Who’s Holding the Needle?

Dermal Filler

By Juliet Gibson, MD

The demand for cosmetic treatments has increased rapidly, resulting in a variety of options to reverse the effects of aging. These options range from simple Botox and dermal fillers to more complex surgical procedures. However, not all procedures are equally effective. The skill of the provider, and the area, can affect both your health and the overall outcome of the treatment.

One misconception is cosmetic procedures are the same everywhere, from a local spa to a board-certified physician’s office. However, experts agree this is not the case. Where you receive your treatment is just as important as the practitioner’s skill. In this article, we will explore why the setting you receive your cosmetic procedure matters and its impact on your skin’s health.

The Importance of Skill and Expertise

The first crucial factor to consider when undergoing a cosmetic procedure is the skill of the person performing it. After all, who wouldn’t want to be in the capable hands of a medical professional? It is important to receive treatment from a skilled physician who has a comprehensive understanding of facial anatomy.

For many individuals, cosmetic procedures are a way to address specific concerns like wrinkles, volume loss, and fine lines. These issues are not to be taken lightly, and have a significant impact on the result. While practitioners in medical spas and salons may offer discounted rates, there is often a concerning lack of specialized training. In some cases, these practitioners have completed a weekend course on injection techniques, which is sufficient to ensure a safe and effective procedure.

As dermatologists often remind patients, “Do you want to be the Groupon special when it comes to your face?”. This serves as a reminder that your face is not a bargain bin item to be experimenting on by inexperience. Instead, opting for a physician who specializes in dermatology and cosmetic procedures ensures that you receive the highest standard of care. With a deep knowledge of facial anatomy and years of training, you can receive the best treatments.

Safety Concerns and Potential Adverse Effects

Another crucial consideration in evaluating where to have your cosmetic procedure performed is the ability to manage potential adverse effects. According to a study led by the American Society for Dermatologic Surgery, medical spas have higher complication rates for certain cosmetic procedures compared to physician’s offices due to less physician involvement in the procedures. Although a few cosmetic procedures are minimally invasive, they still carry risks. In the hands of a medically trained professional, these risks are minimized, and any adverse effects can be promptly addressed.

Many medical spas are unable to provide medical oversight to handle complications that may arise during a procedure. They often do not have a physician on-site and Medical Director’s name on the door, which does not guarantee their physical presence during procedures. In contrast, certified physician offices, particularly those with board-certified dermatologists, have the capability to manage and mitigate potential complications. This added layer of safety provides peace of mind to patients.

When it comes to choosing the ideal setting for your cosmetic procedure, the old adage, “you get what you pay for,” certainly rings true. While the sales on treatments at local spas might be tempting, the importance of skill and safety is important. It’s essential to prioritize your health and well-being by seeking cosmetic treatments from a board-certified dermatologist.

At North Dallas Dermatology Associates, we have board-certified dermatologists with years of experience to help guide you and achieve natural results while ensuring your safety with all cosmetic and medical procedures. Book a consultation with us today to learn more about fillers and Botox and take a step closer to attaining your cosmetic goals.


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North Dallas Dermatology Associates8144 Walnut Hill Lane Suite 1300
Dallas Texas 75231
Fax: (214) 420-7380

Our Hours:

Mon-Thurs: 8:00AM – 4:00PM
Friday: 8:00AM – 1:00PM

Free parking is available on the ground level of the parking garage directly attached to the BB&T bank.


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