There are a couple of ways you can protect yourself from this type of behavior. First of all, be careful if the product is reconstituted in front of you, which provides a strong indication that the vial is authentic. Second, order a bottle sticker if it's Botox. Did you know that there are two removable stickers on each bottle that indicate both the batch number and the expiration date? This is an easy and reliable way to know what you're getting.
Some doctors, for example, use a heavier concentrate around larger, denser muscles. The glabella (between the eyebrows) is an example of this. In weaker muscles, such as around the eyes, doctors typically use less Botox. The doctor might start with 20 units of Botox, but use more saline throughout the procedure to dilute Botox.
Sooner or later, that practitioner will be known as the one who deceives people by diluting Botox. When someone talks about overdiluting it, it means that, for example, instead of reconstituting it with 1 ml of saline, it is reconstituted with 1.2 ml (or some amount a little more) and then treated as if it had only been done with 1 ml, thus obtaining some additional units from the vial. Botox dilution has nothing to do with the number of units received and dilution amounts will vary depending on injector preference. Botox is usually diluted with 1 to 3 cc of saline, depending on the preference of the injector and the areas to be treated.
Too dilute injections, which can reduce doctor's costs, can be ineffective and increase the risk of complications, such as having a drooping eyelid. Before receiving an injection, ask about the medical director's level of experience and determine if it is on-site or if it is available quickly as needed. Professionals know the right mix to keep BOTOX strong AND safe; other places lacking experience or scruples greatly dilute saline treatment, making it weaker and less effective. One week before receiving Botox treatment, you'll want to stop taking medications that can thin your blood.
However, keep in mind that it is important that your provider's medical director is knowledgeable and easily accessible to address any such complications. Mixing the toxin with too much saline increases the risk of complications because a diluted solution is more likely to migrate to other muscle areas, he says, causing problems such as a drooping eyelid, double vision, or a drooping lip. Before you get BOTOX, you'll want to make sure that the person giving you the injections is someone who is a board-certified medical professional who has a thorough understanding of how facial anatomy works. This is ethically and morally wrong, not to mention that it is likely illegal, since the practitioner would be knowingly injecting (and documenting in the medical note) the wrong amount.
The bottom line is that if you receive Botox that is heavily diluted, you will need to come back more often, and you may even need to go to the office for a “follow up” if your muscles are not properly frozen after the first visit. Medical Director %26 world-renowned specialist in the art of minimally invasive procedures such as fillers, botox and lasers to achieve incredible results.
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