Who is best to treat you for cosmetic medical therapy?

Over the next few weeks, I would like to open up my blog page to you readers out there on the subject of who do you trust and feel most comfortable with receiving a cosmetic medical procedure from. I would define a cosmetic medical procedure as a medical procedure or treatment that alters or reshapes the structure of an individual's body just to improve the individual's appearance.

So, chemical peels, microdermabrsion, dermabrasion, Botox, wrinkle fillers, liposuction, tummy tucks, face lifts, lasers for hair removal, acne scars, improving wrinkles, etc. would be some of the cosmetic procedures I am talking about. Which of these-if any-should a nurse be qualified to perform? How about an aesthetician-working at a doctor's office or in a salon? If you feel a nurse or aesthetician can do some of these procedures competently, should a doctor even be around to supervise them? Are you comfortable having your family physician or gynecologist do any of these? What about a dermatologist or plastic surgeon? And should all of these be performed in a doctor's office, or are any safe to be done in someone's home or work environment?

Remember Botox, wrinkle fillers, and lasers currently require a doctor's license to obtain. Not just anyone can get them.

So, what do you all think? Feel free to share thoughts on some or all of these questions.
-Lawrence Green

10/8/2007 7:00:00 AM
Dr. Lawrence J. Green
Dr. Green’s goal is to provide safe, effective therapies and/or minimally invasive procedures that help patients continue to look and feel their best. His approach is to remain at the cutting edge, but never compromise on patient safety. To this effect, Dr. Green believes that only board-certified physicians with appropr...
View Full Profile Website: http://www.looking-younger.com/

Comments
Amy- Great comment. I think alot of people believe that too. I have a few more questions for you though-since you are the only nice enough person to blog in so far. Do you think the nurse should be supervised by any doctor-or just a doctor well trained in cosmetic procedures (like a dermatologist or plastic surgeon)? And would you let a technician (who says they do this every day)-but who is not a nurse-give you Botox or do laser hair removal? -Lawrence Green
Posted by Dr. Lawrence J. Green
I was just thinking that botox and hair removal don't involved chopping up someone's body (like surgery). I figured a well trained nurse could do just as well. I absolutely think it should be supervised by a doctor though.
Posted by Amy
Amy: Why do you think Botox, laser hair removal and wrinkle fillers are not invasive? They require intimate knowledge of anatomy and a medical license to purchase(meaning the government thinks only doctors should be able to get them). If not done properly, Botox can cause droopy eyelids, lasers horrific burns, and wrinkle fillers serious lumps or swelling. Not that I am disagreeing with you, I'm just trying to look at all angles. But, if you think nurses should be OK with less invasive things like Botox, should a doctor watch them or tell them how to do it each time for every patient to make sure things go correclty? Also, should a nurse be specially trained as a dermatology or plastic surgery nurse, or is any old nurse (like an OB nurse) OK to do these things? What to you think? -Lawrence Green
Posted by Dr. Lawrence J. Green
I think the invasive procedures should be done by an experienced cosmetic surgeon. Things like botox, laser hair removal, and wrinkle fillers could probably be done with a nurse.
Posted by Amy

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