plastic surgery. ASAPS active-member plastic surgeons are
certified by the American Board of Plastic Surgery or the Royal College of
Physicians and Surgeons of Canada. surgery.
The American Society of Plastic Surgeons is the largest organization of
board-certified plastic surgeons in the world. With more than 6,000
members, the society is recognized as a leading authority and information
source on cosmetic and reconstructive plastic surgery. ASPS comprises 94
percent of all board-certified plastic surgeons in the United States.
Founded in 1931, the society represents physicians certified by The
American Board of Plastic Surgery or The Royal College of Physicians and
Surgeons of Canada.
The American Society for Aesthetic Plastic Surgery (ASAPS)
surgery
View drug information on Botox.